2018
DOI: 10.1007/s40136-018-0186-4
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The Role of Tumor Necrosis Factor Alpha (TNFα) in Hearing Loss and Vestibular Schwannomas

Abstract: Purpose of review: The aim of this review is to highlight relevant literature on the role of tumor necrosis factor alpha (TNFα) in sensorineural hearing loss (SNHL) and vestibular schwannomas (VS). Recent Findings: A comprehensive review of publically available databases including PubMed was performed. The mechanism by which hearing loss occurs in VS is still unknown and likely multifactorial. Genetic differences between VSs and tumor secreted proteins may be responsible, at least in part, for VS-associated … Show more

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Cited by 25 publications
(23 citation statements)
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“…TNFRSF1A has been shown to involve in the production of ototoxic reactive oxygen species and has been demonstrated to be specifically upregulated in gentamicin-mediated ototoxicity [ 32 ], suggesting that high expression of TNFRSF1A may have damaging effects on hearing and hair cells [ 32 ]. Besides, TNFRSF1A may cause infiltration of inflammatory cells, which is known to be the main cause of hearing problems [ 33 ]. As for the TNF pathway, genetic knockout of tumor necrosis factor-alpha (TNF-α) or pharmacologically blocking TNF-α expression ameliorated the behavioral phenotype associated with noise-induced tinnitus in mice [ 34 ].…”
Section: Discussionmentioning
confidence: 99%
“…TNFRSF1A has been shown to involve in the production of ototoxic reactive oxygen species and has been demonstrated to be specifically upregulated in gentamicin-mediated ototoxicity [ 32 ], suggesting that high expression of TNFRSF1A may have damaging effects on hearing and hair cells [ 32 ]. Besides, TNFRSF1A may cause infiltration of inflammatory cells, which is known to be the main cause of hearing problems [ 33 ]. As for the TNF pathway, genetic knockout of tumor necrosis factor-alpha (TNF-α) or pharmacologically blocking TNF-α expression ameliorated the behavioral phenotype associated with noise-induced tinnitus in mice [ 34 ].…”
Section: Discussionmentioning
confidence: 99%
“…Although SNHL is typically caused by aging, overexposure to noise or ototoxic drugs, or genetic mutation, an additional potentially life-threatening cause of SNHL is vestibular schwannoma (VS), a non-malignant tumor arising from Schwann cells of the vestibular portion of the eighth cranial nerve, and extending into the cerebellopontine angle of the brain. A striking 95% of VS patients develop SNHL; additional symptoms can include tinnitus, balance difficulties, and facial paralysis (2). The conventional hypothesis regarding the mechanism underlying VS-induced SNHL is that the tumor compresses the vestibulocochlear nerve, preventing neural signals carrying hearing and balance information from traveling from the inner ear to the brain; however, evidence from multisite, large cohort studies suggests that associations between tumor size and location and SNHL severity are weak (3)(4)(5)(6)(7), and that SNHL may (4,8,9) or may not (8,(10)(11)(12)(13) worsen with tumor growth over time in VS patients.…”
Section: Introductionmentioning
confidence: 99%
“…PCSK1 is strongly induced in injured nerves and in SCs [ 29 ]. Although TGFα does not have a clear function in PNS cells, its role in VS and immune mediated HL has recently been described [ 30 ]. TGFα has been identified as an ototoxic molecule [ 31 ], thereby its decrease might also be protective.…”
Section: Discussionmentioning
confidence: 99%