Evidence map›Paper›PMID 30892837›Full record

ArticleInternational forum of allergy & rhinology2019

Fungal extracts stimulate solitary chemosensory cell expansion in noninvasive fungal rhinosinusitis.

Neil N Patel, Vasiliki Triantafillou, Ivy W Maina, Alan D Workman, Charles C L Tong, Edward C Kuan, Peter Papagiannopoulos, John V Bosso, Nithin D Adappa, James N Palmer and 3 more

Open access · greenAbstract read
In one paragraph

Article in International forum of allergy & rhinology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Extragustatory bitter taste receptors in head and neck health and disease.Journal of molecular medicine (Berlin, Germany) · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Tuft cell integration of luminal states and interaction modules in tissues.Pflugers Archiv : European journal of physiology · 2021
    Review
  14. Revisiting the controversy: The role of fungi in chronic rhinosinusitis.International forum of allergy & rhinology · 2021
    Review
  15. Tuft cells in the pathogenesis of chronic rhinosinusitis with nasal polyps and asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2021
    Review
  16. Review
  17. Article
  18. Article
  19. Epithelial barriers in allergy and asthma.The Journal of allergy and clinical immunology · 2020
    Review
  20. Epithelial cell function and remodeling in nasal polyposis.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Review
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

13 authors at 2 institutions in 1 country.

Neil N PatelDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-1365-9130
Vasiliki TriantafillouDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Ivy W MainaDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-4426-2718
Alan D WorkmanDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Charles C L TongDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-4471-5134
Edward C KuanDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-3475-0718
Peter PapagiannopoulosDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
John V BossoDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Nithin D AdappaDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
James N PalmerDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Michael A KohanskiDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
De'Broski R HerbertDepartment of Pathobiology, University of Pennsylvania School of Veterinary Medicine, Philadelphia, PA.
Noam A CohenDivision of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USMonell Chemical Senses Center · US

Funding

NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Trefoil factor proteins regulate inflammation and immunityU01AI125940 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI HERBERT, DE'BROSKI R · 2016 to 2021
$2.8M
Alternative Macrophage Activation Limits ImmunopathologyR01GM083204 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI HERBERT, DE'BROSKI R · 2007 to 2018
$2.5M
Chronic Rhinosinusitis and genetics of bitter taste receptorsR01DC013588 · NIDCD · UNIVERSITY OF PENNSYLVANIA · PI COHEN, NOAM A · 2014 to 2018
$2.4M
Trefoil Factors Regulate Th2 ImmunityR01AI095289 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI HERBERT, DE'BROSKI R · 2011 to 2015
$2.1M
Taste Receptor Genetics, The Sinonasal Microbiome and Chronic RhinosinusitisI01CX001617 · VA · PHILADELPHIA VA MEDICAL CENTER · PI COHEN, NOAM A · 2018 to 2022
–
CSRD VA I01 CX001617Efficacy and Mechanism Evaluation Programme GM083204-08A1 (to DRH)Efficacy and Mechanism Evaluation Programme R01AI095289 (to DRH)Efficacy and Mechanism Evaluation Programme R01DC013588 (to NAC)Efficacy and Mechanism Evaluation Programme UO1AI125940 (to DRH)NCATS NIH HHS TL1 TR001880NCATS NIH HHS TL1TR001880 (to NNP)NIAID NIH HHS R01 AI095289NIAID NIH HHS U01 AI125940NIDCD NIH HHS R01 DC013588NIGMS NIH HHS R01 GM083204
6 · The paper itself

Abstract

backgroundSolitary chemosensory cells (SCCs) are rare epithelial cells enriched in nasal polyps and are the primary source of interleukin-25 (IL-25), an innate cytokine eliciting T-helper 2 (Th2) immune response. Although it is proposed that SCCs are stimulated by antigens released by upper airway pathogens, the exogenous triggers of human SCCs remain elusive. We studied patients with noninvasive fungal rhinosinusitis to determine whether extracts of Aspergillus fumigatus and Alternaria alternata stimulate SCC proliferation as an early event in type 2 inflammation.

methodsMulticolor flow cytometry, immunofluorescence, and enzyme-linked immunoassay were used to interrogate mucosa from patients with mycetomas and allergic fungal rhinosinusitis (AFRS) for SCCs and IL-25. Primary sinonasal epithelial cells from AFRS patients and noninflamed inferior turbinates were stimulated with fungal extracts for 72 hours, and SCC population frequency as well as mitotic activity were quantified using flow cytometry.

resultsSCCs producing IL-25 are enriched in inflamed mucosa compared with intrapatient noninflamed control tissue (38.6% vs 6.5%, p = 0.029). In cultured sinonasal epithelial cells from AFRS nasal polyps, Aspergillus fumigatus and Alternaria alternata stimulated higher SCC frequency compared with controls (27.4% vs 10.6%, p = 0.002; 18.1% vs 10.6%, p = 0.046), which led to increased IL-25 secretion in culture media (75.5 vs 3.3 pg/mL, p < 0.001; 32.3 vs 3.3 pg/mL, p = 0.007). Ki-67 expression was higher in SCCs grown in fungal stimulation conditions compared with controls.

conclusionAlthough fungal antigens are known to potentiate immune response through innate cytokines, including IL-25, the early expansion of SCCs in the presence of fungus has not been described. This early event in the pathogenesis of noninvasive fungal rhinosinusitis may represent a target for intervention.

Indexed as

AllergensAlternariaAntigens, FungalAspergillus fumigatusChemoreceptor CellsFungiHumansInterleukin-17MycetomaNasal MucosaRhinitisSinusitisAllergensAntigens, FungalIL25 protein, humanInterleukin-17allergic fungal rhinosinusitisfungal antigensIL-25mycetomasolitary chemosensory cellstype 2 inflammation

Identifiers

PMID30892837
PMCPMC6640101
OpenAlexW2923337111

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Registered trials

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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.