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Not-so-normal hearing: Temporary hearing changes lead to chronic difficulties for listeners with ”normal” audiometric thresholds 听力不太正常:暂时的听力变化会给听力阈值 "正常 "的听众带来长期的困难。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-16 DOI: 10.1016/j.heares.2025.109183
Douglas S. Brungart , Gregory M. Ellis , Alyssa Davidson , Hector Galloza , Benjamin Sheffield , Jaclyn Schurman
Hearing loss has historically been mainly associated with elevated pure-tone thresholds. However, in recent years, there has been increased interest in addressing the hearing difficulties reported by individuals with normal hearing thresholds. In this study, we measured hearing thresholds, noise history, temporary threshold shift history, and hearing difficulty for a sample of 10,492 Service Members. Our data reveal that overall hearing difficulties increase systematically as a function of hearing threshold within the range that is conventionally considered to be ”normal” hearing. Noise exposure history is associated with increasing hearing difficulty at all thresholds, particularly individuals with a history of noticeable changes in their hearing after noise exposure. These results challenge some fundamental assumptions of current hearing conservation programs and suggest that variations in post-noise hearing symptoms may reflect differences in individual susceptibility to permanent damage from noise exposure.
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引用次数: 0
Comparing approaches for predicting behavioural speech-in-noise performance using cortical responses to unattended stimuli 利用大脑皮层对无人看管刺激的反应预测噪音中言语行为表现的方法比较。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-15 DOI: 10.1016/j.heares.2025.109197
Suwijak Deoisres, Ghadah S. Aljarboa, Steven L. Bell, David M. Simpson
The cortical tracking of the acoustic envelope is a phenomenon where the brain's electrical activity, as recorded by electroencephalography (EEG) signals, fluctuates in accordance with changes in stimulus intensity (the acoustic envelope of the stimulus). Understanding speech in a noisy background is a key challenge for people with hearing impairments. Speech stimuli are therefore more ecologically valid than clicks, tone pips, or speech tokens (e.g., syllables) for assessing hearing. However, it remains unclear whether EEG responses to speech provide an advantage in predicting speech intelligibility. This study aimed to assess the ability of cortical responses to speech and speech-related sounds to predict behavioural speech-in-noise performance in listeners with normal hearing when they are not attending to the stimuli.
Twenty native English-speaking adults with normal hearing (aged 18 to 40 years) participated in a speech reception task, listening to English Matrix sentences presented at signal-to-noise ratios (SNRs) of -15, -10, -5, 0, and ∞ (no background noise) dB, and then identifying the words they heard in the sentences. In the EEG experiment, the participants then listened to continuous speech, broadband noise modulated by the envelope of speech, and repeating short /da/ stimuli presented at the same SNR levels as in the Matrix test. For the latter, Auditory Late Response (ALR) was estimated from the EEG, and for the former, the strength of the envelope-tracking responses was calculated.
Cortical responses to all stimuli showed monotonic relationships with the signal-to-noise ratio at the group level and in most individuals, although there was considerable variability. EEG analysis in the delta band showed no significant difference in the number of participants with predicted speech reception thresholds (SRTs) within an error margin of 7 dB—the level at which SRT prediction is considered applicable—regardless of the type of cortical response used. In the theta band, however, SRT predictions based on cortical responses to continuous speech performed worse, showing a significantly lower number of predictions within an error margin of 7 dB compared to those based on cortical responses to modulated noise and the repeating /da/ sound. The proportion of individual SRT predictions with an error margin within 7 dB was, at best, 30 %.
