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Neuronal markers in allergic rhinitis: expression and correlation with sensory testing.

Neuronal markers in allergic rhinitis: expression and correlation with sensory testing. Research Abstract Details 

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  • Neuronal markers in allergic rhinitis: expression and correlation with sensory testing. Abstract Text:

    stephen o'hanlonStephen O'Hanlon,paul facerPaul Facer,karen d simpsonKaren D Simpson,guri sandhuGuri Sandhu,hesham a salehHesham A Saleh,praveen anandPraveen Anand,stephen o'hanlonStephen O'Hanlon,paul facerPaul Facer,karen d simpsonKaren D Simpson,guri sandhuGuri Sandhu,hesham a salehHesham A Saleh,praveen anandPraveen Anand,

    INTRODUCTION: Although the role of immunoglobulin E-mediated hypersensitivity reactions in allergic rhinitis is well known, the relative contribution of sensory nerves to the symptoms of rhinitis is uncertain. This study looked at the level of specific neuronal markers including the nerve marker protein gene product 9.5 (PGP 9.5), sensory and autonomic neuropeptides, the capsaicin/heat receptor TRPV1, and nerve growth factor (NGF) in patients with allergic rhinitis and controls and their correlation with nasal sensitivity. MATERIALS AND METHODS: Forty patients (23 controls, 17 rhinitis) having nasal surgery were recruited. Nasal sensitivity was tested using graded monofilaments. Inferior turbinate biopsies were collected and studied using immunohistology, with measurement of nerve fibers by direct observation or computerized image analysis. RESULTS: Nerve fibers (PGP 9.5) in the epithelium, subepithelium, and glandular/vascular regions were significantly increased in allergic rhinitis (P=.037, <.01, and .04, respectively), as were subepithelial and glandular/vascular fibers immunoreactive for neuropeptide substance P (P=.04 subepithelium; .02 glandular/vascular) and neuropeptide tyrosine (P<.01 glandular/vascular), markers for sensory and sympathetic nerves, respectively. TRPV1 epithelial fiber counts were higher in rhinitis, but this was not statistically significant. Epithelial NGF immunoreactivity (% area) was significantly increased in rhinitis (P=.027). Nasal sensitivity was correlated significantly with PGP 9.5 subepithelial innervation (control touch P=.023, irritation P=.046; rhinitis touch P=.042, irritation P=.043). A correlation was also observed between epithelial NGF and subepithelial PGP 9.5 innervation, which included all subjects (P=.044). CONCLUSION: The increased number and specific phenotypical changes of sensory nerves may play a role in nasal hypersensitivity and provide new targets for the treatment of rhinitis.

    Neuronal markers in allergic rhinitis: expression and correlation with sensory testing. Publishing Authors By Initials

    s o'hanlonS O'Hanlon,p facerP Facer,kd simpsonKD Simpson,g sandhuG Sandhu,ha salehHA Saleh,p anandP Anand,s o'hanlonS O'Hanlon,p facerP Facer,kd simpsonKD Simpson,g sandhuG Sandhu,ha salehHA Saleh,p anandP Anand,

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    Neuronal markers in allergic rhinitis: expression and correlation with sensory testing. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: The Laryngoscope

    VOLUME: 117

    Page Numbers: 1519-27

    Journal Abbreviation: Laryngoscope

    ISSN: 0023-852X

    DAY: 24

    MONTH: Sep

    YEAR: 2007

    Neuronal markers in allergic rhinitis: expression and correlation with sensory testing. Information

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    LANGUAGE: eng

    NlmUniqueID: 8607378

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    AFFILIATION: Peripheral Neuropathy Unit, Hammersmith Hospital, Faculty of Medicine, Imperial College London, London, UK.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Laryngoscope

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