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噪声性听力损失的药物治疗策略:叙述性综述

Drug-Therapeutic Strategies for Noise-Induced Hearing Loss: A Narrative Review.

作者信息

Deng Zehui, Lin Fei, Zhou Ling, Wang Shaojuan, Li Jie, He Longxi

机构信息

Department of Pharmacy, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Department of Pharmacy, the First Affiliated Hospital of Chengdu Medical College, Chengdu, Sichuan, China.

出版信息

Noise Health. 2025;27(126):203-209. doi: 10.4103/nah.nah_187_24. Epub 2025 Jun 26.

DOI:10.4103/nah.nah_187_24
PMID:40574290
Abstract

With the rapid development of industrialisation, noise exposure is becoming increasingly prevalent. The detrimental effects of noise-induced hearing loss (NIHL) have become clinically relevant. Therefore, effective drug therapeutic strategies for NIHL are urgently needed. This article reviewed the pathophysiology and potential molecular mechanisms of NIHL and classified and summarised the drug therapeutic strategies. Drug therapeutic strategies of NIHL can be further studied in agents such as corticosteroids, antioxidants, neurotrophic factors, herbal medicine, magnesium and statins. Given the current research progress, ongoing positive test results and pilot studies may lead to new pharmacological regimens to alleviate NIHL.

摘要

随着工业化的迅速发展,噪声暴露日益普遍。噪声性听力损失(NIHL)的有害影响已具有临床相关性。因此,迫切需要针对NIHL的有效药物治疗策略。本文综述了NIHL的病理生理学和潜在分子机制,并对药物治疗策略进行了分类和总结。NIHL的药物治疗策略可在皮质类固醇、抗氧化剂、神经营养因子、草药、镁和他汀类药物等制剂中进一步研究。鉴于目前的研究进展,正在进行的阳性试验结果和初步研究可能会带来减轻NIHL的新药物治疗方案。

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本文引用的文献

1
Pan-caspase inhibitor protects against noise-induced hearing loss in a rodent model.泛半胱天冬酶抑制剂在啮齿动物模型中可预防噪声性听力损失。
Front Neurosci. 2025 Feb 10;19:1497773. doi: 10.3389/fnins.2025.1497773. eCollection 2025.
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Gene Therapy for Hearing Loss: Which Genes Next?听力损失的基因治疗:下一个目标基因是什么?
Otol Neurotol. 2025 Mar 1;46(3):239-247. doi: 10.1097/MAO.0000000000004423.
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Advancements of ROS-based biomaterials for sensorineural hearing loss therapy.用于感音神经性听力损失治疗的基于活性氧的生物材料的进展。
Biomaterials. 2025 May;316:123026. doi: 10.1016/j.biomaterials.2024.123026. Epub 2024 Dec 15.
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Noise induces Ca2+ signaling waves and Chop/S-Xbp1 expression in the hearing cochlea.噪音会在听觉耳蜗中引发钙离子信号波以及Chop/S-Xbp1的表达。
JCI Insight. 2024 Dec 10;10(2):e181783. doi: 10.1172/jci.insight.181783.
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Early identification of potential occupational noise-induced hearing loss: a systematic review.潜在职业性噪声性听力损失的早期识别:一项系统综述
Int J Audiol. 2025 May;64(5):419-428. doi: 10.1080/14992027.2024.2418354. Epub 2024 Oct 28.
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Gene therapy for hearing loss: Current status and future prospects of non-viral vector delivery systems.基因治疗听力损失:非病毒载体传递系统的现状和未来前景。
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PARP1 inhibition prevents oxidative stress in age-related hearing loss via PAR-Ca-AIF axis in cochlear strial marginal cells.PARP1 抑制通过耳蜗螺旋缘细胞的 PAR-Ca-AIF 轴预防年龄相关性听力损失中的氧化应激。
Free Radic Biol Med. 2024 Aug 1;220:222-235. doi: 10.1016/j.freeradbiomed.2024.05.020. Epub 2024 May 10.
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Calcium channel inhibitor and extracellular calcium improve aminoglycoside-induced hair cell loss in zebrafish.钙通道抑制剂和细胞外钙可改善斑马鱼中氨基糖苷类诱导的毛细胞损失。
Arch Toxicol. 2024 Jun;98(6):1827-1842. doi: 10.1007/s00204-024-03720-7. Epub 2024 Apr 2.
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ROS-induced oxidative stress and mitochondrial dysfunction: a possible mechanism responsible for noise-induced ribbon synaptic damage.活性氧诱导的氧化应激和线粒体功能障碍:一种可能导致噪声诱导的带状突触损伤的机制。
Am J Transl Res. 2024 Jan 15;16(1):272-284. doi: 10.62347/EVDE9449. eCollection 2024.
10
Effect of statins on hearing outcome in patients with idiopathic sudden sensorineural hearing loss.他汀类药物对特发性突发性感音神经性听力损失患者听力转归的影响。
Laryngoscope Investig Otolaryngol. 2023 Oct 17;8(6):1631-1636. doi: 10.1002/lio2.1170. eCollection 2023 Dec.