Evidence map›Paper›PMID 25198021›Full record

Trial reportAmerican journal of rhinology & allergy

Differential expression of innate immunity genes in chronic rhinosinusitis.

Kara Y Detwiller, Timothy L Smith, Jeremiah A Alt, Dennis R Trune, Jess C Mace, Nathan B Sautter

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in American journal of rhinology & allergy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01332136 (Determinants of Medical and Surgical Treatment Outcomes in Chronic Sinusitis), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01332136 completednot on this map

Determinants of Medical and Surgical Treatment Outcomes in Chronic Sinusitis

TypeobservationalSponsorOregon Health and Science UniversityRan2011 to 2016Enrolled966ConditionsChronic Rhinosinusitis
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Review
  3. Differential expression and role of S100 proteins in chronic rhinosinusitis.Current opinion in allergy and clinical immunology · 2020
    Review
  4. Observational
  5. Bacterial Pathogens and the Microbiome.Otolaryngologic clinics of North America · 2017
    Review
  6. Article
  7. New insights into upper airway innate immunity.American journal of rhinology & allergy · 2016
    Review
  8. Different activations of toll-like receptors and antimicrobial peptides in chronic rhinosinusitis with or without nasal polyposis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2016
    Article
  9. A comprehensive review of the nasal microbiome in chronic rhinosinusitis (CRS).Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2016
    Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kara Y DetwillerDepartment of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon, USA.
Timothy L Smith
Jeremiah A Alt
Dennis R Trune
Jess C Mace
Nathan B Sautter
Oregon Health & Science University · USUniversity of Utah · US

Funding

PORTLAND AREA COMMUNICATION RESEARCH CORE CENTERP30DC005983 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI NUTTALL, ALFRED L · 2003 to 2017
$9.0M
DETERMINANTS OF SURGICAL OUTCOMES IN CHRONIC SINUSITISR01DC005805 · NIDCD · OREGON HEALTH & SCIENCE UNIVERSITY · PI SMITH, TIMOTHY L, SOLER, ZACHARY M · 2004 to 2020
$7.6M
NIDCD NIH HHS P30 DC005983NIDCD NIH HHS R01 DC005805
6 · The paper itself

Abstract

backgroundPrior research has identified several components of the innate immune system that may play a significant role in chronic rhinosinusitis (CRS), but the role of innate immunity in patients with CRS is poorly understood. The objective of this study was to determine differential expression of innate immunity genes in the mucosa of patients with CRS with nasal polyposis (CRSwNP) and CRS without nasal polyposis (CRSsNP) when compared with controls.

methodsControl patients (n = 9) and patients with CRS (n = 36) who failed medical management were prospectively enrolled. Ethmoid mucosa samples were harvested during surgery and quantitative real-time polymerase chain reaction was used to determine levels of mRNA expression of Toll-like receptor (TLR) 2 and TLR9 and interleukin-22 receptor (IL-22R). The average change in crossover threshold and fold change were calculated and differences between controls, CRSwNP, and CRSsNP were compared. Statistical analysis was performed using the Kruskall-Wallis and adjusted Mann-Whitney U tests.

resultsPatients with CRSwNP (n = 16) and CRSsNP (n = 20) showed lower mean expression of TLR2 (p < 0.05) compared with controls. Patients with CRSsNP showed significantly higher mean expression of IL-22R (p < 0.05) than controls.

conclusionThe sinonasal innate immune system may have a significant role in the development of CRS. We found differential expression of innate immune mediators between patients with and without nasal polyposis. These results provide further evidence of disruption of innate immunity at the mucosal level in CRS and highlight differences between polyp- and non-polyp-forming CRS phenotypes at the molecular level. In addition to our knowledge, this is the first report of altered IL-22R expression in CRSsNP patients. This study was a part of the clinical trial NCT01332136 registered in www.clinicaltrials.gov.

Indexed as

AdultAgedChronic DiseaseFemaleHumansImmunity, InnateMaleMiddle AgedProspective StudiesReceptors, InterleukinRhinitisSinusitisToll-Like Receptor 2Toll-Like Receptor 9interleukin-22 receptorReceptors, InterleukinTLR2 protein, humanTLR9 protein, humanToll-Like Receptor 2Toll-Like Receptor 9

Identifiers

PMID25198021
PMCPMC4151703
OpenAlexW1982658369

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.