线粒体动力学及线粒体自噬在感音神经性耳聋分子机制中的作用OA
The role of mitochondrial dynamics and mitophagy in molecular mechanisms of sensorineural hearing loss
线粒体作为能量代谢中心对机体至关重要,线粒体功能障碍可导致细胞能量代谢异常,引发细胞凋亡或功能衰退,进而演变成某些疾病的基础病变.目前普遍认为线粒体损伤可能是感音神经性耳聋(sensorineural hearing loss,SNHL)的主要发病机制之一.大量研究表明线粒体功能障碍,如线粒体动力学紊乱、线粒体自噬障碍或线粒体DNA突变等线粒体结构或功能上的缺陷,均可导致活性氧堆积,再通过氧化应激使听神经、耳蜗毛细胞等参与听觉传导通路的组织细胞受到破坏,最终进展为SNHL.老年性耳聋作为最常见的SNHL类型,其发病机制与线粒体质量控制系统功能下降密切相关,具体表现为线粒体动力学失衡和自噬功能减退.本文旨在综述线粒体质量控制系统在SNHL,特别是在老年性耳聋中的研究进展.
Mitochondria are crucial for the body's energy metabolism.Mitochondrial dysfunction can lead to abnormal cellular energy metabolism,causing cell death or functional decline,which can then lead to fundamental pathological changes in certain diseases.Currently,the academic community generally believes that mitochondrial damage may be one of the main pathogenic mechanisms of sensorineural hearing loss(SNHL).Numerous studies have shown that mitochondrial dysfunction,such as mitochondrial dynamics disorders,autophagy impairment,or mitochondrial DNA mutations,can result in accumulation of reactive oxygen species,which,through oxidative stress,can damage cells in the auditory conduction pathway,such as auditory nerves and cochlear hair cells,ultimately progressing to SNHL.Presbycusis,the most common type of SNHL,is closely associated with functional decline of the mitochondrial quality control system,manifested as mitochondrial dynamics imbalance and reduced autophagy.This article aims to introduce and summarize the research progress on the mitochondrial quality control system in SNHL,with particular emphasis on presbycusis.
周逸云;王喜悦;孙捷
中山大学附属第八医院(深圳福田)耳鼻咽喉头颈外科,广东 深圳 518033首都医科大学附属北京朝阳医院耳鼻咽喉头颈外科,北京 100020中山大学附属第八医院(深圳福田)耳鼻咽喉头颈外科,广东 深圳 518033
线粒体自噬线粒体动力学氧化应激感音神经性耳聋老年性耳聋
mitochondrial autophagymitochondrial dynamicsoxidative stresssensorineural hearing losspresbycusis
《中华耳科学杂志》 2026 (6)
598-603,6
深圳市福田区卫生健康系统科研项目(FTWS2022017)
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