Wen Wei-dong, Yuan Fang, Hou Yi-ping, Song Yan-feng
Department of Oral and Plastic Surgery, 473th Hospital of Chinese PLA, Lanzhou 730070, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2004 Feb;39(2):97-101.
To study the effect of botulinum toxin-A on inhibiting rhinorrhea, on expression of VIP at nasal mucosa, on morphometrical change with an immunohistochemical and histological methods in rats allergic rhinitis.
Ovalbumin sensitized the rat as animal model of allergic rhinitis. Animals were divided into control group (n = 8), allergic group (n = 12), allergic animal treated by BTX-A group (n = 6). VIP immunoreactivity at nasal mucosa in the rat allergic rhinitis was studied by immunohistochemical. The morphometrical changes at nasal mucosa were observed by histological staining methods.
The results showed that the symptoms of allergic rhinitis, nasal rhinorrhea and sneezing, were remarkably relieved after ovalbumin application in the rat. The nasal rhinorrhea symptom diminished after BTX-A treated. The quantity of nasal secretion were significantly reduced(P < 0.05) in allergic one treated by BTX-A group as compared with allergic group. Hematoxylin and eosin staining demonstrated that no edema, small vessels were found in the nasal mucosa and after BTX-A treatment, but edema, vasodilational and inflammational cell infiltration were observed in the allergic group. Immunohistochemical study revealed that VIP immunoreactive fibers in the nasal mucosa showed a marked decrease after BTX-A application, but the density and a large number of VIP fibers were significantly found in the allergic group.
The results suggested that local BTX-A treatment was a selective and non-traumatic method to reduce a long lasting desensitization of the nasal mucosa, to alleviate nasal congestion, rhinorrhea and sneezing, and to reduce the sensory neuron sensitivity of the mucosa.
采用免疫组织化学和组织学方法,研究A型肉毒毒素对大鼠变应性鼻炎鼻漏的抑制作用、鼻黏膜血管活性肠肽(VIP)表达及形态计量学变化。
用卵清蛋白致敏大鼠制备变应性鼻炎动物模型。动物分为对照组(n = 8)、变应性组(n = 12)、A型肉毒毒素治疗变应性动物组(n = 6)。采用免疫组织化学方法研究大鼠变应性鼻炎鼻黏膜的VIP免疫反应性。采用组织学染色方法观察鼻黏膜的形态计量学变化。
结果显示,给大鼠应用卵清蛋白后,变应性鼻炎症状如鼻漏和打喷嚏明显缓解。A型肉毒毒素治疗后鼻漏症状减轻。与变应性组相比,A型肉毒毒素治疗变应性组的鼻分泌物量显著减少(P < 0.05)。苏木精-伊红染色显示,A型肉毒毒素治疗后鼻黏膜无水肿、小血管,但变应性组观察到水肿、血管扩张和炎性细胞浸润。免疫组织化学研究显示,应用A型肉毒毒素后鼻黏膜中VIP免疫反应性纤维明显减少,但变应性组中VIP纤维密度和数量显著增加。
结果表明,局部应用A型肉毒毒素是一种选择性、非创伤性方法,可减轻鼻黏膜的长期脱敏反应,缓解鼻充血、鼻漏和打喷嚏,降低黏膜感觉神经元敏感性。