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Updated: Dec 5, 2025

Modified Experimental Conditions for Noise-Induced Hearing Loss in Mice and Assessment of Hearing Function and Outer Hair Cell Damage
Published on: February 10, 2023
CARD8 polymorphism rs2043211 protects against noise-induced hearing loss by causing the dysfunction of CARD8 protein
Long Miao1, Boshen Wang1, Jiahui Ji1
1Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health, Southeast University, Nanjing, 210009, People's Republic of China.
Insights
The CARD8 gene's rs2043211 A allele may lower noise-induced hearing loss (NIHL) risk in Chinese populations. This genetic variation potentially reduces NIHL susceptibility through altered CARD8 protein expression.
Area of Science:
- Genetics
- Audiology
- Molecular Biology
Background:
- Inflammation plays a key role in noise-induced hearing loss (NIHL).
- CARD8, an inflammasome component, is involved in inflammatory processes.
- Understanding genetic factors influencing NIHL is crucial for prevention.
Purpose of the Study:
- To investigate the association between CARD8 gene polymorphisms and NIHL risk in a Chinese population.
- To explore the potential functional mechanisms underlying the observed genetic associations.
Main Methods:
- Genotyping of three CARD8 SNPs (rs2043211, rs1062808, rs12459322) in 610 NIHL cases and 612 controls.
- Bioinformatic analysis to predict SNP impacts on CARD8 structure and function.
- Functional experiments using HEK293 cells to assess SNP effects on CARD8 protein expression via western blot.
Main Results:
- The rs2043211 AA genotype and A allele were significantly associated with a reduced risk of NIHL.
- A protective effect of the rs2043211 A allele was observed in males, drinkers, and individuals exposed to noise levels ≥92 dB.
- The AGG haplotype (rs2043211-rs1062808-rs12459322) also showed a significant association with decreased NIHL risk.
- Bioinformatics predicted rs2043211 to be deleterious, affecting CARD8 protein stability.
- Functional assays confirmed that mutant CARD8 significantly decreased protein expression levels.
Conclusions:
- The rs2043211 A allele may confer protection against NIHL in the Chinese population.
- This protective effect is potentially mediated by reduced CARD8 protein expression and subsequent functional changes.
- rs2043211 may serve as a valuable genetic biomarker for assessing NIHL susceptibility in noise-exposed workers.
Abstract:
Inflammation is a complicated process and is considered to be responsible for the development of noise-induced hearing loss (NIHL). CARD8 is an important component of inflammasome that has been implicated in inflammation. To decide the relationship between the polymorphisms of CARD8 gene and NIHL risk and deduce the potential mechanism, three SNPs (rs2043211, rs1062808, and rs12459322) were genotyped in a Chinese population consisting of 610 NIHL cases and 612 normal hearing controls. The possible impacts of SNPs on CARD8 structure and function were assessed using a variety of bioinformatics tools. Plasmids expressing wild-type and/or mutated CARD8 were transfected into HEK293 cells to verify the effect of SNPs on CARD8 protein expression level by western blot. The results revealed that rs2043211 AA genotype and A allele were associated with decreased risk of NIHL. Stratified analysis found that the male, drinking and exposed to noise ≥ 92 dB, subjects harboring rs2043211 A allele had a low risk of NIHL. The haplotype AGG (rs2043211-rs1062808-rs12459322) was significantly associated with a decreased risk of NIHL. SNP rs2043211 was predicted to be deleterious and affects CARD8 protein structure and stability. Furthermore, the functional experiment showed the mutant CARD8 could significantly decrease the CARD8 protein expression level. This study confirms that rs2043211 A allele may reduce NIHL risk by causing the loss of PPI combined with the decreased CARD8 expression level leading to CARD8 functional changes, and it may be one valuable genetic biomarker of NIHL susceptibility for Chinese noise-exposed workers.
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