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免疫学视角下梅尼埃病的研究新进展OA

Progress of research on Meniere's disease from an immunological perspective

中文摘要英文摘要

梅尼埃病是一种病因复杂、病程异质性较高的内耳疾病.近年来的研究表明,免疫系统异常可能在其发生和发展过程中发挥重要作用.本文总结了梅尼埃病的免疫机制,重点探讨其与自身免疫性疾病的共病情况,并系统回顾了关键免疫细胞、免疫分子及蛋白质组学研究的最新进展.固有及适应性免疫应答以及相关免疫介质的异常表达共同促成了内耳免疫微环境的失衡.此外,蛋白质组学研究亦发现了一系列与梅尼埃病相关的生物标志物,这些标志物可能为梅尼埃病的诊断、分期及个体化治疗提供新的方向.综上所述,梅尼埃病的免疫学基础正逐步被揭示,其可能是自身免疫相关疾病的一个亚型.未来针对免疫通路的靶向干预或可为梅尼埃病患者提供更精准的治疗方案.

Meniere's disease(MD)is an inner ear disorder with a complex etiology and high disease heterogeneity.Recent studies suggest that immune system dysfunction may play a critical role in its pathogenesis and progression.This review summarizes the immune mechanisms underlying MD,with a focus on its comorbid autoimmune diseases,and provides a comprehensive overview of the latest findings in immune cells,cytokines,and proteomic studies.Dysregulated innate and adaptive immune responses,along with abnormal expression of related immune mediators,contribute to the disruption of the inner ear immune microenvironment.In addition,proteomic analyses have identified a series of MD-related biomarkers,which may facilitate disease diagnosis,staging and the development of personalized therapeutic strategies.In conclusion,the immunological basis of MD is gradually being elucidated,suggesting that it may represent a subtype of autoimmune-related disorders.Targeted interventions aimed at immune pathways may provide more precise therapeutic approaches for MD patients in the future.

张仪铃;周梓意;郭佳;胡宇泉;汪芹

中南大学湘雅二医院耳鼻咽喉头颈外科,长沙 410000中南大学湘雅二医院耳鼻咽喉头颈外科,长沙 410000中南大学湘雅二医院耳鼻咽喉头颈外科,长沙 410000中南大学湘雅二医院耳鼻咽喉头颈外科,长沙 410000中南大学湘雅二医院耳鼻咽喉头颈外科,长沙 410000

梅尼埃病自身免疫细胞因子蛋白质组学

Meniere's diseaseautoimmunitycytokinesproteomics

《中华耳科学杂志》 2026 (2)

154-158,5

湖南省自然科学基金-区域联合基金(2025JJ70528)

10.3969/j.issn.1672-2922.2026.02.011

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