Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis

Abstract Background The conventional belief that glucocorticosteroid (GC) acts through a single brand glucocorticoid receptor (GR)α protein has changed dramatically with the discovery of multiple GR isoforms. We aimed to evaluate whether multiple GR protein isoforms are expressed in chronic rhinosin...

Full description

Bibliographic Details
Main Authors: Shan Shao, Yue Wang, Yan Zhao, Yuan Xu, Tie Wang, Kun Du, Shiping Bao, Xiangdong Wang, Luo Zhang
Format: Article
Language:English
Published: BMC 2022-06-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:https://doi.org/10.1186/s40463-022-00561-1
_version_ 1797970197691236352
author Shan Shao
Yue Wang
Yan Zhao
Yuan Xu
Tie Wang
Kun Du
Shiping Bao
Xiangdong Wang
Luo Zhang
author_facet Shan Shao
Yue Wang
Yan Zhao
Yuan Xu
Tie Wang
Kun Du
Shiping Bao
Xiangdong Wang
Luo Zhang
author_sort Shan Shao
collection DOAJ
description Abstract Background The conventional belief that glucocorticosteroid (GC) acts through a single brand glucocorticoid receptor (GR)α protein has changed dramatically with the discovery of multiple GR isoforms. We aimed to evaluate whether multiple GR protein isoforms are expressed in chronic rhinosinusitis with nasal polyps (CRSwNP) and whether GR protein isoform expression profiles differ between different endotypes of CRSwNP. Methods Thirty-eight patients with CRSwNP and ten healthy volunteers were included. The protein expression of multiple GR isoforms in nasal polyps (NPs) tissue and control mucosae was examined by western blot analysis with different GR antibodies. Results Five bands, including three bands for known proteins (GRα-A/B, GRα-C, and GRα-D) and two bands for unidentified proteins at 67 kilodaltons (kDa) and 60 kDa, were identified with both total GR antibody (PA1-511A) and GRα-specific antibody (PA1-516). GRα-D intensity, which was abundant in nasal mucosa, was significantly increased in the CRSwNP group and was especially elevated in the noneosinophilic CRSwNP (NE-CRSwNP) group (PA1-511A: P < 0.001 and P = 0.0018; PA1-516: P < 0.003 and P = 0.006, respectively). Additionally, the intensities of the newly recognized 67 kDa and 60 kDa bands were much greater in the NE-CRSwNP subgroup than in the eosinophilic CRSwNP (E-CRSwNP) subgroup; in the E-CRSwNP subgroup, the median intensities were even lower than those in the control group. Conclusions This study provides evidence that nasal tissues express multiple GR protein isoforms. GR protein isoforms presented disease and tissue-specific expression profiles that differed between the CRSwNP and control groups and between the E-CRSwNP and NE-CRSwNP subgroups. Graphical abstract
first_indexed 2024-04-11T03:13:01Z
format Article
id doaj.art-b1fcaf6871cc4124a1175706cf94fa4a
institution Directory Open Access Journal
issn 1916-0216
language English
last_indexed 2024-04-11T03:13:01Z
publishDate 2022-06-01
publisher BMC
record_format Article
series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj.art-b1fcaf6871cc4124a1175706cf94fa4a2023-01-02T11:04:31ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162022-06-0151111110.1186/s40463-022-00561-1Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitisShan Shao0Yue Wang1Yan Zhao2Yuan Xu3Tie Wang4Kun Du5Shiping Bao6Xiangdong Wang7Luo Zhang8Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical UniversityBeijing Key Laboratory of Nasal Diseases, Beijing Institute of OtolaryngologyDepartments of Oncology, Community Health Sciences, and Surgery, Cumming School of Medicine, and The Center for Health Informatics, University of CalgaryMIID Snyder Institute for Chronic Diseases, Cumming School of Medicine, University of CalgaryDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical UniversityDepartment of Otolaryngology Head and Neck Surgery, Beijing Youan Hospital, Capital Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical UniversityDepartment of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical UniversityAbstract Background The conventional belief that glucocorticosteroid (GC) acts through a single brand glucocorticoid receptor (GR)α protein has changed dramatically with the discovery of multiple GR isoforms. We aimed to evaluate whether multiple GR protein isoforms are expressed in chronic rhinosinusitis with nasal polyps (CRSwNP) and whether GR protein isoform expression profiles differ between different endotypes of CRSwNP. Methods Thirty-eight patients with CRSwNP and ten healthy volunteers were included. The protein expression of multiple GR isoforms in nasal polyps (NPs) tissue and control mucosae was examined by western blot analysis with different GR antibodies. Results Five bands, including three bands for known proteins (GRα-A/B, GRα-C, and GRα-D) and two bands for unidentified proteins at 67 kilodaltons (kDa) and 60 kDa, were identified with both total GR antibody (PA1-511A) and GRα-specific antibody (PA1-516). GRα-D intensity, which was abundant in nasal mucosa, was significantly increased in the CRSwNP group and was especially elevated in the noneosinophilic CRSwNP (NE-CRSwNP) group (PA1-511A: P < 0.001 and P = 0.0018; PA1-516: P < 0.003 and P = 0.006, respectively). Additionally, the intensities of the newly recognized 67 kDa and 60 kDa bands were much greater in the NE-CRSwNP subgroup than in the eosinophilic CRSwNP (E-CRSwNP) subgroup; in the E-CRSwNP subgroup, the median intensities were even lower than those in the control group. Conclusions This study provides evidence that nasal tissues express multiple GR protein isoforms. GR protein isoforms presented disease and tissue-specific expression profiles that differed between the CRSwNP and control groups and between the E-CRSwNP and NE-CRSwNP subgroups. Graphical abstracthttps://doi.org/10.1186/s40463-022-00561-1Nasal polypsSinusitisGlucocorticoid receptorEndotypes
spellingShingle Shan Shao
Yue Wang
Yan Zhao
Yuan Xu
Tie Wang
Kun Du
Shiping Bao
Xiangdong Wang
Luo Zhang
Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
Journal of Otolaryngology - Head and Neck Surgery
Nasal polyps
Sinusitis
Glucocorticoid receptor
Endotypes
title Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
title_full Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
title_fullStr Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
title_full_unstemmed Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
title_short Identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
title_sort identification of multiple isoforms of glucocorticoid receptor in nasal polyps of patients with chronic rhinosinusitis
topic Nasal polyps
Sinusitis
Glucocorticoid receptor
Endotypes
url https://doi.org/10.1186/s40463-022-00561-1
work_keys_str_mv AT shanshao identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT yuewang identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT yanzhao identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT yuanxu identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT tiewang identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT kundu identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT shipingbao identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT xiangdongwang identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis
AT luozhang identificationofmultipleisoformsofglucocorticoidreceptorinnasalpolypsofpatientswithchronicrhinosinusitis