Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis

Abstract Introduction Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a strong proinflammatory cytokine that takes part in allergic nasal inflammation as an eosinophil colony-stimulating factor. However, the role of GM-CSF in non-allergic rhinitis has not been fully explore...

Full description

Bibliographic Details
Main Authors: Aleksandar Peric, Cveta Spadijer-Mirkovic, Svjetlana Matkovic-Jozin, Ljiljana Jovancevic, Danilo Vojvodic
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2016-02-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570746
_version_ 1818252120437030912
author Aleksandar Peric
Cveta Spadijer-Mirkovic
Svjetlana Matkovic-Jozin
Ljiljana Jovancevic
Danilo Vojvodic
author_facet Aleksandar Peric
Cveta Spadijer-Mirkovic
Svjetlana Matkovic-Jozin
Ljiljana Jovancevic
Danilo Vojvodic
author_sort Aleksandar Peric
collection DOAJ
description Abstract Introduction Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a strong proinflammatory cytokine that takes part in allergic nasal inflammation as an eosinophil colony-stimulating factor. However, the role of GM-CSF in non-allergic rhinitis has not been fully explored. Objectives The aim of this investigation was to assess the concentration of GM-CSF in nasal secretions of patients with non-allergic rhinitis with eosinophilia syndrome (NARES) in comparison to patients with perennial allergic rhinitis (PAR) and healthy subjects, as well as to assess the relationship with the degree of eosinophilic inflammation and clinical characteristics of the patients. Methods Fourteen patients with diagnosis of NARES, 14 PAR patients, and 14 healthy subjects were included in this cross-sectional study. All patients underwent symptom score assessment, nasal endoscopy, allergy testing, and cytological evaluation. The concentration of GM-CSF in nasal secretions of all participants was measured by enzyme-linked immunosorbent assay (ELISA). Results We found significantly higher levels of GM-CSF in patients with NARES than in the control group (p = 0.035). The percent of eosinophils in nasal mucosa was higher in NARES patients in comparison to patients with PAR (p < 0.001) and control patients (p < 0.0001). We found positive correlations between GM-CSF levels and eosinophil counts only in NARES patients. Conclusion The concentrations of GM-CSF in nasal secretions correlate well with eosinophil counts in the nasal mucosa of NARES patients. These facts indicate a possible role of GM-CSF as a favorable marker for assessment of nasal disease severity and the degree of chronic eosinophilic inflammation in the nasal mucosa.
first_indexed 2024-12-12T16:19:07Z
format Article
id doaj.art-107103cf7f7b4fd188ce80ef46f01635
institution Directory Open Access Journal
issn 1809-9777
1809-4864
language English
last_indexed 2024-12-12T16:19:07Z
publishDate 2016-02-01
publisher Thieme Revinter Publicações Ltda.
record_format Article
series International Archives of Otorhinolaryngology
spelling doaj.art-107103cf7f7b4fd188ce80ef46f016352022-12-22T00:19:02ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642016-02-01200436436910.1055/s-0035-1570746Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic RhinitisAleksandar Peric0Cveta Spadijer-Mirkovic1Svjetlana Matkovic-Jozin2Ljiljana Jovancevic3Danilo Vojvodic4Department of Otorhinolaryngology, Military Medical Academy, Belgrade, SerbiaDepartment of Otorhinolaryngology, Military Medical Academy, Belgrade, SerbiaDepartment of Otorhinolaryngology, Stavanger University Hospital, Stavanger, NorwayDepartment of Otorhinolaryngology, Clinical Center of Vojvodina, Novi Sad, SerbiaInstitute of Medical Research, Division of Clinical and Experimental Immunology, Military Medical Academy, Belgrade, SerbiaAbstract Introduction Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a strong proinflammatory cytokine that takes part in allergic nasal inflammation as an eosinophil colony-stimulating factor. However, the role of GM-CSF in non-allergic rhinitis has not been fully explored. Objectives The aim of this investigation was to assess the concentration of GM-CSF in nasal secretions of patients with non-allergic rhinitis with eosinophilia syndrome (NARES) in comparison to patients with perennial allergic rhinitis (PAR) and healthy subjects, as well as to assess the relationship with the degree of eosinophilic inflammation and clinical characteristics of the patients. Methods Fourteen patients with diagnosis of NARES, 14 PAR patients, and 14 healthy subjects were included in this cross-sectional study. All patients underwent symptom score assessment, nasal endoscopy, allergy testing, and cytological evaluation. The concentration of GM-CSF in nasal secretions of all participants was measured by enzyme-linked immunosorbent assay (ELISA). Results We found significantly higher levels of GM-CSF in patients with NARES than in the control group (p = 0.035). The percent of eosinophils in nasal mucosa was higher in NARES patients in comparison to patients with PAR (p < 0.001) and control patients (p < 0.0001). We found positive correlations between GM-CSF levels and eosinophil counts only in NARES patients. Conclusion The concentrations of GM-CSF in nasal secretions correlate well with eosinophil counts in the nasal mucosa of NARES patients. These facts indicate a possible role of GM-CSF as a favorable marker for assessment of nasal disease severity and the degree of chronic eosinophilic inflammation in the nasal mucosa.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570746rhinitisallergicperennialnasal lavage fluideosinophiliacytokines
spellingShingle Aleksandar Peric
Cveta Spadijer-Mirkovic
Svjetlana Matkovic-Jozin
Ljiljana Jovancevic
Danilo Vojvodic
Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis
International Archives of Otorhinolaryngology
rhinitis
allergic
perennial
nasal lavage fluid
eosinophilia
cytokines
title Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis
title_full Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis
title_fullStr Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis
title_full_unstemmed Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis
title_short Granulocyte-Macrophage Colony-Stimulating Factor Production and Tissue Eosinophilia in Chronic Rhinitis
title_sort granulocyte macrophage colony stimulating factor production and tissue eosinophilia in chronic rhinitis
topic rhinitis
allergic
perennial
nasal lavage fluid
eosinophilia
cytokines
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1570746
work_keys_str_mv AT aleksandarperic granulocytemacrophagecolonystimulatingfactorproductionandtissueeosinophiliainchronicrhinitis
AT cvetaspadijermirkovic granulocytemacrophagecolonystimulatingfactorproductionandtissueeosinophiliainchronicrhinitis
AT svjetlanamatkovicjozin granulocytemacrophagecolonystimulatingfactorproductionandtissueeosinophiliainchronicrhinitis
AT ljiljanajovancevic granulocytemacrophagecolonystimulatingfactorproductionandtissueeosinophiliainchronicrhinitis
AT danilovojvodic granulocytemacrophagecolonystimulatingfactorproductionandtissueeosinophiliainchronicrhinitis