Figure 2.
ITGAM, ICAM-3, and ITGB2 are significantly upregulated in the sinonasal tissues of patients with CRSwNP compared to controls. (A) Representative immunohistochemical images of sinonasal tissues demonstrating the increased expression of ICAM-3 (blue, left panels), ITGB2 (brown, left panels), and ITGAM (blue, right panels) in tissues of patients with CRSwNP compared to controls. The sinonasal tissue expression of ITGAX was similar in CRSwNP and controls. Increased co-staining of ICAM-3 and ITGB2 (left panels) was observed in the submucosa of tissues from patients with CRSwNP compared to controls. Staining controls are shown in the lowest two images for ITGAM/ITGAX and ITGB2/ICAM-3, whereby the top panel displays tissue stained with primary antibodies and without secondary antibodies and the bottom panel demonstrates tissue stained without primary antibodies and with secondary antibodies. The number of cells expressing (B) ITGAM (p<0.001), (C) ITGAX (p<0.3), (D) ICAM-3 (p<0.0001), (E) ITGB2 (p<0.04), and (F) ICAM-3 and ITGB2 (p<0.002) in sinonasal tissues of patients with CRSwNP (n=20) is increased compared to controls (n=8–10). (G) Pearson correlation analysis demonstrates a significant positive correlation between the counts of ITGAM- and ICAM-3/ITGB2-expressing cells in CRSwNP (R=0.55, p<0.02). Data are reported as individual values with upper and lower quartiles ± standard deviation of the mean cell count of respective CAM-positive cells for each group.
Abbreviations: ICAM-3, intercellular adhesion molecule 3; ITGAM, integrin subunit alpha M; ITGAX, integrin subunit alpha X; ITGB2, integrin subunit beta 2; NS, not significant; CRSwNP, chronic rhinosinusitis with nasal polyps.
