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Feasibility of Treating Eosinophilic Chronic Rhinosinusitis Using Short-Chain Fatty Acids
Rikako Gozawa1, Yoshimasa Imoto1, Yuki Sonoda1
1Department of Otorhinolaryngology Head & Neck Surgery, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
The Laryngoscope
|July 11, 2025
Summary
Short-chain fatty acids (SCFAs) show potential in treating eosinophilic chronic rhinosinusitis (ECRS). Propionic acid, an SCFA, was found to suppress key inflammatory markers and reduce eosinophil survival, suggesting a therapeutic role.
Area of Science:
- Immunology
- Microbiology
- Otolaryngology
Background:
- Epithelial cell-derived cytokines are implicated in chronic rhinosinusitis with nasal polyps (CRSwNPs).
- Short-chain fatty acids (SCFAs), microbial metabolites, play a role in inflammation.
Purpose of the Study:
- To investigate the role of SCFAs in eosinophilic chronic rhinosinusitis (ECRS).
Main Methods:
- Quantitative real-time PCR analyzed gene expression of GPR41/FFAR3, GPR43/FFAR2, TSLP, IL-25, and IL-33 in nasal polyp tissues.
- Normal human bronchial epithelial (NHBE) cells were stimulated with poly(I:C) with or without SCFAs to measure TSLP.
- Immunohistochemistry assessed GPR41 in eosinophils and Eol-1 cells; Eol-1 cell viability with propionic acid was evaluated.
Main Results:
- GPR41 and GPR43 mRNA expression were significantly higher in ECRS nasal polyps (NPs).
- TSLP mRNA expression was elevated in ECRS-NPs, correlating with eosinophil counts.
- SCFAs (acetic, propionic, butyric acids) suppressed poly(I:C)-induced TSLP in NHBE cells; propionic acid reduced Eol-1 cell survival.
Conclusions:
- SCFAs, especially propionic acid, may offer a treatment strategy for ECRS.
- Propionic acid demonstrates potential by suppressing TSLP and eosinophils.
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