A Possible Association of Staphylococcus Enterotoxin B-induced Asthma and Sinusitis

• Published in: Journal of Huazhong University of Science and Technology. Medical sciences Vol. 26; no. 1; pp. 63 - 67
• Main Author: 刘涛 孔维佳 杨平常 王斌全
• Format: Journal Article
• Language: English
• Published: China Department of Otorhinolaryngology , Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 2006; Department of Otolaryngology, The First Affiliated Hospital, Shanxi Medical University Taiyuan 030001, China%Department of Otorhinolaryngology , Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China%Department of Otolaryngology, The First Affiliated Hospital, Shanxi Medical University Taiyuan 030001, China
• Subjects: Adolescent; Adult; Antibodies, Bacterial - blood; Antigens, Bacterial - immunology; Antigens, Bacterial - pharmacology; Asthma - microbiology; Chronic Disease; Endoscopy; Enterotoxins - immunology; Enterotoxins - pharmacology; Female; Humans; Interferon-gamma - blood; Interleukin-4 - blood; Male; Middle Aged; Sinusitis - microbiology; Sinusitis - surgery; 手术治疗; 肠毒素; 葡萄状球菌; IFN-γ; endoscopic sinus surgery; IL 4; sinusitis; asthma; superantigen; Staphylococcus aureus
• ISSN: 1672-0733; 1993-1352
• DOI: 10.1007/BF02828040

In order to gain insight into a possible association between chronic sinusitis and asthma, 85 patients with sinusitis and asthma underwent functional endoscopic sinus surgical treatment and serum antibodies and cytokines were measured. The results showed that 51 out of 85 patients with high serum anti-Staphylococcus enterotoxin B （SEB） antibody before treatment obtained satisfactory results for both sinusitis and asthma. The high level of Th2 cytokine IL-4 was down regulated to the levels of normal controls after sinus surgery. Thirty-four out of 85 patients did not show high serum anti-SEB antibody before sinus surgery and did not show much improvement in their asthmatic symptoms although sinusitis symptoms were resolved by sinus surgery. It was concluded that bacterial superantigen SEB （in the sinuses） might play a crucial role in the pathogenesis of lower airway hypersensitivity.