Capsaicin treatment reduces nasal hyperreactivity and transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) overexpression in patients with idiopathic rhinitis

Background Idiopathic rhinitis (IR) is a prevalent condition for which capsaicin nasal spray is the most effective treatment. However, the mechanisms underlying IR and the therapeutic action of capsaicin remain unknown. Objective We sought to investigate the molecular and cellular bases of IR and th...

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Veröffentlicht in:Journal of allergy and clinical immunology 2014-05, Vol.133 (5), p.1332-1339.e3
Hauptverfasser: Van Gerven, Laura, MD, Alpizar, Yeranddy A, Wouters, Mira M., PhD, Hox, Valérie, MD, PhD, Hauben, Esther, MD, PhD, Jorissen, Mark, MD, PhD, Boeckxstaens, Guy, MD, PhD, Talavera, Karel, PhD, Hellings, Peter W., MD, PhD
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container_end_page 1339.e3
container_issue 5
container_start_page 1332
container_title Journal of allergy and clinical immunology
container_volume 133
creator Van Gerven, Laura, MD
Alpizar, Yeranddy A
Wouters, Mira M., PhD
Hox, Valérie, MD, PhD
Hauben, Esther, MD, PhD
Jorissen, Mark, MD, PhD
Boeckxstaens, Guy, MD, PhD
Talavera, Karel, PhD
Hellings, Peter W., MD, PhD
description Background Idiopathic rhinitis (IR) is a prevalent condition for which capsaicin nasal spray is the most effective treatment. However, the mechanisms underlying IR and the therapeutic action of capsaicin remain unknown. Objective We sought to investigate the molecular and cellular bases of IR and the therapeutic action of capsaicin. Methods Fourteen patients with IR and 12 healthy control subjects (HCs) were treated with intranasal capsaicin. The therapeutic effect was assessed in patients with IR by using visual analog scale and therapeutic response evaluation scores, and nasal hyperreactivity was evaluated by means of cold dry air provocation. Nasal samples served to measure the levels of neuromediators and expression of chemosensory cation channels, protein gene product 9.5 (PGP 9.5), and the mast cell marker c-kit. The effects of capsaicin were also tested in vitro on human nasal epithelial cells and mast cells. Results Patients with IR had higher baseline transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) expression in the nasal mucosa and higher concentrations of substance P (SP) in nasal secretions than HCs. Symptomatic relief was observed in 11 of 14 patients with IR after capsaicin treatment. Expression of TRPV1; transient receptor potential cation channel subfamily M, receptor 8 (TRPM8); and PGP 9.5 was only reduced in patients with IR after capsaicin treatment. Capsaicin did not alter c-KIT expression or nasal epithelial morphology in patients with IR and HCs nor did it induce apoptosis or necrosis in cultured human nasal epithelial cells and mast cells. Conclusion IR features an overexpression of TRPV1 in the nasal mucosa and increased SP levels in nasal secretions. Capsaicin exerts its therapeutic action by ablating the TRPV1-SP nociceptive signaling pathway in the nasal mucosa.