For people with normal hearing, cortical responses to continuous speech and modulated noise predicted speech-in-noise performance at the group level but not at the individual level, due to variability in cortical tracking of the acoustic envelope. Predicting the SRT on an individual level remains a major and clinically important challenge.
声学包络的皮层追踪是一种现象,脑电图(EEG)信号记录的大脑电活动随着刺激强度(刺激的声学包络)的变化而波动。在嘈杂的背景下理解语言是听力障碍患者面临的一个关键挑战。因此,在评估听力方面,语音刺激比咔哒声、音点或语音标记(如音节)更具生态有效性。然而,脑电图对语音的反应是否在预测语音可理解性方面具有优势尚不清楚。本研究旨在评估听力正常的听者在不注意刺激物的情况下,大脑皮层对言语和言语相关声音的反应能力,以预测他们在噪音中言语的行为表现。20名听力正常的英语母语成人(18 ~ 40岁)参加语音接收任务,听信噪比为-15、-10、-5、0和∞(无背景噪声)dB的英语矩阵句子,然后识别他们在句子中听到的单词。在脑电图实验中,参与者接着听了连续的语音,由语音包络调制的宽带噪声,并以与矩阵测试相同的信噪比重复呈现短/da/刺激。对于后者,通过脑电估计听觉延迟反应(ALR),对于前者,计算包络跟踪响应的强度。尽管存在相当大的可变性,但在群体水平和大多数个体中,对所有刺激的皮层反应与信噪比呈单调关系。delta波段的脑电图分析显示,无论使用何种类型的皮层反应,预测语音接收阈值(SRT)在误差范围为7db (SRT预测被认为适用的水平)以内的参与者数量没有显著差异。然而,在θ波段,基于皮质对连续语音反应的SRT预测表现较差,与基于皮质对调制噪声和重复/da/声音的反应的预测相比,在7 dB的误差范围内显示出明显较低的预测数量。单个SRT预测误差范围在7 dB以内的比例最多为30%。对于听力正常的人来说,大脑皮层对连续语音和调制噪声的反应在群体水平上预测了噪声中的语音表现,但在个体水平上却无法预测,这是由于大脑皮层对声学包络的跟踪存在可变性。在个体水平上预测SRT仍然是一个重要的临床挑战。
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引用次数: 0
Toward cognitive models of misophonia
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-11 DOI: 10.1016/j.heares.2025.109184
Marie-Anick Savard, Emily B.J. Coffey
Misophonia is a disorder in which specific common sounds such as another person breathing or chewing, or the ticking of a clock, cause an atypical negative emotional response. Affected individuals may experience anger, irritability, annoyance, disgust, and anxiety, as well as physiological autonomic responses, and may find everyday environments and contexts to be unbearable in which their ‘misophonic stimuli’ (often called ‘trigger sounds’) are present. Misophonia is gradually being recognized as a genuine problem that causes significant distress and has negative consequences for individuals and their families. It has only recently come under scientific scrutiny, as researchers and clinicians are establishing its prevalence, distinguishing it from other disorders of sensory sensitivity such as hyperacusis, establishing its neurobiological bases, and evaluating the effectiveness of potential treatments. While ideas abound as to the mechanisms involved in misophonia, few have coalesced into models. The aim of the present work is to summarize and extend recent thinking on the mechanistic basis of misophonia, with a focus on moving towards neurologically-informed cognitive models that can (a) account for extant findings, and (b) generate testable predictions. We hope this work will facilitate future refinements in our understanding of misophonia, and ultimately inform treatments.
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引用次数: 0
The mechanisms of frequency tuning in gecko auditory hair cells 壁虎听觉毛细胞的频率调谐机制。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-11 DOI: 10.1016/j.heares.2025.109186
Robert Fettiplace, Maryline Beurg
We developed an isolated auditory papilla of the crested gecko to record from the hair cells and explore the origins of frequency tuning. Low-frequency cells displayed electrical tuning, dependent on Ca2+-activated K+ channels; high-frequency cells, overlain with sallets, showed a variation in hair bundle stiffness which when combined with sallet mass could provide a mechanical resonance of 1 to 6 kHz. Sinusoidal electrical currents injected extracellularly evoked hair bundle oscillations at twice the stimulation frequency, consistent with fast electromechanical responses from hair bundles of two opposing orientations, as occur in the sallets. Current evoked oscillations were reduced by lowering Ca2+, but not by block of the mechanotransduction channels by dihydrostreptomycin or salicylate block of prestin. We suggest the phenomenon may augment passive mechanical tuning of the sallets over the high-frequency region.
