PolypAtlas — CRSwNP Multi-omics Resource

Treatment response

Research use only: This site is an integrated query resource for publicly available chronic rhinosinusitis with nasal polyps (CRSwNP) transcriptomic data, for research reference only. It does not provide clinical diagnosis, disease probability estimates, or treatment recommendations. All values come from uniform reanalysis of public data; known limitations of each cohort are annotated alongside the data.

Treatment response: everything on this page comes from public treatment cohorts re-analyzed uniformly. The only clinical treatment cohort in the collection is the SINUS-52 dupilumab trial (GSE267331, paired pre/post nasal brushings).

⚠ Nasal brushing samples, not polyp tissue — cellular context differs from the polyp-resource core. Readout is marker-level mRNA reversal, not clinical endpoints (NPS, SNOT-22).

Dupilumab (SINUS-52, GSE267331)

SINUS-52 randomized trial, paired within-subject pre/post nasal brushing; limma paired model

DE genes (FDR<0.05, paired): dupilumab 4856 / placebo 0 (paired; Early Termination excluded)

Type-2 marker reversal (post vs pre)

GenelogFC (post vs pre)FDRDirection correctFDR<0.05
CLC-1.0200.00608✓✓
CCL26-0.0730.5556✓
CCL13-0.0240.377✓
IL330.0161✗
TSLP-0.0150.4636✓
POSTN-2.6680.0001941✓✓
SERPINB2-0.9800.004913✓✓
ALOX15-0.4210.08462✓

7/8 markers direction-correct per the DE file (CLC/POSTN/SERPINB2 significant); IL33 essentially flat (+0.016, FDR≈1.0) and counted as not reversed. Placebo arm: 0 genes FDR<0.05.

Program-score changes (paired, post − pre)

ProgramΔ (post − pre)FDRPairs
il13_response-0.09421.28e-0647
goblet_secretory-0.06221.05e-0547
type2_custom-0.06892.45e-0547
mast-0.12280.00012847
ilc2-0.04520.00084747
hypoxia-0.01150.0071747
proliferation0.00710.095847
eosinophil-0.02340.11847
fibroblast_ecm-0.02050.11847
barrier0.01050.14547
neutrophil0.03550.2647
interferon0.00950.58447
ciliated-0.01490.72547

ssGSEA-style estimates from paired samples (n=47); p from paired signed-rank test. Shown: all 13 programs; bold rows are FDR<0.05.

Treatment contrasts in this collection

SeriesContrastn (treat/ctrl)MethodNote
GSE267331dupilumab_post_vs_pre47/47limma_pairedSINUS-52 nasal brushings; paired within-subject; Early Termination excluded (4856 FDR<0.05)
GSE267331placebo_post_vs_pre19/19limma_pairedSINUS-52 nasal brushings; paired within-subject; Early Termination excluded (0 FDR<0.05)

Only contrasts actually run are listed. No steroid, surgery, or other clinical treatment contrasts were run among the 30 bulk contrasts.

Drug reversal candidates (in-silico hypothesis generation)

Consensus signature (825 up / 196 down genes) queried against L1000CDS2 for compounds that reverse the signature; reported scores are the L1000CDS2 overlap scores. These are computational hypotheses, not experimental evidence of efficacy.

#CompoundCell lineDoseOverlap score
1-666MCF720.0 um0.0661
2PLX-4032A37510.0 um0.0648
3Tyrphostin AG 1478A37556.78 um0.0635
4BMS-754807A37510.0 um0.0609
5taxifolin-(+/-)VCAP10.0 um0.0609
6PP-110HT2922.2 um0.0596
7NVP-TAE684A37510 um0.0596
8ZSTK-474LNCAP0.37 um0.0596
9RottlerinHCC51510.0 um0.0583
10DG-041A37540.0 um0.0583
11palbociclibHS578T1.11 um0.0583
12PI-103LNCAP1.11 um0.0583
13AG-879HCC51510.0 um0.0570
14-666A37580.0 um0.0570
15mestanoloneVCAP10.0 um0.0570
16-666A54910.0 um0.0570
17mitoxantroneA3750.12 um0.0570
18palbociclibHME110 um0.0570
19palbociclibHT2910 um0.0570
20RottlerinHCC51510.0 um0.0557
21PP-110A37522.2 um0.0557
22Arachidonyl trifluoro-methyl ketoneHCC51580.0 um0.0557
23CAM-9-027-3HT2910.0 um0.0557
24CAY10594HT2920.0 um0.0557
25oxymetholoneVCAP10.0 um0.0557
26-666MCF710.0 um0.0557
27-666MCF710.0 um0.0557
28palbociclibHT291.11 um0.0557
29palbociclibLNCAP10 um0.0557
30IMD 0354HCC51510.0 um0.0544
31CGK 733HCC51510.0 um0.0544
32CCCPHCC51510.0 um0.0544
33geldanamycinA37510.0 um0.0544
34BMS-536924A37511.1 um0.0544
35palbociclibHME13.33 um0.0544
36PI-103LNCAP0.37 um0.0544
37NICLOSAMIDEHCC51510.0 um0.0531
38TG101348PC311.1 um0.0531
39MK-0591PC380.0 um0.0531
40geldanamycinA37510.0 um0.0531
41dovitinibA54910 um0.0531
42NVP-TAE684A5493.33 um0.0531
43PHA-793887BT203.33 um0.0531
44PHA-793887HCC5153.33 um0.0531
45palbociclibHCC5153.33 um0.0531
46palbociclibLNCAP1.11 um0.0531
47JW-7-24-1LNCAP3.33 um0.0531
48palbociclibMDAMB2311.11 um0.0531
49Puromycin dihydrochlorideHCC51510.0 um0.0518
50wortmanninA54910.0 um0.0518