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2018 | 17 | 3 | 95-104

Article title

Perspektywy prewencji i leczenia odbiorczych uszkodzeń słuchu

Content

Title variants

EN
Perspectives for prevention and treatment of sensorineural hearing loss

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PL EN

Abstracts

PL
Uszkodzenia słuchu są najczęstszym zaburzeniem narządów zmysłów, będąc przyczyną niepełnosprawności słuchowej u ponad 5% ludzi na świecie. Częstość uszkodzeń słuchu systematycznie zwiększa się, generując coraz większe koszty społeczne. Etiopatogeneza rozwoju odbiorczych uszkodzeń słuchu jest złożona. Mogą być one powodowane zaburzeniami genetycznymi, a także czynnikami środowiskowymi i osobniczymi. Aktualnie opisanych zostało ponad 100 genów, których mutacje są przyczyną wystąpienia izolowanej głuchoty lub niedosłuchu oraz scharakteryzowano ponad 400 zespołów złożonych wad rozwojowych, którym towarzyszy niedosłuch. Często jednak uszkodzenia słuchu są wypadkową uwarunkowań genetycznych oraz czynników środowiskowych. Przykładami chorób o zło- żonej etiologii są uszkodzenie słuchu spowodowane procesem starzenia się i uszkodzenie słuchu spowodowane hałasem, któ- rych rozwój zależy zarówno od czynników środowiskowych, jak i rodzinnie występujących polimorfizmów genów. W ostatnich latach w leczeniu i prewencji wielu chorób stosowane jest podejście oparte na medycynie spersonalizowanej, uwzględniające unikalny genom pacjenta, biomarkery, a także indywidualne czynniki środowiskowe i osobnicze. Spersonalizowane postępowanie w odbiorczych uszkodzeniach słuchu jest niedaleką przyszłością, dzięki dynamicznemu rozwojowi badań podstawowych nad narządem słuchu, w tym diagnostyki z zastosowaniem nowych technologii sekwencjonowania genów i doświadczalnej terapii genowej oraz badań nad procesami regeneracji komórek i neuronów słuchowych, w tym z zastosowaniem komórek macierzystych. W pracy przedstawiono osiągnięcia w zakresie badań doświadczalnych nad narządem słuchu w aspekcie przełożenia wyników tych prac na postępowanie w głuchotach odbiorczych u człowieka.
EN
Hearing loss (HL) is one of the most common sensory disorders in humans, causing hearing disability in over 5% of people in general population. The prevalence of hearing loss systematically increases generaing higher medical and nonmedical costs. Etiopathogenesis of sensorineural HL is complex and can be conditioned by genetic, environmental, as well as individual factors. Up to date over 100 genes whose mutations cause an isolated deafness and over 400 syndromic deafness have been described. Frequently both genetic and environmental factors underlie HL development. The examples of such complex diseases are age-related hearing loss (ARHL) and noise-induced hearing loss (NIHL), in the development of which environmental factors, as well as familial gene polymorphisms may play a role. In recent years, the strategies of medical care based on precise medicine are being introduced in the treatment and prevention of several diseases. This approach offers the medical care based on a patient’s unique genome, biomarkers as well as environmental and individual factors. Precise medicine is a very near future to be offered for management of sensorineural hearing loss, which is an advantage resulting from the progress in basic research and development of new diagnostic and therapeutic tools and methods, such as diagnostics with the use of new gene sequencing technologies and experimental gene therapy as well as research on regeneration processes of sensory cells and auditory neurons including the use of stem cells. The aim of this article is to present the progress and achievement in experimental research on regeneration of the inner ear in the aspect of its transitional value in the management of sensorineural hearing loss in humans.

Discipline

Publisher

Year

Volume

17

Issue

3

Pages

95-104

Physical description

Contributors

  • Klinika Audiologii i Foniatrii, Instytut Medycyny Pracy w Łodzi

References

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Document Type

article

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.psjd-62d0a205-6b51-4ec5-9bfc-079f5b54f597
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