doi_str_mv 10.1016/j.jaci.2013.08.026
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However, the mechanisms underlying IR and the therapeutic action of capsaicin remain unknown. Objective We sought to investigate the molecular and cellular bases of IR and the therapeutic action of capsaicin. Methods Fourteen patients with IR and 12 healthy control subjects (HCs) were treated with intranasal capsaicin. The therapeutic effect was assessed in patients with IR by using visual analog scale and therapeutic response evaluation scores, and nasal hyperreactivity was evaluated by means of cold dry air provocation. Nasal samples served to measure the levels of neuromediators and expression of chemosensory cation channels, protein gene product 9.5 (PGP 9.5), and the mast cell marker c-kit. The effects of capsaicin were also tested in vitro on human nasal epithelial cells and mast cells. Results Patients with IR had higher baseline transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) expression in the nasal mucosa and higher concentrations of substance P (SP) in nasal secretions than HCs. Symptomatic relief was observed in 11 of 14 patients with IR after capsaicin treatment. Expression of TRPV1; transient receptor potential cation channel subfamily M, receptor 8 (TRPM8); and PGP 9.5 was only reduced in patients with IR after capsaicin treatment. Capsaicin did not alter c-KIT expression or nasal epithelial morphology in patients with IR and HCs nor did it induce apoptosis or necrosis in cultured human nasal epithelial cells and mast cells. Conclusion IR features an overexpression of TRPV1 in the nasal mucosa and increased SP levels in nasal secretions. Capsaicin exerts its therapeutic action by ablating the TRPV1-SP nociceptive signaling pathway in the nasal mucosa.</description><identifier>ISSN: 0091-6749</identifier><identifier>EISSN: 1097-6825</identifier><identifier>DOI: 10.1016/j.jaci.2013.08.026</identifier><identifier>PMID: 24139494</identifier><identifier>CODEN: JACIBY</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; afferent nerves ; Allergies ; Allergy and Immunology ; Biological and medical sciences ; Capsaicin - administration &amp; dosage ; Capsaicin - adverse effects ; Capsaicin treatment ; Cells, Cultured ; Cocaine ; Female ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Gene Expression Regulation - drug effects ; Humans ; idiopathic rhinitis ; Immunopathology ; Male ; Mast Cells - metabolism ; Mast Cells - pathology ; Medical sciences ; Middle Aged ; nasal hyperreactivity ; Nasal Mucosa - metabolism ; Nasal Mucosa - pathology ; Nasal Sprays ; Neuropeptides ; Non tumoral diseases ; Nose ; Otolaryngology ; Otorhinolaryngology. Stomatology ; Proto-Oncogene Proteins c-kit - biosynthesis ; Rhinitis, Allergic, Perennial - drug therapy ; Rhinitis, Allergic, Perennial - metabolism ; Rhinitis, Allergic, Perennial - pathology ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Sensory System Agents - administration &amp; dosage ; Sensory System Agents - adverse effects ; TRPV Cation Channels - biosynthesis ; TRPV1 ; TRPV1-SP signaling pathway ; Ubiquitin Thiolesterase - biosynthesis ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>Journal of allergy and clinical immunology, 2014-05, Vol.133 (5), p.1332-1339.e3</ispartof><rights>American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2013 American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 American Academy of Allergy, Asthma &amp; Immunology. