Changes of autophagy related proteins during sublingual immunotherapy treatment in allergic rhinitis

被引:0
作者
Wang, Chunrui [1 ]
Jiang, Li [1 ]
Qin, Xiaowei [1 ]
Zhang, Tianhong [1 ]
机构
[1] Harbin Med Univ, Affiliated Hosp 1, Dept Otolaryngol, Harbin 150001, Heilongjiang, Peoples R China
关键词
Allergic rhinitis; Sublingual immunotherapy; Autophagy; ATG5; p62; Beclin-1; LC3I; LC3II; TIGHT JUNCTION PROTEINS; PREVALENCE; ASTHMA;
D O I
10.1016/j.ijporl.2025.112477
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Background: Allergic rhinitis (AR) affects the nasal mucosa, causing significant quality of life impairments. Sublingual immunotherapy (SLIT) is effective in mitigating AR symptoms. Autophagy regulates immune responses and is implicated in AR. We aimed to investigate the impact of SLIT on autophagy-associated proteins and their relationship with Th1 and Th2 cytokines in AR patients. Methods: Sixty AR children were recruited. They underwent standardized SLIT with Der f extract. Efficacy was evaluated using combined symptom and medication score (CSMS). Blood samples were analyzed for autophagyrelated proteins (ATG5, p62, Beclin-1, LC3I, LC3II) and Th1/Th2 cytokines (IFN-gamma, IL-4). Results: After 3 years' SLIT, ATG5, LC3I, LC3II, and Beclin-1 expressions decreased, while p62 increased. Th1 cytokine expression increased, and Th2 cytokine expression decreased. The effective group showed greater changes in protein expression compared to the ineffective group. A positive correlation was found between autophagy-associated protein expression and Th2 cytokines. Conclusion: SLIT alters autophagy-related protein levels and reverses the Th1/Th2 balance in AR patients, suggesting autophagy-associated proteins as potential biomarkers for SLIT efficacy.
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页数:4
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