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鼻息肉中的中性粒细胞表现出转录适应性和促炎作用,这取决于局部息肉环境。

Neutrophils in nasal polyps exhibit transcriptional adaptation and proinflammatory roles that depend on local polyp milieu.

机构信息

ENT Institute and Department of Otorhinolaryngology and.

High Altitude Rhinology Research Center, Eye and ENT Hospital, Fudan University, Shanghai, China.

出版信息

JCI Insight. 2024 Nov 22;9(22):e184739. doi: 10.1172/jci.insight.184739.

Abstract

Chronic rhinosinusitis with nasal polyps (CRSwNP) is an inflammatory upper airway disease, divided into eosinophilic CRSwNP (eCRSwNP) and noneosinophilic CRSwNP (neCRSwNP) according to eosinophilic levels. Neutrophils are major effector cells in CRSwNP, but their roles in different inflammatory environments remain largely unclear. We performed an integrated transcriptome analysis of polyp-infiltrating neutrophils from patients with CRSwNP, using healthy donor blood as a control. Additional experiments, including flow cytometry and in vitro epithelial cell and fibroblast culture, were performed to evaluate the phenotypic feature and functional role of neutrophils in CRSwNP. Single-cell RNA-sequencing analysis demonstrated that neutrophils could be classified into 5 functional subsets, with GBP5+ neutrophils occurring mainly in neCRSwNP and a high proportion of CXCL8+ neutrophils in both subendotypes. GBP5+ neutrophils exhibited significant IFN-I pathway activity in neCRSwNP. CXCL8+ neutrophils displayed increased neutrophil activation scores and mainly secreted oncostatin M (OSM), which facilitates communication with other cells. In vitro experiments showed that OSM enhanced IL-13- or IL-17-mediated immune responses in nasal epithelial cells and fibroblasts. Our findings indicate that neutrophils display transcriptional plasticity and activation when exposed to polyp tissue, contributing to CRSwNP pathogenesis by releasing OSM, which interacts with epithelial cells and fibroblasts depending on the inflammatory environment.

摘要

慢性鼻-鼻窦炎伴鼻息肉(CRSwNP)是一种炎症性上呼吸道疾病,根据嗜酸性粒细胞水平可分为嗜酸性粒细胞性 CRSwNP(eCRSwNP)和非嗜酸性粒细胞性 CRSwNP(neCRSwNP)。中性粒细胞是 CRSwNP 的主要效应细胞,但它们在不同炎症环境中的作用在很大程度上仍不清楚。我们对 CRSwNP 患者鼻息肉浸润中性粒细胞进行了综合转录组分析,并以健康供体血液作为对照。进行了额外的实验,包括流式细胞术和体外上皮细胞和成纤维细胞培养,以评估中性粒细胞在 CRSwNP 中的表型特征和功能作用。单细胞 RNA-seq 分析表明,中性粒细胞可分为 5 个功能亚群,GBP5+中性粒细胞主要存在于 neCRSwNP 中,而 CXCL8+中性粒细胞在两个亚群中均占较高比例。GBP5+中性粒细胞在 neCRSwNP 中表现出显著的 IFN-I 途径活性。CXCL8+中性粒细胞显示出增加的中性粒细胞激活评分,主要分泌肿瘤坏死因子(OSM),这有助于与其他细胞进行通讯。体外实验表明,OSM 增强了鼻上皮细胞和成纤维细胞中 IL-13 或 IL-17 介导的免疫反应。我们的研究结果表明,中性粒细胞在暴露于息肉组织时表现出转录可塑性和激活,通过释放 OSM 促进 CRSwNP 的发病机制,OSM 根据炎症环境与上皮细胞和成纤维细胞相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ad7/11601912/8a49be7c800c/jciinsight-9-184739-g215.jpg

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