Background Chronic rhinitis (CR) is currently regarded as a syndrome, which presents as several endotypes. The aim of this study was to identify the CR endotype clusters and investigate the inflammatory patterns associated with the different endotypes. Methods A total of 259 CR patients and 20 control subjects were enrolled in this prospective study. Twelve clinical variables were analyzed using cluster analysis and five inflammatory variables were measured to investigate the inflammatory patterns associated with the different clusters. Results Six endotype clusters of CR were defined in the Chinese CR patients. Patients in cluster 1 (38.6%) were diagnosed as allergic rhinitis (AR) without asthma, and in cluster 2 (13.5%) as AR with asthma, with all demonstrating positive results for local eosinophils and high levels of local and serum IgE. Similarly, patients in cluster 3 (18.6%) were diagnosed as nonallergic rhinitis with eosinophilia syndrome (NARES) without asthma and in cluster 5 (5.0%) as NARES with asthma, with all demonstrating positive results for local eosinophils, and negative results for both local and serum IgE. Patients in cluster 4 (4.6%) were diagnosed as local allergic rhinitis and showed positive results for local eosinophils and local IgE, but negative results for serum IgE, whereas patients in cluster 6 (19.7%) were diagnosed as idiopathic rhinitis because of high symptoms scores, but negative findings for local eosinophils, local IgE, and serum IgE. Conclusions Chinese CR patients may be clustered into six endotypes with different inflammatory patterns, which may help in delivering individualized treatment.
基金:
National Key R&D Program of China [2016YFC20160905200]; program for Changjiang Scholars and Innovative Research TeamProgram for Changjiang Scholars & Innovative Research Team in University (PCSIRT) [IRT13082]; National Science Fund for the Major International Joint Research Program [81420108009]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China (NSFC) [81630023, 81100704, 81441029, 81441031, 81570894, 81400444, 81470678]; Capital Health Development Foundation [2016-1-2052]
第一作者机构:[1]Capital Med Univ, Beijing TongRen Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing TongRen Hosp, Dept Otolaryngol Head & Neck Surg, Beijing, Peoples R China[2]Beijing Inst Otolaryngol, Beijing Key Lab Nasal Dis, Beijing, Peoples R China[3]Capital Med Univ, Beijing TongRen Hosp, Dept Allergy, Beijing, Peoples R China[*1]Beijing Institute of Otolaryngology, Beijing, China.[*2]Department of Otolaryngology, Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Meng Yifan,Lou Hongfei,Wang Yang,et al.Endotypes of chronic rhinitis: A cluster analysis study[J].ALLERGY.2019,74(4):720-730.doi:10.1111/all.13640.
APA:
Meng, Yifan,Lou, Hongfei,Wang, Yang,Wang, Xiaoyan,Cao, Feifei...&Zhang, Luo.(2019).Endotypes of chronic rhinitis: A cluster analysis study.ALLERGY,74,(4)
MLA:
Meng, Yifan,et al."Endotypes of chronic rhinitis: A cluster analysis study".ALLERGY 74..4(2019):720-730