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Cross-talk between TH2 and TH17 pathways in patients with chronic rhinosinusitis with nasal polyps
Open accessAbstract
Background Chronic rhinosinusitis with nasal polyps (CRSwNP) is a heterogeneous disease with a spectrum of endotypes. T H 2- and T H 17-related cytokines are 2 central regulators involved in the inflammation associated with CRSwNP. Objective We sought to investigate the interregulation of T H 2 and T H 17 pathways in Chinese patients with CRSwNP. Methods Levels of key T H 2- and T H 17-related factors were measured in homogenates of polyp tissue obtained from patients with CRSwNP. The relationship of these factors and their expression in groups classified according to tissue IL-5 and IL-17 concentrations were analyzed. Cross-regulation of T H 2 and T H 17 cytokines and the effects of dexamethasone treatment were studied in dispersed nasal polyp cells. Associations between T H 2- and T H 17 related factors and comorbid atopic status and asthma, disease recurrence, and edema scores were also explored. Results Four CRSwNP groups were classified based on expression or nonexpression of mutually exclusive T H 2- and T H 17-related factors. The T H 2 cytokines IL-4 and IL-13 inhibited expression of T H 17-related factors, whereas the T H 17 cytokines IL-17 and TGF-β1 enhanced expression of T H 2-related factors. Dexamethasone treatment inhibited both the T H 2 and T H 17 pathways. A patient's atopic status was related to their T H 2 immune response. Edema scores were positively correlated with the T H 2 pathway and negatively correlated with the T H 17 pathway. Conclusion The T H 2 and T H 17 pathways are mutually exclusive and regulate each other, favoring the development of a T H 2 immune response in Chinese patients with CRSwNP.
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Metadata
- Authors
- Wang, M., Zhang, N., Zheng, M., Li, Y., Meng, L., Ruan, Y., Han, J., Zhao, N., Wang, X., Zhang, L., & Bachert, C.
- Affiliations
- Beijing Tongren Hospital (CN)
- Ghent University Hospital (BE)
- Capital Medical University (CN)
- Karolinska University Hospital (SE)
- Corresponding author
- Wang, Xiangdong
- Zhang, Luo
- ORCID
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 144
- Issue
- 5
- Pages
- 1254-1264
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W2954471812
- Cited by
- 61
- References
- 41
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 11 · 2023: 9 · 2022: 7 · 2021: 10 · 2020: 10 · 2019: 1
- FWCI
- 5.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- National Key R&D Program of China (2016YFC20160905200)
- Program for the Changjiang scholars and Innovative Research Team (IRT13082)
- National Natural Science Foundation of China (81420108009, 81630023, 81570893, 81570894)
- Beijing Municipal Administration of Hospitals' Mission Plan (SML20150203)
- Beijing Advanced Innovation Center for Food Nutrition and Human Health
- Beijing Technology and Business University (20181045)
- Capital Health Research and Development of Special (2014-4-1092)
- Beijing Natural Science Foundation (7162042, 7172054)
- Topics
- Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
- Keywords
- chronic rhinosinusitis with nasal polyps, Th2 pathway, Th17 pathway, IL-4, IL-13, IL-17, TGF-β1, dexamethasone, nasal polyp tissue, atopy, asthma comorbidity, nasal edema, recurrence, Chinese patients
- MeSH terms
- Adult, Cells, Cultured, Chronic Disease, Female, Humans, Male, Middle Aged, Nasal Polyps, Rhinitis, Sinusitis, Interleukin-5, Th2 Cells, Paracrine Communication, Interleukin-17, Th17 Cells
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