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慢性鼻-鼻窦炎相关性嗅觉炎症的遗传模型揭示了可逆的功能障碍和显著的神经上皮重构。

A genetic model of chronic rhinosinusitis-associated olfactory inflammation reveals reversible functional impairment and dramatic neuroepithelial reorganization.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Center for Sensory Biology, and Department of Molecular Biology and Genetics, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.

出版信息

J Neurosci. 2010 Feb 10;30(6):2324-9. doi: 10.1523/JNEUROSCI.4507-09.2010.

Abstract

Inflammatory sinus and nasal disease is a common cause of human olfactory loss. To explore the mechanisms underlying rhinosinusitis-associated olfactory loss, we have generated a transgenic mouse model of olfactory inflammation, in which tumor necrosis factor alpha (TNF-alpha) expression is induced in a temporally controlled manner specifically within the olfactory epithelium (OE). Like the human disease, TNF-alpha expression leads to a progressive infiltration of inflammatory cells into the OE. Using this model, we have defined specific phases of the pathologic process. An initial loss of sensation without significant disruption is observed, followed by a striking reorganization of the sensory neuroepithelium. An inflamed and disrupted state is sustained chronically by continued induction of cytokine expression. After prolonged maintenance in a deficient state, there is a dramatic recovery of function and a normal histologic appearance when TNF-alpha expression is extinguished. Although obstruction of airflow is also a contributing factor in human rhinosinusitis, this in vivo model demonstrates for the first time that direct effects of inflammation on OE structure and function are important mechanisms of olfactory dysfunction. These features mimic essential aspects of chronic rhinosinusitis-associated olfactory loss, and illuminate underlying cellular and molecular aspects of the disease. This manipulable model also serves as a platform for developing novel therapeutic interventions.

摘要

炎症性鼻窦和鼻腔疾病是人类嗅觉丧失的常见原因。为了探究与鼻-鼻窦炎相关的嗅觉丧失的机制,我们构建了一种嗅觉炎症的转基因小鼠模型,该模型中肿瘤坏死因子-α(TNF-α)的表达可在嗅觉上皮(OE)内被时间控制地特异性诱导。与人类疾病一样,TNF-α的表达导致炎症细胞渐进性浸润到 OE 中。使用该模型,我们定义了病理过程的特定阶段。首先观察到无明显破坏的感觉丧失,随后出现感觉神经上皮的显著重组。持续诱导细胞因子表达使炎症和破坏状态持续慢性存在。在维持功能不足的状态延长后,当 TNF-α的表达被消除时,功能会显著恢复,组织学外观也恢复正常。尽管气流阻塞也是人类鼻-鼻窦炎的一个促成因素,但该体内模型首次证明炎症对 OE 结构和功能的直接影响是嗅觉功能障碍的重要机制。这些特征模拟了慢性鼻-鼻窦炎相关嗅觉丧失的基本方面,并阐明了疾病的潜在细胞和分子方面。这个可操作的模型还可以作为开发新型治疗干预措施的平台。

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