Qp. Wang et al., MYOFIBROBLAST ACCUMULATION INDUCED BY TRANSFORMING GROWTH-FACTOR-BETAIS INVOLVED IN THE PATHOGENESIS OF NASAL POLYPS, The Laryngoscope, 107(7), 1997, pp. 926-931
Myofibroblasts that express alpha-smooth muscle actin (alpha-SMA) are
detected in many chronic inflammatory diseases. Transforming growth fa
ctor-beta (TGF-beta) is a potent inducer of myofibroblast accumulation
in tissues. In this study, scattered myofibroblasts and TGF-beta were
quantified and localized in nasal polyps (NPs) and normal nasal mucos
a (NM). NPs were sampled in 16 patients during ethmoidectomy and NM wa
s obtained from 10 control subjects during rhinoplasty. alpha-SMA and
TGF-beta were detected using immunohistochemistry and the numbers of l
abeled cells were quantified (alpha-SMA and TGF-beta indices) and comp
ared between NPs and NM. In eight NPs, in which the pedicle was preser
ved, alpha-SMA and TGF-beta were evaluated and compared in the pedicle
, central, and tip areas. Finally, TGF-beta expression was compared be
tween low (zone 1), moderate (zone 2), and high (zone 3) zones of alph
a-SMA positivity. alpha-SMA and TGF-beta indices were significantly hi
gher in NPs than in NM. In the eight selected NPs, alpha-SMA-positive
cells were significantly more abundant in the pedicle than in the cent
ral and tip areas, whereas TGF-beta-positive cells were significantly
more numerous in the pedicle than in the tip area. The number of TGF-b
eta-positive cells was significantly higher in zone 3 than in zone 1 o
f alpha-SMA positivity. Myofibroblasts, which are abundant in NPs but
rare in NM, could be involved in the growth of NPs by inducing extrace
llular matrix accumulation. The local development of myofibroblasts in
NPs could be controlled by TGF-beta, locally produced by inflammatory
cells.