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-46073755fb70f6790c1a371859997ad53b6d88f8e25e1790c7b0faa97871ebeb3</citedby><cites>FETCH-LOGICAL-c528t-46073755fb70f6790c1a371859997ad53b6d88f8e25e1790c7b0faa97871ebeb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0091674913013407$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28561777$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24139494$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Gerven, Laura, MD</creatorcontrib><creatorcontrib>Alpizar, Yeranddy A</creatorcontrib><creatorcontrib>Wouters, Mira M., PhD</creatorcontrib><creatorcontrib>Hox, Valérie, MD, PhD</creatorcontrib><creatorcontrib>Hauben, Esther, MD, PhD</creatorcontrib><creatorcontrib>Jorissen, Mark, MD, PhD</creatorcontrib><creatorcontrib>Boeckxstaens, Guy, MD, PhD</creatorcontrib><creatorcontrib>Talavera, Karel, PhD</creatorcontrib><creatorcontrib>Hellings, Peter W., MD, PhD</creatorcontrib><title>Capsaicin treatment reduces nasal hyperreactivity and transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) overexpression in patients with idiopathic rhinitis</title><title>Journal of allergy and clinical immunology</title><addtitle>J Allergy Clin Immunol</addtitle><description>Background Idiopathic rhinitis (IR) is a prevalent condition for which capsaicin nasal spray is the most effective treatment. However, the mechanisms underlying IR and the therapeutic action of capsaicin remain unknown. Objective We sought to investigate the molecular and cellular bases of IR and the therapeutic action of capsaicin. Methods Fourteen patients with IR and 12 healthy control subjects (HCs) were treated with intranasal capsaicin. The therapeutic effect was assessed in patients with IR by using visual analog scale and therapeutic response evaluation scores, and nasal hyperreactivity was evaluated by means of cold dry air provocation. Nasal samples served to measure the levels of neuromediators and expression of chemosensory cation channels, protein gene product 9.5 (PGP 9.5), and the mast cell marker c-kit. The effects of capsaicin were also tested in vitro on human nasal epithelial cells and mast cells. Results Patients with IR had higher baseline transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) expression in the nasal mucosa and higher concentrations of substance P (SP) in nasal secretions than HCs. Symptomatic relief was observed in 11 of 14 patients with IR after capsaicin treatment. Expression of TRPV1; transient receptor potential cation channel subfamily M, receptor 8 (TRPM8); and PGP 9.5 was only reduced in patients with IR after capsaicin treatment. Capsaicin did not alter c-KIT expression or nasal epithelial morphology in patients with IR and HCs nor did it induce apoptosis or necrosis in cultured human nasal epithelial cells and mast cells. Conclusion IR features an overexpression of TRPV1 in the nasal mucosa and increased SP levels in nasal secretions. Capsaicin exerts its therapeutic action by ablating the TRPV1-SP nociceptive signaling pathway in the nasal mucosa.</description><subject>Adult</subject><subject>afferent nerves</subject><subject>Allergies</subject><subject>Allergy and Immunology</subject><subject>Biological and medical sciences</subject><subject>Capsaicin - administration &amp; dosage</subject><subject>Capsaicin - adverse effects</subject><subject>Capsaicin treatment</subject><subject>Cells, Cultured</subject><subject>Cocaine</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Gene Expression Regulation - drug effects</subject><subject>Humans</subject><subject>idiopathic rhinitis</subject><subject>Immunopathology</subject><subject>Male</subject><subject>Mast Cells - metabolism</subject><subject>Mast Cells - pathology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nasal hyperreactivity</subject><subject>Nasal Mucosa - metabolism</subject><subject>Nasal Mucosa - pathology</subject><subject>Nasal Sprays</subject><subject>Neuropeptides</subject><subject>Non tumoral diseases</subject><subject>Nose</subject><subject>Otolaryngology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Proto-Oncogene Proteins c-kit - biosynthesis</subject><subject>Rhinitis, Allergic, Perennial - drug therapy</subject><subject>Rhinitis, Allergic, Perennial - metabolism</subject><subject>Rhinitis, Allergic, Perennial - pathology</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Sensory System Agents - administration &amp; dosage</subject><subject>Sensory System Agents - adverse effects</subject><subject>TRPV Cation Channels - biosynthesis</subject><subject>TRPV1</subject><subject>TRPV1-SP signaling pathway</subject><subject>Ubiquitin