山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (1): 31-35.doi: 10.6040/j.issn.1673-3770.0.2015.318

• 论著 • 上一篇    下一篇

NLRP3炎性小体在嗜酸粒细胞性鼻息肉发病及复发中的作用

杜志宏1,于亚峰2   

  1. 1.南京市高淳人民医院耳鼻咽喉科, 江苏 南京 211300;
    2.苏州大学附属第一医院耳鼻咽喉科, 江苏 苏州 215006
  • 收稿日期:2015-08-02 出版日期:2016-02-16 发布日期:2016-02-16
  • 通讯作者: 于亚峰. E-mail:yfyu1024@163.com E-mail:d7812@126.co
  • 作者简介:杜志宏. E-mail:d7812@126.co
  • 基金资助:
    苏州市科技局项目(SYS201449)

Effect of NLRP3 inflammasome in the pathogenesis and relapse of eosinophilic nasal polyps.

DU Zhihong1, YU Yafeng2.   

  1. 1. Department of Otorhinolaryngology, Gaochun Peoples Hospital, Nanjing 211300, Jiangsu, China;2. Department of Otorhinolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, China
  • Received:2015-08-02 Online:2016-02-16 Published:2016-02-16

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摘要： 目的 探讨NLRP3炎性小体在嗜酸粒细胞性鼻息肉(ENP)发病及复发中的可能作用及机制。 方法 根据HE染色,选取80例ENP(ENP组)、24例嗜酸粒细胞性复发鼻息肉(RENP)患者(RENP组)的鼻息肉组织及同期30例鼻中隔偏曲患者(对照组)的中鼻甲黏膜。所有患者嗜酸粒细胞(EOS)浸润数通过HE染色观察并计算,采用免疫组化法检测3组NLR含热蛋白结构域3(NLRP3)炎性小体、白细胞介素-1beta(IL-1β)、IL-18的表达情况,并分析ENP、RENP组中NLRP3炎性小体与EOS浸润数的相关性。 结果 IL-1β和IL-18在ENP及RENP组中的表达均高于对照组(P<0.05),但在ENP与RENP组中的表达无显著差异(P>0.05)。NLRP3炎性小体在RENP组中的表达明显高于ENP组和对照组(P<0.01),且EOS浸润数明显多于ENP组(P<0.05)和对照组(P<0.01)。NLRP3炎性小体在ENP及RENP组中的表达均与EOS浸润数呈正相关。 结论 NLRP3炎性小体、IL-1β和IL-18均与ENP发病密切相关,NLRP3炎性小体可能参与ENP的复发。

关键词: 复发性, 嗜酸粒细胞, 鼻息肉, NLRP3炎性小体

Abstract: Objective To explore the possible effect and mechanism of NLRP3 inflammasome in the pathogenesis and relapse of eosinophilic nasal polyps(ENP). Methods According to HE staining, the nasal polyp tissues from 80 cases of ENP(ENP group)and 24 cases of recurrent essinophilic nasal polyps(RENP, RENP group)as well as middle turbinate mucosa from 30 cases of deviated nasal septum(control group)were selected. The number of eosinophil(EOS)infiltration in all patients was detected and observed by HE staining. The immunohistochemistry was used to detect the expression of NLRP3 inflammasome, IL-1β and IL-18 in three groups, and the correlation between NLRP3 inflammasome and the number of EOS infiltration was analyzed in ENP and RENP groups. Results The expression of IL-1β and IL-18 in both ENP and RENP groups was higher than in control group(P<0.05), but no significant difference was presented between ENP group and RENP group(P>0.05). The expression of NLRP3 inflammasome in RENP group was higher significantly than in ENP group and control group(P<0.01), and the number of EOS infiltration more than ENP group(P<0.05)and control group(P<0.01). The expression of NLRP3 inflammasome in both ENP and RENP groups positively correlated with the number of EOS infiltration. Conclusion NLRP3 inflammasome, IL-1β and IL-18 were all associated with the pathogenesis of ENP closely, and NLRP3 inflammasome may involve in the relapse of ENP.

