Methods: Using Western analysis and immunohistochemistry

Methods: Using Western analysis and immunohistochemistry

we evaluated post mortem frontal cerebral cortex from patients with severe AD (mean age 76 years, range 66–91, n = 11, all male), and from control cases without serious central nervous system illness (mean age 77 years, range 61–95, n = 12, all male). We also examined brains of Tg2576 transgenic mice (males, aged 16–21 months), a model for chronic amyloid-induced brain injury. Results: Immunohistochemical labelling showed DAPK1 expression in cortical neurones of human cortex and axonal tracts within subcortical white matter, both in AD and in control check details brains. Western analysis confirmed DAPK1 expression in all samples, although expression was very low in some control cases. DAPK1 abundance in the AD group was not significantly different from that in controls (P = 0.07, Mann–Whitney test). In brains of Tg2576 mice DAPK1 abundance was very similar to that in wild-type littermates (P = 0.96, Mann–Whitney test). Conclusion: We found that DAPK1 was expressed in neurones of aged human frontal cortex,

both in AD and in control cases. “
“Recent evidence has placed this website the unfolded protein response (UPR) at the centre of pathological processes leading to neurodegenerative disease. The translational repression caused by UPR activation starves neurons of the essential proteins they need to function and survive. Restoration of protein synthesis, via genetic aminophylline or pharmacological means is neuroprotective in animal models, prolonging survival. This is of great interest due to the observation of UPR activation in the post-mortem brains of patients with Alzheimer’s, Parkinson’s, tauopathies and prion diseases. Protein synthesis is also an

essential step in the formation of new memories. Restoring translation in disease or increasing protein synthesis from basal levels has been shown to improve memory in numerous models. As neurodegenerative diseases often present with memory impairments, targeting the UPR to both provide neuroprotection and enhance memory provides an extremely exciting novel therapeutic target. “
“R. Paudel, J. Hardy, T. Revesz, J. L. Holton and H. Houlden (2012) Neuropathology and Applied Neurobiology38, 520–534 Genetics and neuropathology of primary pure dystonia Neuropathology has been the key to understanding the aetiology of many neurological disorders such as Alzheimer’s disease, Parkinson’s disease, frontotemporal degeneration and cerebellar ataxias.

We should point out that TSLP can also activate mast cells

We should point out that TSLP can also activate mast cells selleck chemical [63]. Enterocytes also produce high amounts of TGF-β[64]. This cytokine functions by inhibiting the activity of NF-κB on the promoters of proinflammatory genes in macrophages and DCs [65]. Together with TSLP, TGF-β induces a tolerogenic phenotype in myeloid-derived

DCs in vitro[66]. TGF-β produced by DCs promotes a Th3 regulatory phenotype in some naive T cells in MLN [67]. TGF-β is also present in human milk [68], and rodent enterocytes have TGF-β receptors [69]. TGF-β is involved in suppressing inflammatory responses in the neonatal gut and in consolidating the barrier function of the intestinal mucosa [70,71]. Enterocytes also influence antibody production in the intestinal mucosa; through TSLP secretion, enterocytes promote B cell activating factor (BAFF) and APRIL (a proliferation inducing

ligand) production by adjacent DCs and class-switching of B cells towards the production of sIgA [72,73]. APRIL synthesis is initiated after bacterial stimulation of TLR-4 [74] and results in IgA2 production, an isoform of IgA which is more resistant to proteolysis [75]. After synthesis, sIgA translocates to the intestinal lumen via pIgR; once in the gut lumen, sIgA acts in favour of decreasing the antigenic pressure generated by food and microbes on the mucosa. Among intraepithelial cells, M cells and enterocytes are capable of mediating the encounter between antigens within the gut lumen and DCs. M cells are dedicated to this function, VX-809 solubility dmso differing from normal

enterocytes which are only secondarily involved in antigen presentation. M cells are located above Peyer’s patches (PP) in the small intestine and in close contact with luminal antigens, due to reduced glycocalyx and mucin secretion. They have a particular morphology that allows them to promote uptake and triclocarban transport of luminal content to professional antigen-presenting cells present in Peyer’s patches and lymphoid follicles. M cells possess fewer lysosomes [76], probably indicating a low intracellular antigen degradation, and are present mainly in the small bowel, but also in the colon, rectum or respiratory tract [77]. They are very low in number, counting for only one cell for every 10 million normal enterocytes. Human and mouse M cells express important PRRs, such as TLR-4, platelet-activating factor receptor (PAFR) and α5b1 integrin [78]. These molecules, belonging to the innate immune system, recognize PAMPs and mediate translocation of bacteria across the epithelium. Jejunal M cells express major histocompatiblity complex (MHC)-II and contain acidic endosomal and prelysosomal structures, indicating that they are able of presenting endocytosed antigens to lymphocytes [79]. It is noteworthy that colonic M cells do not express MHC-II antigens, suggesting that they may not present antigen [80].

