颗粒物暴露与慢性鼻炎中炎症性细胞因子和埃索诺菲尔的增加有关
Rory J Lubner1, Kolin Rubel1, Rakesh K Chandra1
1Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Allergy
|January 5, 2024
概括
暴露于细颗粒物 (PM2.5) 可能通过改变免疫反应导致慢性鼻炎 (CRS). 这项研究将PM2.5与特定的炎症模式以及CRS患者中喘和过敏性鼻炎风险的增加联系起来.
科学领域:
- 环境健康 环境健康
- 免疫学 免疫学 免疫学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 慢性鼻炎 (CRS) 的发病过程涉及复杂的宿主免疫,微生物群和环境相互作用.
- 关于细颗粒物 (PM2.5) 对CRS发展的影响的数据有限.
- PM2.5与其他呼吸道疾病有关,这表明它可能在CRS中发挥作用.
研究的目的:
- 研究CRS患者环境PM2.5暴露与炎症性细胞因子模式之间的关联.
- 探索PM2.5作为影响CRS病原性的潜在环境因素.
- 通过细胞因子分析了解环境暴露与CRS之间的机制联系.
主要方法:
- 分析了308名接受内镜外科手术的CRS患者的数据.
- 在手术内粘液中使用多重流细胞计量对细胞因子的量化.
- 时空机器学习模型用于估计手术前一年的每日PM2.5水平.
- 相关性和回归分析以评估细胞因子,PM2.5和临床因素之间的关系.
主要成果:
- 在几个炎症性细胞因子 (IL-2,IL-5/IL-13,IL-12,IL-21) 和平均手术前PM2.5水平 (6,9,12个月) 之间发现了显著的相关性.
- 经过对临床和人口统计学变量进行调整后,这些关联仍然存在.
- 增加的PM2.5暴露与喘和过敏性鼻炎的更高几率,以及增加的组织乙氨基细胞数量有关.
结论:
- 长期暴露于PM2.5可能是CRS的独立风险因素.
- 暴露于PM2.5与CRS中的2型主导炎症反应有关.
- 像PM2.5这样的环境因素在CRS的发展和严重性方面发挥着重要作用.
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