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Title: Nasal epithelial cells in different wheezing conditions
Author: Spiteri Cornish, Daniella
ISNI:       0000 0004 6346 5139
Awarding Body: University of Aberdeen
Current Institution: University of Aberdeen
Date of Award: 2017
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Background: Wheezing disorders have increased worldwide. The respiratory epithelium plays an important role in the pathogenesis of wheeze. Nasal epithelial cells (NEC) are a valid surrogate for bronchial airway epithelial cells, are accessible and could be a valuable tool in translational epidemiological studies. A better understanding of this layer may decrease the burden of wheezing disorders. Objectives: To determine the feasibility of sampling and culturing NEC from children and adults with and without different wheezing conditions in epidemiological studies. To study NEC mediator release in these individuals following different environmental exposures. Methods: NEC were sampled from unsedated children and adults with and without a wheezing condition by brushing. NEC were cultured in media and also exposed to interleukin-1 (IL-1) & tumour necrosis factor alpha (TNF-), house dust mite (HDM) extract, lipopolysaccharide (LPS) and extracted tobacco smoke (ETS) for 24 hours. Resulting supernatants were analysed via Enzyme – linked immunosorbent assay (ELISA) and cytometric bead array (CBA) for mediator release. Results: 287 individuals including 164 children and 123 adults where phenotyped and brushed. 81 samples reached tertiary passage. Decreased release of vascular endothelial growth factor (VEGF), intercellular adhesion molecule-1 (ICAM-1) and monocyte chemotactic protein -1 (MCP-1) was observed in wheezing individuals when compared to healthy controls. These cytokines were increased in individuals with chronic obstructive pulmonary disease (COPD) relative to both asthmatic and healthy adults. Individuals with/without allergic rhinitis demonstrated different mediator release. Conclusions: It is feasible to obtain NEC in adults and children for both epidemiological and translational research, although the presence of allergic rhinitis may act as a potential confounder. Differences are present in adults and children with asthma compared to healthy controls. Contrasting differences between COPD and asthma suggest that these are different conditions.
Supervisor: Not available Sponsor: Archie Foundation ; Tenovus Institute
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: Epithelial cells ; Wheeze ; Nose ; Asthma in children