| Diagnosing chronic sinusitis made more accurate
by new test
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| Roger Laine |
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Chronic sinusitis — an infection of the sinuses that lasts
six weeks or more — affects 33 million people in the United
States every year, according to the Centers
for Disease Control. Until the advent of a test developed by
two LSU researchers, most of these cases were thought to be caused
by bacteria, or were considered “allergic sinusitis,”
without known cause.
Now, because of a test developed by Roger
Laine and Jennifer Lo, both of LSU’s
Department of Biological Sciences, more than 90 percent of the
cases are known to be caused by fungus. Laine and Lo developed a
method of identifying the presence of fungus by using a cloned enzyme
called chitinase to stain fungal cell walls.
“The result of this new method,” Laine said, “is
that doctors can now treat the condition directly instead of treating
the symptoms.”
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| The above photomicrograph
from the Mayo clinic shows a sample taken from the sinus
of a patient with "chronic sinusitis". The
photograph shows outlines of fungal cells stained with
a fluorescent stain based on the enzyme "chitinase",
("Fungalase-F®", from Anomeric, Inc.,
Baton Rouge.)This photograph diagnoses "Eosinophilic
Fungal RhinoSinusitis" or "EFRS", thought
by the Mayo clinic team to cause 90% of chronic sinusitis. |
|
In an article published recently in the prestigious peer-reviewed
ear, nose, and throat medical journal Otolaryngology
— Head and Neck Surgery, well-known otolaryngologists
Matthew Taylor and Jens Ponikau and their colleagues from the Mayo
Clinic in Rochester, Minnesota, determined that the chitinase
staining method is far superior to the standard Grocott methenamine
silver stain method for detecting fungus. Laine and Lo’s method
detected fungus in all of 54 surgical patients with chronic rhinosinusitis
while the silver stain detected fungus in only 76 percent of the
patients.
In a follow-up article, published in the peer-reviewed journal
The Laryngoscope,
Ponikau’s group used the method in a severe case of sinusitis
and showed how valuable the new method was to patients and their
physicians.
Laine and Lo developed the chitinase method at LSU and licensed
it through the university.
Laine founded a biotechnology company called Anomeric,
Inc., through which he and Lo developed commercial
diagnostic kits for hospitals and clinics to use when testing patients
with the new method. Anomeric has manufactured the diagnostic kits
and has marketed the new method. The company is housed in the Small-Business
Incubator of LSU’s Business and Technology Center.
Laine said the biggest challenge the company now faces is spreading
the word about how this new technology can benefit sinus sufferers.
Laine plans on developing this new technology in Louisiana. “Our
effort is directed toward economic development in Louisiana,”
Laine said. “There is a market for this new product, and if
we can get the word out, we can help fuel the economic engine in
this state.”
Laine said the lack of technology-based industry in Louisiana
makes it difficult for many scientists and researchers to find jobs
in the state. Companies like Anomeric can help, he said.
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Written by LSU
Office of University Relations
Photos by Prather Warren and Jim Zietz | LSU Office of University
Relations
August 2003

Related Links
LSU’s Department of
Biological Sciences
Roger
Laine's Homepage
Centers for Disease Control
Did You Know?—LSU
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