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Macrophage Infiltrate Is Elevated in CRSwNP Sinonasal Tissue Regardless of Atopic Status
Caroline A Banks1, Rodney J Schlosser2, Eric W Wang3
1Department of Otolaryngology, Medical University of South Carolina, Charleston, South Carolina, USA Caroline_Banks@MEEI.HARVARD.EDU.
Objective:
Macrophages are major producers of inflammatory cytokines; however, their role in chronic rhinosinusitis (CRS) has not been clearly defined. The aim of this study was to quantify macrophages in sinus tissue of patients with various subtypes of CRS and determine the impact of atopic status on macrophage infiltrate.
Study Design:
Prospective immunohistochemical study of human sinonasal tissue.
Setting:
Academic medical center.
Subjects And Methods:
Human sinonasal tissue was taken from patients with CRS with nasal polyposis (CRSwNP, n = 8), CRS without nasal polyposis (CRSsNP, n = 8), and controls (n = 8) undergoing surgery for CSF leak repair or endoscopic excision of non-secreting pituitary tumor. Samples were immunohistochemically stained for macrophage/monocyte markers Mac387 and CD68.
Results:
CRSwNP patients had significantly increased numbers of Mac387 and CD68 cells compared to control patients (P < .05) or CRSsNP patients (P < .01). CRSsNP had significantly increased number of cells staining for CD68 compared to controls (P < .05). The increased presence of macrophages measured by either marker in CRSwNP was independent of atopic status.
Conclusion:
Macrophages are increased in CSRwNP patients regardless of atopic status and may contribute to the immunopathology of CRS.
Insights
Macrophages are significantly increased in chronic rhinosinusitis with nasal polyposis (CRSwNP) patients, independent of atopic status. This macrophage infiltration may play a key role in the immunopathology of CRSwNP.
Area of Science:
- Immunology
- Rhinology
- Pathology
Background:
- Macrophages are key inflammatory cytokine producers.
- Their specific role in chronic rhinosinusitis (CRS) remains unclear.
- Understanding macrophage involvement is crucial for CRS pathogenesis.
Purpose of the Study:
- To quantify macrophage infiltration in different CRS subtypes.
- To investigate the influence of atopic status on macrophage presence.
- To elucidate the role of macrophages in CRS immunopathology.
Main Methods:
- Prospective immunohistochemical analysis of human sinonasal tissue.
- Tissue samples from CRS with nasal polyposis (CRSwNP), CRS without nasal polyposis (CRSsNP), and controls were analyzed.
- Macrophage markers (Mac387, CD68) were used for quantification.
Main Results:
- CRSwNP patients showed significantly higher Mac387 and CD68 positive cells compared to controls and CRSsNP patients.
- CRSsNP patients had increased CD68 positive cells compared to controls.
- Elevated macrophage presence in CRSwNP was not affected by atopic status.
Conclusions:
- Macrophages are significantly increased in CRSwNP, irrespective of atopy.
- These findings suggest a substantial role for macrophages in the immunopathology of CRSwNP.
- Further research into macrophage-targeted therapies for CRSwNP is warranted.
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