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Published on: April 12, 2024
The role of periostin in eosinophilic otitis media
Hisanori Nishizawa1, Atsushi Matsubara, Takashi Nakagawa
1Department of Otorhinolaryngology, Hirosaki University Graduate School of Medicine, Japan.
Conclusion:
We investigated the localization of periostin in middle ear specimens from patients with eosinophilic otitis media (EOM) and from a newly constructed animal model for EOM. Periostin-positive immunostaining was observed in the middle ear sections obtained from the EOM patients. Immunoreactivity for periostin was also seen in the animal model. These results suggest that periostin plays an important role in subepithelial fibrosis in the middle ear in EOM.
Objective:
The purpose of the present study was to investigate the role of periostin in the middle ear of EOM patients and an animal model.
Methods:
Histological and immunohistochemical analyses for periostin were carried out in the middle ear specimens of six EOM patients with/without asthma. An animal model of EOM was constructed by intraperitoneal and topical sensitization with ovalbumin (OVA). Histological and immunocytochemical analyses for periostin were also performed in this model.
Results:
Immunoreactivities for periostin were observed in the basement membrane and extracellular matrix of the middle ear sections obtained from all EOM patients with/without asthma. In the animal model, eosinophil infiltration and middle ear mucosa thickness were observed. Moreover, periostin-positive immunostaining was shown in the extracellular matrix of the middle ear mucosa on the side topically boosted by OVA.
Insights
Periostin is present in the middle ear of patients with eosinophilic otitis media (EOM) and in a new EOM animal model. This suggests periostin is key in developing middle ear fibrosis in EOM.
Area of Science:
- Otolaryngology
- Immunology
- Pathology
Background:
- Eosinophilic otitis media (EOM) is a chronic inflammatory condition of the middle ear.
- The role of specific proteins in EOM pathogenesis requires further elucidation.
Purpose of the Study:
- To investigate the presence and role of periostin in the middle ear of EOM patients.
- To examine periostin expression in a newly developed animal model of EOM.
Main Methods:
- Histological and immunohistochemical analyses were performed on middle ear specimens from EOM patients.
- An EOM animal model was created using ovalbumin sensitization.
- Periostin localization was assessed in both human samples and the animal model.
Main Results:
- Periostin-positive immunostaining was detected in the middle ear sections of EOM patients.
- The EOM animal model exhibited eosinophil infiltration and thickened mucosa.
- Periostin was found in the extracellular matrix of the middle ear mucosa in the animal model.
Conclusions:
- Periostin is present in the middle ear tissues affected by EOM.
- The findings indicate periostin's significant involvement in subepithelial fibrosis within the middle ear during EOM.
- Periostin may be a potential therapeutic target for managing EOM-related fibrosis.
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