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Jose A. Lopez-Escamez,John Careyb,Won-Ho Chung,Joel A. Goebeld,Måns Magnusson,Marco Mandalà,David E. Newman-Tokerg,Michael Strupp,Mamoru Suzuki,Franco Trabalzini,Alexandre Bisdorff 대한평형의학회 2015 Research in Vestibular Science Vol.14 No.3
This paper presents diagnostic criteria for Ménierè’s disease jointly formulated by the Classification Committee of the Bárány Society, The Japan Society for Equilibrium Research, the European Academy of Otology and Neurotology, the Equilibrium Committee of the American Academy of Otolaryngology-Head and Neck Surgery, and the Korean Balance Society. The classification includes two categories: definite Ménière's disease and probable Menière's disease. The diagnosis of definite Ménière's disease is based on clinical criteria and requires the observation of an episodic vertigo syndrome associated with low- to me-dium-frequency sensorineural hearing loss and fluctuating aural symptoms (hearing, tinnitus and/or fullness) in the affected ear. Duration of vertigo episodes is limited to a period between 20 minutes and 12 hours. Probable Ménierè's disease is a broader concept defined by episodic vestibular symptoms (vertigo or dizziness) associated with fluctuating aural symptoms occurring in a period from 20 minutes to 24 hours. Res Vestib Sci 2015;14(3):67-74
Cytokines and Inflammation in Meniere Disease
Lidia Frejo,Jose Antonio Lopez-Escamez 대한이비인후과학회 2022 Clinical and Experimental Otorhinolaryngology Vol.15 No.1
Meniere disease (MD) is a rare set of conditions associated with the accumulation of endolymph in the cochlear duct and the vestibular labyrinth with a decrease of endocochlear potential. It is considered a chronic inflammatory disorder of the inner ear with a multifactorial origin. The clinical syndrome includes several groups of patients with a core phenotype: sensorineural hearing loss, episodes of vertigo, and tinnitus with a non-predictable course. Genetic factors and the innate immune response seem to play a central role in the pathophysiology of the condition. Autoimmune MD should be diagnosed if a patient fulfills the diagnostic criteria for MD and one of the following autoimmune disorders: autoimmune thyroid disease, psoriasis, autoimmune arthritis, ankylosing spondylitis, or systemic lupus erythematosus. We summarize the evidence to support autoimmune MD as an endophenotype in bilateral MD associated with the allelic variant rs4947296 and nuclear factor-kappa B (NF-κB)-mediated inflammation, the role of cytokines (particularly interleukin-1β and tumor necrosis factor-α) in defining a subset of patients with autoinflammation, and the potential role of cytokines as biomarkers to distinguish between patients with MD and vestibular migraine. Finally, we also introduce a list of potential drugs that could regulate the immune response in MD with potential for repurposing in clinical trials.
Cabrera, S.,Ji, A.R.,Frejo, L.,Ramos-Mejia, V.,Romero, T.,Real, P.,Lopez-Escamez, J.A. Elsevier 2015 Stem cell research Vol.15 No.2
We have generated iPSCs from peripheral blood mononuclear cells (PBMCs) of a healthy man using heat sensitive and non-integrative Sendai virus containing Sox2, Oct¾, c-Myc and Klf4. Human GRX-MCiPS4F-A2 cell line was established and characterized through this study.