Key words: Eosinophil, NLRP3 inflammasome, Nasal polyps, Recurrent

中图分类号: 

  • R765.2
[1] Bteman N D, Fahy C, Woolford T J. Nasal polyps: still more questions than answers[J]. J Laryngol Otol, 2003, 117(1): 1-9.
[2] Mygind N. Nasal Allergy[M]. 2nd edition. London: Blackwell Scientific Publications, 1979: 233-234.
[3] Ishitoya J, Sakuma Y, Tsukuda M. Eosinophilic chronic rhinosinusitis in Japan[J]. Allergol Int, 2010, 59(3): 239-245.
[4] Ferguson B J. Categorization of eosinophilic chronic rhinosinusitis[J]. Curr Opin Otolaryngol Head Neck Surg, 2004, 12(3): 237-242.
[5] Sun D I, Joo Y H, Kang J M. Clinical significance of eosinophilic cationic protein levels in nasal secretions of patients with nasal polyposis[J]. Eur Arch Otorhinolaryngol, 2009, 266(7): 981-986.
[6] Martinon F, Burns K, Tschopp J. The inflammasome: a molecular platform triggering activation of inflammatory caspases and processing of pro-IL-beta[J]. Mol Cell, 2002, 10(2): 417-426.
[7] 王金风,刘晓菊,曾晓丽.NLRP3炎性小体与肺部疾病[J].国际呼吸杂志,2014,34(2):115-118.
[8] Cao P P, Li H B, Wang B F, et al. Distinct immunopathologic characteristics of various types of chronic rhino sinusitis in adult Chinese[J]. J Allergy Clin Immunol, 2009, 124(3): 478-484.
[9] Bachert C, Watelet J B, Gevaert P, et al. Pharmacological management of nasal polyposis[J]. Drugs, 2005, 65(11): 1537-1552.
[10] Albu S, Tomescu E, Mexca Z, et al. Recurrence rates in endonasal surgery for polyposis[J]. Acta Otorhinolaryngol Belg, 2004, 58(1): 79-86.
[11] Stamberger H. Diffuse eosinophil-dominated polyposis. FESS-endoscopic diagnosis and surgery of the paranasal sinuses and anterior skullbase[M]. Tuttlinge: Verlag Endo-Press, 1988: 41-44.
[12] Newman L J, Platts-Mills T A, Phillips D, et al. Chronic sinusitis: relationship of computed tomographic findings to allergy, asthma, and eosinophilia[J]. JAMA, 1994, 271(5): 363-367.
[13] Medzliitov R, Janeway C J. Innate immune recognition: mechanisms and pathways[J]. Immunol Rev, 2000, 173: 89-97.
[14] Yamasaki K, Muto J, Taylor K R, et al. NLRP3/cryopyrin is necessary for interleukin-1beta(IL-1beta)release in response to hyaluronan, an endogenous trigger of inflammation in response to injury[J]. J Biol Chem, 2009, 284(19): 12762-12771.
[15] Feldmann J, Prieur A M, Quartier P, et al. Chronic inflatile neurological cutaneous and articular syndrome is caused by mutations in CIAS1, a gene highly expressed in polymorphonuclear cells and chondrocytes[J]. Am J Hum Genet, 2002, 71(1): 198-203.
[16] Zaki M H, Boyd K L, Vogel P, et al. The NLRP3 inflammasome protects against loss of epithelial integrity and mortality during experimental colitis[J]. Immunity, 2010, 32(3): 379-391.
[17] Gauer S, Sichler O, Obermuller N, et al. IL-18 is expressed in the intercalated cell of human kidney[J]. Kidney Int, 2007, 72(9): 1081-1087.
[18] Besnard A G, Guillou N, Tschopp J, et al. NLRP3 inflammasome is required in murine asthma in the absence of aluminum adjuvant[J]. Allergy, 2011, 187(7): 1047-1057.
[19] Månsson A, Bogefors J, Cervin A, et al. NOD-like receptors in the human upper airways: a potential role in nasal polyposis[J]. Allergy, 2011, 66(5): 621-628.
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