Biomarkers in allergic rhinitis: its importance and diagnostic potential

  • Marcos Soares Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI) http://orcid.org/0000-0002-2688-8613
  • Gabriela Gomes Mânica Médica Otorrinolaringologista. Especialista em Rinologia pelo HCPA/UFRGS.
  • Thiago Gomes Heck Universidade do Noroeste do Estado do Rio Grande do Sul.
Keywords: Biomarkers, Rhinitis, Allergic, Cytokines, Interleukins, Eicosanoids

Abstract

Current analysis deals with the new potential biological markers in allergic rhinitis. Scielo and PUBMED databases were researched for articles through descriptors “Allergic rhinitis” and “Biomarkers” or “Cytokines” or “Interleukins” or “Eicosanoids”, in English and Portuguese. The use of new biomarkers for allergic rhinitis is researched since sensitive and specific markers provide a quick diagnosis, assessment of the disease´s stage and estimates of treatment responses. Several invasive and semi-invasive methods for sample collection from the aerial pathways make possible the measurement of a great number of new biomarkers in allergic rhinitis. As potential biomarkers, the analysis of nasal cytokines offers a good diagnose (IL-5 and IL-13), coupled to the disease´s severity (IL-9 and IL-17B). As an isolated evaluation, serum dosage of Clara Cell Protein (CC16) seems to be highly promising since it favors diagnosis with inversely related levels for the disease´s severity. Further, FeNO dosage is an important tool to predict asthma in AR patients.

Author Biographies

Marcos Soares, Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUI)
Residência Médica em Otorrinolaringologia e Cirurgia Cérvico-facial pelo HCPA/UFRGS. Especialista em Otologia e Implante Coclear pelo HCPA. Mestre em Atenção Integral à Saúde (UNIJUI/UNICRUZ).
Gabriela Gomes Mânica, Médica Otorrinolaringologista. Especialista em Rinologia pelo HCPA/UFRGS.
Médica Otorrinolaringologista. Especialista em Rinologia pelo HCPA/UFRGS.
Thiago Gomes Heck, Universidade do Noroeste do Estado do Rio Grande do Sul.
Doutor em Ciências do Movimento Humano pela UFRGS. Docente do PPGAIS-UNIJUI/UNICRUZ e das disciplinas de Fisiologia e Anatomia Humana da UNIJUI.

References

BADORREK, P. et al. Specificity and reproducibility of nasal biomarkers in patients with allergic rhinitis after allergen challenge chamber exposure. Ann Allergy Asthma Immunol., v. 118, n. 3, p. 290–297, 2017.

BAROODY, F. M.; NACLERIO, R. M. Immunology of the Upper Airway and Pathophysiology and Treatment of Allergic Rhinitis. In: RICHARDSON, M. A. et al. (Ed.). Cummings Otolaryngology Head and Neck Surgery. Fifth Edit ed. [s.l.] Mosby, 2010. p. 597–623.

BENSON, M. et al. Cytokines in nasal fluids from school children with seasonal allergic rhinitis. Pediatr Allergy Immunol., v. 8, n. 3, p. 143–149, 1997.

BOUSQUET, J. et al. Allergic Rhinitis and its Impact on Asthma ( ARIA ) 2008 Update. Allergy, v. 63, n. suppl. 86, p. 8–160, 2008.

CHOI, G. S. et al. Serum lactoferrin level as a serologic biomarker for allergic rhinitis. Clin Exp Allergy, v. 40, n. 3, p. 403–410, 2010.

CIEBIADA, M.; GÓRSKI, P.; ANTCZAK, A. Evaluation of eicosanoids in nasal lavage as biomarkers of inflammation in patients with allergic rhinitis. Arch Med Sci, v. 10, n. 6, p. 1123–1128, 2014.

CIPRANDI, G. Serum interleukin 9 in allergic rhinitis. Ann Allergy Asthma Immunol., v. 104, n. 2, p. 180–181, 2010.

CIPRANDI, G. et al. Fractional Exhaled Nitric Oxide: A Potential Biomarker in Allergic Rhinitis? Int Arch Allergy Immunol, v. 172, n. 2, p. 99–105, 2017.

CIRILLO, I. et al. Exhaled nitric oxide may predict bronchial hyperreactivity in patients with allergic rhinitis. Int Arch Allergy Immunol., v. 160, n. 3, p. 322–328, 2013.

DERAZ, T. E. et al. Serum and nasal lavage fluid Clara cell protein decreases in children with allergic rhinitis. Int J Pediatr Otorhinolaryngol., v. 76, n. 9, p. 1241–1244, 2012.

DI CARA, G. et al. Exhaled nitric oxide in children with allergic rhinitis : A potential biomarker of asthma development. Pediatr Allergy Immunol. , v. 26, n. 1, p. 85–87, 2014.

DIAMANT, Z. et al. Biomarkers in asthma and allergic rhinitis. Pulm Pharmacol Ther, v. 23, n. 6, p. 468–481, 2010.

