Immunological Value of Periostin, Amphiregulin, IL-33 and sST2 Markers in Rhinosinusitis Patients

Abstract

Background: Rhinosinusitis is an inflammatory disorder that refers to inflammation of the nose and paranasal sinuses. Recent studies show that serum IL-33, periostin, ARGE and sST2 had the role in the pathogenesis of chronic rhinosinusitis as an easy, non-invasive and readily available (biomarker) for diagnosis of chronic rhinosinusitis. We tested for correlations of IL-33, periostin, ARGE and sST2 between acute and chronic rhinosinusitis in compare to healthy people. This study aimed to Measure serum levels of periostin, IL-33, sST2, and ARGE biomarkers in patients ARS and CRS.

Materials and Methods: We collected serum of 30 patients with acute rhinosinusitis, 30 with chronic rhinosinusitis, and 30 controls to examine serum levels of IL-33, periostin, ARGE, and sST2 by enzyme-linked immunosorbent assay method (ELISA) Results: serum periostin had significance (p=0.001) with the chronic rhinosinusitis group and significantly higher in patients with CRSwNP(p=0.000). Serum ARGE and sST2 levels significantly higher in patients groups (p=0.01; p=0.001; p=0.03; respectively), serum sST2 levels in CRSwNP(p=0.000). No difference in serum levels of IL-33.  Conclusions: Our results show increased serum levels of periostin among chronic rhinosinusitis patients also especially with nasal polyps. Serum ARGE and sST2 levels significantly increased among patients with acute and chronic rhinosinusitis also serum sST2 levels found to be with CRSwNP, and no statistical significance was detected in serum IL-33.