Project description:Background: Tonsillectomy improves or cures symptoms in patients with palmoplantar pustulosis (PPP) and suppresses disease progression in patients with pustulotic arthro-osteitis (PAO), highlighting the important role of tonsils in the pathogenesis of PPP/PAO. Objective: To identify active inflammatory pathways in the tonsil tissue of patients with PPP/PAO, and to clarify the characteristics of tonsillar microbiota. Methods: We assessed gene expression in tonsil tissue removed from Japanese adults with PPP/PAO or recurrent tonsillitis (RT)/sleep apnea syndrome (SAS) using microarray and quantitative reverse transcription polymerase chain reaction analysis. We also performed a comprehensive analysis of the tonsillar microbiota (tonsillar crypts) using next-generation sequencing. Potential associations between tonsillar gene expression and bacterial composition were evaluated. Results: Twenty-five tonsils from patients with PPP/PAO and 15 tonsils from patients with RT/SAS were included. The gene expression of inflammatory cytokines and molecules involved in the Th17, Th2, and Treg pathways was significantly higher in the tonsillar tissue of patients with PPP/PAO than in patients with RT/SAS. There were no significant differences in genus-level tonsillar microbiota between the two groups. Correlation analysis revealed a significant positive correlation between Streptococcus spp. and the expression of Th17 and Th2 pathway genes. Correlation patterns were similar between the PPP/PAO and RT/SAS groups for Streptococcus spp. but differed for the other genera. Conclusion: The tonsils of patients with PPP/PAO are in a complex inflammatory state, with enhanced Th17, Th2, and Treg responses. Members of the Streptococcus genus may be involved in the induction of inflammatory characteristics in PPP/PAO.
Project description:Pao extract is an herbal preparation of the bark of an amazonian rain forest tree,Pao Pereira (Geissospermum vellosii),which could inhibit Benign prostatic hyperplasia (BPH).Characterizing the molecular alterations of BPH1 and WPMY-1 cells treated with PAO is important for understanding the molecular mechanisms of PAO inhibiting BPH. We used microarrays to detail the RNA expression.