FARFARIELLO, V. et al. IL-22 mRNA in peripheral blood mononuclear cells from allergic rhinitic and asthmatic pediatric patients. Pediatr Allergy Immunol. , v. 22, n. 4, p. 419–423, 2011.

GORSKA-CIEBIADA, M. et al. Intercellular adhesion molecule 1 and tumor necrosis factor alpha in asthma and persistent allergic rhinitis: relationship with disease severity. Ann Allergy Asthma Immunol, v. 97, n. 1, p. 66–72, 2006.

HELLINGS, P. W. et al. Positioning the Principles of Precision Medicine in Care Pathways for Allergic Rhinitis and Chronic Rhinosinusitis - an EUFOREA-ARIA-EPOS-AIRWAYS ICP statement. Allergy, 17 mar. 2017.

IRANDER, K. et al. Clara cell protein in nasal lavage fluid and nasal nitric oxide: biomarkers with anti-inflammatory properties in allergic rhinitis. Clin Mol Allergy. v. 10, p. 4, 2012. Disponível em: <http://www.clinicalmolecularallergy.com/content/10/1/4>.

KITAMURA, Y. et al. Preseasonal prophylactic treatment with antihistamines suppresses IL-5 but not IL-33 mRNA expression in the nasal mucosa of patients with seasonal allergic rhinitis caused by Japanese cedar pollen. Acta Otolaryngol, v. 132, n. 4, p. 434–8, abr. 2012.

KLEMENS, C. et al. Mediators and cytokines in allergic and viral-triggered rhinitis. Allergy Asthma Proc, v. 28, n. 4, p. 434–41, jan. 2007.

KÖNIG, K. et al. Cytokine profiles in nasal fluid of patients with seasonal or persistent allergic rhinitis. Allergy Asthma Clin Immunol, v. 11, n. 1, p. 26, 22 dez. 2015.

LUNDBERG, J. O. Nitric oxide and the paranasal sinuses. Anat Rec (Hoboken), v. 291, n. 11, p. 1479–1484, 2008.

MAKIHARA, S. et al. Local expression of interleukin-17a is correlated with nasal eosinophilia and clinical severity in allergic rhinitis. Allergy Rhinol (Providence), v. 5, n. 1, p. 22–27, 2014.

NOURI-ARIA, K. T. et al. IL-9 and c-Kit+ mast cells in allergic rhinitis during seasonal allergen exposure: effect of immunotherapy. J Allergy Clin Immunol., v. 116, n. 1, p. 73–9, jul. 2005.

PANGANIBAN, R. P. et al. Circulating microRNAs as biomarkers in patients with allergic rhinitis and asthma. J Allergy Clin Immunol., v. 137, n. 5, p. 1423–1432, 2016.

RIECHELMANN, H. et al. Biological markers in nasal secretions. Eur Respir J., v. 21, n. 4, p. 600–605, 2003.

SAKASHITA, M. et al. Association of serum interleukin-33 level and the interleukin-33 genetic variant with Japanese cedar pollinosis. Clin Exp Allergy., v. 38, n. 12, p. 1875–81, dez. 2008.

SCADDING, G. Cytokine Profiles in Allergic Rhinitis. Curr Allergy Asthma Rep, v. 14, n. 5, p. 435, 2014.

SCADDING, G. W. et al. Optimisation of grass pollen nasal allergen challenge for assessment of clinical and immunological outcomes. J Immunol Methods., v. 384, n. 1–2, p. 25–32, 2012.

SEIDMAN, M. D. et al. Clinical Practice Guideline: Allergic Rhinitis. Otolaryngol Head Neck Surg., v. 152, n. 1 Suppl, p. S1–S43, 2015.

SHAKER, M. New insights into the allergic march. Curr Opin Pediatr., v. 26, n. 4, p. 516–20, ago. 2014.

TANOU, K. et al. Inflammatory and oxidative stress biomarkers in allergic rhinitis: the effect of smoking. Clin Exp Allergy., v. 39, n. 3, p. 345–353, 2009.

WANG, H. et al. Identification of novel biomarkers in seasonal allergic rhinitis by combining proteomic, multivariate and pathway analysis. PLoS ONE, v. 6, n. 8, 2011.

WHEATLEY, L. M.; TOGIAS, A. Allergic Rhinitis. N Engl J Med., v. 372, n. 5, p. 456–463, 29 jan. 2015.

ZAGÓRSKA, W. et al. Increased cys-leukotrienes in exhaled breath condensate and decrease of PNIF after intranasal allergen challenge support the recognition of allergic rhinitis in children. Arch Immunol Ther Exp (Warsz)., v. 61, n. 4, p. 327–332, 2013.

ZICARI, A. M. et al. Local allergic rhinitis in children: Novel diagnostic features and potential biomarkers. Am J Rhinol Allergy., v. 30, n. 5, p. 329–334, 2016.

Published
2017-07-21
Section
Artigos de Revisão