Up-regulation of systemic and local BDNF in non-allergic Nasal Polyps in China | [Pakistan Journal of Medical Sciences • 2024]

Author(s):

1. Xiangmin Zhou: Department of Otolaryngology, Shandong Provincial ENT Hospital, Shandong University, Shandong, China.

2. Qian Zhang: Department of Otolaryngology, Shandong Provincial ENT Hospital, Shandong University, Shandong, China.

3. Yuzhu Wan: Department of Otolaryngology, Shandong Provincial ENT Hospital, Shandong University, Shandong, China.

4. Li Shi: Department of Otolaryngology, Shandong Provincial ENT Hospital, Shandong University, Shandong, China.

Abstract:

Objective: Although the role of brain-derived neurotrophic factor (BDNF) in allergic rhinitis and/or nasal polyps (NPs) development has been studied, the contribution of BDNF in non-allergic NPs has not been evaluated yet. This study was to investigate the possible role of BDNF in non-allergic NPs pathogenesis. Methods: The study was carried out at The Second Hospital of Shandong University from December 2020 to November 2021. The non-allergic NPs patients (n=26) and the control group (n=22) were included. Lund-Mackay CT scores, nasal endoscopy scores, and pulmonary function testing were evaluated before surgery. Tissue and serum levels of BDNF, eosinophil cationic protein (ECP), and cytokeratins 5 (CK5) were assessed between diferent groups. Result: The BDNF level in serum and tissue, CK5 count, and eosinophil infiltration in tissue were higher in non-allergic NPs. The eosinophils infiltration, ECP mRNA expression level, as well as BDNF mRNA level were increased in the BDNF high subgroup compared with BDNFlow subgroup. Significantly negative correlations between BDNF count and the situation of airway obstruction were found in non-allergic NPs. Conclusion: BDNF may have both local and systemic efects in non-allergic NPs pathogenesis. BDNF may be a possible therapeutic target or an indicator for eosinophilic NPs management.

Page(s): 939-945

DOI: 10.12669/pjms.40.5.7907

Published: Journal: Pakistan Journal of Medical Sciences, Volume: 40, Issue: 5, Year: 2024

Keywords:

Nasal polyps , Nonallergic nasal polyps , Brain derived neurotrophic factor BDNF , Cytokeratins 5 CK5 , Eosinophil cationic protein ECP

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