我们开发了一个分离的冠壁虎的听觉乳头,从毛细胞记录和探索频率调谐的起源。低频细胞显示电调谐,依赖于Ca2+激活的K+通道;覆盖有小颗粒的高频细胞显示出毛束刚度的变化,当与小颗粒质量结合时,可以提供1至6千赫的机械共振。注入细胞外的正弦电流以两倍的刺激频率诱发了毛束振荡,这与两个相反方向的毛束的快速机电响应一致,就像在小盐中发生的那样。电流诱发的振荡可以通过降低Ca2+来减少,但不能通过双氢链霉素或水杨酸阻断普司汀阻断机械转导通道来减少。我们认为这种现象可能会增加高频区域的小管的被动机械调谐。
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引用次数: 0
Gonad-derived steroid hormones mediate a sex difference in the maturation of auditory encoding in the cochlea from adolescence to early adulthood in C57BL/6J mice 性腺源性类固醇激素介导C57BL/6J小鼠青春期至成年早期耳蜗听觉编码成熟的性别差异。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-10 DOI: 10.1016/j.heares.2025.109187
Nicholas R. Lozier , Max A. Aizenstein , Essence D. Williams , Marίa E. Rubio
Sexually mature females of multiple mammalian species were previously reported to have increased peripheral auditory sensitivity, often measured as higher auditory brainstem response (ABR) wave I amplitude compared to males. Here, we determined potential hormonal and genetic (i.e., XX- vs. XY-linked genes) contributions to this sex difference by recording ABRs in gonadally intact and gonadectomized female and male wildtype (WT) and four core genotypes (FCG) C57BL/6J mice. WT females at postnatal day 38 (P38) and P65, and FCG mice with ovaries at P65 had higher wave I amplitude than males, and the difference was absent in gonadectomized mice. Furthermore, in WT mice, we addressed the initiation and duration of the sex difference in wave amplitude from pre-pubescence (P25) through maturation from post-pubescent late adolescence to early adulthood (P38, P65, and P95) in both the cochlea and cochlear nucleus. In both female and male mice, wave I amplitude decreased by 50 % from P25 to P95. However, the amplitude in females was 22 % and 11 % higher than males at P38 and P65, respectively. In gonadectomized mice, there was no sex difference in wave I amplitude at any age tested, due to a decrease in gonadectomized females. In contrast, we found that wave II amplitude remains relatively constant over these ages in both sham and gonadectomized WT female and male mice. Together, the data suggest that gonad-derived hormones differentially refine the maturation of wave I, but not wave II, amplitude between late adolescence and early adulthood.
以前有报道称,性成熟的雌性哺乳动物的外周听觉敏感性增加,通常表现为与雄性相比,听觉脑干反应(ABR)波I振幅更高。在这里,我们通过记录雌性和雄性野生型(WT)以及四个核心基因型(FCG) C57BL/6J小鼠的abr,确定了潜在的激素和遗传(即XX-与xy相关的基因)对这种性别差异的贡献。出生后第38天(P38)和第65天(P65)的WT雌性小鼠以及卵巢处于P65的FCG小鼠的波I振幅高于雄性,而性腺去骨小鼠的波I振幅则不存在差异。此外,在WT小鼠中,我们研究了从青春期前(P25)到青春期后青春期晚期到成年早期(P38, P65和P95)耳蜗和耳蜗核中波幅的性别差异的开始和持续时间。在雌性和雄性小鼠中,波I振幅从P25到P95下降了50%。然而,在P38和P65处,雌性的振幅分别比雄性高22%和11%。在去腺细胞的小鼠中,由于雌性去腺细胞的减少,在任何年龄的测试中,波I振幅都没有性别差异。相比之下,我们发现在假手术和去性腺的雌性和雄性WT小鼠中,波II振幅在这些年龄保持相对恒定。综上所述,数据表明性腺来源的激素在青春期晚期和成年早期之间不同程度地细化了波I的成熟程度,而不是波II的成熟程度。
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引用次数: 0
Convergent validity of cortical auditory evoked potential indices of central auditory nervous system inhibition in people with and without tinnitus
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-08 DOI: 10.1016/j.heares.2025.109185
Kenneth Morse, Leah Morse
