Effects of intranasal TNFα on granulocyte recruitment and activity in healthy subjects and patients with allergic rhinitis
2008

Effects of TNFα on Nasal Inflammation

Sample size: 27 publication Evidence: moderate

Author Information

Author(s): Henrik Widegren, Jonas Erjefält, Magnus Korsgren, Morgan Andersson, Lennart Greiff

Primary Institution: Lund University Hospital

Hypothesis

The study aims to examine the effects of intranasal TNFα on granulocyte presence and activity in healthy subjects and patients with allergic rhinitis.

Conclusion

Intranasal TNFα produces a nasal inflammatory response characterized by increased neutrophil activity and plasma exudation 24 hours post challenge.

Supporting Evidence

  • Nasal lavage fluid levels of MPO were increased in both healthy subjects and patients with allergic rhinitis 24 hours post TNFα challenge.
  • α2-macroglobulin levels were also increased in both groups after TNFα challenge.
  • The number of subepithelial neutrophils increased significantly post TNFα challenge in healthy subjects.

Takeaway

When people breathe in a substance called TNFα, it can cause their noses to get inflamed and bring in more white blood cells called neutrophils to help fight inflammation.

Methodology

Healthy subjects and patients with allergic rhinitis received a nasal challenge with TNFα in a sham-controlled, crossover design, with nasal lavages and biopsies performed before and after the challenge.

Limitations

The study was not powered to discriminate between healthy subjects and patients with allergic rhinitis.

Participant Demographics

13 healthy subjects (5 females, 8 males, aged 20–28 years) and 14 patients with seasonal allergic rhinitis (8 females, 6 males, aged 23–45 years).

Statistical Information

P-Value

0.0021

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1465-9921-9-15

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