中华耳科学杂志2024,Vol.22Issue(3) :467-470.DOI:10.3969/j.issn.1672-2922.2024.03.023

良性阵发性位置性眩晕患者骨代谢指标与耳石相关蛋白关系探讨

The Relationship between Bone Metabolism Indicators and Otolith Related Proteins in Patients with BPPV

王博深 孙海波 田雨 金婧 冷辉
中华耳科学杂志2024,Vol.22Issue(3) :467-470.DOI:10.3969/j.issn.1672-2922.2024.03.023

良性阵发性位置性眩晕患者骨代谢指标与耳石相关蛋白关系探讨

The Relationship between Bone Metabolism Indicators and Otolith Related Proteins in Patients with BPPV

王博深 1孙海波 2田雨 1金婧 1冷辉2
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作者信息

  • 1. 辽宁中医药大学(沈阳 110847)
  • 2. 辽宁中医药大学附属医院耳鼻咽喉科
  • 折叠

摘要

人体骨代谢与耳石的结构及代谢过程较为相似.骨质疏松症(osteoporosis,OP)中,骨质代谢异常的研究较多;目前,良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)耳石脱落研究提示与人体骨代谢密切相关.维生素D(vitamin D,VD)和雌激素是OP重要的骨代谢指标.BPPV耳石相关蛋白有Otoconin-90、Oto-lin-1、质膜钙三磷酸腺苷酶异构体2、烟酰胺腺嘌呤二核苷酸磷酸氧化酶3等.基于骨代谢与VD和雌激素的密切关系,我们将骨代谢指标与BPPV耳石相关蛋白的相关研究进行整理,旨在推测其中的量变关系,探讨VD和雌激素在BPPV发生及耳石反复脱落中的作用,为未来研究BPPV耳石脱落的骨代谢影响机制提供新的思路和启发.

Abstract

The formation,structure,and physiological metabolism of human bones and otoliths are similar.Ab-normal bone metabolism in osteoporosis(OP)has been extensively studied.Some studies on otoliths shedding in benign paroxysmal positional vertigo(BPPV)suggest a close correlation with human bone metabolism.Vitamin D and estrogen are important bone metabolism indicators in osteoporosis.Otolith related proteins in BPPV include Otoconin-90(OC90),Otolin-1,Plasma membrane calcium ATPase 2(PMCA2),Nicotinamide adenine dinucleotide phosphate phos-phate oxidase 3(NOx3,NADPH oxidase 3 for short),etc.Based on the close relationship between bone metabolism and vitamin D and estrogen,this article summarizes research on the correlation between bone metabolism indicators and oto-lith related proteins in BPPV,and discuss on the quantitative relationship,the role of vitamin D and estrogen in the oc-currence of BPPV and repeated otolith shedding,to provide new ideas and inspiration for future research on the mecha-nism by which bone metabolism influences otolith shedding in BPPV.

关键词

良性阵发性位置性眩晕/骨代谢指标/耳石相关蛋白/耳石脱落

Key words

benign paroxysmal positional vertigo(BPPV)/bone metabolism indicators/otolith related proteins/otolith shedding

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基金项目

辽宁省科技厅应用基础研究计划项目(2023JH2/101300055)

出版年

2024
中华耳科学杂志
解放军总医院耳鼻咽喉科研究所

中华耳科学杂志

CSTPCDCSCD北大核心
影响因子:0.954
ISSN:1672-2922
参考文献量32
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