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Published on: November 6, 2019
Programmed cell death pathways in hearing loss: A review of apoptosis, autophagy and programmed necrosis
Junhao Wu1, Jing Ye2, Weili Kong1
1Department of Otolaryngology, Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.
Abstract:
Programmed cell death (PCD)-apoptosis, autophagy and programmed necrosis-is any pathological form of cell death mediated by intracellular processes. Ototoxic drugs, ageing and noise exposure are some common pathogenic factors of sensorineural hearing loss (SNHL) that can induce the programmed death of auditory hair cells through different pathways, and eventually lead to the loss of hair cells. Furthermore, several mutations in apoptotic genes including DFNA5, DFNA51 and DFNB74 have been suggested to be responsible for the new functional classes of monogenic hearing loss (HL). Therefore, in this review, we elucidate the role of these three forms of PCD in different types of HL and discuss their guiding significance for HL treatment. We believe that further studies of PCD pathways are necessary to understand the pathogenesis of HL and guide scientists and clinicians to identify new drug targets for HL treatment.
Insights
Programmed cell death (PCD) pathways, including apoptosis, autophagy, and necrosis, contribute to sensorineural hearing loss (SNHL) by damaging auditory hair cells. Understanding these PCD mechanisms is crucial for developing new treatments for hearing loss.
Area of Science:
- Oto-neuroscience
- Cellular Biology
- Genetics
Background:
- Sensorineural hearing loss (SNHL) involves the pathological death of auditory hair cells.
- Ototoxic drugs, aging, and noise exposure are key factors inducing hair cell death via programmed cell death (PCD) pathways.
- Genetic mutations in apoptotic genes are linked to monogenic forms of hearing loss (HL).
Purpose of the Study:
- To review the role of apoptosis, autophagy, and programmed necrosis in various types of hearing loss.
- To discuss the therapeutic implications of understanding PCD in hearing loss.
- To highlight the importance of PCD research for identifying novel drug targets.
Main Methods:
- Literature review of programmed cell death pathways in hearing loss.
- Analysis of genetic mutations associated with monogenic hearing loss.
- Discussion of pathogenic factors inducing auditory hair cell death.
Main Results:
- Programmed cell death (PCD) pathways are implicated in the pathogenesis of SNHL.
- Specific apoptotic gene mutations contribute to hereditary hearing loss.
- Diverse factors trigger hair cell death through distinct PCD mechanisms.
Conclusions:
- Programmed cell death plays a significant role in the development of hearing loss.
- Further research into PCD pathways is essential for understanding HL pathogenesis.
- Targeting PCD mechanisms offers potential for new therapeutic strategies for hearing loss.
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