Mechanism and Prevention of Ototoxicity Induced by Aminoglycosides.

Mechanism and Prevention of Ototoxicity Induced by Aminoglycosides.
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DOI:
10.3389/fncel.2021.692762
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发表时间:
2021
影响因子:
5.3
通讯作者:
Chai R
Chai R
中科院分区:
医学2区
文献类型:
--
作者:
Fu X;Wan P;Li P;Wang J;Guo S;Zhang Y;An Y;Ye C;Liu Z;Gao J;Yang J;Fan J;Chai R

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氨基糖苷类是一类临床上重要的药物,在世界范围内广泛用于治疗革兰氏阴性菌感染。然而,越来越多的证据表明氨基糖苷类可导致听力丧失或平衡问题。在本文中,我们主要介绍氨基糖苷类诱导耳毒性的主要机制。基因分析表明,对氨基糖苷类的易感性归因于线粒体DNA的突变,特别是12S rRNA中的A1555G和C1494T突变。此外,N - 甲基 - D - 天冬氨酸(NMDA)受体的过度表达以及自由基的形成也起着重要作用。了解氨基糖苷类诱导耳毒性的机制有助于开发保护听力的新治疗方法。本文从上游和下游方面介绍了氨基糖苷类诱导耳毒性的预防方法。
Aminoglycosides, a class of clinically important drugs, are widely used worldwide against gram-negative bacterial infections. However, there is growing evidence that aminoglycosides can cause hearing loss or balance problems. In this article, we mainly introduce the main mechanism of ototoxicity induced by aminoglycosides. Genetic analysis showed that the susceptibility of aminoglycosides was attributable to mutations in mtDNA, especially A1555G and C1494T mutations in 12S rRNA. In addition, the overexpression of NMDA receptors and the formation of free radicals also play an important role. Understanding the mechanism of ototoxicity induced by aminoglycosides is helpful to develop new therapeutic methods to protect hearing. In this article, the prevention methods of ototoxicity induced by aminoglycosides were introduced from the upstream and downstream aspects.
DOI: 10.1038/nm1296-1338
发表时间: 1996-12-01
期刊: NATURE MEDICINE
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