Expression of 5-lipoxygenase and cyclooxygenase pathway enzymes in the nasal polyps of patients with aspirin-intolerant asthma
Adamjee, J., Suh, Y-J., Park, H-S, Choi, J-H, Penrose, J.F., Lam, B.K., Austen, K.F., Cazaly, A.M., Wilson, S.J. and Sampson, A.P. (2006) Expression of 5-lipoxygenase and cyclooxygenase pathway enzymes in the nasal polyps of patients with aspirin-intolerant asthma. Journal of Pathology, 209, (3), 392-399. (doi:10.1002/path.1979). (PMID:16583357).
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Description/Abstract
In aspirin-intolerant subjects, adverse bronchial and nasal reactions to cyclooxygenase (COX) inhibitors are associated with over-production of cysteinyl-leukotrienes (cys-LTs) generated by the 5-lipoxygenase (5-LO) pathway. In the bronchi of patients with aspirin-intolerant asthma, we previously linked cys-LT over-production and aspirin hyper-reactivity with elevated immunoexpression in eosinophils of the terminal enzyme for cys-LT production, LTC4 synthase. We investigated whether this anomaly also occurs in the nasal airways of these patients. Immunohistochemical expression of 5-LO and COX pathway proteins was quantified in nasal polyps from 12 patients with aspirin-intolerant asthma and 13 with aspirin-tolerant asthma. In the mucosa of polyps from aspirin-intolerant asthmatic patients, cells immunopositive for LTC4 synthase were four-fold more numerous than in aspirin-tolerant asthmatic patients (p = 0.04). There were also three-fold more cells expressing 5-LO (p = 0.037), with no differences in 5-LO activating protein (FLAP), COX-1 or COX-2. LTC4 synthase-positive cell counts correlated exclusively with mucosal eosinophils (r = 0.94, p < 0.001, n = 25). Co-localisation confirmed that five-fold higher eosinophil counts (p = 0.007) accounted for the increased LTC4 synthase expression in polyps from aspirin-intolerant asthmatic patients, with no alterations in mast cells or macrophages. Within the epithelium, increased counts of eosinophils (p = 0.006), macrophages (p = 0.097), and mast cells (p = 0.034) in aspirin-intolerant asthmatic polyps were associated only with 2.5-fold increased 5-LO-positive cells (p < 0.05), while the other enzymes were not different. Our results indicate that a marked over-representation of LTC4 synthase in mucosal eosinophils is closely linked to aspirin intolerance in the nasal airway, as in the bronchial airways.
| Item Type: | Article |
|---|---|
| ISSNs: | 0022-3417 (print) |
| Keywords: | aspirin, asthma, cyclooxygenase, leukotriene, 5-lipoxygenase, nasal polyposis, prostaglandin, non-steroidal anti-inflammatory drugs, LTC4 synthase |
| Subjects: | Q Science > QR Microbiology > QR180 Immunology R Medicine > RS Pharmacy and materia medica |
| Divisions: | University Structure - Pre August 2011 > School of Medicine > Infection, Inflammation and Repair |
| Item ID: | 40653 |
| Date Deposited: | 07 Jul 2006 |
| Last Modified: | 01 Jul 2011 04:10 |
| Contributors: | Adamjee, J. (Author) Suh, Y-J. (Author) Park, H-S (Author) Choi, J-H (Author) Penrose, J.F. (Author) Lam, B.K. (Author) Austen, K.F. (Author) Cazaly, A.M. (Author) Wilson, S.J. (Author) Sampson, A.P. (Author) |
| Date: | July 2006 |
| Status: | Published |
| Contact Email Address: | A.P.Sampson@soton.ac.uk |
| URI: | http://eprints.soton.ac.uk/id/eprint/40653 |
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