1. Relationship between clinicopathological characteristics and CYLD expression in patients with cholesteatoma
- Author
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Shunsuke Miyake, Hideyuki Saito, Ryosei Minoda, Ayumi Kanemaru, Yorihisa Orita, Haruki Saito, Toru Miwa, Go Yoneda, and Hirofumi Jono
- Subjects
Male ,0301 basic medicine ,Pathology ,Epithelium ,Suppressor Genes ,Medical Conditions ,0302 clinical medicine ,Medicine and Health Sciences ,Cholesteatoma ,Immune Response ,Regulation of gene expression ,Multidisciplinary ,Middle Aged ,Prognosis ,Deubiquitinating Enzyme CYLD ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Middle ear ,Medicine ,Immunohistochemistry ,Female ,Anatomy ,medicine.symptom ,Research Article ,Adult ,medicine.medical_specialty ,Skin Tissue ,Adolescent ,Science ,Inflammatory Diseases ,Tumor Suppressor Genes ,Immunology ,Surgical and Invasive Medical Procedures ,Inflammation ,Gene Expression Regulation, Enzymologic ,03 medical and health sciences ,Signs and Symptoms ,Diagnostic Medicine ,Gene Types ,Genetics ,otorhinolaryngologic diseases ,medicine ,Humans ,Middle Ear Cholesteatoma ,Clinical significance ,Aged ,business.industry ,Middle Ear ,Biology and Life Sciences ,medicine.disease ,Biological Tissue ,030104 developmental biology ,Ears ,Clinical Medicine ,business ,Head ,Immunostaining - Abstract
Middle ear cholesteatoma is a destructive disease in which inflammation plays an important role in development and progression, and there are currently no biomarkers predicting prognosis or recurrence. Cylindromatosis (CYLD), a tumor suppressor deubiquitinase, serves as a negative regulator of inflammation expressed in tissues including the middle ear. To determine the clinical significance of CYLD in acquired cholesteatoma, we evaluated CYLD expression in acquired cholesteatoma tissue by immunostaining and analyzed its correlation with clinicopathological characteristics. Our immunohistochemical analysis revealed that CYLD expression levels were varied in the tissues of acquired cholesteatoma patients. The relative expression levels of CYLD in cholesteatoma exhibited a significant correlation with the grade of otorrhea (R = 0.532, p = 0.039). Moreover, the period of epithelialization was also significantly associated with the relative expression levels of CYLD (R = 0.720, p = 0.002). In addition, CYLD expression tended to be lower in the group with recurrence. These results suggest that low CYLD expression correlates with postoperative recovery of acquired cholesteatoma, while potentially affecting the induction of recurrence. This is the first report showing that low CYLD expression correlates with accelerated disease recovery, and suggests a new aspect of CYLD as a prognostic predictor of acquired cholesteatoma.
- Published
- 2020
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