Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions

Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a refractory upper airway disease, accompanied mainly by eosinophilia and/or asthma. In addition, the disease correlates with a high rate of hyposmia, following a marked infiltration of eosinophils into the inflamed site, the paranasal...

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Main Authors: Akira Kanda, Kenji Kondo, Naoki Hosaka, Yoshiki Kobayashi, Dan Van Bui, Yasutaka Yun, Kensuke Suzuki, Shunsuke Sawada, Mikiya Asako, Akihiko Nakamura, Koichi Tomoda, Yoshiko Sakata, Koji Tsuta, David Dombrowicz, Hideyuki Kawauchi, Shigeharu Fujieda, Hiroshi Iwai
Format: Article
Language:English
Published: MDPI AG 2019-02-01
Series:Medical Sciences
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Online Access:https://www.mdpi.com/2076-3271/7/2/22
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author Akira Kanda
Kenji Kondo
Naoki Hosaka
Yoshiki Kobayashi
Dan Van Bui
Yasutaka Yun
Kensuke Suzuki
Shunsuke Sawada
Mikiya Asako
Akihiko Nakamura
Koichi Tomoda
Yoshiko Sakata
Koji Tsuta
David Dombrowicz
Hideyuki Kawauchi
Shigeharu Fujieda
Hiroshi Iwai
author_facet Akira Kanda
Kenji Kondo
Naoki Hosaka
Yoshiki Kobayashi
Dan Van Bui
Yasutaka Yun
Kensuke Suzuki
Shunsuke Sawada
Mikiya Asako
Akihiko Nakamura
Koichi Tomoda
Yoshiko Sakata
Koji Tsuta
David Dombrowicz
Hideyuki Kawauchi
Shigeharu Fujieda
Hiroshi Iwai
author_sort Akira Kanda
collection DOAJ
description Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a refractory upper airway disease, accompanied mainly by eosinophilia and/or asthma. In addition, the disease correlates with a high rate of hyposmia, following a marked infiltration of eosinophils into the inflamed site, the paranasal sinus. Although eosinophils are known to contribute to the development of hyposmia and CRSwNP pathology, the underlying mechanisms remain unclear. This study aimed to investigate whether eosinophilic upper airway inflammation induces hyposmia and CRSwNP in a murine model using an adoptive transfer system. Methods: To induce eosinophilic rhinosinusitis, splenocytes, including a high proportion (over 50%) of activated eosinophils (SPLhEos), were collected from interleukin-5 transgenic mice following double intraperitoneal injections of antigens, such as ovalbumin, house dust mite, or fungus. Activated SPLhEos with corresponding antigens were then transferred into the nasal cavity of recipient mice, which were sensitized and challenged by the corresponding antigen four times per week. Olfactory function, histopathological, and computed tomography (CT) analyses were performed 2 days after the final transfer of eosinophils. Results: Hyposmia was induced significantly in mice that received SPLhEos transfer compared with healthy and allergic mice, but it did not promote morphological alteration of the paranasal sinus. Pathological analysis revealed that epithelial layer injury and metaplasia similar to polyps, with prominent eosinophil infiltration, was induced in recipient tissue. However, there was no nasal polyp development with interstitial edema that was similar to those recognized in human chronic rhinosinusitis. Conclusions: This study supports the previously unsuspected contribution of eosinophils to CRS development in the murine model and suggests that murine-activated eosinophilic splenocytes contribute to the development of hyposmia due to more mucosal inflammation than physical airway obstruction and epithelial layer injury with convex lesions.
