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- Title
Evaluation of MMP-9 and TIMP-1 Levels of the Patients with Nasal Polyposis After Corticosteroid Therapies.
- Authors
Cincik, Hakan; Erkul, Evren; Pinar, Dogan; Ipcioglu, Osman; Gungor, Atila; Cekin, Engin; Cakmak, Adem
- Abstract
The aim of this study is to evaluate the effects of intrapolyp, systemic and local corticosteroid treatment modalities on MMP-9 and TIMP-1 level in polyp tissues. This study included 71 patients and five groups. Group A treated with oral methylprednisolone, Group B, treated with topical steroid spray, Group C treated with intralesional triamcinolone acetonide, Group D patients with nasal polyposis who has not given any medication, Group E had surgery for concha bullosa without nasal polyp disease. Samples from group A were collected endoscopically 1 day after treatment was stopped. Group B samples were collected at the end of the first month. Video guided sample collection from Group C was also performed on the 7th day after treatment. MMP-9 and TIMP-1 levels were measured by Enzyme-linked immunosorbent assay method. When we compared the MMP-9 levels of all groups, there were no significant differences. There was significant difference of TIMP-1 level between Groups C and E (p = 0.0019), however there was no difference among the level of the other groups. When MMP-9/TIMP1 rates of all groups were compared, there were significant difference between Group A and D (p = 0.005) and between Group A and E, also between Group C and E. Our study is the first study to evaluate the effects of different corticosteroid treatment modalities on MMP-9 and TIMP-1 in nasal polyps and concluded that corticosteroid did not do a significant impact on this pathway.
- Subjects
NASAL polyps; CORTICOSTEROIDS; HORMONE therapy; MATRIX metalloproteinases; EXTRACELLULAR matrix; STEROID drugs; TRIAMCINOLONE acetonide; NASAL surgery; ENZYME-linked immunosorbent assay; PATIENTS; THERAPEUTICS
- Publication
Indian Journal of Otolaryngology & Head & Neck Surgery, 2013, Vol 65, p445
- ISSN
2231-3796
- Publication type
Article
- DOI
10.1007/s12070-013-0656-4