Abstract

Nasal mucosa specimens were obtained at surgery from allergic rhinitis patients. We performed NAC with house dust mite (HDM) allergen disks and control disks, and took biopsies at 30 minutes, 6 hours, and 12 hours after NAC. Cells expressing MMP-2,-9,-13 andTIMP-1,-2, as well as eosinophils and mast cells, were analyzed immunohistochemistry. The MMPs and TIMPs in unchallenged allergic nasal mucosa and nasal polyps were quantified using enzyme-linked immunosorbent assays. Results At 30 minutes post-NAC, HDM-exposed nasal mucosa exhibited significantly more MMP-2,-9,-13 andTIMP-1,-2 positivecells, and the numbers of MMP-9+ and TIMP-1+ cells correlated strongly with the number of mast cells. At 6 hours post-NAC, the ratios of MMPs+ to TIMP-1 were higher in HDM-exposed mucosa. At 12 hours post-NAC, the number of MMP-13+ cells tended to be higher in HDM-exposed mucosa and was strongly correlated with the number of eosinophils. Quantitatively, the levels of MMP-2 and MMP-13 were significantly higher than the MMP-9 level, and the TIMP-2 level was significantly higher than the TIMP-1 level in allergic nasal mucosa. In nasal polyps the levels of MMP-9 were high and TIMPs were low. Conclusions

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