Periostin as a promising biological marker of early recurrence of polyposis rhinosinusitis after surgical treatment

Introduction. In spite of the numerous studies devoted to the issues of chronic rhinosinusitis with nasal polyps, the urgency of this problem remains due to the high incidence of the disease. The relapsing course of chronic rhinosinusitis with nasal polyps determines the uncontrolled course of bronchial asthma by patients with combined pathology. The main goal of case management of patients with chronic rhinosinusitis with nasal polyps is to achieve control over the polyposis process. It has been shown, that a promising direction is the study of biological markers. Goal. Study of the concentration of serum periostin in combination with serum eosinophilia and the number of eosinophils of the nasal secretion to predict early recurrence of chronic rhinosinusitis with nasal polyps after surgical treatment.Materials and methods. The study included 47 patients with a diagnosis of chronic rhinosinusitis with nasal polyps and chronic rhinosinusitis with nasal polyps in combination with bronchial asthma. All patients underwent bilateral endoscopic polysinusotomy followed by case follow-up for a year. The diagnosis of bronchial asthma was made based on the diagnostic criteria defined in the Global Strategy for the Treatment and Prevention of Bronchial Asthma and in the Federal Clinical Guidelines for the Diagnosis and Treatment of Bronchial Asthma. All patients were consulted by a pulmonologist. Control examinations of patients were carried out every 3 months. All patients underwent a study of the concentration of periostin in the blood serum. Blood probe samples were taken before the start of treatment and after 12 months.Results and discussion. In the course of the study, was proved the relationship between a high concentration of serum periostin in combination with increased eosinophils of blood and nasal secretion with an early relapse of polyposis rhinosinusitis.Conclusions. An increased concentration of serum periostin before surgical treatment is a prognostically unfavorable factor for early recurrence of chronic rhinosinusitis with nasal polyps.

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Chronic rhinosinusitis in adult patients with cystic fibrosis: clinical manifestation and therapeutic approaches

Russian Pulmonology ◽

10.18093/0869-0189-2019-29-3-311-320 ◽

2019 ◽

Vol 29 (3) ◽

pp. 311-320

Author(s):

G. L. Shumkova ◽

E. L. Amelina ◽

V. M. Svistushkin ◽

E. V. Sin’kov ◽

S. A. Krasovskiy ◽

...

Keyword(s):

Cystic Fibrosis ◽

Surgical Treatment ◽

Treatment Group ◽

Chronic Rhinosinusitis ◽

Paranasal Sinuses ◽

Endoscopic Sinus Surgery ◽

Nasal Polyps ◽

Adult Patients ◽

Sinus Surgery ◽

Markers Of Inflammation

The aim of this study was to evaluate prevalence of chronic rhinosinusitis (CRS) and nasal polyps in adult patients with cystic fibrosis (CF) in Russian Federation. Additionally, we investigated the clinical course of CRS and developed the optimal therapeutic strategy.Methods. Three hundred and forty eight CF patients were involved in the study. Physical examination, computed tomography (CT) of paranasal sinuses and audiometry, if needed, were used. CRS and bilateral nasal polyps were diagnosed in 28 patients. Nasal endoscopy, SNOT-20 questionnaire, rhinomanometry, micro - biological examination of sputum and mucus from paranasal sinuses (obtained during puncture or surgery), spirometry, and measurement of serum markers of inflammation were used. Endoscopic sinus surgery was used in 14 patients (the group 1) and others were treated non-surgically (the group 2). Both group were treated during 6 months using intranasal mometasone, mucolytics and antibiotics via PARI SINUSTM nebulizer.Results. An improvement in symptoms, CT signs, rhinomanometry parameters and endoscopic signs was seen in both groups after treatment and was more prominent in the surgical treatment group compared to the non-surgical treatment group. Bacterial load reduction in nasal sinuses, decrease in the rate of pulmonary disease exacerbations, and an improvement in oxygen blood saturation were found in the surgical treatment group only. Treatment of CRS did not affect lung function, sputum microbiology and serum inflammatory markers.Conclusion. Endoscopic sinus surgery followed by intranasal mucolytics and antibacterials is an effective and well-tolerated treatment in adult CF patients with CRS.

