关键词: glucocorticoid resistance glucocorticoids receptor sinusitis sudden sensorineural hearing loss

Mesh : Humans Glucocorticoids / therapeutic use Otorhinolaryngologic Diseases / drug therapy Drug Resistance Receptors, Glucocorticoid / metabolism Meniere Disease / drug therapy

来  源:   DOI:10.13201/j.issn.2096-7993.2024.07.020

Abstract:
Glucocorticoids(GC) are widely used in the clinical treatment of autoimmune inner ear diseases, sudden sensorineural hearing loss, Meniere\'s disease, sinusitis and other otolaryngology diseases. However, GC resistance remains a major factor contributing to the poor efficacy of clinical treatments. The mechanism of GC resistance is still unclear. This paper reviews the related mechanisms of GC resistance from the perspectives of GC receptor factors and non-GC receptor factors. Additionally, it summarizes the latest research progress on GC resistance in otolaryngological diseases, with the aim of identifying effective clinical alternative treatment options for reversing GC resistance in the future.
摘要: 糖皮质激素(glucocorticoids,GC)临床上广泛应用于自身免疫性内耳病、突发性聋、梅尼埃病及鼻窦炎等耳鼻咽喉疾病的治疗,部分患者存在GC抵抗现象,但导致GC抵抗因素机制尚不清楚,本文从GC受体因素和非GC受体因素两方面阐述了GC抵抗的相关机制,并综述其在耳鼻咽喉科疾病的最新研究进展,旨在未来寻找GC抵抗生物标志物,提高GC疗效提出新策略。.
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