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Clinical significance of VEGF, Eotaxin and Mucin MUC5AC expression in patients with chronic rhinosinusitis and nasal polyps before and after endoscopic surgery |
ZHANG Ying WANG Jianbo▲ CHEN Jiandong YUAN Wen |
Department of Otolaryngology Head and Neck Surgery, Shanghai Fengxian District Central Hospital, Shanghai 201499, China |
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Abstract Objective To investigate the level change and clinical significance of the expressions of eosinophils chemokines (Eotaxin), mucin MUC5AC and vascular endothelial growth factor (VEGF) in patients with chronic rhinosinusitis and nasal polyps before and after endoscopic surgery. Methods From February 2013 to December 2016 in Shanghai Fengxian District Central Hospital, the 62 cases with chronic sinusitis and nasal polyps treated with endoscopic surgery were selected as the observation group, and 62 cases of hospitalized patients with deviation of nasal septum treated with septum rectifying operntion were selected as the control group. The HE staining result, the infiltration of eosinophils, the expressions of Eotaxin, mucin MUC5AC and VEGF were observed and compared between the two groups before and after operation. Results The eosinophil count in the observation group was significantly less than that before operation, and the difference was statistically significant (P < 0.01). Compared with the control group, the eosinophil count was higher in the observation group before and after operation, and the difference was statistically significant (P < 0.01). The expression percentage of Eotaxin, mucin MUC5AC and VEGF was significantly lower in the observation group than those before operation, and the differences were statistically significant (P < 0.01). Compared with the control group, the percentages of Eotaxin, mucin, MUC5AC and VEGF expression were higher in the observation group before and after the operation, and the differences were statistically significant (P < 0.01). Conclusion The Eotaxin, mucin, MUC5AC and VEGF in the chronic rhinosinusitis and nasal polyps patient are over expressed, and they are closely related to the changes of disease condition.
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[1] 李达深.甲泼尼松与泼尼松对慢性鼻窦炎鼻息肉患者鼻内镜手术后鼻黏膜功能及生活质量的影响对比[J].中国老年学杂志,2015,35(23):6888-6889.
[2] 王海瑞,赵俊亭,刘伟杰,等.经鼻内镜手术在慢性鼻窦炎鼻息肉治疗中的临床应用探讨[J].河北医学,2014,20(2):264-266.
[3] Hamilos DL. Drivers of chronic rhinosinusitis:Inflammation versus infection [J]. J Allergy Clin Immunol,2015, 136(6):1454-1459.
[4] 刘小凤,丁跃明.慢性鼻-鼻窦炎伴鼻息肉患者上颌窦微生物感染的类型对鼻内镜手术近期疗效的影响[J].广东医学,2015,36(2):227-229.
[5] 陈志鹏,彭伟,李文生,等.鼻内镜手术对慢性鼻窦炎鼻息肉患者嗅功能的改善作用[J].中华实用诊断与治疗杂志,2014,28(4):388-389.
[6] 娄鸿飞,王成硕,张罗.经鼻雾化吸入布地奈德混悬液和口服激素治疗慢性鼻-鼻窦炎鼻息肉的疗效及安全性的对比研究[J].临床耳鼻咽喉头颈外科杂志,2015,29(9):792-796.
[7] 冯娟,吴国英,雍军,等.鼻内镜手术治疗伴与不伴鼻息肉的慢性鼻-鼻窦炎患者的疗效[J].新疆医科大学学报,2014,37(9):1161-1163.
[8] 周兵,田勇泉,孙爱华.耳鼻咽喉-头颈外科学[M].6版.北京:人民卫生出版社,2004:77-80.
[9] 崔永华,刘争.耳鼻咽喉·头颈外科疾病诊疗指南[M].3版.北京:科学出版社,2013:28,41.
[10] 陈建文,孙敬武,汪银凤.变应性因素与慢性鼻窦炎及鼻息肉的相关性研究[J].安徽医科大学学报,2015,50(1):122-124.
[11] 王海霞,石志坚.类几丁质酶YKL-40及Toll样受体4在慢性鼻窦炎伴鼻息肉与不伴鼻息肉患者中的表达差异[J].中国老年学杂志,2016,36(17):4285-4287.
[12] Xia W,Bai J,Wu X,et al. Interleukin-17A promotes MUC5AC expression and goblet cell hyperplasia in nasal polyps via the Act1-mediated pathway [J]. PLoS One,2014,9(6):908-915.
[13] 柳萌,赵鹤,曹志伟.Eotaxin-3在慢性鼻-鼻窦炎和鼻息肉组织中的表达及临床意义[J].临床耳鼻咽喉头颈外科杂志,2016,30(3):190-193.
[14] 宁学松,董建明,陈国明,等.慢性鼻-鼻窦炎、鼻息肉组织变化的Eotaxin-3参与作用分析[J].临床和实验医学杂志,2017,16(7):672-675.
[15] 兰宁,徐红.趋化因子eotaxin在慢性鼻窦炎鼻腔分泌物中的意义[J].医学研究生学报,2014,27(5):507-509.
[16] 罗庆,朱恒涛,冯琨,等.慢性鼻-鼻窦炎中缺氧诱导因子1α的表达及与黏蛋白分泌的关系[J].中华耳鼻咽喉头颈外科杂志,2015,50(2):138-144.
[17] Lee HS,Kim J. Constitutive expression of vascular endothelial cell growth factor(VEGF)gene family ligand and receptors on human upper and lower airway epithelial cells [J]. Int Forum Allergy Rhinol,2014,4(1):8-14.
[18] 刘楠,刘达,刘领波,等.白细胞介素17与血管内皮生长因子在鼻息肉组织中的表达及相关性分析[J].中国耳鼻咽喉头颈外科,2015,22(10):523-525.
[19] Cao PP,Liao B,Liu Z. Profiling the immunological characteristics of exacerbation of chronic rhinosinusitis with nasal polyps [J]. Clin Exp Allergy,2015,45(4):704-705.
[20] 王弦,赵大劲,齐保健,等.鼻息肉组织中白细胞介素17和血管内皮生长因子的表达及其相关性[J].海南医学,2016,27(22):3669-3671.
[21] 王静,刘浩,江开航.鼻窦灌洗辅助鼻内镜手术治疗慢性鼻-鼻窦炎的临床疗效[J].医学综述,2016,22(23):4778-4781.
[22] 张劼,龚齐.不同分型慢性鼻-鼻窦炎患者外周血嗜酸性粒细胞与中性粒细胞百分比及变态反应临床差异性分析[J].临床和实验医学杂志,2018,17(2):211-214. |
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