aeruginosa due to a costimulatory mechanism of the dendritic cell

aeruginosa due to a costimulatory mechanism of the dendritic cells involving the complex between BPI and surface antigens from P. aeruginosa [8, 9]. Apart from a study showing decreased levels of BPI-ANCA in seven patients with CF after lung transplantation (LTX) [5], the effect of surgery aiming to eradicate infectious foci and thereby tissue inflammation on levels of BPI-ANCA has not previously been described. As BPI-ANCA seems to be a biomarker

of a detrimental host–pathogen interaction in CF, we chose changes in BPI-ANCA click here levels as a surrogate marker for the study of potential positive effects of EIGSS. We also compared the effects of EIGSS on BPI-ANCA levels with the effects of LTX as both procedures remove or reduce substantial amounts of P. aeruginosa infected and damaged tissue. The patients with CF were recruited at the CF Centre in Copenhagen. The diagnosis of CF was based on characteristic clinical features, abnormal sweat

electrolytes Selleck Proteasome inhibitor and genotype. At least every third month, blood samples are taken for routine measurements. Serum from a cohort of patients with CF (n = 237) were examined for the presence of IgA and IgG BPI-ANCA in 2002–2006 [5]. Serum samples from 199 of the 237 previously examined patients were again analysed for BPI-ANCA in February–April 2010. Thirty-eight patients were ineligible for follow-up as they had either died or did not show up for clinical control or blood sampling within the study period Nutlin-3 in vivo (Fig. 1). The patients were divided into three groups: a non-operated control group, a group who had LTX within 2006–2010 and a group who had EIGSS in between the period where the serum was examined. Our main objective was to compare BPI-ANCA within the EIGSS group pre- and postoperatively. The pre- and postoperative change was also examined in the LTX group, and the change over time in the non-operated control group was compared with the EIGSS group. Patients were offered EIGSS

based on the following criteria: Patients intermittently lung colonized with increasing frequencies of positive cultures or prolonged declining lung function, despite intensive antibiotic chemotherapy. Patients with an unknown infectious focus and increasing antibodies against P. aeruginosa, A. xylosoxidans or B. cepacia complex were given highest priority. (2) Patients who had undergone LTX. (3) Patients with severe symptoms of rhinosinusitis according to the European Position Paper guidelines [10]. Of the 199 patients with sera examined before 2006 and again in 2010, 59 underwent EIGSS according to the operative and postoperative procedures described below. Six patients were excluded from the EIGSS group due to having double LTX in between the two blood samples, leaving 53 patients to be evaluated for the isolated effect of EIGSS (Fig. 1). Median time from EIGSS to second blood sample was 301 (IQR: 111–644) days.

27, p <  01), head circumference (r =  22, p <  05), and GA (r = 

27, p < .01), head circumference (r = .22, p < .05), and GA (r = .20, p < .05). Each of those measures was entered into the second step of the multiple regression analysis of elicited play on alcohol exposure group to determine whether it reduced the impact of prenatal alcohol on play, which would

indicate mediation of the fetal alcohol effect. Demographic and background characteristics are summarized in Table 1. Heavy alcohol users did not differ on SES, age at delivery, or performance on the Raven test of nonverbal cognitive competence. However, they were less educated, less likely to be married, reported a greater number of stressful life events, and scored lower on the HOME Inventory than abstainers/light LY2157299 mouse drinkers. Heavy drinkers also reported more depressive symptoms, with 54.5% meeting criteria for moderate to severe depression on the BDI, as compared selleck products with 19.5% of the abstainers/light drinkers, χ2(1) = 12.82, p < .001, and 27.1% met criteria for major depression on the SCID as compared with 15.4% of the control mothers, χ2(1) = 1.86, n.s. Eighteen infants (16.8%) were born preterm (GA < 37 weeks), but only one heavy exposed infant was born at <32 weeks. There were no significant between-group differences for GA (Table 1). In contrast, birth weight was lower and head circumference smaller for newborns in the heavily exposed group than

