E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat Transforming growth factor beta 1 (TGF-b1) in the pathophysiology of nasal polyp [Tr-ENT]
Tr-ENT. 2018; 28(2): 93-104 | DOI: 10.5606/Tr-ENT.2018.78095

Transforming growth factor beta 1 (TGF-b1) in the pathophysiology of nasal polyp

Evrim Damcayırı Yeniel1, Fatih Turan2, Ahmet Eyibilen3, Rana Bayram Kablan4, Reşit Doğan Köseoğlu5
1Department of Otolaryngology, Balıkesir State Hospital, Balıkesir, Turkey
2Department of Otolaryngology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
3Department of Otolaryngology, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
4Department of Otolaryngology, Tokat State Hospital, Tokat, Turkey
5Department of Pathology, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey

INTRODUCTION: This study aims to use immunohistochemistry to compare histopathological findings and transforming growth factor beta 1 (TGF-b1) levels in polyp tissue in cases of nasal polyp with histopathological findings and TGF-b1 levels in the nasal mucosa in patients with obstructive nasal deformity.
METHODS: The study group consisted of 20 patients. The control group consisted to 20 patients scheduled for nasal surgery due to septum deviation. Edema, mixed infection cell infiltration, eosinophil leukocyte infiltration and squamous metaplasia development were studied from hematoxylin-eosin stained slides containing polyp and conchal mucosa tissue specimens collected from the study and control groups. These were then assessed semi-quantitatively. The presence or absence of TGF-b1 antibody and positive reaction in the mucosal epithelium, submucosal glands, fibroblasts and inflammatory cells were evaluated immunohistochemically.
RESULTS: A positive association was determined between eosinophilia and edema on tissue staining with hematoxylin and eosin in cases of nasal polyp, while no edema was observed in any cases in the control group. Comparison of the control and study groups on immunohistochemical (TGF-b1 positive reaction) staining revealed no significant difference between epithelium, gland and fibroblast staining. Immunohistochemical staining of inflammatory cells was more pronounced in the study group.
DISCUSSION AND CONCLUSION: We conclude that TGF-b1 may play a role together with other mediators, although not alone, in the pathophysiology of nasal polyp.

Keywords: Nasal polyposis, tissue eosinophilia, transforming growth factor beta 1.

Evrim Damcayırı Yeniel, Fatih Turan, Ahmet Eyibilen, Rana Bayram Kablan, Reşit Doğan Köseoğlu. Transforming growth factor beta 1 (TGF-b1) in the pathophysiology of nasal polyp. Tr-ENT. 2018; 28(2): 93-104

Corresponding Author: Fatih Turan, Türkiye
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