Stöver Timo, Diensthuber Marc
Department of Otolaryngology, Head and Neck Surgery, J.W. Goethe University Hospital, Frankfurt am Main, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2011;10:Doc06. doi: 10.3205/cto000079. Epub 2012 Apr 26.
organ of Corti, stria vascularis and spiral ganglion. The appropriate stimulus for the organ of hearing is sound, which travels through the external auditory canal to the middle ear where it is transmitted to the inner ear. The inner ear houses the hair cells, the sensory cells of hearing. The inner hair cells are capable of mechanotransduction, the transformation of mechanical force into an electrical signal, which is the basic principle of hearing. The stria vascularis generates the endocochlear potential and maintains the ionic homeostasis of the endolymph. The dendrites of the spiral ganglion form synaptic contacts with the hair cells. The spiral ganglion is composed of neurons that transmit the electrical signals from the cochlea to the central nervous system. In recent years there has been significant progress in research on the molecular basis of hearing. An increasing number of genes and proteins related to hearing are being identified and characterized. The growing knowledge of these genes contributes not only to greater appreciation of the mechanism of hearing but also to a deeper understanding of the molecular basis of hereditary hearing loss. This basic research is a prerequisite for the development of molecular diagnostics and novel therapies for hearing loss.
内耳是我们最敏感的感觉器官,可细分为三个功能单元:柯蒂氏器、血管纹和螺旋神经节。听觉器官的适宜刺激是声音,声音通过外耳道传至中耳,再从中耳传至内耳。内耳包含毛细胞,即听觉的感觉细胞。内毛细胞能够进行机械转导,即将机械力转化为电信号,这是听觉的基本原理。血管纹产生内淋巴电位并维持内淋巴的离子稳态。螺旋神经节的树突与毛细胞形成突触连接。螺旋神经节由将电信号从耳蜗传至中枢神经系统的神经元组成。近年来,在听力分子基础的研究方面取得了重大进展。越来越多与听力相关的基因和蛋白质被鉴定和表征。对这些基因的了解不断增加,不仅有助于更深入地认识听力机制,还能更深入地理解遗传性听力损失的分子基础。这项基础研究是开发听力损失分子诊断方法和新疗法的先决条件。