those in the abstaining/light drinking control group, as expected for fetal alcohol exposure (Jacobson, Jacobson, & Sokol, 1994). Only one infant in the control group weighed less than 2,500 g, as contrasted to 16 among the exposed infants. The Cape Town mothers who drank at time of conception consumed an average of 4.2 standard drinks per day, and alcohol consumption across pregnancy averaged 2.8 standard drinks per day (Table 1). However, these women did not drink on a daily basis but concentrated their drinking on the weekends, consuming an average of as many as 6–8 drinks per occasion at conception and during pregnancy. Among the drinkers, more than half were alcohol abusing or dependent: 16.7% met criteria

for alcohol abuse and 39.4%, for alcohol dependence. Eleven women (10.3%) reported using marijuana; the median frequency for these women was 1.7 days/week (range = .03–5.2). Tacrolimus (FK506) Only two women reported using methaqualone (mandrax) during pregnancy, and none reported cocaine use. A large majority (69.2%) of the women smoked cigarettes with almost a quarter (23.4%) smoking an average of 10 or more cigarettes per day. No significant gender differences were found for spontaneous or elicited play (both ps > .20). Mean spontaneous play level (M = 5.8, SD = 3.0) corresponded to pretense behavior directed toward self, such as raising cup to one’s lip or stroking one’s hair with a miniature brush. Consistent with Belsky et al.

Other Articles published in this series Paraneoplastic neurologic

Other Articles published in this series Paraneoplastic neurological syndromes. Clinical and Experimental Immunology 2014, 175: 336–48.

Disease-modifying therapy in multiple sclerosis and chronic inflammatory demyelinating polyradiculoneuropathy: common and divergent current and future strategies. Clinical and Experimental Immunology 2014, 175: 359–72. Monoclonal antibodies in treatment of multiple sclerosis. Clinical and Experimental Immunology 2014, 175: 373–84. CLIPPERS: chronic lymphocytic inflammation with pontine perivascular enhancement responsive to steroids. Review of an increasingly recognized entity within the spectrum X-396 ic50 of inflammatory central nervous system disorders. Clinical and Experimental Immunology 2014, 175: 385–96. Requirement for safety monitoring for approved multiple sclerosis therapies: an overview. Clinical and Experimental Immunology 2014, 175: 397–407. Myasthenia gravis: an update for the clinician. Clinical and Experimental Immunology 2014, 175: 408–18. Cerebral vasculitis in adults: what are the steps in order to establish the diagnosis? Red flags and pitfalls. Clinical and Experimental Immunology 2014, 175: 419–24. Multiple sclerosis treatment and infectious issues: update 2013.

Clinical and Experimental Immunology 2014, 175: 425–38. Diagnosis, pathogenesis and treatment of myositis: recent advances 2014, 175: 349–58. Management of disease-modifying treatments in neurological autoimmune diseases of the central nervous system 2014, 176: 135–48. Neuromyelitis selleck chemicals optica (NMO, Devic’s syndrome) is an inflammatory disorder of the central nervous system (CNS) that presents typically with relapses of optic neuritis (ON) or myelitis [1-4]. In recent years, the condition has raised enormous interest among scientists and clinical neurologists, fuelled by the detection of a highly specific serum immunoglobulin (Ig)G autoantibody PJ34 HCl (NMO-IgG) targeting the most abundant astrocytic water channel aquaporin-4 (AQP4) [5-8]. NMO-IgG/AQP4-antibodies are

present in up to 80% of patients with NMO [8-11]. This seminal discovery has – together with previous neuropathological work that had already suggested humoral mechanisms to be relevant in the disease pathogenesis [12] – made clear that in most cases NMO is not a subform of multiple sclerosis (MS), as had been assumed for decades, but rather an autoimmune condition with an immunopathogenesis distinct from that of MS despite considerable overlap in clinical presentation and paraclinical findings. AQP4-antibody-positive NMO is part of an expanding spectrum of humorally mediated autoimmune diseases of the CNS that have been identified over the last few years [13, 14]. Several studies suggest that optimum treatment options may differ between NMO and MS, which underscores the necessity for a timely and accurate diagnosis.

