A New Biomarker on Bone Resorption in Chronic Otitis Media: Osteoprotegerin and NLRP3 Inflammasome Gene Polymorphisms

Author(s):  
Serhan Keskin ◽  
Arzu Tatlıpınar ◽  
Pınar Ata
1985 ◽  
Vol 100 (1-2) ◽  
pp. 72-80 ◽  
Author(s):  
Gilead Berger ◽  
Michael Hawke ◽  
J. Kenneth Ekem

ORL ◽  
2002 ◽  
Vol 64 (2) ◽  
pp. 95-107 ◽  
Author(s):  
Jae Y. Jung ◽  
Richard A. Chole

1988 ◽  
Vol 97 (6) ◽  
pp. 661-666 ◽  
Author(s):  
Richard A. Chole

Bone resorption and remodeling are characteristic of chronic otitis media with and without cholesteatoma and otosclerosis. The consequences of this remodeling process may be hearing loss, repeated infection, vestibular disturbance, or intracranial complications. Evidence of osteoclastic bone resorption was found in surgical specimens of 11 of 24 cases of cholesteatoma, two of three cases of chronic otitis media, and three of ten cases of otosclerotic stapes; all three spongiotic lesions had osteoclasts. With careful serial sectioning these cells are almost always multinucleate and have the typical appearance of osteoclasts with ruffled borders. Some specimens had evidence of bone erosion in the absence of osteoclasts; this finding represents an inactive phase of the remodeling process. Since the osteoclast plays an important role in the resorption and remodeling of bone in these middle ear diseases, the source, physiology, and local control of these cells are of prime importance in investigating the pathophysiology of these diseases. At the present time, the local control of activation and recruitment of osteoclasts, as well as their chemotactic responses, is poorly understood.


1981 ◽  
Vol 6 (3) ◽  
pp. 179-186 ◽  
Author(s):  
J. THOMSEN ◽  
P. BRETLAU ◽  
M. BALSLEV JØRGENSEN

1979 ◽  
Vol 88 (5) ◽  
pp. 693-700 ◽  
Author(s):  
Bruce J. Gantz ◽  
Jerry Maynard ◽  
Robert M. Bumsted ◽  
Cheng Chun Huang ◽  
Maxwell Abramson

Bone resorption is an important aspect of chronic otitis media contributing to many complications of this disease. It is postulated that the mechanism of this localized destructive process is chemical in origin. Collagenase, lysosomal enzymes, prostaglandins, and other cell mediators are thought to induce bone resorption, but the site of action and cellular origin of these substances remains unclear. In this report, we demonstrate the location and attempt to delineate the cellular origin of two enzymes, collagenase and the lysosomal enzyme acid phosphatase in guinea pig temporal bones and human ossicles from ears containing chronic otitis media. Tissue localization of these enzymes identifies sites of active bone resorption and demonstrates the cells initiating this process. Using immunohistochemical and immunocytochemical techniques, collagenase was seen surrounding mononuclear inflammatory cells of granulation tissue at bone resorbing margins and at the periphery of osteocyte lacunae adjacent to resorbing areas. Electron microscopic data suggests that collagenase is an extracellular enzyme found at the periphery of osteocytes. In addition, abundant acid phosphatase activity was seen in the same cells that exhibited collagenase staining, lending credence to the destructive function of these cells. The chronic inflammatory reaction found in chronic otitis media appears to activate bone destruction through the dynamic activity of mononuclear inflammatory cells and stimulates bone cells to increase their destructive biochemical functions.


1984 ◽  
Vol 93 (4_suppl) ◽  
pp. 125-128 ◽  
Author(s):  
Maxwell Abramson ◽  
Hiroshi Moriyama ◽  
Cheng Chun Huang

Factors present in cholesteatoma connective tissue induce bone resorption in chronic otitis media. The presence of skin and its products appears to exacerbate the destructive influence of connective tissue. One exacerbating factor is pressure, shown in an animal model to increase bone resorption by influencing the subepithelial connective tissue. Consideration of pathogenic factors provides a rationale for modifications in the treatment of middle ear cholesteatoma.


1974 ◽  
Vol 88 (10) ◽  
pp. 983-992 ◽  
Author(s):  
J. Thomsen ◽  
M. Balslev Jorgensen ◽  
P. Bretlau ◽  
H. K. Kristensen

1980 ◽  
Vol 88 (3) ◽  
pp. 316-323 ◽  
Author(s):  
Timothy T.K. Jung ◽  
Douglas M. Smith ◽  
S.K. Juhn ◽  
Jonathan M. Gerrard

Prostaglandins (PG) are naturally occurring, cyclic, unsaturated fatty acids that possess a wide range of potent biologic activities. Prostaglandins have been found in human middle ear effusions and may have implications for understanding the inflammation and, possibly, the bone resorption seen in chronic otitis media. In the study presented, PGs were measured by radioimmuno-assay in middle ear effusions from experimentally induced serous and purulent otitis media in chinchillas. The ability of chinchilla middle ear mucosa to synthesize PGs from 14C-arachidonic acid was also demonstrated. The authors suggest an active role for PGs in the inflammation and the bone resorption seen in otitis media.


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