首页|缝隙连接蛋白26突变导致遗传性耳聋的研究进展

缝隙连接蛋白26突变导致遗传性耳聋的研究进展

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缝隙连接蛋白26(Cx26)是耳蜗中最丰富的缝隙连接蛋白之一,由GJB2基因编码,对耳蜗的发育与听力形成至关重要,Cx26突变患者可表现出不同程度的听力损失.学界曾普遍认为钾离子循环障碍是引起耳聋的主要机制,但近年的研究发现GJB2基因突变相关听力损失中的钾离子循环障碍与耳蜗的病理表型并不直接相关,而耳蜗的发育障碍与氧化应激系统在其中起着关键作用.文章总结了 Cx26突变引起相关听力损失的病理生理机制,包括钾离子循环障碍、内耳发育障碍、氧化应激系统失衡等.阐明Cx26突变导致听力损失的病理机制有助于开发针对遗传性耳聋的预防和治疗策略.
Hereditary Deafness Caused by Connexin26 Mutations:a Literature Review
Connexin26(Cx26)is one of the most abundant gap junction proteins in the cochlea,which is encoded by the GJB2 gene and is crucial for the development and formation of the inner ear.Cx26 mutations can lead to varying degrees of hearing loss for patients.Previously,many researchers believed that the classic potassium ion theory was the principal mechanism leading to deafness in general.However,recent studies have found that K+circulation disorders in GJB2-related hearing loss are not directly related to the pathological phenotype of the cochlea,and the developmental disorders of the cochlea and the oxidative stress system both play a crucial role in this.This review summarizes the pathophysiological mechanisms on hearing loss caused by Cx26 mutations,including potassium ion cycling disorders,developmental disorders of the cochlea,and oxidative stress system imbalances and so on.Elucidating the pathomechanisms of hearing loss due to Cx26 mutations can help develop preventive and therapeutic strategies for hereditary deafness.

connexin26hereditary deafnessoxidative stresshearing loss

柏雪、徐凯

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南昌大学第二附属医院耳鼻咽喉头颈外科,南昌 330006

缝隙连接蛋白26 遗传性耳聋 氧化应激 听力损失

江西省自然科学基金青年项目国家自然科学基金地区项目

20224BAB21604882260223

2024

南昌大学学报(医学版)
南昌大学

南昌大学学报(医学版)

CSTPCD
影响因子:1.008
ISSN:2095-4727
年,卷(期):2024.64(5)