While the mechanisms that control T  retortaeformis and G  strigo

While the mechanisms that control T. retortaeformis and G. strigosum abundance remain obscure, our findings support the hypothesis of a Th2-mediated antibody and eosinophil clearance of primary infections to the former species but not the latter nematode (47–50). Our recent modelling of the immune response network to T. retortaeformis, based on this study, was consistent

with a Th2-mediated antibody/eosinophil clearance and an IL-4 anti-inflammatory Dinaciclib solubility dmso protection against this nematode (Takar et al., in preparation). However, additional experiments are necessary to confirm these conclusions. In this respect, the evidence that IL-4 can induce Foxp3-expressing Treg and the potential for parasite tolerance (51) raises the question of whether the persistence of G. strigosum in the presence of high IL-4 mucosa expression

involves some tolerance mechanisms activated by the rabbit or whether this is an intrinsic property of the stomach to avoid immuno-pathology. Closely related helminth CB-839 infections of other herbivores such as sheep and cattle have highlighted the less effective immune response to the abomasal parasites Teladorsagia circumcincta, Haemonchus contortus, Ostertagia ostertagi and Haemonchus placei, compared to the more efficient response against the intestinal nematodes Trichostrongylus colubriformis, Trichostrongylus vitrinus and Cooperia spp. Our study is consistent with these general findings, specifically stomach and small intestine Adenosine triphosphate are distinct environments with different immune properties (52) and colonized by helminths with contrasting life history traits (53,54). Based on these systems, helminths in the stomach/abomasal, such as G. strigosum,

tend to have larger body size, slower development and higher fecundity. They also appear to stimulate an immune response either that is slow to develop or has higher tolerance to infections, or can be more easily immuno-suppressed by the helminth. Helminths in the small intestine, e.g. T. retortaeformis, have the opposite of these life history features, probably as a response to a more effective immune response. The co-evolution of the host immune system and the helminth life history traits in the stomach and small intestine appear to have followed different strategies. Nevertheless, in our rabbit–nematode system, the outcome has been equally successful as these parasites cause persistent chronic infections. In conclusion, we have shown that T. retortaeformis and G. strigosum exhibited different immuno-parasitological characteristics during primary infections of naïve rabbits. These nematodes appear to elicit an unequivocal Th-2-biased immune response.

The purified proteins did not present cross-reactivity with sera

The purified proteins did not present cross-reactivity with sera from dogs infected with Trypanosoma caninum, Babesia canis and Ehrlichia canis. Cross-reaction was verified with sera from dogs infected with Leishmania brasiliensis (11·7% for rLci2B and 2·9% for rLci1A). Based on ELISA results, it is suggested the use of rLci2B and rLci1A as antigens in an alternative serological assay for diagnostic of canine leishmania. Leishmaniasis

is an endemic disease present in more than mTOR inhibitor 60 countries worldwide, including Southern Europe, North Africa, the Middle East, Central and South America, and the Indian subcontinent (1). Leishmaniasis comprises a group of diseases caused by protozoan parasites of the Leishmania genus that includes cutaneous, mucocutaneous and visceral leishmaniasis. Visceral leishmaniasis (VL) is provoked mainly by Leishmania chagasi (= syn. buy XAV-939 Leishmania infantum),

and it is a relevant human disease prevalent in many American countries, including Brazil (2). This form has the greatest potential for lethality and affects 500 000 people worldwide (3). The VL symptoms include fever, weight loss, hepatosplenomegaly, lymphadenopathy, pancytopenia and hypergammaglobulinaemia (4). Skin pigmentation may also be a feature (kala-azar: black disease). It may be asymptomatic and self-resolving, but usually runs a chronic course and may be fatal if left without treatment (5). The dogs have all the characteristics of a good reservoir: they are present in the domestic and peridomestic environment (6), working as a powerful source for the vector, and they develop

