Skip to main content

Advertisement

Log in

Hydroxyproline levels in nasal polyps

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate hydroxyproline levels in nasal specimens from patients with nasal polyps, and to examine hydroxyproline levels after nasal steroid spray and oral steroid treatments. This study was performed on 41 patients. The subjects were divided into four groups: no medication group (group A, n 11), oral methylprednisolone group (group B, n 8), topical steroid spray group (group C, n 8) and control group (group D, n 14). Nasal polyp samples were collected endoscopically. Healthy subjects were studied as a control group, and their nasal samples were taken during turbine reduction surgery. All samples were analyzed using the immunocytochemistry method. Hydroxyproline levels were investigated and compared with the control group. Mean hydroxyproline levels in groups A–D were 98.48, 24.20, 8.97 and 4.52, respectively. The hydroxyproline levels were significantly higher in group A compared with that of group D. The treatment that revealed significant decreases in hydroxyproline levels was group C. Although there was also a noticeable reduction in group B, there were no statistically significant differences between group B and group A. Our study revealed a significant correlation between nasal polyp and hydroxyproline levels. The hydroxyproline levels were significantly higher in nasal polyps. Both oral and topical steroid treatments decrease hydroxyproline levels in nasal polyps. Thus, in theory, steroid treatment can directly decrease hydroxyproline levels by inhibiting proline hydroxylase and indirectly by lowering the inflammatory process.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Lee CH, Rhee CS, Min YG (1998) Cytokine gene expression in nasal polyps. Ann Otol Rhinol Laryngol 107(8):665–670

    PubMed  CAS  Google Scholar 

  2. Elovic A, Wong DT, Weller PF, Matossian K, Galli SJ (1994) Expression of transforming growth factors-α and β1 messenger RNA and product by eosinophils in nasal polyps. J Allergy Clin Immunol 93(5):864–869

    Article  PubMed  CAS  Google Scholar 

  3. Benson M (2005) Pathophysiological effects of glucocorticoids on nasal polyps: an update. Curr Opin Allergy Clin Immunol 5(1):31–35

    Article  PubMed  CAS  Google Scholar 

  4. Sobol SE, Fukakusa M, Christodoulopoulos P, Manoukian JJ, Schloss MD, Frenkiel S, Hamid Q (2003) Inflammation and remodeling of the sinus mucosa in children and adults with chronic sinusitis. Laryngoscope 113(3):410–414

    Article  PubMed  Google Scholar 

  5. Nelson DL, Cox MM (2005) Lehninger’s principles of biochemistry, 4th edn. W.H. Freeman, New York

    Google Scholar 

  6. DiMatteo M, Reasor MJ (1997) Modulation of silica-induced pulmonary toxicity by Dexamethasone-containing liposomes. Toxicol Appl Pharmacol 142(2):411–421

    Article  PubMed  CAS  Google Scholar 

  7. Reddy GK, Enwemeka CS (1996) A simplified method for the analysis of hydroxyproline in biological tissues. Clin Biochem 29(3):225–229

    Article  PubMed  CAS  Google Scholar 

  8. Lowry OH, Rosebrough NJ, Farr AL, Randal RJ (1951) Protein measurement with the folin phenol reagent. J Biol Chem 193:265–275

    PubMed  CAS  Google Scholar 

  9. Westergren-Thorsson G, Chakir J, Lafrenière-Allard MJ, Boulet LP, Tremblay GM (2002) Correlation between airway responsiveness and proteoglycan production by bronchial fibroblasts from normal and asthmatic subjects. Int J Biochem Cell Biol 34(10):1256–1267

    Article  PubMed  CAS  Google Scholar 

  10. Watelet JB, Bachert C, Claeys C, Van Cauwenberge P (2004) Matrix metalloproteinases MMP-7, MMP-9 and their tissue inhibitor TIMP-1: expression in chronic sinusitis vs nasal polyposis. Allergy 59(1):54–60

    Article  PubMed  CAS  Google Scholar 

  11. Molet SM, Hamid QA, Hamilos DL (2003) IL-11 and IL-17 expression in nasal polyps: Relationship to collagen deposition and suppression by intranasal fluticasone propionate. Laryngoscope 113(10):1803–1812

    Article  PubMed  CAS  Google Scholar 

  12. Mata JM, Kershenobich D, Villarreal E, Rojkind M (1975) Serum free proline and free hydroxyproline in patients with chronic liver disease. Gastroenterology 68((5 Pt 1)):1265–1269

    PubMed  CAS  Google Scholar 

  13. Yamada S, Hirayama C (1983) Clinical significance of serum hydroxyproline containing peptides with special reference to hyproprotein. Eur J Clin Invest 13(2):129–133

    Article  PubMed  CAS  Google Scholar 

  14. Fernandes AM, Valera FC, Anselmo-Lima WT (2008) Mechanism of action of glucocorticoids in nasal polyposis. Braz J Otorhinolaryngol 74(2):279–283

    PubMed  Google Scholar 

  15. Uchida J, Kanai K, Asano K, Watanabe S, Hisamitsu T, Suzaki H (2004) Influence of fluticasone propionate on the production of vascular endothelial growth factor and basic fibroblast growth factor from nasal fibroblasts in vitro. In Vivo 18(6):767–770

    PubMed  CAS  Google Scholar 

  16. Yariktas M, Doner F, Sutcu R, Demirci M, Dogru H, Yasan H (2005) The effect of topical corticosteroid on basic fibroblast growth factor in nasal polyps tissue. Am J Rhinol 19(3):248–250

    PubMed  Google Scholar 

  17. Hirano S, Asano K, Namba M, Kanai K, Hisamitsu T, Suzaki H (2003) Induction of apoptosis in nasal polyp fibroblasts by glucocorticoids in vitro. Acta Otolaryngol 123(9):1075–1079

    PubMed  CAS  Google Scholar 

  18. Lu Y, Fukuda K, Liu Y, Kumagai N, Nishida T (2004) Dexamethasone inhibition of IL-1-induced collagen degradation by corneal fibroblasts in three-dimensional culture. Invest Ophthalmol Vis Sci 45(9):2998–3004

    Article  PubMed  Google Scholar 

  19. Durmus M, Karaaslan E, Ozturk E, Gulec M, Iraz M, Edali N, Ersoy MO (2003) The effects of single-dose dexamethasone on wound healing in rats. Anesth Analg 97(5):1377–1380

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The authors would like to acknowledge Ozlem Koksal for statistical analysis.

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hakan Cincik.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cincik, H., Kapucu, B., Ipcioglu, O.M. et al. Hydroxyproline levels in nasal polyps. Eur Arch Otorhinolaryngol 268, 1147–1150 (2011). https://doi.org/10.1007/s00405-011-1546-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-011-1546-6

Keywords

Navigation