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Features of mesenchymal transition in the airway epithelium from chronic rhinosinusitis

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Hupin, Cloé [UCL] Bouzin, Caroline [UCL] Gohy, Sophie [UCL] Polette, Myriam [Université de Champagne-Ardennes] Lecocq, Marylène [UCL] Pilette, Charles [UCL]

Background: Chronic rhinosinusitis (CRS) defines a group of disorders characterized by persistent inflammation of the sinonasal tract. Epithelial changes and structural remodelling are present, but whether epithelial differentiation is altered remains uncertain. Methods: To evaluate the differentiation state of the sinonasal epithelium in CRS, sinonasal biopsies from patients with CRS with (CRSwNP) or without polyps (CRSsNP), or with allergic rhinitis (AR), as compared to controls, were processed by immunohistochemistry and RT-qPCR for terminal differentiation (E-cadherin, high molecular weight cytokeratins (Hmw CK) and CK5, vimentin) and lineage differentiation (ß-tubulin IV+ ciliated cells, MUC5AC+ goblet cells, p63+ basal cells). Findings were correlated to subepithelial fibrosis and clinical CT score. Results: Expression of E-cadherin was decreased at protein and mRNA levels in CRSwNP and CRSsNP, as compared to controls. Staining for Hmw CKs was also reduced in CRSwNP and CRSsNP, and CK5 mRNA was decreased in CRSwNP. These features were not due to changes in lineage specification, but associated with increases in vimentin-expressing epithelial cells. In addition, vimentin expression correlated with the basement membrane thickening and with CT score, as well as with tissue eosinophils. Conclusion: Features of epithelial de-differentiation towards a mesenchymal phenotype are observed in CRSwNP and CRsNP, and correlate with airway fibrosis and inflammation.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2014
Language Anglais
Journal information "Allergy" - Vol. 69, no. 11, p. 1540-1549 (2014)
Peer reviewed yes
Publisher Wiley-Blackwell ((Denmark) Copenhagen)
issn 0105-4538
e-issn 1398-9995
Publication status Publié
Affiliations UCL - SSS/IREC/PNEU-Pôle de Pneumologie, ORL et Dermatologie
UCL - SSS/IREC/FATH - Pôle de Pharmacologie et thérapeutique
UCL - (SLuc) Service d'oto-rhino-laryngologie
UCL - (SLuc) Service de pneumologie
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Bibliographic reference Hupin, Cloé ; Bouzin, Caroline ; Gohy, Sophie ; Polette, Myriam ; Lecocq, Marylène ; et. al. Features of mesenchymal transition in the airway epithelium from chronic rhinosinusitis. In: Allergy, Vol. 69, no. 11, p. 1540-1549 (2014)
Permanent URL http://hdl.handle.net/2078.1/155194