Tinnitus is the perception of a ringing, buzzing, or other sound without the presence of an external stimulus. Reduced central auditory nervous system inhibition is a commonly reported mechanism contributing to a person's tinnitus perception. Different cortical auditory evoked potential (CAEP) studies have supported the presence of reduced inhibition in people with tinnitus. Although previous CAEPs used to study tinnitus do broadly represent inhibitory function, it is not entirely clear if the different CAEPs present similarly within an individual. To address this gap in knowledge, the current study evaluated the convergent validity between different CAEPs that broadly reflect inhibitory function, called sensory gating and onset-offset CAEPs. Convergent validity between sensory gating and onset-offset CAEPs was evaluated as a function of participant tinnitus status, stimulus frequency, and CAEP quantification approach. The results indicated that sensory gating and onset-offset CAEP responses indicative of inhibitory function did not demonstrate strong convergent validity. Further, the strength of convergent validity did not differ between people with and without tinnitus. However, experimental factors that yielded more robust CAEPs, such as broadband stimuli, and more comprehensive measures of amplitude, such as total response area, resulted in better convergent validity compared to higher frequency stimuli and more isolated measures of amplitude like peak amplitude. Overall, these findings suggest that the specific inhibitory mechanisms represented by sensory gating and onset-offset CAEPs differ. Therefore, each CAEP may be better suited to study distinct populations and/or inhibitory functions.
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引用次数: 0
Administration of nicotinamide mononucleotide suppresses the progression of age-related hearing loss in mice 烟酰胺单核苷酸抑制小鼠年龄相关性听力损失的进展。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-05 DOI: 10.1016/j.heares.2025.109182
Kouya Hattori , Takashige Hamaguchi , Rika Azuma-Suzuki , Seiichiro Higashi , Aiko Manji , Masashi Morifuji
Age-related hearing loss (ARHL) is a widespread problem in the elderly, significantly impairing their quality of life. Despite its high prevalence, no fundamental treatment for ARHL has been established. Nicotinamide adenine dinucleotide (NAD+) is required for various biological processes and tissue levels of the coenzyme NAD+ are known to decrease with age. A previous report suggested that declining NAD+ levels induce age-related diseases and NAD+ supplementation might be effective for treating or preventing age-related diseases. To clarify the effect of NAD+ supplementation on ARHL, C57BL/6J mice used as an animal model of ARHL were treated with nicotinamide mononucleotide (NMN), a precursor of NAD+. Oral administration of NMN at 500 mg/kg/day effectively suppressed the development of ARHL in C57BL/6J mice. To elucidate the mechanism by which NMN administration suppressed the development of ARHL, NAD+-related metabolites were assessed, and a comprehensive transcriptomic analysis of the inner ear tissue was performed. NMN administration resulted in increased NAD+ levels in inner ear tissues and induced changes in the transcriptome, specifically in genes related to metal ion metabolism. These findings suggest that NMN administration enhanced NAD+ levels in inner ear tissues, modulating metal ion metabolism to potentially protect against oxidative stress. This study provides a novel therapeutic approach to mitigating ARHL through NAD+ supplementation.
年龄相关性听力损失(ARHL)是老年人普遍存在的问题,严重影响了他们的生活质量。尽管ARHL的发病率很高,但目前尚无针对ARHL的基本治疗方法。烟酰胺腺嘌呤二核苷酸(NAD+)是各种生物过程所必需的,而组织中辅酶NAD+的水平随着年龄的增长而下降。先前的一份报告表明,NAD+水平的下降会诱发与年龄有关的疾病,补充NAD+可能对治疗或预防与年龄有关的疾病有效。为了阐明补充NAD+对ARHL的影响,采用NAD+前体烟酰胺单核苷酸(nicotinamide mononucleotide, NMN)治疗作为ARHL动物模型的C57BL/6J小鼠。口服NMN 500 mg/kg/d可有效抑制C57BL/6J小鼠ARHL的发展。为了阐明NMN抑制ARHL发展的机制,研究人员评估了NAD+相关代谢物,并对内耳组织进行了全面的转录组学分析。NMN导致内耳组织中NAD+水平升高,并诱导转录组的变化,特别是与金属离子代谢相关的基因的变化。这些发现表明,NMN可以提高内耳组织中NAD+的水平,调节金属离子代谢,从而潜在地防止氧化应激。本研究为通过补充NAD+缓解ARHL提供了一种新的治疗方法。
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引用次数: 0
Brain activation patterns in normal hearing adults: An fNIRS Study using an adapted clinical speech comprehension task 正常听力成人的脑激活模式:一项使用适应性临床言语理解任务的fNIRS研究。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.heares.2024.109155
András Bálint , Wilhelm Wimmer , Marco Caversaccio , Christian Rummel , Stefan Weder

