Wang Yan, Zhao He, Zhao Kun, He Huhuifen, Li Xinyu, Qiu Jingjing, Cui Limei, Chen Liang, Shang Wenjing, Sun Yan
The Second Medical College, Binzhou Medical University, Yantai, Shandong, People's Republic of China.
Department of Otolaryngology and Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai, Shandong, People's Republic of China.
J Inflamm Res. 2024 Nov 16;17:8921-8934. doi: 10.2147/JIR.S486301. eCollection 2024.
Age-related hearing loss (ARHL) is a degenerative condition that involves both peripheral and central auditory system pathologies. There is a close relationship between chronic inflammation and ARHL, but there is currently a lack of in-depth exploration of this relationship, particularly regarding causality.
Using age-appropriate mice for basic experiments to examine changes in central auditory nervous system inflammation, a cohort study was conducted to select relevant clinical data and observe inflammation changes in the elderly population with ARHL. Mendelian randomization was employed to investigate the causal relationship between chronic inflammation and ARHL.
Clinical results indicate that CRP levels in the ARHL group are significantly higher than those in the normal group. Chronic inflammation also occurs in the auditory centers. Mendelian randomization studies provide causal evidence that genetic chronic inflammation factors do not increase the risk of ARHL.
This article provides reliable causal evidence of the relationship between chronic inflammation and ARHL, confirming the accumulation of inflammatory factors in the auditory center, which provides a basis for the prevention and treatment of ARHL and has a good prevention prospect. However, due to the differences of research objects, this study has limitations and needs further research.
年龄相关性听力损失(ARHL)是一种退行性疾病,涉及外周和中枢听觉系统病变。慢性炎症与ARHL之间存在密切关系,但目前对这种关系缺乏深入探索,尤其是因果关系。
使用适龄小鼠进行基础实验,以检查中枢听觉神经系统炎症的变化,进行队列研究以选择相关临床数据,并观察患有ARHL的老年人群的炎症变化。采用孟德尔随机化方法研究慢性炎症与ARHL之间的因果关系。
临床结果表明,ARHL组的CRP水平显著高于正常组。听觉中枢也会发生慢性炎症。孟德尔随机化研究提供了因果证据,表明遗传性慢性炎症因素不会增加ARHL的风险。
本文提供了慢性炎症与ARHL之间关系的可靠因果证据,证实了听觉中枢炎症因子的积累,为ARHL的预防和治疗提供了依据,具有良好的预防前景。然而,由于研究对象的差异,本研究存在局限性,需要进一步研究。