OBJECTIVES:
Inadequate
antibody responses to pathogens may
lead to the
recurrence of
otitis media with effusion (OME). Although B-
cell production by
antibodies is controlled by
transcription factors, the status of these factors has not been assessed in
patients with OME.
METHODS:
Expression of
immunoglobulin was measured by
enzyme-linked immunosorbent assay. Expression of
transcription factors Bcl-6, Blimp-1, Pax-5, and XBP-1 was assessed by RT-PCR in the middle-
ear fluid of 29
children with >4 OME episodes in 12 months or >3 episodes in 6 months (the OME-prone group) and in 32
children with 0.05).
CONCLUSION:
Lower concentrations of
IgA, Blimp-1 and XBP-1 in
middle ear fluid of
patients with OME may be related to OME
recurrence and chronicity.