Objectives

Understanding brain processing of auditory and visual speech is essential for advancing speech perception research and improving clinical interventions for individuals with hearing impairment. Functional near-infrared spectroscopy (fNIRS) is deemed to be highly suitable for measuring brain activity during language tasks. However, accurate data interpretation also requires validated stimuli and behavioral measures.

Design

Twenty-six adults with normal hearing listened to sentences from the Oldenburg Sentence Test (OLSA), and brain activation in the temporal, occipital, and prefrontal areas was measured by fNIRS. The sentences were presented in one of the four different modalities: speech-in-quiet, speech-in-noise, audiovisual speech or visual speech (i.e., lipreading). To support the interpretation of our fNIRS data, and to obtain a more comprehensive understanding of the study population, we performed hearing tests (pure tone and speech audiometry) and collected behavioral data using validated questionnaires, in-task comprehension questions, and listening effort ratings.

Results

In the auditory conditions (i.e., speech-in-quiet and speech-in-noise), we observed cortical activity in the temporal regions bilaterally. During the visual speech condition, we measured significant activation in the occipital area. Following the audiovisual condition, cortical activation was observed in both regions. Furthermore, we established a baseline for how individuals with normal hearing process visual cues during lipreading, and we found higher activity in the prefrontal cortex in noise conditions compared to quiet conditions, linked to higher listening effort.

Conclusions

We demonstrated the applicability of a clinically inspired audiovisual speech-comprehension task in participants with normal hearing. The measured brain activation patterns were supported and complemented by objective and behavioral parameters.
目的:了解听觉和视觉语言的大脑加工对于推进语音感知研究和改善听力障碍患者的临床干预至关重要。功能性近红外光谱(fNIRS)被认为非常适合测量语言任务时的大脑活动。然而,准确的数据解释还需要有效的刺激和行为措施。设计:26名听力正常的成年人听了Oldenburg句子测试(OLSA)中的句子,并通过近红外光谱测量了颞、枕部和前额叶区域的大脑活动。这些句子以四种不同的方式之一呈现:无声语、嘈杂语、视听语或视觉语(即唇读)。为了支持我们对fNIRS数据的解释,并获得对研究人群更全面的了解,我们进行了听力测试(纯音和语音测听),并使用有效问卷、任务理解问题和听力努力评分收集行为数据。结果:在听觉条件下(即安静语音和噪音语音),我们观察到双侧颞区皮层活动。在视觉语言条件下,我们在枕区测量到显著的激活。在视听条件下,在两个区域都观察到皮层激活。此外,我们为听力正常的人在唇读过程中如何处理视觉线索建立了一个基线,我们发现,与安静的条件相比,噪音条件下前额叶皮层的活动更高,这与更高的听力努力有关。结论:我们证明了临床启发的视听语言理解任务在听力正常的参与者中的适用性。测量的大脑激活模式得到了客观和行为参数的支持和补充。
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引用次数: 0
Uncovering cellular senescence as a therapeutic target in NF2-related vestibular schwannoma 揭示细胞衰老作为nf2相关前庭神经鞘瘤的治疗靶点。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.heares.2024.109165
Sandra Franco-Caspueñas , Carmen García-Montoya , Julio Contreras , Luis Lassaletta , Isabel Varela-Nieto , Ana M. Jiménez-Lara

Background

Vestibular schwannomas (VS) are complex and heterogeneous human tumors arising from the Schwann cell compartment of the vestibulocochlear nerve. VS cause significant neurological deficit such as hearing loss and vestibular impairment, and in some cases death due to brainstem compression. There is an urgent need to find pharmacotherapies for VS since surgical removal and stereotactic radiosurgery are the only effective treatments. Cancer therapy based in the combination of drug-induced senescence and senolytics may provide an innovative pharmacological alternative for VS management.

