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Published on: June 14, 2020
Characterization of the T-cell subpopulations in the granulation tissues of chronic suppurative otitis media
Bing Wang1, Ying Cheng1, Min Xu1
1Department of Otolaryngology, Head and Neck Surgery, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi 710004, P.R. China.
Abstract:
The present study aimed to investigate the potential involvement of specific T-cell subpopulations in granulation tissue formation in chronic suppurative otitis media (CSOM). Fifteen patients with CSOM were enrolled in this study. Granulation tissues were obtained from the middle ear cavity. Hematoxylin and eosin staining was performed for histopathological observation, and different T-cell subpopulations were characterized by immunohistochemistry. No evident association was identified between granulation tissue formation and disease course. The number of cluster of differentiation 8+ (CD8+) T cells, forkhead box P3+ (FOXP3+) regulatory T (Treg) cells and OX40+ T cells were significantly higher in granulation tissues from patients with ear discharge within the last 6 months compared to those without (P<0.05). Fresh granulation tissues had more CD8+ T cells and FOXP3+ Treg cells compared to the mature granulation tissues (P<0.05). There was a differential abundance of specific T-cell subpopulations in the granulation tissues in CSOM with different disease courses or with ear discharge, suggesting that T cell-mediated cellular immunity is involved in lesion formation of CSOM.
Insights
Specific T-cell subpopulations, including cluster of differentiation 8+ (CD8+) and forkhead box P3+ (FOXP3+) regulatory T (Treg) cells, are elevated in chronic suppurative otitis media (CSOM) granulation tissue, indicating their role in lesion formation.
Area of Science:
- Immunology
- Otolaryngology
- Cellular Biology
Background:
- Chronic suppurative otitis media (CSOM) is characterized by persistent middle ear inflammation and discharge.
- Granulation tissue formation is a key pathological feature in chronic otitis media, but the specific immune cells involved remain unclear.
Purpose of the Study:
- To investigate the involvement of T-cell subpopulations in granulation tissue formation in CSOM.
- To correlate T-cell infiltration with clinical parameters such as disease course and ear discharge.
Main Methods:
- Histopathological analysis of granulation tissue from 15 CSOM patients using Hematoxylin and eosin staining.
- Immunohistochemical characterization of T-cell subpopulations, including CD8+, FOXP3+ regulatory T (Treg), and OX40+ T cells.
- Comparison of T-cell numbers in relation to disease activity and tissue maturity.
Main Results:
- Significantly higher numbers of CD8+ T cells, FOXP3+ Treg cells, and OX40+ T cells were observed in granulation tissues from patients with recent ear discharge.
- Fresh granulation tissues exhibited greater infiltration of CD8+ T cells and FOXP3+ Treg cells compared to mature tissues.
- No significant association was found between granulation tissue formation and the overall disease course.
Conclusions:
- Specific T-cell subpopulations, particularly CD8+ and FOXP3+ Treg cells, are differentially abundant in CSOM granulation tissue.
- T-cell mediated immunity likely plays a crucial role in the pathogenesis and lesion development of CSOM.
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