Noise-Induced Hearing Loss: Updates on Molecular Targets and Potential Interventions.

Noise-Induced Hearing Loss: Updates on Molecular Targets and Potential Interventions.
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DOI:
10.1155/2021/4784385
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发表时间:
2021
期刊:
影响因子:
3.1
通讯作者:
Chen Y
Chen Y
中科院分区:
医学4区
文献类型:
--
作者:
Mao H;Chen Y

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过度暴露于噪音会导致毛细胞丧失、突触带减少和听神经退化,根据暴露的严重程度导致短暂或永久性听力丧失。氧化应激、炎症、钙超载、谷氨酸兴奋毒性和能量代谢紊乱是目前引起噪声性听力损失(NIHL)的主要原因。基因变异也被确定为NIHL相关。糖皮质激素是唯一被批准用于NIHL治疗的药物。针对氧化应激、炎症或噪声引起的神经病变的新药物正在出现,以纳米颗粒为基础的药物输送系统为重点。鉴于NIHL发病机制的复杂性,仍需进行更深入、更全面的研究。
Noise overexposure leads to hair cell loss, synaptic ribbon reduction, and auditory nerve deterioration, resulting in transient or permanent hearing loss depending on the exposure severity. Oxidative stress, inflammation, calcium overload, glutamate excitotoxicity, and energy metabolism disturbance are the main contributors to noise-induced hearing loss (NIHL) up to now. Gene variations are also identified as NIHL related. Glucocorticoid is the only approved medication for NIHL treatment. New pharmaceuticals targeting oxidative stress, inflammation, or noise-induced neuropathy are emerging, highlighted by the nanoparticle-based drug delivery system. Given the complexity of the pathogenesis behind NIHL, deeper and more comprehensive studies still need to be fulfilled.
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