Methods

Senescence-associated β-galactosidase (SA-β-GAL) activity detection assay, real-time polymerase chain reaction (RT-PCR), western blotting and immunofluorescence, together with viability assays were used to analyze the response to different chemotherapy drugs of the human VS HEI-193 cell line. Human VS tumor paraffin sections were also studied for SA-β-GAL-stained cells.

Results

We found that chemotherapy compounds induced genotoxic stress and cellular senescence in HEI-193 VS cells, as characterized by increased SA-β-GAL activity, growth arrest, increased levels of the cyclin-dependent kinase inhibitor p21 and the accumulation of DNA damage. These cellular senescence markers were also accompanied by an increase of senescence-associated secretory phenotype (SASP): IL6, IL8, IL1B and MMP1. Induction of senescence by chemotherapy rendered HEI-193 VS cells as druggable targets for senolytic compounds, as navitoclax. Thus, treatment with navitoclax selectively eliminated bleomycin-induced senescent HEI-193 VS cells by activating the extrinsic and intrinsic apoptosis pathways. Our data also show the presence of senescent cells, SA-β-GAL-positive stain, in human VS tumors, which are not present in healthy great auricular nerve sections.

Conclusions

These findings suggest that a one-two punch strategy of pro-senescence therapy induced by chemotherapy treatment followed by senolytic therapy represents a new paradigm for the pharmacological treatment of VS.
背景:前庭裂神经瘤(Vestibular schwannomas,VS)是一种复杂的异质性人类肿瘤,产生于前庭裂神经的许旺细胞区。前庭裂神经瘤会导致严重的神经功能缺损,如听力损失和前庭功能障碍,在某些情况下还会因压迫脑干而导致死亡。由于手术切除和立体定向放射外科手术是唯一有效的治疗方法,因此迫切需要找到治疗 VS 的药物疗法。基于药物诱导衰老和衰老剂相结合的癌症疗法可能会为 VS 的治疗提供一种创新的药物疗法:方法:采用衰老相关β-半乳糖苷酶(SA-β-GAL)活性检测法、实时聚合酶链反应(RT-PCR)、免疫印迹法和免疫荧光法以及活力检测法来分析人VS HEI-193细胞系对不同化疗药物的反应。此外,还对人VS肿瘤石蜡切片进行了SA-β-GAL染色细胞的研究:结果:我们发现化疗药物诱导了 HEI-193 VS 细胞的基因毒性应激和细胞衰老,表现为 SA-β-GAL 活性升高、生长停滞、细胞周期蛋白依赖性激酶抑制剂 p21 水平升高和 DNA 损伤积累。这些细胞衰老标志物还伴随着衰老相关分泌表型(SASP)的增加:IL6、IL8、IL1B 和 MMP1。化疗诱导衰老使 HEI-193 VS 细胞成为纳维络克(navitoclax)等衰老溶解化合物的药物靶标。因此,用navitoclax治疗可选择性地消除博莱霉素诱导的衰老HEI-193 VS细胞,激活细胞凋亡的外在和内在途径。我们的数据还显示,人VS肿瘤中存在衰老细胞,即SA-β-GAL阳性染色,而健康的大耳廓神经切片中不存在这种细胞:这些研究结果表明,化疗诱导的促衰老疗法和衰老溶解疗法双管齐下的策略代表了VS药物治疗的新模式。
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引用次数: 0
Hearing Research: Departing Editorial from your Resigning Editor-in-Chief, Barbara Canlon 《听力研究:即将离职的总编辑芭芭拉·坎隆的社论》
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.heares.2024.109168
Barbara Canlon
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引用次数: 0
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Hearing Research
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