Zusammenfassung
Hintergrund.
Akute Entzündungen der Nasenschleimhäute führen zu einer lokalen Immunantwort mit Einstrom von neutrophilen Granulozyten in das Gewebe. Der Mechanismus bakterieller Entzündungen in der Nasenschleimhaut ist bisher unbekannt.
Patienten und Methode.
Um zu untersuchen, ob Bakterien Neutrophile anlockende Proteine, sog. Chemotaxine, induzieren, wurden primäre Epithelzell- und Fibroblastenkulturen (n=4) von Nasenschleimhäuten angezüchtet. Nach 24 und 72 h Inkubationszeit mit einem proinflammatorischen Zytokin TNF-α (Tumornekrosefaktor α) und Überständen von Pseudomonas-aeruginosa-Bakterienstämmen (PA01) wurde im ELISA-Verfahren die Proteinkonzentration der C-X-C-Chemokine Interleukin- (IL-) 8, GRO-α ("growth-related oncogene α") und ENA-78 ("epithelial neutrophil-activating peptide") im Überstand gemessen.
Ergebnisse.
In vitro mit bakteriellen Überständen stimulierte primäre nasale Fibroblasten und Epithelzellen synthetisierten IL-8 und GRO im Nanogrammbereich.
Schlussfolgerung.
Erstmals konnte gezeigt werden, dass Überstände von Pseudomonas aeruginosa in nasalen Epithelzellen und Fibroblasten das Entzündungsgeschehen durch die Synthese von Chemokinen, IL-8 und GRO-α, unterstützen.
Abstract
Background.
The appearance of neutrophils in rhinitis and sinusitis led to the working hypothesis that neutrophil-specific attractants commonly called chemokines are generated by stimulation with proinflammatory cytokines and bacteria. The receptor mechanism of chemokine synthesis by bacterial products is under discussion and still has to be elucidated.
Patients and Methods.
The primary nasal cultures of epithelial cells and fibroblasts (n=4) were incubated with TNF-α (tumor necrosis factor) for 24 and 72 h. Bacterial stimulation of the cell cultures was performed by adding supernatants from the mucoid phenotype of Pseudomonas aeruginosa (PA01) in dilution 1:5 for 24 and 72 h. Supernatants were collected and the concentration of the chemokines interleukin-8 (IL-8), GRO-α (growth-related oncogene-α), and ENA-78 (epithelial neutrophil-activating peptide) were determined by ELISA technique. Our results revealed that the protein concentration of the chemokines GRO-α and IL-8 was upregulated by TNF-α as well as by bacterial supernatants in epithelial cells.
Conclusion.
We conclude that GRO-α and IL-8 were inducible by bacterial supernatants in nasal epithelial cells and fibroblasts.
Literatur
Agarwal S, Baran C, Piesco NP et al. (1995) Synthesis of proinflammatory cytokines by human gingival fibroblasts in response to lipopolysaccharides and interleukin-1 beta. J Periodontal Res 30: 382–389
Bachert C (1994) Effects and side-effects of corticosteroids. HNO 42: 528–529
Baggiolini M, Moser B, Clark-Lewis I (1994) Interleukin-8 and related chemotactic cytokines. (The Giles Filley Lecture) Chest 105: Suppl 98
Bedard M, McClure CD, Schiller NL et al. (1993) Release of interleukin-8, interleukin-6, and colony-stimulating factors by upper airway epithelial cells: implications for cystic fibrosis. Am J Respir Cell Mol Biol 9: 455–462
Bedard PA, Golds EE (1993) Cytokine-induced expression of mRNAs for chemotactic factors in human synovial cells and fibroblasts. J Cell Physiol 154: 433–441
Beutler B (2000) Tlr4: central component of the sole mammalian LPS sensor. Curr Opin Immunol 12: 20–26
Beutler B, Gelbart T, West C (2001) Synergy between TLR2 and TLR4: a safety mechanism. Blood Cells Mol Dis 27: 728–730
Black HR, Yankaskas JR, Johnson LG, Noah TL (1998) Interleukin-8 production by cystic fibrosis nasal epithelial cells after tumor necrosis factor-alpha and respiratory syncytial virus stimulation. Am J Respir Cell Mol Biol 19: 210–215
Bozic CR, Gerard NP, Gerard C (1996) Receptor binding specificity and pulmonary gene expression of the neutrophil-activating peptide ENA-78. Am J Respir Cell Mol Biol 14: 302–308
