Fan Yuhui, Jiao Qingqing, Zhou Aina, Liu Jisheng
Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Soochow University,Suzhou,215006,China.
Department of Dermatology,the First Affiliated Hospital of Soochow University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Apr;37(4):293-296;301. doi: 10.13201/j.issn.2096-7993.2023.04.011.
To explore the clinical correlation between peripheral blood basophil levels and chronic sinusitis (CRS) subtypes. One hundred and twenty-six patients with CRS and 103 healthy cases from physical examination admitted to the First Affiliated Hospital of Soochow University from January 2021 to October 2022 were retrospectively analyzed. According to the histopathological classification, CRS patients were divided into eosinophilic chronic sinusitis (eCRS) group (47 cases) and non eosinophilic chronic sinusitis (non-eCRS) group (79 cases). The differences among the three groups in peripheral blood inflammation cell counts, eosinophils-to-basophils ratio(bEBR), basophils-to-neutrophils ratio(BNR), basophils-to-lymphocytes ratio(BLR), basophils-to-monocytes ratio(BMR) were compared, and study the correlation between each index and Lund-Mackay score, and the correlation between basophils in peripheral blood and other inflammatory cells. The counts of basophils in the peripheral blood of the healthy control group, eCRS group and non-eCRS group were 0.03±0.01, 0.04±0.02, 0.03±0.02, respectively, the eosinophils-to-basophils ratio(bEBR) were 5.64±4.22, 8.38±5.95, 4.55±3.90, the basophils-to-neutrophils ratio(BNR) were 0.01±0, 0.01±0.01, 0.01±0.01, and the basophils-to-lymphocytes ratio(BLR) were 0.01±0.01, 0.02±0.01, and 0.02±0.01, respectively, the basophils-to-monocytes ratio(BMR) were 0.08±0.04, 0.11±0.06, and 0.08 ±0.04 respectively. There was a statistically significant difference between eCRS group and healthy control group, non-eCRS group(<0.01), while there was no statistically significant difference between non-eCRS group and healthy control group(>0.05). Basophil counts (=0.185 5, <0.05), BLR(=0.226 9, <0.05), BMR(=0.228 1, <0.01) in patients with CRS were positively correlated with Lund Makey score. In addition, basophils were also positively correlated with eosinophils(=0.479 2, <0.01), lymphocytes(=0.259 4, <0.01), and monocytes(=0.256 4, <0.01) in patients with CRS. The peripheral blood basophil count, BLR and BMR were significantly increased in eCRS, and were significantly positively correlated with Lund -Makey score. It has the potential to develop into disease biomarkers and new therapeutic targets of eCRS.
探讨外周血嗜碱性粒细胞水平与慢性鼻窦炎(CRS)各亚型之间的临床相关性。回顾性分析2021年1月至2022年10月苏州大学附属第一医院收治的126例CRS患者和103例健康体检者。根据组织病理学分类,将CRS患者分为嗜酸性粒细胞性慢性鼻窦炎(eCRS)组(47例)和非嗜酸性粒细胞性慢性鼻窦炎(non-eCRS)组(79例)。比较三组外周血炎症细胞计数、嗜酸性粒细胞与嗜碱性粒细胞比值(bEBR)、嗜碱性粒细胞与中性粒细胞比值(BNR)、嗜碱性粒细胞与淋巴细胞比值(BLR)、嗜碱性粒细胞与单核细胞比值(BMR)的差异,并研究各指标与Lund-Mackay评分的相关性,以及外周血嗜碱性粒细胞与其他炎症细胞的相关性。健康对照组、eCRS组和non-eCRS组外周血嗜碱性粒细胞计数分别为0.03±0.01、0.04±0.02、0.03±0.02,嗜酸性粒细胞与嗜碱性粒细胞比值(bEBR)分别为5.64±4.22、8.38±5.95、4.55±3.90,嗜碱性粒细胞与中性粒细胞比值(BNR)分别为0.01±0、0.01±0.01、0.01±0.01,嗜碱性粒细胞与淋巴细胞比值(BLR)分别为0.01±0.01、0.02±0.01、0.02±0.01,嗜碱性粒细胞与单核细胞比值(BMR)分别为0.08±0.04、0.11±0.06、0.08±0.04。eCRS组与健康对照组、non-eCRS组比较差异有统计学意义(<0.01),而non-eCRS组与健康对照组比较差异无统计学意义(>0.05)。CRS患者嗜碱性粒细胞计数(=0.185 5,<0.05)、BLR(= .226 9,<0.05)、BMR(=0.228 1,<0.01)与Lund Makey评分呈正相关。此外,CRS患者嗜碱性粒细胞与嗜酸性粒细胞(=0.479 2,<0.01)、淋巴细胞(=0.259 4,<0.01)、单核细胞(=0.256 4,<0.01)也呈正相关。eCRS中外周血嗜碱性粒细胞计数、BLR和BMR显著升高,且与Lund -Makey评分显著正相关。其有潜力发展成为eCRS的疾病生物标志物和新的治疗靶点。