Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics

Epithelial barrier disruption and failure of epithelial repair by aberrant epithelial-mesenchymal transition (EMT)-induced basal cells observed in nasal mucosa of chronic rhinosinusitis (CRS) are speculated to play important roles in disease pathophysiology. Microparticles (MPs) are a type of extrac...

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Autores principales: Toru Takahashi, Robert P Schleimer
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/8047dc7c0eaa4aa2966e9e333f8f492a
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spelling oai:doaj.org-article:8047dc7c0eaa4aa2966e9e333f8f492a2021-11-11T17:10:02ZEpithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics10.3390/ijms2221117091422-00671661-6596https://doaj.org/article/8047dc7c0eaa4aa2966e9e333f8f492a2021-10-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11709https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Epithelial barrier disruption and failure of epithelial repair by aberrant epithelial-mesenchymal transition (EMT)-induced basal cells observed in nasal mucosa of chronic rhinosinusitis (CRS) are speculated to play important roles in disease pathophysiology. Microparticles (MPs) are a type of extracellular vesicle (EV) released by budding or shedding from the plasma membrane of activated or apoptotic cells. MPs are detected in nasal lavage fluids (NLFs) and are now receiving attention as potential biomarkers to evaluate the degree of activation of immune cells and injury of structural cells in nasal mucosa of subjects with sinus disease. There are three types of epithelial-cell-derived MPs, which are defined by the expression of different epithelial specific markers on their surface: EpCAM, E-cadherin, and integrin β6 (ITGB6). When these markers are on MPs that are also carrying canonical EMT/mesenchymal markers (Snail (SNAI1); Slug (SNAI2); alpha-smooth muscle actin (αSMA, ACTA2)) or pro- and anti-coagulant molecules (tissue factor (TF); tissue plasminogen activator (tPA); plasminogen activator inhibitor-1 (PAI-1)), they provide insight as to the roles of epithelial activation for EMT or regulation of coagulation in the underlying disease. In this review, we discuss the potential of epithelial MPs as research tools to evaluate status of nasal mucosae of CRS patients in the lab, as well as biomarkers for management and treatment of CRS in the clinic.Toru TakahashiRobert P SchleimerMDPI AGarticleepithelial injury and repairextracellular vesiclesmicroparticleschronic rhinosinusitisnasal polypsEpCAMBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11709, p 11709 (2021)
institution DOAJ
collection DOAJ
language EN
topic epithelial injury and repair
extracellular vesicles
microparticles
chronic rhinosinusitis
nasal polyps
EpCAM
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle epithelial injury and repair
extracellular vesicles
microparticles
chronic rhinosinusitis
nasal polyps
EpCAM
Biology (General)
QH301-705.5
Chemistry
QD1-999
Toru Takahashi
Robert P Schleimer
Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics
description Epithelial barrier disruption and failure of epithelial repair by aberrant epithelial-mesenchymal transition (EMT)-induced basal cells observed in nasal mucosa of chronic rhinosinusitis (CRS) are speculated to play important roles in disease pathophysiology. Microparticles (MPs) are a type of extracellular vesicle (EV) released by budding or shedding from the plasma membrane of activated or apoptotic cells. MPs are detected in nasal lavage fluids (NLFs) and are now receiving attention as potential biomarkers to evaluate the degree of activation of immune cells and injury of structural cells in nasal mucosa of subjects with sinus disease. There are three types of epithelial-cell-derived MPs, which are defined by the expression of different epithelial specific markers on their surface: EpCAM, E-cadherin, and integrin β6 (ITGB6). When these markers are on MPs that are also carrying canonical EMT/mesenchymal markers (Snail (SNAI1); Slug (SNAI2); alpha-smooth muscle actin (αSMA, ACTA2)) or pro- and anti-coagulant molecules (tissue factor (TF); tissue plasminogen activator (tPA); plasminogen activator inhibitor-1 (PAI-1)), they provide insight as to the roles of epithelial activation for EMT or regulation of coagulation in the underlying disease. In this review, we discuss the potential of epithelial MPs as research tools to evaluate status of nasal mucosae of CRS patients in the lab, as well as biomarkers for management and treatment of CRS in the clinic.
format article
author Toru Takahashi
Robert P Schleimer
author_facet Toru Takahashi
Robert P Schleimer
author_sort Toru Takahashi
title Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics
title_short Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics
title_full Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics
title_fullStr Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics
title_full_unstemmed Epithelial-Cell-Derived Extracellular Vesicles in Pathophysiology of Epithelial Injury and Repair in Chronic Rhinosinusitis: Connecting Immunology in Research Lab to Biomarkers in Clinics
title_sort epithelial-cell-derived extracellular vesicles in pathophysiology of epithelial injury and repair in chronic rhinosinusitis: connecting immunology in research lab to biomarkers in clinics
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/8047dc7c0eaa4aa2966e9e333f8f492a
work_keys_str_mv AT torutakahashi epithelialcellderivedextracellularvesiclesinpathophysiologyofepithelialinjuryandrepairinchronicrhinosinusitisconnectingimmunologyinresearchlabtobiomarkersinclinics
AT robertpschleimer epithelialcellderivedextracellularvesiclesinpathophysiologyofepithelialinjuryandrepairinchronicrhinosinusitisconnectingimmunologyinresearchlabtobiomarkersinclinics
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