Thiolesterase - biosynthesis</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>0091-6749</issn><issn>1097-6825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkt2KFDEQhRtR3NnVF_BCAiKs4IxJ_yUBEWTwDxYUXfc2pNPVTI093b1JetZ5G5_CB_DJrHbGXdgL8Sok9dVJJeckySPBF4KL8sV6sbYOFykX2YKrBU_LO8lMcC3npUqLu8mMcy3mpcz1UXIcwprTPlP6fnKU5iLTuc5nyc-lHYJFhx2LHmzcQBeZh3p0EFhng23ZajeAp5qLuMW4Y7aribVdwD3rYIi9Z0MfaY_U4GzEvmNuZbsOWhbGqrEbbHfs4vmvH9e8YKfnnz9diGes34KH74OHEKY-GmUgBRIL7ArjimGNPZ2s0DG_wg4jhgfJvca2AR4e1pPk69s358v387OP7z4sX5_NXZGqOM9LLjNZFE0leVNKzZ2wmRSq0FpLWxdZVdZKNQrSAsRUlhVvrNVSSQEVVNlJcrrXHXx_OUKIZoPBQdvaDvoxGFGkec65TMv_QIVWOdmjCX1yC133o-_oIROlNM-l5ESle8r5PgQPjRk8bqzfGcHNFACzNlMAzBQAw5Xhf6Z4fJAeqw3U1y1_HSfg6QGwwdm2ISMdhhtOFaWQUhL3cs8Bfe8WwZvgyBMHNZKF0dQ9_nuOV7faXUvW0Y3fYAfh5r0mpIabL1NUp6SKjERycu03T1zm6Q</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Van Gerven, Laura, MD</creator><creator>Alpizar, Yeranddy A</creator><creator>Wouters, Mira M., PhD</creator><creator>Hox, Valérie, MD, PhD</creator><creator>Hauben, Esther, MD, PhD</creator><creator>Jorissen, Mark, MD, PhD</creator><creator>Boeckxstaens, Guy, MD, PhD</creator><creator>Talavera, Karel, PhD</creator><creator>Hellings, Peter W., MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SS</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Capsaicin treatment reduces nasal hyperreactivity and transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) overexpression in patients with idiopathic rhinitis</title><author>Van Gerven, Laura, MD ; Alpizar, Yeranddy A ; Wouters, Mira M., PhD ; Hox, Valérie, MD, PhD ; Hauben, Esther, MD, PhD ; Jorissen, Mark, MD, PhD ; Boeckxstaens, Guy, MD, PhD ; Talavera, Karel, PhD ; Hellings, Peter W., MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c528t-46073755fb70f6790c1a371859997ad53b6d88f8e25e1790c7b0faa97871ebeb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>afferent nerves</topic><topic>Allergies</topic><topic>Allergy and Immunology</topic><topic>Biological and medical sciences</topic><topic>Capsaicin - administration &amp; dosage</topic><topic>Capsaicin - adverse effects</topic><topic>Capsaicin treatment</topic><topic>Cells, Cultured</topic><topic>Cocaine</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Gene Expression Regulation - drug effects</topic><topic>Humans</topic><topic>idiopathic rhinitis</topic><topic>Immunopathology</topic><topic>Male</topic><topic>Mast Cells - metabolism</topic><topic>Mast Cells - pathology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nasal hyperreactivity</topic><topic>Nasal Mucosa - metabolism</topic><topic>Nasal Mucosa - pathology</topic><topic>Nasal Sprays</topic><topic>Neuropeptides</topic><topic>Non tumoral diseases</topic><topic>Nose</topic><topic>Otolaryngology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Proto-Oncogene Proteins c-kit - biosynthesis</topic><topic>Rhinitis, Allergic, Perennial - drug therapy</topic><topic>Rhinitis, Allergic, Perennial - metabolism</topic><topic>Rhinitis, Allergic, Perennial - pathology</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Sensory System Agents - administration &amp; dosage</topic><topic>Sensory System Agents - adverse effects</topic><topic>TRPV Cation Channels - biosynthesis</topic><topic>TRPV1</topic><topic>TRPV1-SP signaling pathway</topic><topic>Ubiquitin Thiolesterase - biosynthesis</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Gerven, Laura, MD</creatorcontrib><creatorcontrib>Alpizar, Yeranddy A</creatorcontrib><creatorcontrib>Wouters, Mira M., PhD</creatorcontrib><creatorcontrib>Hox, Valérie, MD, PhD</creatorcontrib><creatorcontrib>Hauben, Esther, MD, PhD</creatorcontrib><creatorcontrib>Jorissen, Mark, MD, PhD</creatorcontrib><creatorcontrib>Boeckxstaens, Guy, MD, PhD</creatorcontrib><creatorcontrib>Talavera, Karel, PhD</creatorcontrib><creatorcontrib>Hellings, Peter W., MD, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of allergy and clinical immunology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Gerven, Laura, MD</au><au>Alpizar, Yeranddy A</au><au>Wouters, Mira