Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease

Meniere’s disease (MD) is one of the most complicated diseases in the otologic clinic. The complexity of MD is partially due to the multifactorial etiological mechanisms and the heterogenous symptoms, including episodic vertigo, hearing loss, aural fullness and tinnitus. As a result, the diagnosis o...

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Main Authors: Chao-Hui Yang, Ming-Yu Yang, Chung-Feng Hwang, Kuang-Hsu Lien
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/3/2504
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author Chao-Hui Yang
Ming-Yu Yang
Chung-Feng Hwang
Kuang-Hsu Lien
author_facet Chao-Hui Yang
Ming-Yu Yang
Chung-Feng Hwang
Kuang-Hsu Lien
author_sort Chao-Hui Yang
collection DOAJ
description Meniere’s disease (MD) is one of the most complicated diseases in the otologic clinic. The complexity of MD is partially due to the multifactorial etiological mechanisms and the heterogenous symptoms, including episodic vertigo, hearing loss, aural fullness and tinnitus. As a result, the diagnosis of MD and differentiating MD from other diseases with similar symptoms, such as vestibular migraine (VM), is challenging. In addition, it is difficult to predict the progression of hearing loss and the frequency of vertigo attacks. Detailed studies have revealed that functional markers, such as pure tone audiometry (PTA), electrocochleography (ECochG), vestibular evoked myogenic potential (VEMP), caloric test, video head impulse test (vHIT) and magnetic resonance imaging (MRI) could help to evaluate MD with different hearing levels and frequency of vertigo attacks. Investigations of molecular markers such as autoimmunity, inflammation, protein signatures, vasopressin and circadian clock genes in MD are still underway. This review will summarize these functional and molecular markers, address how these markers are associated with hearing loss and vertigo attacks in MD, and analyze the results of the markers between MD and VM.
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spelling doaj.art-ebed7421247b42189d63ffe75bfedca62023-11-16T16:58:14ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-01-01243250410.3390/ijms24032504Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s DiseaseChao-Hui Yang0Ming-Yu Yang1Chung-Feng Hwang2Kuang-Hsu Lien3Department of Otolaryngology-Head & Neck Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Otolaryngology-Head & Neck Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Otolaryngology-Head & Neck Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanGraduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan 33302, TaiwanMeniere’s disease (MD) is one of the most complicated diseases in the otologic clinic. The complexity of MD is partially due to the multifactorial etiological mechanisms and the heterogenous symptoms, including episodic vertigo, hearing loss, aural fullness and tinnitus. As a result, the diagnosis of MD and differentiating MD from other diseases with similar symptoms, such as vestibular migraine (VM), is challenging. In addition, it is difficult to predict the progression of hearing loss and the frequency of vertigo attacks. Detailed studies have revealed that functional markers, such as pure tone audiometry (PTA), electrocochleography (ECochG), vestibular evoked myogenic potential (VEMP), caloric test, video head impulse test (vHIT) and magnetic resonance imaging (MRI) could help to evaluate MD with different hearing levels and frequency of vertigo attacks. Investigations of molecular markers such as autoimmunity, inflammation, protein signatures, vasopressin and circadian clock genes in MD are still underway. This review will summarize these functional and molecular markers, address how these markers are associated with hearing loss and vertigo attacks in MD, and analyze the results of the markers between MD and VM.https://www.mdpi.com/1422-0067/24/3/2504Meniere’s diseasemarkerspure tone audiometryelectrocochleographyvestibular evoked myogenic potentialcaloric test
spellingShingle Chao-Hui Yang
Ming-Yu Yang
Chung-Feng Hwang
Kuang-Hsu Lien
Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease
International Journal of Molecular Sciences
Meniere’s disease
markers
pure tone audiometry
electrocochleography
vestibular evoked myogenic potential
caloric test
title Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease
title_full Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease
title_fullStr Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease
title_full_unstemmed Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease
title_short Functional and Molecular Markers for Hearing Loss and Vertigo Attacks in Meniere’s Disease
title_sort functional and molecular markers for hearing loss and vertigo attacks in meniere s disease
topic Meniere’s disease
markers
pure tone audiometry
electrocochleography
vestibular evoked myogenic potential
caloric test
url https://www.mdpi.com/1422-0067/24/3/2504
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AT mingyuyang functionalandmolecularmarkersforhearinglossandvertigoattacksinmenieresdisease
AT chungfenghwang functionalandmolecularmarkersforhearinglossandvertigoattacksinmenieresdisease
AT kuanghsulien functionalandmolecularmarkersforhearinglossandvertigoattacksinmenieresdisease