Antimicrobial Peptide Immunity Protects Human Nasal and Auricular Cartilage Against Infection

作者:Warnke Patrick H*; Russo Paul A J; Hopfenziz Martin; Kurz Bodo; Becker Stephan T; Sherry Eugene; Springer Ingo; Sivananthan Sureshan
来源:Journal of Craniofacial Surgery, 2010, 21(1): 198-201.
DOI:10.1097/SCS.0b013e3181c50fc2

摘要

Background: Despite being impervious to surveillance by the adaptive immune system because of its lack of vascularity, infection of the nasal and auricular cartilage after surgery such as rhinoplasty or otoplasty is rare. Why is this so? Our goal was to determine whether the expression of antimicrobial peptides provides a previously unrecognized nonepithelial layer of innate immune defense within the nasal and auricular cartilage.
Materials and Methods: Seven samples of nasal septum cartilage and 2 biopsies from auricular cartilage grafts were harvested during rhinoplasty and otoplasty procedures. Ten cadaveric samples of auricular and 9 samples of nasal cartilage were also obtained. Immunohistochemical staining was directed against the human P-defensin antimicrobial peptides (hBD) 1, 2, and 3. A semi quantitative analysis was performed to measure immunoreactivity.
Results: All 3 human beta-defensins were detected along the perichondral line and within the cartilage matrix in the nasal and auricular samples. Areas with positive immunohistochemical staining were also detected within chondrocyte cytoplasm.
Conclusions: We provide the first evidence of antimicrobial peptide expression (hBD-1, -2 and -3) within the perichondrium and cartilage matrix layers of the nasal and auricular cartilage. This previously unrecognized innate immune function of perichondrocytes and chondrocytes may explain the resistance of the nasal an auricular cartilage to infection after surgical procedures despite the absence of a vascular system.

  • 出版日期2010-1