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2016 Fiscal Year Final Research Report

Tissue remodering of eosinophilic chronic rhinosinusitis

Research Project

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Project/Area Number 26462581
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Otorhinolaryngology
Research InstitutionShiga University of Medical Science

Principal Investigator

SHIMIZU TAKESHI  滋賀医科大学, 医学部, 教授 (00206202)

Project Period (FY) 2014-04-01 – 2017-03-31
Keywords好酸球性副鼻腔炎 / EGF受容体阻害薬 / 組織リモデリング / 鼻茸形成 / ラット鼻粘膜 / 鼻粘膜上皮細胞 / 線維芽細胞 / サイトカイン
Outline of Final Research Achievements

We examined the mechanism of tissue remodeling in the pathogenesis of eosinophilic chronic rhonosinusitis. Coagulation factors such as thrombin and FXa stimulate the secretion of profibrotic cytokines and MUC5AC mucin from nasal epithelial cells or fibroblasts. Eosinophil-epithelial cell and eosinophil-fibroblast interactions also stimulate the secretion of cytokines and MUC5AC mucin. EGF receptor inhibitor AG1478 significantly inhibited these secretion of cytiokines and MUC5AC mucin induced by thrombin and by eosinophil-epithelial cell or eosinophil-fibroblast interactions, and EGFR transactivation plays a crucial role. Intraperitoneal injection or intranasal instillation of EGFR inhibitor AG1478 significantly inhibited LPS-induced or antigen-induced goblet cell metaplasia, mucus production and eosinophil/neutrophil infiltration in rat nasal epithelium. Intranasal instillation of EGFR inhibitor may be a new therapeutic approach for the treatment of eosinophilic chronic rhinosinusitis.

Free Research Field

外科系臨床医学・耳鼻咽喉科学

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Published: 2018-03-22  

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