high parasitic skin, allowing selleck products a high rate of infection (7). These characteristics are important to maintain the domestic cycle vector-dog-vector-human (6), making diagnosis of L. chagasi infected dogs essential for VL surveillance programs. For the diagnosis of canine VL, the dog epidemiological origin and symptoms should be considered. Parasitological diagnosis based on visualization of the parasite is regarded as a ‘gold standard’ test. In contrast, the serologic diagnosis of VL is based on different methods of antibody detection that include the direct agglutination test, the indirect immunofluorescence test, immunoblotting analysis, the enzyme-linked immunoassay (ELISA) and rapid diagnostic tests (8,9). Nowadays, molecular approaches such as screening of Leishmania genes in cDNA libraries promote the identification of different antigens that are targets for vaccine development and diagnostics of leishmaniasis (10). Some protein antigens, lipids and carbohydrates such as GP63 (11), Leishmania-activated C kinase (12), lipophosphoglycan (13), D13 or p80 (14,15), K9 and K26 (16), Leif (Leishmania elongation initiation factor) (17) and protein A2 amastigote-specific (18), among others, present particular characteristics that allow their potential use in diagnosis (19).

Psychological wellbeing and levels of anxiety and depression of t

Psychological wellbeing and levels of anxiety and depression of these patients having IBS-like symptoms are comparable to the general population, supporting the hypothesis that transient or chronic inflammation may lead to persistent gut dysfunction. In addition, it has been shown that TPH1 mRNA levels are up-regulated in CD patients in remission who experience IBS-like symptoms [42]. As 5-HT signalling is altered in IBS, and 5-HT has been shown to BTK inhibitor molecular weight possess a proinflammatory role, these observations

may be related to inflammation-induced alterations in EC cells and 5-HT signalling. In addition, SERT transcription is decreased in patients with UC as well as in patients with a recent history of diverticulitis [9,43]. These data support the notion that inflammation alters the normal 5-HT signalling cascade producing chronic IBS-like symptoms in addition to the direct effects of the inflammatory response. In addition, it has been shown recently that reduced expression of phospho-MEK, a downstream target of c-Raf, in neuroendocrine

cells in the human colonic biopsies correlates with clinical responses in CD due to treatment with the anti-inflammatory small molecule semapimod, suggesting that neuroendocrine cells, which are important regulators of gut physiology, may be involved in the pathogenesis of human colonic inflammation [44]. https://www.selleckchem.com/products/AG-014699.html Recently it has been shown that IL-1β and bacterial products [Escherichia coli lipopolysaccharide (LPS)] stimulated 5HT secretion from EC cells via Toll-like receptor (TLR) receptor activation (TLR-4 and IL-1β) of patients suffering Tideglusib from CD, implying that immune-mediated alterations in 5HT production may represent a component of the pathogenesis of abnormal bowel function in CD [45]. In the experimental models of colitis induced by trinitrobenzene sulphonic acid (TNBS), dinitrobenzenesulphonic acid (DNBS) and dextran sodium sulphate (DSS), an increase in 5-HT content has been observed [46–48]. By using the DNBS model of experimental colitis, we have shown an amelioration of colonic inflammation

in monocyte chemoattractant protein-1-deficient mice in association with a reduction of EC cells [46]. Very recently it has been shown that the 5-HT3 antagonist tropisetron decreased colonic damage that was associated with decreased neutrophil infiltration, lipid peroxidation and colonic inflammatory cytokines in an acetic acid model of experimental colitis [49]. Experimental inflammation in animals induced by TNBS or infection with either T. spiralis or C. rodentium leads to down-regulation of SERT with a concomitant increase in EC cell number and/or 5-HT release, further supporting a role for 5-HT in inflammatory states [25,26,50]. Although these observations clearly show changes in EC cells and 5-HT during mucosal inflammation, it is unknown whether the change plays any role in regulating gut inflammation.

Previous studies identified IQGAP1 as a component of the actin cy

Previous studies identified IQGAP1 as a component of the actin cytoskeleton of NK cells 12. Subsequently, Stinchcombe et al. described the presence of IQGAP1 in the IS of CTLs 10. Our results indicate that IQGAP1 displays similar dynamic spatial and temporal changes in NK cells during conjugate formation and granule delivery. Although there did not appear to be any significant increase in the levels

of IQGAP1 at the NKIS, there were dramatic changes during the terminal stages of GS-1101 solubility dmso synapse maturation. As the granules approached the NKIS, both the IQGAP1 and the filamentous actin were cleared from the regions of granule delivery. This could provide cytolytic granules the direct access to the effector cell plasma membrane which is necessary for the release of granule contents at the NKIS. Although the loss of IQGAP1 nearly completely inhibited cytotoxicity, the proportion of silenced cells forming conjugates was significantly increased relative to control cells, suggesting that the initial adhesion steps were not IQGAP1 dependent. In contrast, the capacity to reorient the MTOC to form a mature

