Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 7 Issue 7

Phagocyte Oxidative Dysfunction in Invasive Sino Nasal Aspergillosis

Prankur Verma, Kapil Sikka1*, Hitesh Verma1, Alok Thakar1, Dipendra K Mitra2, Divya Kamboj2 and Abhinav Saurabh2

1Department of ENT, All India Institute of Medical Sciences, New Delhi, India
2Department of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India

*Corresponding Author: Kapil Sikka, Department of ENT, All India Institute of Medical Sciences, New Delhi, India.

Received: May 27, 2025; Published: June 18, 2025

Abstract

Background: Phagocytes play an important role in fungal cell recognition and damage through oxidative and non oxidative methods.

Objectives: This study investigated the phagocyte oxidative function in invasive fungal sinusitis.

Methods: The peripheral blood of the patients was stained with di-hydro-rhodamine and reactive oxygen species production in the phagocytes was measured.

Results: A total of 14 cases were studied out of which 8 and 6 had aspergillosis and mucormycosis respectively. 5 patients, all of whom belonged to the aspergillosis group, showed decreased phagocyte oxidative burst function quantified using Neutrophil Oxidation Index.

Conclusions: Invasive aspergillosis in a patient may point towards an intrinsic derangement in phagocyte oxidative function. Evaluation of phagocytic function should be done in all the cases of invasive aspergillosis.

Keywords: Invasive Aspergillosis; Phagocytic Function; Neutrophil Oxidative Index; Chronic Granulomatous Disease; Innate Immunity

References

  1. Antachopoulos C. “Invasive fungal infections in congenital immunodeficiencies”. Clinical Microbiology and Infection9 (2010): 1335-1342.
  2. Waldorf AR. “Pulmonary defense mechanisms against opportunistic fungal pathogens”. Immunology Series 47 (1989): 243-271.
  3. Diamond RD., et al. “Monocyte-mediated damage to Rhizopus oryzae hyphae in vitro”. Infectious Immunology1 (1982): 292-297.
  4. Gazendam RP., et al. “Human neutrophils use different mechanisms to kill Aspergillus fumigatus conidia and hyphae: evidence from phagocyte defects”. Journal of Immunology 196 (2016): 1272-1283.
  5. Gazendam RP., et al. “How neutrophils kill fungi”. Immunology Review1 (2016): 299-311.
  6. Brown GD. “Innate antifungal immunity: the key role of phagocytes”. Annual Review of Immunology 29 (2011): 1-21.
  7. Amulic B., et al. “Neutrophil function: from mechanisms to disease”. Annual Review of Immunology 30 (2012): 459-489.
  8. Voelz K., et al. “A zebrafish larval model reveals early tissue-specific innate immune responses to Mucor circinelloides”. Disease Models and Mechanisms11 (2015): 1375-1388.
  9. Mastroianni A. “Paranasal sinus mucormycosis in an immunocompetent host: efficacy and safety of combination therapy with Liposomal Amphotericin B and adjuvant rHuGM-CSF”. InfezMed4 (2004): 278-283.
  10. Abzug MJ and Walsh TJ. “Interferon-γ and colony-stimulating factors as adjuvant therapy for refractory fungal infections in children”. The Pediatric Infectious Disease Journal8 (2004): 769-773.
  11. Grigull L., et al. “Secondary prophylaxis of invasive fungal infections with combination antifungal therapy and G-CSF-mobilized granulocyte transfusions in three children with hematological malignancies”. Support Care Cancer7 (2006): 783-786.
  12. Garcia-Diaz JB., et al. “Resolution of rhinocerebral zygomycosis associated with adjuvant administration of granulocyte-macrophage colony-stimulating factor”. Clinical Infectious Disease12 (2001): e145-150.

Citation

Citation: Kapil Sikka., et al. “Phagocyte Oxidative Dysfunction in Invasive Sino Nasal Aspergillosis".Acta Scientific Otolaryngology 7.7 (2025): 28-31.

Copyright

Copyright: © 2025 Kapil Sikka., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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