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剖析糖尿病和听力损失与认知衰退及痴呆症之间的相互作用。

Dissecting the Interactions of Diabetes Mellitus and Hearing Loss with Cognitive Decline and Dementia.

作者信息

Waissbluth Sofia, Delano Paul H

机构信息

Department of Otolaryngology, Pontificia Universidad Católica de Chile, Santiago 8330033, Chile.

Department of Neuroscience, Facultad de Medicina, Universidad de Chile, Santiago 8380453, Chile.

出版信息

Brain Sci. 2025 Jun 21;15(7):669. doi: 10.3390/brainsci15070669.

DOI:10.3390/brainsci15070669
PMID:40722262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12294034/
Abstract

The aging population is increasingly affected by both diabetes mellitus and hearing loss, two conditions that often coexist and can significantly impact quality of life. As the prevalence of diabetes rises with age, so does the incidence of hearing impairment, with both conditions contributing to cognitive decline and functional limitations. The interplay between diabetes, hearing loss, and cognition highlights the need for comprehensive healthcare strategies that address the unique challenges faced by older adults. This review explores the mechanisms underlying the interplay between these three conditions, including mitochondrial dysfunction, neuroinflammation, oxidative stress, and microangiopathy.

摘要

老年人口越来越多地受到糖尿病和听力损失的影响,这两种情况经常并存,并且会显著影响生活质量。随着糖尿病患病率随年龄增长而上升,听力障碍的发生率也随之上升,这两种情况都会导致认知能力下降和功能受限。糖尿病、听力损失和认知之间的相互作用凸显了制定全面医疗保健策略的必要性,以应对老年人面临的独特挑战。本综述探讨了这三种情况之间相互作用的潜在机制,包括线粒体功能障碍、神经炎症、氧化应激和微血管病变。

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本文引用的文献

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Association between adult-onset hearing loss and dementia biomarkers: A systematic review.成人期听力损失与痴呆生物标志物之间的关联:一项系统综述。
Ageing Res Rev. 2025 Feb;104:102647. doi: 10.1016/j.arr.2024.102647. Epub 2024 Dec 31.
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Relation Between Glycated Hemoglobin Level and Hearing Loss in Type 2 Diabetic Patients.2型糖尿病患者糖化血红蛋白水平与听力损失之间的关系
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J Alzheimers Dis. 2024 Dec;102(4):1209-1223. doi: 10.1177/13872877241297155. Epub 2024 Nov 26.
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Diabetes Associated With Maternally Inherited Diabetes and Deafness (MIDD): From Pathogenic Variant to Phenotype.与母系遗传糖尿病和耳聋相关的糖尿病(MIDD):从致病变异到表型
Diabetes. 2025 Feb 1;74(2):153-163. doi: 10.2337/db24-0515.
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Worldwide trends in diabetes prevalence and treatment from 1990 to 2022: a pooled analysis of 1108 population-representative studies with 141 million participants.全球糖尿病患病率和治疗趋势 1990 年至 2022 年:基于 14100 万参与者的 1108 项人群代表性研究的汇总分析。
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Dementia.痴呆。
Ann Intern Med. 2024 Nov;177(11):ITC161-ITC176. doi: 10.7326/ANNALS-24-02207. Epub 2024 Nov 12.
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Better education required for professionals in healthcare regarding auditory processing disorder.医疗保健专业人员需要接受关于听觉处理障碍的更好教育。
Eur Arch Otorhinolaryngol. 2025 Feb;282(2):669-679. doi: 10.1007/s00405-024-08942-0. Epub 2024 Aug 30.
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Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission.《痴呆症的预防、干预与照护:柳叶刀常设委员会2024年报告》
Lancet. 2024 Aug 10;404(10452):572-628. doi: 10.1016/S0140-6736(24)01296-0. Epub 2024 Jul 31.
10
Hyperglycemia-induced oxidative stress exacerbates mitochondrial apoptosis damage to cochlear stria vascularis pericytes via the ROS-mediated Bcl-2/CytC/AIF pathway.高血糖诱导的氧化应激通过 ROS 介导的 Bcl-2/CytC/AIF 途径加重耳蜗血管纹周细胞中线粒体凋亡损伤。
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