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Differential Expression of Surfactant Protein A in the Nasal Mucosa of Patients With Allergy Symptoms
Christopher T. Wootten, MD;
Robert F. Labadie, MD, PhD;
Anton Chen, MD;
Kirk F. Lane, PhD
Arch Otolaryngol Head Neck Surg. 2006;132:1001-1007.
Objective To characterize surfactant protein A (SP-A) expression in human nasal tissue and correlate differential expression of SP-A with symptoms suggestive of allergic rhinitis.
Design Allergic rhinitis symptom data were prospectively collected in the form of the Rhinitis Symptom Utility Index, the Rhinoconjunctivitis Quality of Life Questionnaire, and a Visual Analog Scale. Immunohistochemical staining for SP-A was performed on resected nasal tissue. Quantitative polymerase chain reaction amplification of the SP-A gene referenced to -actin was performed on complementary DNA samples synthesized from total RNA isolates.
Setting Academic tertiary referral center, department of otolaryngology laboratories.
Patients Twenty-five consecutive patients undergoing nasal surgery.
Main Outcome Measures Immunohistochemical staining of SP-A in human nasal mucosa and submucosa, polymerase chain reaction amplification of SP-A messenger RNA, and rhinitis symptom scores.
Results Immunostaining localized SP-A to the mucosa and submucosal glands in specimens. Quantitative polymerase chain reaction demonstrated correlation between SP-A messenger RNA concentration and the total Rhinitis Symptom Utility Index score (0.51, P = .009) as well as "sneezing over the previous week" (0.40, P = .049), "runny nose over the previous week" (0.55, P = .005), and "sneezing today" (0.47, P = .02).
Conclusions To our knowledge, this is the first report of SP-A expression in human nasal tissue. Furthermore, the degree of expression correlated with severity of disease as measured by the Rhinitis Symptom Utility Index in patients with allergic rhinitis symptoms.
Author Affiliations: Departments of Otolaryngology (Drs Wootten, Labadie, and Chen) and Medicine, Division of Pulmonary and Critical Care Medicine (Dr Lane), Vanderbilt University, Nashville, Tenn.
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