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Localisation of basic fibroblast growth factor in cholesteatoma matrix: an immunochemical study

Published online by Cambridge University Press:  27 February 2019

M A Hamed*
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, Egypt
R H Sayed
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, Egypt
K Shiogama
Affiliation:
Department of Pathology, Fujita Health University School of Medicine, Toyoake, Japan
M A Eltaher
Affiliation:
Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, Egypt
K Suzuki
Affiliation:
Department of Otorhinolaryngology, Yonaha General Hospital, Kuwana City, Japan
S Nakata
Affiliation:
Department of Otorhinolaryngology, Banbuntane Hotokukai Hospital, Fujita Health University School of Medicine, Nagoya, Japan
*
Author for correspondence: Dr Mahmood A Hamed, Department of Otorhinolaryngology, Faculty of Medicine, Sohag University, East District, Postal code 82524, Sohag, Egypt E-mail: mahmoodhamed8@gmail.com

Abstract

Objective

To investigate the expression of basic fibroblast growth factor in the matrix of human acquired cholesteatoma compared to the deep meatal skin. This topic does not appear to have been fully investigated before.

Methods

An immunochemical study was conducted. Cholesteatoma tissues from adult patients were collected during surgery (n = 19). Control specimens were taken from the deep meatal skin (n = 8) and compared.

Results

A highly significant difference in basic fibroblast growth factor expression was identified between cholesteatoma and skin (mean ± standard error = 58.53 ± 3.6 per cent in cholesteatoma vs 40.6 ± 3.5 per cent in skin; p = 0.005). Both basal and parabasal keratinocytes were stained positive with basic fibroblast growth factor. Additionally, there was specific staining in the basal columnar middle-ear epithelium and mast cell membrane.

Conclusion

Basic fibroblast growth factor plays an active role in proliferative activity of cholesteatoma through its overexpression in basal and parabasal layers of cholesteatoma matrix. Moreover, its expression in the mast cell membrane supports its role in bone resorption activity.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr M A Hamed takes responsibility for the integrity of the content of the paper

References

1Hamed, MA, Nakata, S, Sayed, RH, Ueda, H, Badawy, BS, Nishimura, Y et al. Pathogenesis and bone resorption in acquired cholesteatoma: current knowledge and future prospectives. Clin Exp Otorhinolaryngol 2016;9:298308Google Scholar
2Olszewska, E, Wagner, M, Bernal-Sprekelsen, M, Ebmeyer, J, Dazert, S, Hildmann, H et al. Etiopathogenesis of cholesteatoma. Eur Arch Otorhinolaryngol 2004;261:624Google Scholar
3Albino, AP, Kimmelman, CP, Parisier, SC. Cholesteatoma: a molecular and cellular puzzle. Am J Otol 1998;19:719Google Scholar
4Sudhoff, H, Dazert, S, Gonzales, AM, Borkowski, G, Park, SY, Baird, A et al. Angiogenesis and angiogenic growth factors in middle ear cholesteatoma. Am J Otol 2000;21:793–8Google Scholar
5Milewski, C, Fedorowski, A, Stan, AC, Walter, GF. Basic fibroblast growth factor (b-FGF) in the perimatrix of cholesteatoma [in German]. HNO 1998;46:804–8Google Scholar
6Hewitt, SM, Baskin, DG, Frevert, CW, Stahl, WL, Rosa-Molinar, E. Controls for immunohistochemistry: the Histochemical Society's standards of practice for validation of immunohistochemical assays. J Histochem Cytochem 2014;62:693–7Google Scholar
7Fina, M, Baird, A, Ryan, A. Direct application of basic fibroblast growth factor improves tympanic membrane perforation healing. Laryngoscope 1993;103:804–9Google Scholar
8Zhang, Q, Lou, Z. Impact of basic fibroblast growth factor on healing of tympanic membrane perforations due to direct penetrating trauma: a prospective non-blinded/controlled study. Clin Otolaryngol 2012;37:446–51Google Scholar
9Lou, Z, Huang, P, Yang, J, Xiao, J, Chang, J. Direct application of bFGF without edge trimming on human subacute tympanic membrane perforation. Am J Otolaryngol 2016;37:156–61Google Scholar
10Koutnouyan, HA, Baird, A, Ryan, AF. Acidic and basic FGF mRNA expression in the middle ear mucosa during experimental acute and chronic otitis media. Laryngoscope 1994;104:350–8Google Scholar
11Ryan, AF, Baird, A. Growth factors during proliferation of the middle ear mucosa. Acta Otolaryngol 1993;113:6874Google Scholar
12Berger, G, Hawke, M, Ekem, JK. Bone resorption in chronic otitis media. The role of mast cells. Acta Otolaryngol 1985;100:7280Google Scholar
13Albino, AP, Reed, JA, Bogdany, JK, Sassoon, J, Parisier, SC. Increased numbers of mast cells in human middle ear cholesteatomas: implications for treatment. Am J Otol 1998;19:266–72Google Scholar