Demoly P, Crampette L, Mondain M et al. (2000) Myeloperoxidase and interleukin-8 levels in chronic sinusitis. Clin Exp Allergy 27: 672–675
Denning GM, Wollenweber LA, Railsback MA et al. (1998) Pseudomonas pyocyanin increases interleukin-8 expression by human airway epithelial cells. Infect Immun: 5777–5784
DiMango E, Ratner AJ, Bryan R, Tabibi S, Prince A (1998) Activation of NF-kappaB by adherent Pseudomonas aeruginosa in normal and cystic fibrosis respiratory epithelial cells. J Clin Invest: 2598–2605
Heppt W, Wurzer H (1995) Cytokines in allergic rhinitis. HNO 43: 273–274
Hogan M, Sherry B, Ritchlin C (1994) Differential expression of the small inducible cytokines GRO alpha and GRO beta by synovial fibroblasts in chronic arthritis: possible role in growth regulation. Cytokine 6: 61–69
Imaizumi T, Albertine KH, Jicha DL et al. (1997) Human endothelial cells synthesize ENA-78: relationship to IL-8 and to signaling of PMN adhesion. Am J Respir Cell Mol Biol 23: 181–192
Klimek L, Bachert C (2000) Current aspects of nasal glucocorticosteroid therapy. HNO 48: 544–555
Kong W, McConalogue K, Khitin LM et al. (1997). Luminal trypsin may regulate enterocytes through proteinase-activated receptor 2. Proc Natl Acad Sci USA 94: 8884–8889
Lukacs NW, Hogaboam CM, Kunkel SL et al. (1998) Mast cells produce ENA-78, which can function as a potent neutrophil chemoattractant during allergic airway inflammation. J Leukoc Biol 42: 746–751
Miadonna A, Milazzo N, Lorini M, Sala A, Tedeschi A (1996) Nasal neutrophilia and release of myeloperoxidase induced by nasal challenge with platelet activating factor: different degrees of responsiveness in atopic and nonatopic subjects. J Allergy Clin Immunol 97: 947–954
Morita E, Yamada S, Kimura I et al. (1993) Interleukin-8 production from cultured human dermal fibroblasts by stimulation with supernatant of cultured human epidermal cells. Skin Pharmacol 6: 161–169
Moser B, Clark-Lewis I, Zwahlen R, Baggiolini M (1990) Neutrophil-activating properties of the melanoma growth-stimulatory activity. J Exp Med 171: 1797–1802
Moss AJ, Parsons VL (1986) Current estimates from the National Health Interview Survey. United States, 1985. Vital & Health Statistics – Series 10: Data From the National Health Survey-iv
Odake H, Koizumi F, Hatakeyama S, Furuta I, Nakagawa H (1993) Production of cytokines belonging to the interleukin-8 family by human gingival fibroblasts stimulated with interleukin-1 beta in culture. Exp Mol Pathol 58: 14–24
Rhyoo C, Sanders SP, Leopold DA, Proud D (1999) Sinus mucosal IL-8 gene expression in chronic rhinosinusitis. J Allergy Clin Immunol 103: 395–400
Rollins BJ (1997) Chemokines. Blood 90: 909–928
Rudack C, Stoll W, Bachert C (1998) Cytokines in nasal polyposis, acute and chronic sinusitis. Am J Rhinol 12: 383–388
Shpacovitch VM, Brzoska T, Buddenkotte J et al. (2002). Agonists of proteinase-activated receptor 2 induce cytokine release and activation of nuclear transcription factor kappaB in human dermal microvascular endothelial cells. J Invest Dermatol 118: 380–385
Walz A, Strieter RM, Schnyder S (1993) Neutrophil-activating peptide ENA-78. Adv Exp Med Biol 351: 129–137
Danksagung.
Für die Anzüchtung und Bebrütung der Pseudomonaskulturen möchten wir Herrn Univ. Prof. Dr. G. Doering und Herrn Dr. D. Worlitzsch vom Institut für Hygiene der Medizinischen Fakultät der Universität Tübingen danken.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rudack, C., Stoll, W. & Hermann, W. Primäre nasale Epithelzellen und Fibroblasten haben entzündungsfördernde Eigenschaften. HNO 51, 480–485 (2003). https://doi.org/10.1007/s00106-002-0754-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00106-002-0754-1