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The nose and sinuses

Oxford Handbook of ENT and Head and Neck Surgery ◽

10.1093/med/9780199550791.003.09 ◽

2009 ◽

pp. 159-184

Author(s):

Rogan Corbridge ◽

Nicholas Steventon

Keyword(s):

Surgical Treatment ◽

Medical Treatment ◽

Chronic Rhinosinusitis ◽

Nasal Polyps ◽

Chronic Sinusitis ◽

Structure And Function ◽

Acute Sinusitis ◽

And Function ◽

Nose And Sinuses

Structure and function of the nose 160 Rhinitis 164 Types of rhinitis 165 Medical treatment of rhinitis 166 Surgical treatment of rhinitis 168 Sinusitis 169 Acute sinusitis 170 Recurrent acute sinusitis 171 Chronic sinusitis 172 Surgery for chronic rhinosinusitis 174 Complications of sinusitis 176 Nasal polyps ...

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Serum periostin levels in asthma patients in relation to omalizumab therapy and presence of chronic rhinosinusitis with nasal polyps

Advances in Dermatology and Allergology ◽

10.5114/ada.2020.94842 ◽

2020 ◽

Vol 37 (2) ◽

pp. 240-249

Author(s):

Jakub Novosad ◽

Irena Krčmová ◽

Vladimír Bartoš ◽

Marcela Drahošová ◽

Petr Vaník ◽

...

Keyword(s):

Chronic Rhinosinusitis ◽

Nasal Polyps ◽

Asthma Patients ◽

Serum Periostin

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Correlation between the Prostaglandin D2/E2 Ratio in Nasal Polyps and the Recalcitrant Pathophysiology of Chronic Rhinosinusitis Associated with Bronchial Asthma

Allergology International ◽

10.2332/allergolint.o-08-545 ◽

2008 ◽

Vol 57 (4) ◽

pp. 429-436 ◽

Cited By ~ 47

Author(s):

Tsuyoshi Yoshimura ◽

Mamoru Yoshikawa ◽

Nobuyoshi Otori ◽

Shin-ichi Haruna ◽

Hiroshi Moriyama

Keyword(s):

Chronic Rhinosinusitis ◽

Bronchial Asthma ◽

Nasal Polyps ◽

Prostaglandin D2

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Increased Serum Periostin Levels and Eosinophils in Nasal Polyps Are Associated with the Preventive Effect of Endoscopic Sinus Surgery for Asthma Exacerbations in Chronic Rhinosinusitis Patients

International Archives of Allergy and Immunology ◽

10.1159/000509253 ◽

2020 ◽

Vol 181 (11) ◽

pp. 862-870

Author(s):

Yoshihiro Kanemitsu ◽

Ryota Kurokawa ◽

Junya Ono ◽

Kensuke Fukumitsu ◽

Norihisa Takeda ◽

...

Keyword(s):

