GRβ Regulates Glucocorticoid Resistance in Sudden Sensorineural Hearing Loss

Xubo Chen1, Qi Zhang2, Chunping Yang1

  • 1Department of Otolaryngology, Head and Neck Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, 330006, China.

Abstract

Insights

Sudden deafness is rising, and glucocorticoid resistance is a challenge. This study reveals that inhibiting SRp30c may offer a new treatment for glucocorticoid-resistant sudden sensorineural hearing loss by targeting GRβ expression.

Area of Science:

  • Otolaryngology
  • Molecular Biology
  • Pharmacology

Background:

  • Sudden deafness incidence is increasing, with poorly understood causes and limited treatment options for glucocorticoid-resistant cases.
  • Glucocorticoids are the primary treatment, but some patients do not respond, necessitating research into alternative therapeutic strategies.
  • The role of Glucocorticoid Receptor Beta (GRβ) in glucocorticoid resistance in sudden deafness is not yet fully elucidated.

Purpose of the Study:

  • To construct a HEI-OC1 cell line with stable overexpression of Glucocorticoid Receptor Beta (GRβ).
  • To investigate the role of GRβ in glucocorticoid-resistant sudden sensorineural hearing loss.
  • To explore the relationship between inflammation factors (IL-2, TNF alpha, SRp30c) and GRβ expression in cochlear hair cells.

Main Methods:

  • Utilized lipopolysaccharide-stimulated cochlear hair cells (HEI-OC1) to model inflammation.
  • Established a stable GRβ high expression HEI-OC1 cell line for experimental analysis.
  • Employed MTT assay, colony formation assay, CCK-8 assay, Western blot, and RT-qPCR to characterize cellular responses and gene expression.

Main Results:

  • Dexamethasone treatment reduced lipopolysaccharide-induced inflammation in HEI-OC1 cells (p<0.05).
  • Overexpression of SRp30c attenuated the protective effects of dexamethasone on HEI-OC1 cells (p<0.05).
  • SRp30c overexpression in HEI-OC1 cells led to elevated GRβ expression (p<0.05).

Conclusions:

  • Elucidated the mechanisms underlying high GRβ expression in glucocorticoid-resistant sudden sensorineural hearing loss.
  • Demonstrated that SRp30c plays a role in glucocorticoid resistance.
  • Identified SRp30c inhibition as a potential novel therapeutic strategy for glucocorticoid-resistant sudden sensorineural hearing loss.

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