Authors:Pacheu-Grau, D.; Pérez-Delgado, L.; Gómez-Díaz, C.; Fraile-Rodrigo, J.; Montoya, J.; Ruiz-Pesini, E.
Ménière's disease patients experience
vestibular disability.
When most of medical treatments fail, a chemical
labyrinthectomy using aminoglycosides is indicated.
However, this process
frequently causes hearing damage.
Aminoglycosides, interacting with
mitochondrial rRNAs, alter mitochondrial protein synthesis and the oxidative
phosphorylation system, which provide most of the energy in sensory hair cells.
For this reason, we hypothesized that genetic variation in mitochondrial rRNA
genes and in two nuclear genes coding for proteins that also modify the
susceptibility to aminoglycosides might affect the risk of hearing loss in
Ménière's disease patients suffering chemical labyrinthectomy.
However, there
were no differences in mitochondrial rRNA, TFB1M or MRPS12 genetic variation
between those patients that experienced or did not experience hearing loss.
This is only a pilot study and larger studies are required to use this
therapeutic approach in a rational way and decrease the risk of hearing damage.
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