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spelling doaj.art-f63f2eaf39e449bb8cb49d94247d87052022-12-22T02:59:24ZengMDPI AGMedical Sciences2076-32712019-02-01722210.3390/medsci7020022medsci7020022Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex LesionsAkira Kanda0Kenji Kondo1Naoki Hosaka2Yoshiki Kobayashi3Dan Van Bui4Yasutaka Yun5Kensuke Suzuki6Shunsuke Sawada7Mikiya Asako8Akihiko Nakamura9Koichi Tomoda10Yoshiko Sakata11Koji Tsuta12David Dombrowicz13Hideyuki Kawauchi14Shigeharu Fujieda15Hiroshi Iwai16Department of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Otolaryngology and Head and Neck Surgery, Graduate School of Medicine, the University of Tokyo Hospital, Tokyo, 113-8655, JapanDepartment of Pathology, Fuchu Hospital, Izumi 594-0076, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanNakamura ENT Clinic, Sakai 591-8025, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanCentral Research Laboratory, Kansai Medical University, Hirakata 573-1010, JapanDepartment of Pathology, Kansai Medical University, Hirakata 573-1010, JapanEGID, Inserm, CHU Lille, Institut Pasteur de Lille, U1011, University of Lille, 59019 Lille, FranceDepartment of Otorhinolaryngology, Shimane University Faculty of Medicine, Izumo 693-0021, JapanDepartment of Otorhinolaryngology Head & Neck Surgery, University of Fukui, Fukui 910-1193, JapanDepartment of Otolaryngology, Head and Neck Surgery, Kansai Medical University, Hirakata 573-1010, JapanBackground: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a refractory upper airway disease, accompanied mainly by eosinophilia and/or asthma. In addition, the disease correlates with a high rate of hyposmia, following a marked infiltration of eosinophils into the inflamed site, the paranasal sinus. Although eosinophils are known to contribute to the development of hyposmia and CRSwNP pathology, the underlying mechanisms remain unclear. This study aimed to investigate whether eosinophilic upper airway inflammation induces hyposmia and CRSwNP in a murine model using an adoptive transfer system. Methods: To induce eosinophilic rhinosinusitis, splenocytes, including a high proportion (over 50%) of activated eosinophils (SPLhEos), were collected from interleukin-5 transgenic mice following double intraperitoneal injections of antigens, such as ovalbumin, house dust mite, or fungus. Activated SPLhEos with corresponding antigens were then transferred into the nasal cavity of recipient mice, which were sensitized and challenged by the corresponding antigen four times per week. Olfactory function, histopathological, and computed tomography (CT) analyses were performed 2 days after the final transfer of eosinophils. Results: Hyposmia was induced significantly in mice that received SPLhEos transfer compared with healthy and allergic mice, but it did not promote morphological alteration of the paranasal sinus. Pathological analysis revealed that epithelial layer injury and metaplasia similar to polyps, with prominent eosinophil infiltration, was induced in recipient tissue. However, there was no nasal polyp development with interstitial edema that was similar to those recognized in human chronic rhinosinusitis. Conclusions: This study supports the previously unsuspected contribution of eosinophils to CRS development in the murine model and suggests that murine-activated eosinophilic splenocytes contribute to the development of hyposmia due to more mucosal inflammation than physical airway obstruction and epithelial layer injury with convex lesions.https://www.mdpi.com/2076-3271/7/2/22allergic rhinitischronic rhino sinusitisnasal polyeosinophilhyposmia
spellingShingle Akira Kanda
Kenji Kondo
Naoki Hosaka
Yoshiki Kobayashi
Dan Van Bui
Yasutaka Yun
Kensuke Suzuki
Shunsuke Sawada
Mikiya Asako
Akihiko Nakamura
Koichi Tomoda
Yoshiko Sakata
Koji Tsuta
David Dombrowicz
Hideyuki Kawauchi
Shigeharu Fujieda
Hiroshi Iwai
Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions
Medical Sciences
allergic rhinitis
chronic rhino sinusitis
nasal poly
eosinophil
hyposmia
title Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions
title_full Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions
title_fullStr Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions
title_full_unstemmed Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions
title_short Eosinophilic Upper Airway Inflammation in a Murine Model Using an Adoptive Transfer System Induces Hyposmia and Epithelial Layer Injury with Convex Lesions
title_sort eosinophilic upper airway inflammation in a murine model using an adoptive transfer system induces hyposmia and epithelial layer injury with convex lesions
topic allergic rhinitis
chronic rhino sinusitis
nasal poly
eosinophil
hyposmia
url https://www.mdpi.com/2076-3271/7/2/22
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