糖尿病引起的内耳细胞变化

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Ahmed Gedawy , Hani Al-Salami , Crispin R. Dass
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引用次数: 0

摘要

概述糖尿病对内耳环境的影响以及糖尿病引起的听力障碍的确切病因的文献很少。方法使用Scopus、Pubmed和google学者数据库,检索1960年至2020年间发表的相关流行病学、临床、生物医学、组织病理学、耳鼻喉科和药理学文章,关键词为“糖尿病、听力损失、内耳、细胞、耳蜗、微血管病、神经病变”。AG和CD根据流行病学、动物组织病理学以及糖尿病患者颞骨发现的相关纳入标准,对选定的文章进行了预鉴定和审查,以构建和构建手稿。结果与健康对照动物相比,在不同的糖尿病动物模型中的一些组织病理学发现突出了它们耳朵中存在各种异常。另一方面,最近在不同人群的许多流行病学研究中观察到了这种关联的普遍性。与糖尿病和血糖异常相关的大量事件与生物化学改变、生理稳态受损、血液流变学特征紊乱和前庭-耳蜗系统的结构紊乱有关。虽然已经提出了各种假设来解释这种关联,但内耳血管系统的微血管损伤和神经病变是迄今为止的两个主要假设。结论本综述强调了糖尿病作为一种严重的内分泌表现与听力损伤(糖尿病的一个被忽视的原因)之间的关系,讨论了糖尿病患者听力功能障碍的基本病因(微血管病和神经病变),并阐明了糖尿病对内耳环境的耳科和听力学影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diabetes-induced cellular changes in the inner ear

Aims

literature outlining the impact of diabetes on the inner ear environment and the exact etiology of diabetes-induced hearing malfunctioning is scarce.

Methods

The Scopus, Pubmed and google scholar databases were used to source relevant epidemiological, clinical, biomedical, histopathological, otolaryngological and pharmacological articles published between 1960 and 2020 using keywords ‘diabetes, hearing loss, inner ear, cellular, cochlea, microangiopathy, neuropathy’. AG and CD preidentified and reviewed selected articles to structure and construct the manuscripts based on relevant inclusion criteria of epidemiological, animal histopathological as well as human temporal bone findings in diabetes setting.

Results

several histopathological findings in different animal models of diabetes have highlighted the existence of various abnormalities in their ears, compared with healthy control animals. The prevalence of such associations on the other hand has recently been observed in numerous epidemiological studies across various populations. A plethora of events associated with diabetes and dysglycaemia are linked to biochemical alterations, impaired physiological homeostasis, perturbed blood rheological characteristics and architectural disturbances in the vestibulocochlear system. While various hypotheses have been put forward to explain such associations, microvascular impairment of the inner ear vasculature as well as neuropathic involvement constitute two major ones to date.

Conclusions

this review highlights associations between diabetes as a serious endocrinological manifestation and hearing impairment (an overlooked sequalae of diabetes), discusses fundamental etiologies (microangiopathy and neuropathy) of hearing dysfunction in patients with diabetes and sheds light on the otological and audiological impacts of diabetes on the inner ear environment.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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