August 23, 2013

T cell transcriptional factors in allergic rhinitis and its association with clinical features

Abstract
Original Article  Open Access


     

Asia Pac Allergy. 2013 Jul;3(3):186-193. English.
Published online 2013 July 30.  http://dx.doi.org/10.5415/apallergy.2013.3.3.186 
Copyright © 2013. Asia Pacific Association of Allergy, Asthma and Clinical Immunology.
T cell transcriptional factors in allergic rhinitis and its association with clinical features
Ji-Hun Mo,1 Young-Jun Chung,1 and Ji Hye Kim1,2
1Department of Otorhinolaryngology, Dankook University College of Medicine, Cheonan 330-715, Korea.
2Medical Laser and Device Research Center, Dankook University College of Medicine, Cheonan 330-715, Korea.

 Correspondence: Ji-Hun Mo. Department of Otorhinolaryngology, Dankook University College of Medicine, 119 Dandae-ro, Dongnam-gu, Cheonan 330-715, Korea. Tel: +82-41-550-3933, Fax: +82-41-556-1090,Email: jihunmo@gmail.com 
Received March 29, 2013; Accepted June 26, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract

Background
Th2 cells are crucially important in allergic disease and the possible involvement of Treg and Th17 cells has not been clearly identified.
Objective
To identify the mRNA expression of T cell transcription factors in nasal mucosa in patients with allergic rhinitis (AR) and to reveal their correlations with clinical features.
Methods
Eighteen patients with AR and 12 controls with turbinate hypertrophy were included. mRNA expression of the following transcriptional factors in nasal mucosa were measured by quantitative polymerase chain reaction; T-bet (Th1), GATA3 (Th2), retinoic acid-related orphan receptor C (RORC; Th17), and forkhead box P3 (Foxp3; Treg). mRNA expression was compared among groups and correlation between mRNA expression level and clinical features (rhinitis symptoms, eosinophil count, and IgE) were also investigated.
Results
GATA3 and RORC were significantly increased and Foxp3 was significantly decreased in the AR group. Moderate-to-severe AR group also had increased expression of GATA3 and RORC than mild AR group, suggesting severity of AR influence expression of transcription factors. Correlation analysis showed that none of these transcription factors were associated with severity of clinical symptoms, eosinophil counts and skin prick test severity and that IgE level was significantly correlated with expression level of GATA3 and RORC, suggesting an association of IgE production with Th2 and Th17 cells.
Conclusion
Increased mRNA expression of GATA3 (Th2), increased expression of RORC and decreased expression of Foxp3 may be important in pathogenesis of AR. GATA3 and RORC may be closed related with IgE level.
Keywords: Allergic rhinitisTranscription factorT-betGATA3Retinoic acid-related orphan receptor C,Forkhead box P3.

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