High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis

Introduction: Nasal polyposis is a progressive inflammatory disease that reduces the quality of life. The role of apoptotic and autophagic pathways in nasal polyposis pathogenesis is not yet clearly known. Objective: In this study we aimed to investigate apoptotic (MAPK/JNK), anti-apoptotic (PI3K/mT...

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Main Authors: Fatma Simsek, Erdem Eren, Selen Bahceci, Ibrahim Aladag
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1808869420300069
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author Fatma Simsek
Erdem Eren
Selen Bahceci
Ibrahim Aladag
author_facet Fatma Simsek
Erdem Eren
Selen Bahceci
Ibrahim Aladag
author_sort Fatma Simsek
collection DOAJ
description Introduction: Nasal polyposis is a progressive inflammatory disease that reduces the quality of life. The role of apoptotic and autophagic pathways in nasal polyposis pathogenesis is not yet clearly known. Objective: In this study we aimed to investigate apoptotic (MAPK/JNK), anti-apoptotic (PI3K/mTOR) and autophagic (LC3) pathways which are related each other in the nasal polyposis tissues. Methods: Twenty patients with nasal polyps and fifteen patients going through an inferior turbinate reduction were included in this study. Patients with asthma, Samter triad and allergic fungal sinusitis were excluded from the study. The apoptotic and autophagic pathways were investigated in paraffin-embedded nasal tissue sections of 20 NP and 15 samples from inferior turbinate reduction by H&E and immunohistochemistry with h-score. TUNEL method with apoptotic index was used to demonstrate apoptotic cells. Results: Decreased immunoreactivity of P38 MAPK (p < 0.005) and JNK (p < 0.005) were observed in nasal polyposis compared to material from inferior turbinate reduction. This decrease may indicate a downregulation of apoptosis as demonstrated by decreased TUNEL staining in nasal polyposis (p < 0.005). The PI3K (p < 0.002) and mTOR (p < 0.005) immunoreactivities were increased in nasal polyposis. This increase indicates a downregulation of autophagy as demonstrated by decreased LC3 staining in nasal polyposis (p < 0.001). Conclusion: Deficient apoptosis and autophagy through MAPK/JNK and PI3K/mTOR pathways may have a role in the pathogenesis of nasal polyposis.
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spelling doaj.art-088d4bcef18446f09a470231dfde655d2022-12-21T18:37:10ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942021-09-01875572577High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposisFatma Simsek0Erdem Eren1Selen Bahceci2Ibrahim Aladag3Izmir Katip Celebi University, Department of Histology and Embryology, Izmir, Turkey; Corresponding author.Izmir Katip Celebi University, Atatürk Training and Research Hospital, Department of Otorhinolaryngology, Izmir, TurkeyIzmir Katip Celebi University, Department of Histology and Embryology, Izmir, TurkeyIzmir Katip Celebi University, Atatürk Training and Research Hospital, Department of Otorhinolaryngology, Izmir, TurkeyIntroduction: Nasal polyposis is a progressive inflammatory disease that reduces the quality of life. The role of apoptotic and autophagic pathways in nasal polyposis pathogenesis is not yet clearly known. Objective: In this study we aimed to investigate apoptotic (MAPK/JNK), anti-apoptotic (PI3K/mTOR) and autophagic (LC3) pathways which are related each other in the nasal polyposis tissues. Methods: Twenty patients with nasal polyps and fifteen patients going through an inferior turbinate reduction were included in this study. Patients with asthma, Samter triad and allergic fungal sinusitis were excluded from the study. The apoptotic and autophagic pathways were investigated in paraffin-embedded nasal tissue sections of 20 NP and 15 samples from inferior turbinate reduction by H&E and immunohistochemistry with h-score. TUNEL method with apoptotic index was used to demonstrate apoptotic cells. Results: Decreased immunoreactivity of P38 MAPK (p < 0.005) and JNK (p < 0.005) were observed in nasal polyposis compared to material from inferior turbinate reduction. This decrease may indicate a downregulation of apoptosis as demonstrated by decreased TUNEL staining in nasal polyposis (p < 0.005). The PI3K (p < 0.002) and mTOR (p < 0.005) immunoreactivities were increased in nasal polyposis. This increase indicates a downregulation of autophagy as demonstrated by decreased LC3 staining in nasal polyposis (p < 0.001). Conclusion: Deficient apoptosis and autophagy through MAPK/JNK and PI3K/mTOR pathways may have a role in the pathogenesis of nasal polyposis.http://www.sciencedirect.com/science/article/pii/S1808869420300069Nasal polypApoptosisAutophagyTUNELEosinophil
spellingShingle Fatma Simsek
Erdem Eren
Selen Bahceci
Ibrahim Aladag
High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis
Brazilian Journal of Otorhinolaryngology
Nasal polyp
Apoptosis
Autophagy
TUNEL
Eosinophil
title High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis
title_full High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis
title_fullStr High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis
title_full_unstemmed High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis
title_short High PI3K/mTOR and low MAPK/JNK activity results in decreased apoptosis and autophagy in nasal polyposis
title_sort high pi3k mtor and low mapk jnk activity results in decreased apoptosis and autophagy in nasal polyposis
topic Nasal polyp
Apoptosis
Autophagy
TUNEL
Eosinophil
url http://www.sciencedirect.com/science/article/pii/S1808869420300069
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AT selenbahceci highpi3kmtorandlowmapkjnkactivityresultsindecreasedapoptosisandautophagyinnasalpolyposis
AT ibrahimaladag highpi3kmtorandlowmapkjnkactivityresultsindecreasedapoptosisandautophagyinnasalpolyposis