Background
Chronic rhinosinusitis (CRS) is one of the most common and complex chronic inflammatory disease of sinonasal mucosa. Even though the pathogenesis of CRS is multifactorial and still unclear, the role of cytokines especially interleukin-1 (IL-1) is being investigated worldwide in different population because of varying results obtained.
Objective
To study the association of
IL-1
(
A
and
B
) gene polymorphisms with chronic rhinosinusitis with nasal polyp (CRSwNP) and without nasal polyp (CRSsNP), and other factors related.
Methods
This is a case-controlled study which include a total of 138 subjects recruited from Otorhinolaryngology-Head and Neck Surgery clinic in Hospital Universiti Sains Malaysia. Genotyping of the
IL-1A
(+4845G, +4845T) and
IL-1B
(−511C, −511T) were performed with restriction fragment length polymorphism analysis.
Results
There was a statistical significant association between
IL-1B
(−511C, −511T) polymorphism with CRSwNP and CRSsNP (
p
< 0.001). The CT genotype of
IL-1B
was markedly increased in CRSwNP subjects (52.2%). However, there was no significant association found between
IL-1A
(+4845G, +4845T) with CRSwNP and CRSsNP (
p
= 0.093). No association was found in factors related to CRS, which included asthma, atopy, allergy, aspirin sensitivity, and family history of nasal polyp (
p
value of 0.382, 0.382, 0.144, >0.95, and 0.254, respectively).
Conclusion
This study indicates an association of
IL-1B
(−511C, −511T) polymorphism with CRSwNP and CRSsNP in our population, hence there is a possibility of
IL-1B
involvement in modulating pathogenesis of CRS. There was no significant association of
IL-1A
(+4845G, +4845T) polymorphism with CRSwNP and CRSsNP, and other factors related.