The balance between HGF and TGF-β1 acts as a switch in the tissue remodeling of chronic rhinosinusitis

Objective: The remodeling patterns in different types of chronic rhinosinusitis (CRS) are controversial. This study aimed to investigate the roles of transforming growth factor-β1 (TGF-β1) and hepatocyte growth factor (HGF) in the CRS remodeling process.

Methods: Surgical samples were obtained from CRSwNP patients (n=29), CRSsNP patients (n=34), and controls (n=21). Collagen deposition was detected via Masson trichrome (MT) staining. Immunohistochemical staining was performed to examine the protein expression of α-smooth muscle actin (α-SMA). The expression of TGF-β1 and HGF was measured by ELISA. The relationship between the rate of TGF-β1/HGF and the expression of Collagen III and α-SMA was analyzed using a Pearson correlation test. Primary nasal epithelial cells (NECs) were cultured and divided into four groups. Collagen III secretion was measured in the supernatants by ELISA. The expression of α-SMA was studied by immunofluorescence.

Results: Reduced collagen deposition and α-SMA expression were detected in the CRSwNP group (P=0.033). The expression of collagen deposition and α-SMA was increased in the CRSwNP group (P=0.001). The ELISA tests indicated that TGF-β1 levels were significantly increased in the CRSsNP compared with the controls. The expression of HGF was higher in the CRSwNP than in the other two groups. The ratio of TGF-β1/HGF was upregulated in CRSsNP and was correlated positively with collagen and α-SMA expression (P<0.05, R=0.762). TGF-β1 can increase collagen and α-SMA expression in NECs, and HGF can antagonize the remodeling action of TGF-β1.

Conclusion: Distinct remodeling patterns are revealed for different types of CRS. The balance of TGF-β1 and HGF is important in the CRS remodeling process.