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Background and Objectives:Prostanoids are converted from arachidonic acid via cyclooxygenase (COX), which has two isoforms, COX-1 and COX-2. It has recently been shown that prostanoids may have a novel role in mediating cytokine release in some cells. We investigated the baseline expresion and regulation of interleukin (IL)-6, IL-8, COX-1 and COX-2 in palatine tonsils from pediatric recurrent tonsillitis. Materials and Method:rent tonsillitis during elective tonsillectomy and adenoidectomy. Tonsil cells were incubated with culture media only or with pro-inflammatory cytokines (IL-1β and TNF-α) or inhibitors of transcription (actinomycin D) or translation (cycloheximide). In these groups, IL-6, IL-8, COX-1, COX-2 mRNAs and COX-1, COX-2 proteins were analyzed by reverse transcriptase-polymerase chain reaction and Western blot, respectively. Results:mRNAs were detected although tonsillectomy was done in the silent phase without acute infection. The culture of tonsil cells with pro-inflamatory cytokines increased the expression of IL-6, IL-8 and COX-2 mRNAs and COX-2 protein. The expres-sions of IL-6, IL-8 and COX-2 mRNAs and COX-2 protein induced by pro-inflammatory cytokines was significantly inhibited by actinomycin D, not by cycloheximide. Conclusion:Tonsil cells isolated from pediatric recurrent tonsillitis are in constantly 6 and IL-8 mRNAs. The regulation of these efects occurs at the transcriptional level. Furthermore, the regulation of cytokines and COX-2 may provide an understanding of mechanism of prostanoids synthesis in chronic tonsillitis.

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