Feng Huijie, Yang Yang, Zhou Huan, Bai Sujuan
Department of Otorhinolaryngology, People's Hospital of Shanghai Putuo District, Shanghai 200060, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Mar;26(5):205-8. doi: 10.13201/j.issn.1001-1781.2012.05.008.
To explore whether there was tissue remodeling in the nasal mucosa of allergic rhinitis (AR) patients and detect the protein expressions of transforming growth factor beta1 (TGF-beta1), matrix metalloproteinases 9 (MMP-9) and tissue inhibitors of matrix metalloproteinases 1 (TIMP-1) in the nasal mucosa of these patients.
Pathologic staining was used to explore the mucosa of the middle turbinate tissues from 16 patients with mild AR, from 12 patients with severe AR, and from 15 non-AR, respect. The infiltrating of eosinophils and damage of epithelium were examined by the hematoxylin-eosin staining; goblet cells were counted by the alcian blue-periodic acid-schiff staining; the percentage area of extracellular matrix was determined by the MT; the protein expressions were measured by ELISA of TGF-beta1, MMP-9 and TIMP-1 in the middle turbinate tissues.
Compared with the control group, significant eosinophil infiltration and goblet cells were observed in both AR groups (P < 0.05). Evident epithelial damage and extracellular matrix deposition were observed in severe-AR group (P < 0.05). The expressions of TGF-beta1, MMP-9 and TIMP-1 in AR tissues were significant increased (P < 0.05).
The nasal mucosa remodeling was observed in AR groups. The characteristics were as follows: eosinophils infiltration, epithelial damage, goblet cells hyperplasia and extracellular matrix deposition. TGF-beta1, MMP-9, TIMP-1 may play a role in the tissue remodeling processes.
探讨变应性鼻炎(AR)患者鼻黏膜是否存在组织重塑,并检测这些患者鼻黏膜中转化生长因子β1(TGF-β1)、基质金属蛋白酶9(MMP-9)和基质金属蛋白酶组织抑制剂1(TIMP-1)的蛋白表达。
采用病理染色分别观察16例轻度AR患者、12例重度AR患者及15例非AR患者中鼻甲组织的黏膜情况。苏木精-伊红染色观察嗜酸性粒细胞浸润及上皮损伤情况;阿尔辛蓝-过碘酸-希夫染色计数杯状细胞;MT法测定细胞外基质面积百分比;酶联免疫吸附测定法检测中鼻甲组织中TGF-β1、MMP-9和TIMP-1的蛋白表达。
与对照组相比,两个AR组均观察到明显的嗜酸性粒细胞浸润和杯状细胞(P<0.05)。重度AR组观察到明显的上皮损伤和细胞外基质沉积(P<0.05)。AR组织中TGF-β1、MMP-9和TIMP-1的表达显著增加(P<0.05)。
AR组存在鼻黏膜重塑。其特征如下:嗜酸性粒细胞浸润、上皮损伤、杯状细胞增生和细胞外基质沉积。TGF-β1、MMP-9、TIMP-1可能在组织重塑过程中起作用。