M., PhD</au><au>Hox, Valérie, MD, PhD</au><au>Hauben, Esther, MD, PhD</au><au>Jorissen, Mark, MD, PhD</au><au>Boeckxstaens, Guy, MD, PhD</au><au>Talavera, Karel, PhD</au><au>Hellings, Peter W., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Capsaicin treatment reduces nasal hyperreactivity and transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) overexpression in patients with idiopathic rhinitis</atitle><jtitle>Journal of allergy and clinical immunology</jtitle><addtitle>J Allergy Clin Immunol</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>133</volume><issue>5</issue><spage>1332</spage><epage>1339.e3</epage><pages>1332-1339.e3</pages><issn>0091-6749</issn><eissn>1097-6825</eissn><coden>JACIBY</coden><abstract>Background Idiopathic rhinitis (IR) is a prevalent condition for which capsaicin nasal spray is the most effective treatment. However, the mechanisms underlying IR and the therapeutic action of capsaicin remain unknown. Objective We sought to investigate the molecular and cellular bases of IR and the therapeutic action of capsaicin. Methods Fourteen patients with IR and 12 healthy control subjects (HCs) were treated with intranasal capsaicin. The therapeutic effect was assessed in patients with IR by using visual analog scale and therapeutic response evaluation scores, and nasal hyperreactivity was evaluated by means of cold dry air provocation. Nasal samples served to measure the levels of neuromediators and expression of chemosensory cation channels, protein gene product 9.5 (PGP 9.5), and the mast cell marker c-kit. The effects of capsaicin were also tested in vitro on human nasal epithelial cells and mast cells. Results Patients with IR had higher baseline transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) expression in the nasal mucosa and higher concentrations of substance P (SP) in nasal secretions than HCs. Symptomatic relief was observed in 11 of 14 patients with IR after capsaicin treatment. Expression of TRPV1; transient receptor potential cation channel subfamily M, receptor 8 (TRPM8); and PGP 9.5 was only reduced in patients with IR after capsaicin treatment. Capsaicin did not alter c-KIT expression or nasal epithelial morphology in patients with IR and HCs nor did it induce apoptosis or necrosis in cultured human nasal epithelial cells and mast cells. Conclusion IR features an overexpression of TRPV1 in the nasal mucosa and increased SP levels in nasal secretions. Capsaicin exerts its therapeutic action by ablating the TRPV1-SP nociceptive signaling pathway in the nasal mucosa.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>24139494</pmid><doi>10.1016/j.jaci.2013.08.026</doi><tpages>8</tpages></addata></record>
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subjects Adult
afferent nerves
Allergies
Allergy and Immunology
Biological and medical sciences
Capsaicin - administration & dosage
Capsaicin - adverse effects
Capsaicin treatment
Cells, Cultured
Cocaine
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Gene Expression Regulation - drug effects
Humans
idiopathic rhinitis
Immunopathology
Male
Mast Cells - metabolism
Mast Cells - pathology
Medical sciences
Middle Aged
nasal hyperreactivity
Nasal Mucosa - metabolism
Nasal Mucosa - pathology
Nasal Sprays
Neuropeptides
Non tumoral diseases
Nose
Otolaryngology
Otorhinolaryngology. Stomatology
Proto-Oncogene Proteins c-kit - biosynthesis
Rhinitis, Allergic, Perennial - drug therapy
Rhinitis, Allergic, Perennial - metabolism
Rhinitis, Allergic, Perennial - pathology
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Sensory System Agents - administration & dosage
Sensory System Agents - adverse effects
TRPV Cation Channels - biosynthesis
TRPV1
TRPV1-SP signaling pathway
Ubiquitin Thiolesterase - biosynthesis
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
title Capsaicin treatment reduces nasal hyperreactivity and transient receptor potential cation channel subfamily V, receptor 1 (TRPV1) overexpression in patients with idiopathic rhinitis
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