Expressions and Roles of Periostin in Otolaryngological Diseases

  • Ohta Nobuo
    Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Yamagata University
  • Ishida Akihiro
    Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Yamagata University
  • Kurakami Kazuya
    Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Yamagata University
  • Suzuki Yusuke
    Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Yamagata University
  • Kakehata Seiji
    Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Yamagata University
  • Ono Junya
    Shino-Test Corporation
  • Ikeda Hiroki
    Department of Otolaryngology, Japanese Red Cross Society, Wakayama Medical Center
  • Okubo Kimihiro
    Department of Otolaryngology, Nippon Medical School
  • Izuhara Kenji
    Division of Medical Biochemistry, Department of Biomolecular Sciences, Faculty of Medicine, Saga Medical School

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Periostin is a 90-kDa member of the fasciclin-containing family; it functions as part of matricellular proteins, and its production by airway epithelial cells is induced by IL-4 and IL-13. Periostin is secreted by fibroblasts and upregulated in the airway epithelia of patients with bronchial asthma; it is considered to contribute to remodeling under this pathological condition. However, despite many studies in diverse research areas, our overall understanding of this intriguing molecule is still inadequate. Here, we integrate the available evidence on periostin expression and its roles in otolaryngological diseases, including allergic rhinitis, chronic rhinosinusitis with nasal polyps, aspirin-induced asthma, organized hematoma, eosinophilic otitis media, and IgG4-related disease. Periostin might be involved as an important structural mediator in pathological processes such as insult and injury, Th2-driven inflammation, extracellular matrix restructuring, fibrosclerosis, tumor angiogenesis, and tissue remodeling.<br>

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