A FINE PARTICLE INHALED CORTICOSTEROID EXHALATION THOUGH THE NOSE IS A THERAPEUTIC OPTION FOR EOSINOPHILIC CHRONIC RHINOSINUSITIS WITH BRONCHIAL ASTHMA

Respirology ◽  
2017 ◽  
Vol 22 ◽  
pp. 168-168
Biomedicines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 787
Author(s):  
Yoshiki Kobayashi ◽  
Akira Kanda ◽  
Dan Van Bui ◽  
Yasutaka Yun ◽  
Linh Manh Nguyen ◽  
...  

Eosinophilic chronic rhinosinusitis (ECRS), which is a subgroup of chronic rhinosinusitis with nasal polyps, is characterized by eosinophilic airway inflammation extending across both the upper and lower airways. Some severe cases are refractory even after endoscopic sinus surgery, likely because of local steroid insensitivity. Although real-life studies indicate that treatment with omalizumab for severe allergic asthma improves the outcome of coexistent ECRS, the underlying mechanisms of omalizumab in eosinophilic airway inflammation have not been fully elucidated. Twenty-five patients with ECRS and severe asthma who were refractory to conventional treatments and who received omalizumab were evaluated. Nineteen of twenty-five patients were responsive to omalizumab according to physician-assessed global evaluation of treatment effectiveness. In the responders, the levels of peripheral blood eosinophils and fractionated exhaled nitric oxide (a marker of eosinophilic inflammation) and of CCL4 and soluble CD69 (markers of eosinophil activation) were reduced concomitantly with the restoration of corticosteroid sensitivity. Omalizumab restored the eosinophil-peroxidase-mediated PP2A inactivation and steroid insensitivity in BEAS-2B. In addition, the local inflammation simulant model using BEAS-2B cells incubated with diluted serum from each patient confirmed omalizumab’s effects on restoration of corticosteroid sensitivity via PP2A activation; thus, omalizumab could be a promising therapeutic option for refractory eosinophilic airway inflammation with corticosteroid resistance.


2017 ◽  
Vol 55 (01) ◽  
pp. 89-94 ◽  
Author(s):  
Yoshiki Kobayashi ◽  
Mikiya Asako ◽  
Takahisa Yamamoto ◽  
Hirotaka Yasuba ◽  
Koichi Tomoda ◽  
...  

ORL ◽  
2013 ◽  
Vol 75 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Yuhui Ouyang ◽  
Erzhong Fan ◽  
Ying Li ◽  
Xiangdong Wang ◽  
Luo Zhang

2014 ◽  
Vol 29 (4) ◽  
pp. 599 ◽  
Author(s):  
Young-Soo Lee ◽  
Hyo-Jeong Cho ◽  
Hye-Soo Yoo ◽  
Yoo-Sub Shin ◽  
Hae-Sim Park

2021 ◽  
Vol 18 ◽  
pp. 100257
Author(s):  
G.L. Fadda ◽  
A. Galizia ◽  
P. Galizia ◽  
L. Maugeri ◽  
C. Alati ◽  
...  

2011 ◽  
pp. 853 ◽  
Author(s):  
Takuji Kurimoto ◽  
Masahiro Tonari ◽  
Norihiko Ishizaki ◽  
Junko Matsuo ◽  
Hidehiro Oku ◽  
...  

PLoS ONE ◽  
2012 ◽  
Vol 7 (11) ◽  
pp. e48997 ◽  
Author(s):  
Peng Tian ◽  
Yu Sun ◽  
Yuxin Li ◽  
Xiang Liu ◽  
Liang Wan ◽  
...  

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