The correlation between FCER2 gene polymorphism and the efficacy of inhaled corticosteroids in patients with chronic rhinosinusitis

Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery..

Objective:To investigate the correlation between FCER2(2206A>G) gene polymorphism and the efficacy of inhaled corticosteroids(ICS) in patients with chronic rhinosinusitis(CRS). Methods:A total of 208 CRS patients were routinely treated with functional endonasal sinus surgery and postoperative ICS. DNA extraction, PCR amplification and gene sequencing were performed to observe the FCER2(2206A>G) gene polymorphism and calculate the allele frequency. The visual analog scale(VAS) score, Lund-Kennedy score, and computed tomography(CT) Lund-Mackay score were determined 6 months after surgery among patients with different genotypes. Moreover, the polymorphism frequency was compared among different subgroups(chronic rhinosinusitis with nasal polyps versus chronic rhinosinusitis without nasal polyps, eosinophilic chronic rhinosinusitis versus non-eosinophilic chronic rhinosinusitis). Results:There were FCER2(2206A>G) gene polymorphism in patients with CRS, and the phenotypes included 3 genotypes, AA, AG and GG, with distribution frequencies of 68(32.7%), 116(55.8%) and 24(11.5%) cases, respectively. No significant differences were found in age, VAS score, nasal endoscopic Lund-Kennedy score and CT imaging Lund-Mackay score among patients with CRS of each genotype before surgery. In patients with the AA genotype, the changes in VAS score(5.74±1.10), Lund Kennedy score(5.92 ± 1.14), and CT imaging Lund-Mackay score(13.26±4.26) were significantly higher than in patients with the AG(4.37±0.86, 5.37±1.24, 10.82±3.77) and GG(4.26±0.80, 5.18±1.56, 10.10±3.53) genotype(P<0.05). However, there were no marked difference between patients with the AG genotype and those with the GG genotype(P>0.05). Compared with patients with non-eosinophilic sinusitis, Among them, the differences between the GG genotype and AG /AA genes were more significant in eosinophilic sinusitis compared to non-eosinophilic sinusitis(P<0.01). Conclusion:The FCER2(2206A>G) gene in patients with CRS has genetic polymorphism and is associated with the recovery of CRS patients after surgery, individual corticosteroid sensitivity, and subgroup variability.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology, head, and neck surgery - 37(2023), 11 vom: 05. Nov., Seite 856-863

Sprache:

Chinesisch

Beteiligte Personen:

Liu, Shuangxi [VerfasserIn]
Che, Na [VerfasserIn]
Jin, Ling [VerfasserIn]
Wang, Yang [VerfasserIn]
Fan, Kai [VerfasserIn]
Lai, Ju [VerfasserIn]
Yu, Shaoqing [VerfasserIn]

Links:

Volltext

Themen:

Adrenal Cortex Hormones
Chronic rhinosinusitis
English Abstract
FCER2 gene
FCER2 protein, human
Gene polymorphism
Inhaled corticosteroids
Journal Article
Lectins, C-Type
Receptors, IgE

Anmerkungen:

Date Completed 02.11.2023

Date Revised 04.04.2024

published: Print

Citation Status MEDLINE

doi:

10.13201/j.issn.2096-7993.2023.11.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36397444X