Chronic Rhinosinusitis ◽

Endoscopic Sinus Surgery ◽

Eosinophil Count ◽

Nasal Polyps ◽

Sinus Surgery ◽

Blood Eosinophil ◽

Preventive Effect ◽

Blood Eosinophil Count ◽

Asthma Exacerbations ◽

Serum Periostin

Background: Eosinophilic nasal polyps (NPs) are associated with the presence of asthma in chronic rhinosinusitis (CRS) patients. Serum periostin has been considered a relevant biomarker for unified airway diseases. Objective: To determine the utility of biomarkers including serum periostin that reflects reduction of exacerbations of comorbid asthma in CRS patients. Methods: We prospectively recruited 56 CRS patients who were subjected to undergo endoscopic sinus surgery (ESS) (20 with asthma) between October 2015 and December 2017 and followed them for 1 year after ESS. Blood eosinophil count, serum periostin, and fractional nitric oxide (FeNO) were measured at enrollment. How these type 2-driven biomarkers reflect comorbid asthma was determined using receiver operating characteristic (ROC) analysis. The frequency of asthma exacerbations during 1 year was counted both before and after ESS. Associations between preoperative biomarkers including eosinophils in NPs and asthma exacerbations were evaluated. Results: Blood eosinophil count, FeNO, and serum periostin levels were significantly higher in CRS patients with asthma than in those without (p < 0.01 for all) and discriminated comorbid asthma among CRS patients (p < 0.05; AUC > 0.80 for all). The increased preoperative serum periostin correlated with lower absolute number of postoperative exacerbations (ρ = −0.49, p = 0.03) and its relative reduction after ESS (ρ = 0.53, p = 0.03) in asthmatic patients. Increased eosinophils in NPs were also associated with reduced asthma exacerbations. Conclusion: Preoperative increased serum periostin and eosinophils in NPs are associated with the preventive effect of ESS for asthma exacerbations in CRS patients comorbid with asthma.

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Usefulness of endonasal mucoplasty in the surgical treatment of chronic rhinosinusitis with nasal polyps. Prospective study

Acta Otorrinolaringologica (English Edition) ◽

10.1016/j.otoeng.2020.08.003 ◽

2021 ◽

Vol 72 (4) ◽

pp. 256-261

Author(s):

Ramón Moreno-Luna ◽

Jaime González-García ◽

José Palacios-García ◽

Juan Manuel Maza-Solano ◽

Alfonso del Cuvillo Bernal ◽

...

Keyword(s):

Surgical Treatment ◽

Prospective Study ◽

Chronic Rhinosinusitis ◽

Nasal Polyps

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Correlation between the Prostaglandin D2/E2 Ratio in Nasal Polyps and the Recalcitrant Pathophysiology of Chronic Rhinosinusitis Associated with Bronchial Asthma

Journal of Allergy and Clinical Immunology ◽

10.1016/j.jaci.2009.12.400 ◽

2010 ◽

Vol 125 (2) ◽

pp. AB102

Author(s):

M. Yoshikawa ◽

T. Yoshimura ◽

N. Otori ◽

S. Haruna ◽

H. Moriyama

Keyword(s):

Chronic Rhinosinusitis ◽

Bronchial Asthma ◽

Nasal Polyps ◽

Prostaglandin D2

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Periostin as a Biomarker for Nasal Polyps in Chronic Rhinosinusitis

Otolaryngology ◽

10.1177/0194599817737967 ◽

2017 ◽

Vol 158 (1) ◽

pp. 181-186 ◽

Cited By ~ 25

Author(s):

Alice Z. Maxfield ◽

Lukas D. Landegger ◽

Christopher D. Brook ◽

Ashton E. Lehmann ◽

Adam P. Campbell ◽

...

Keyword(s):