synapse was markedly inhibited, implying GSK-3 beta phosphorylation that IQGAP1 was required for this process. IQGAP1 can selectively bind to Cdc42 to maintain it in a GTP bound activated form. Stinchcombe et al. proposed that IQGAP1 interaction with Cdc42 facilitates the attachment of microtubules to F-actin at the IS 10. This redistribution of IQGAP1 from the IS would result in the partitioning of actin causing reorganization of microtubules. Consistent with this proposed mechanism, we observed that IQGAP1 in YTS and pNK cells partitions from the IS prior to degranulation. Our preliminary observations suggest that IQGAP1 partitioning in the mature synapse immediately precedes that of actin. The close

proximity of a component of the IQGAP1 pool and an F-actin network with the perforin-containing granules suggests that IQGAP1 may play a role in granule organization in NK cells. This was implied by the fact that the granules in ∼20% of the silenced cells were diffusely distributed throughout the cells. This pattern appeared in those cells with the highest degree of IQGAP1 silencing. In these circumstances, there was a complete loss until of the perigranular F-actin network, suggesting a possible role for the latter in granule organization. Those cells with incomplete silencing of IQGAP1 expression showed convergence of granules toward the MTOC with incomplete reorientation to the NKIS. We suggest that IQGAP1 may facilitate the formation or stabilization of F-actin bundles in the perigranular region, which could provide a structural framework that confines the granule distribution. F-actin coating of secretory granules and its role in exocytosis has been previously demonstrated in pancreatic acinar cells 34, 35 and platelets 36.

[38] Invasive otitis externa caused by Aspergillus spp may lead

[38] Invasive otitis externa caused by Aspergillus spp. may lead to skull base osteomyelitis with progressive cranial nerve palsies and can result in irreversible hearing loss and neurological impairment. Surgical debridement is indicated in invasive otitis externa to prevent

invasion into CNS in case of progression under systemic antifungal treatment. In a review by Parize et al. [39] from 2009, 25 cases of otitis externa were analysed, 18 patients received initial aggressive surgical debridement and six of them reached full recovery. Of the seven patients, who did not receive surgical intervention, five recovered. However, nothing is known about the initial extension of the otitis, some of the patients who reached full recovery without surgery might had only mild invasion

at an early stage. Patients at risk for invasive KPT-330 mw fungal sinusitis are frequently immunocompromised; however, the underlying disease varies from diabetes mellitus to bone marrow transplantation. The most commonly reported presenting symptoms are fever, headache, epistaxis, perinasal and periorbital pain and swelling, nasal congestion and rhinorrhea. selleck chemicals llc Symptoms and signs such as nose ulceration, eschar of the nasal mucosa, black necrotic lesions and perforation of the hard palate are more specific; however, these findings are present only at an advanced stage, when the prognosis is already very poor and options for treatment very narrow. The diagnosis of Aspergillus sinusitis is mostly confirmed by histopathologic evaluation of biopsy http://www.selleck.co.jp/products/Rapamycin.html specimens. However, culture can also lead to the diagnosis but is more time consuming. Additional investigations like rigid nasal endoscopy to evaluate the mucosa and to detect possible pieces of the fungus, and MRI and/or CT scan to evaluate the progression into the sinuses and

possibly the orbita and CNS, are also performed. In Aspergillus sinusitis, surgical debridement of infected sino-nasal tissue (with functional endoscopic sinus surgery or via an external approach) should be performed in case of progression under systemic antifungal therapy to prevent invasion into orbita, blood vessels, lung and CNS.[40] Gillespie published a discussion of 25 cases of invasive fungal sinusitis, 24 of which received surgical treatment (96%), varying from local debridement to total maxillectomy with orbital exoneration. Complete resection of the infected tissue seems to be of major importance for the outcome since nine of the 10 survivors had resection to viable bleeding tissue margins, whereas in all 9 patients who died from the infection infected tissue was left in place at the end of the surgical procedure.[41] In 2013, Gupta published a review discussing 16 cases of primary frontal sinus aspergillosis evaluating the outcome after endonasal endoscopic surgery. The frontal sinus is commonly affected in nasal and paranasal Aspergillus sinusitis; the infection, however, rarely occurs primarily in the frontal sinus.