Chemokine Expression-Based Endotype Clustering of Chronic Rhinosinusitis

Chronic rhinosinusitis (CRS) with (CRSwNP) or without nasal polyps (CRSsNP) is a persistent, heterogeneous inflammatory condition affecting the upper respiratory tract. The present study aimed to improve the characterization of CRS endotypes based on the chemokine and cytokine expression pattern in the CRS tissues. Concentrations of chemokines and cytokines were measured in tissues from nasal biopsies obtained from 66 CRS patients and 25 control subjects using multiplexing or single analyte technologies. Cluster analysis based on the concentration of type-1 (MCP-3/CCL7, MIP-1 α/CCL3), type-2 (IL-5, MCP-3/CCL7, MIP-1 α/CCL3, TARC/CCL17, PARC/CCL18, IP-10/CXCL10, ECP), and type-3 (IL-22) chemokines and cytokines identified six CRS endotypes (clusters). Cluster 1 (type-3) and 2 (type-1) were associated with a low prevalence of nasal polyps, Cluster 3 (type-1, -2, -3) and Cluster 4 (type-2, -3, medium IL-22) with medium, and Cluster 5 (type-2, -3, high Il-22) and Cluster 6 (type-2) with high prevalence of nasal polyps. Asthma was highly prevalent in Cluster-6. Our findings add to the existing knowledge of CRS endotypes and may be useful for the clinical decision-making process. The advancement of biologics therapy for upper respiratory tract disorders rationalizes the personalized diagnostic approach to warrant a successful treatment and monitoring of CRS.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Journal of personalized medicine - 12(2022), 4 vom: 18. Apr.

Sprache:

Englisch

Beteiligte Personen:

Förster-Ruhrmann, Ulrike [VerfasserIn]
Szczepek, Agnieszka J [VerfasserIn]
Pierchalla, Greta [VerfasserIn]
Fluhr, Joachim W [VerfasserIn]
Artuc, Metin [VerfasserIn]
Zuberbier, Torsten [VerfasserIn]
Bachert, Claus [VerfasserIn]
Olze, Heidi [VerfasserIn]

Links:

Volltext

Themen:

Asthma
Chemokines
Chronic rhinosinusitis
Cytokines
Endotyping
Journal Article
Nasal polyps

Anmerkungen:

Date Revised 29.04.2022

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/jpm12040646

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339849339