NOD-Like Receptor Signaling in Cholesteatoma

Background. Cholesteatoma is a destructive process of the middle ear resulting in erosion of the surrounding bony structures with consequent hearing loss, vestibular dysfunction, facial paralysis, or intracranial complications. The etiopathogenesis of cholesteatoma is controversial but is associate...

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Main Authors: Leichtle, Anke, Klenke, Christin, Ebmeyer, Joerg, Daerr, Markus, Bruchhage, Karl-Ludwig, Hoffmann, Anna Sophie, Ryan, Allen F., Wollenberg, Barbara, Sudhoff, Holger
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2015
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4398947/
id pubmed-4398947
recordtype oai_dc
spelling pubmed-43989472015-04-28 NOD-Like Receptor Signaling in Cholesteatoma Leichtle, Anke Klenke, Christin Ebmeyer, Joerg Daerr, Markus Bruchhage, Karl-Ludwig Hoffmann, Anna Sophie Ryan, Allen F. Wollenberg, Barbara Sudhoff, Holger Research Article Background. Cholesteatoma is a destructive process of the middle ear resulting in erosion of the surrounding bony structures with consequent hearing loss, vestibular dysfunction, facial paralysis, or intracranial complications. The etiopathogenesis of cholesteatoma is controversial but is associated with recurrent ear infections. The role of intracellular innate immune receptors, the NOD-like receptors, and their associated signaling networks was investigated in cholesteatoma, since mutations in NOD-like receptor-related genes have been implicated in other chronic inflammatory disorders. Results. The expression of NOD2 mRNA and protein was significantly induced in cholesteatoma compared to the external auditory canal skin, mainly located in the epithelial layer of cholesteatoma. Microarray analysis showed significant upregulation for NOD2, not for NOD1, TLR2, or TLR4 in cholesteatoma. Moreover, regulation of genes in an interaction network of the NOD-adaptor molecule RIPK2 was detected. In addition to NOD2, NLRC4, and PYCARD, the downstream molecules IRAK1 and antiapoptotic regulator CFLAR showed significant upregulation, whereas SMAD3, a proapoptotic inducer, was significantly downregulated. Finally, altered regulation of inflammatory target genes of NOD signaling was detected. Conclusions. These results indicate that the interaction of innate immune signaling mediated by NLRs and their downstream target molecules is involved in the etiopathogenesis and growth of cholesteatoma. Hindawi Publishing Corporation 2015 2015-04-02 /pmc/articles/PMC4398947/ /pubmed/25922834 http://dx.doi.org/10.1155/2015/408169 Text en Copyright © 2015 Anke Leichtle et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Leichtle, Anke
Klenke, Christin
Ebmeyer, Joerg
Daerr, Markus
Bruchhage, Karl-Ludwig
Hoffmann, Anna Sophie
Ryan, Allen F.
Wollenberg, Barbara
Sudhoff, Holger
spellingShingle Leichtle, Anke
Klenke, Christin
Ebmeyer, Joerg
Daerr, Markus
Bruchhage, Karl-Ludwig
Hoffmann, Anna Sophie
Ryan, Allen F.
Wollenberg, Barbara
Sudhoff, Holger
NOD-Like Receptor Signaling in Cholesteatoma
author_facet Leichtle, Anke
Klenke, Christin
Ebmeyer, Joerg
Daerr, Markus
Bruchhage, Karl-Ludwig
Hoffmann, Anna Sophie
Ryan, Allen F.
Wollenberg, Barbara
Sudhoff, Holger
author_sort Leichtle, Anke
title NOD-Like Receptor Signaling in Cholesteatoma
title_short NOD-Like Receptor Signaling in Cholesteatoma
title_full NOD-Like Receptor Signaling in Cholesteatoma
title_fullStr NOD-Like Receptor Signaling in Cholesteatoma
title_full_unstemmed NOD-Like Receptor Signaling in Cholesteatoma
title_sort nod-like receptor signaling in cholesteatoma
description Background. Cholesteatoma is a destructive process of the middle ear resulting in erosion of the surrounding bony structures with consequent hearing loss, vestibular dysfunction, facial paralysis, or intracranial complications. The etiopathogenesis of cholesteatoma is controversial but is associated with recurrent ear infections. The role of intracellular innate immune receptors, the NOD-like receptors, and their associated signaling networks was investigated in cholesteatoma, since mutations in NOD-like receptor-related genes have been implicated in other chronic inflammatory disorders. Results. The expression of NOD2 mRNA and protein was significantly induced in cholesteatoma compared to the external auditory canal skin, mainly located in the epithelial layer of cholesteatoma. Microarray analysis showed significant upregulation for NOD2, not for NOD1, TLR2, or TLR4 in cholesteatoma. Moreover, regulation of genes in an interaction network of the NOD-adaptor molecule RIPK2 was detected. In addition to NOD2, NLRC4, and PYCARD, the downstream molecules IRAK1 and antiapoptotic regulator CFLAR showed significant upregulation, whereas SMAD3, a proapoptotic inducer, was significantly downregulated. Finally, altered regulation of inflammatory target genes of NOD signaling was detected. Conclusions. These results indicate that the interaction of innate immune signaling mediated by NLRs and their downstream target molecules is involved in the etiopathogenesis and growth of cholesteatoma.
publisher Hindawi Publishing Corporation
publishDate 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4398947/
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