Research progress of glucocorticoid resistance in chronic rhinosinusitis with nasal polyps: A review

Medicine (Baltimore). 2023 Nov 17;102(46):e36024. doi: 10.1097/MD.0000000000036024.

Abstract

Chronic rhinosinusitis with nasal polyps (CRSwNP) is one of the common chronic inflammatory diseases in otolaryngology. Glucocorticoid (GC) acts as the first-line drug for the treatment of CRSwNP in clinical practice, and they play an irreplaceable role in reducing nasal mucosal inflammation and restoring the normal physiological function of the nasal mucosa. However, many patients are still insensitive to GC treatment, known as GC resistance, which leads to poor control of the disease, and the underlying mechanisms are still not fully elucidated. This article provides a comprehensive overview of the research progress of GC resistance of patients with CRSwNP in recent years.

Publication types

  • Review

MeSH terms

  • Chronic Disease
  • Glucocorticoids / pharmacology
  • Humans
  • Nasal Polyps* / complications
  • Nasal Polyps* / drug therapy
  • Rhinitis* / complications
  • Rhinitis* / drug therapy
  • Sinusitis* / complications
  • Sinusitis* / drug therapy

Substances

  • Glucocorticoids

Supplementary concepts

  • Glucocorticoid Receptor Deficiency