- Author:
	        		
		        		
		        		
			        		Junyang JUNG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Su Young JUNG
			        		
			        		;
		        		
		        		
		        		
			        		Myung Gu KIM
			        		
			        		;
		        		
		        		
		        		
			        		Young Il KIM
			        		
			        		;
		        		
		        		
		        		
			        		Sang Hoon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Seung Geun YEO
			        		
			        		
		        		
		        		
		        		
			        		
			        		Author Information
			        		
 - Publication Type:Original Article
 - From:Journal of Audiology & Otology 2020;24(4):191-197
 - CountryRepublic of Korea
 - Language:English
 - 
		        	Abstract:
			       	
			       		
				        
				        	 Background and Objectives:Autophagy is known to be associated with pathogen infection. However, the expression of autophagy-related proteins has not been studied in chronic otitis media without cholesteatoma (COM) or with cholesteatoma (CholeOM). This study aimed to determine whether there is a difference between COM and CholeOM in autophagy-related gene mRNA expression.  
				        	
Subjects and Methods:For 47 patients with chronic otitis media, the inflammatory tissues were classified into granulation tissue (COM) or cholesteatoma (CholeOM) according to biopsy results.
Results:PI3K mRNA expression (COM vs. CholeOM, mean±SD, 0.009±0.010 vs. 0.003±0.004; p=0.004) was lower, whereas Beclin-1 mRNA expression (0.089±0.107 vs. 0.176±0.163; p=0.034) was higher in the CholeOM group. Expression of PI3K mRNA in the CholeOM group was lower than that in the COM subgroups with presence of bacteria (0.022±0.019 vs. 0.001±0.001; p=0.001), otorrhea (0.049±0.068 vs. 0.003±0.004; p=0.004), and hearing loss over 40 dB (0.083±0.130 vs. 0.003±0.004; p=0.005).
Conclusions:The data suggested that different autophagy proteins play important roles in chronic otitis media according to the presence or absence of cholesteatoma. 
            