Chronic Rhinosinusitis ◽

Nasal Polyps ◽

Matrix Protein ◽

Academic Medical Center ◽

Sinus Surgery ◽

Smoking History ◽

Extracellular Matrix Protein ◽

Oral Steroid ◽

Molecular Biomarker ◽

Serum Periostin

Objective Periostin is an extracellular matrix protein that is elevated in the sinonasal tissues of patients with chronic rhinosinusitis (CRS). The purpose of this study was to determine whether serum periostin could serve as a molecular biomarker of nasal polyp burden in sinonasal disease. Study Design Prospective cohort study. Setting Academic medical center. Subjects and Methods Serum periostin levels were measured by ELISA on blood samples collected from patients undergoing sinus surgery for CRS (n = 71), further stratified by phenotype as defined by nasal polyps and asthma. Results were compared with assays performed on control subjects (n = 62). Results Mean serum periostin levels were markedly elevated in patients with CRS versus controls (66.1 ng/mL [95% CI, 51.6-80.6] vs 38.7 ng/mL [95% CI, 34.4-42.9], respectively, P = .004). In addition, mean periostin levels were significantly higher in CRS patients with nasal polyps as compared with those without polyps (94.8 ng/mL [95% CI, 67.3-122.4] vs 41.1 ng/mL [95% CI, 35.2-47.0], respectively, P < .001). Periostin levels did not correlate with sex ( P = .473), smoking history ( P = .748), aspirin-exacerbated respiratory disease status ( P = .136), oral steroid use within 1 month of surgery ( P = .281), use of topical steroid nasal spray ( P = .864), or number of prior sinus operations ( P = .973). Conclusion Serum periostin appears to be a novel molecular biomarker for the presence of nasal polyps and may serve as an indicator of CRS endotypes.

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Serum periostin, IgE, and SE-IgE can be used as biomarkers to identify moderate to severe chronic rhinosinusitis with nasal polyps

Journal of Allergy and Clinical Immunology ◽

10.1016/j.jaci.2017.07.031 ◽

2017 ◽

Vol 140 (6) ◽

pp. 1705-1708.e3 ◽

Cited By ~ 22

Author(s):

Karin Jonstam ◽

Marit Westman ◽

Gabriële Holtappels ◽

Cecile T.J. Holweg ◽

Claus Bachert

Keyword(s):

Chronic Rhinosinusitis ◽

Nasal Polyps ◽

Serum Periostin

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Basic principles for the treatment of chronic rhinosinusitis with nasal polyps

Medical Council ◽

10.21518/2079-701x-2020-16-73-78 ◽

2020 ◽

pp. 73-78

Author(s):

E. L. Savlevich ◽

V. A. Cherenkova ◽

A. Yu. Molodnitskaia

Keyword(s):

Surgical Treatment ◽

Chronic Rhinosinusitis ◽

Nasal Polyps ◽

Mometasone Furoate ◽

Dynamic Monitoring ◽

Basic Therapy ◽

Intranasal Corticosteroids ◽

European Forum ◽

Group 2

Introduction. Chronic rhinosinusitis with nasal polyps (CRSwNP) is based on a chronic inflammatory hyperplastic process in the mucosa membrane of the nasal cavity and paranasal sinuses (SNPs). According to the consensus on the biological treatment of CRSwNP with or without asthma, which is one of the latest consensus documents of the European Forum for Research and Education in Allergy and Airway Diseases (EUFOREA), which was published in December 2019, the need for surgical treatment or systemic administration of corticosteroids due to the active nasal polyps growth are conditional signs for the decompensation of clinical control. Currently, the basic treatment for patients with CRSwNP is the long-term use of intranasal corticosteroids (INCS), which leads to an improvement in the quality of life, while minimizing the risk of exacerbations and complications.Research purpose. To evaluate the effectiveness of the basic therapy of intranasal glucocorticosteroid mometasone furoate for different phenotypes of CRSwNP.Methods. All patients with recurrent CRSwNP were divided into 3 equal phenotypic groups of 40 people each: group 1 – CRSwNP without asthma and respiratory allergies, group 2 – CRSwNP + atopy, group 3 – CRSwNP + non-allergic asthma. The observation period was 3 years.Results. Using the algorithm of stepwise therapy of CRSwNP, dynamic monitoring of these patients by an ENT and an allergistimmunologist, basic therapy with corticosteroids with constant treatment correction once every 3 months, it was possible to stabilize the inflammatory process throughout the respiratory tract and reduce the need for surgical treatment.Conclusion. With CRSwNP, long-term use of Mometasone furoate INCS is the main drug of basic therapy to minimize the recurrence of nasal polyp growth and is accompanied by clinical efficacy and the absence of adverse side effects.

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