PMID- 32553077 OWN - NLM STAT- MEDLINE DCOM- 20200928 LR - 20220415 IS - 2214-0190 (Electronic) IS - 0895-3988 (Linking) VI - 33 IP - 5 DP - 2020 May 20 TI - Hyperbaric Oxygen Treatment Improves Hearing Level via Attenuating TLR4/NF-kappaB Mediated Inflammation in Sudden Sensorineural Hearing Loss Patients. PG - 331-337 LID - 10.3967/bes2020.045 [doi] AB - OBJECTIVE: Hyperbaric oxygen treatment (HBOT) has demonstrated efficacy in improving hearing levels of patients with idiopathic sudden sensorineural hearing loss (ISSHL); however, the underlying mechanisms are not well understood. HBOT alleviates the inflammatory response, which is mediated by Toll-like receptor (TLR) 4 and nuclear factor (NF)-kappaB. In this study we investigated whether HBOT attenuates inflammation in ISHHL patients via alteration of TLR4 and NF-kappaB expression. METHODS: ISHHL patients ( n = 120) and healthy control subjects ( n = 20) were enrolled in this study. Patients were randomly divided into medicine group treated with medicine only ( n = 60) and HBO group receiving both HBOT and medicine ( n = 60). Audiometric testing was performed pre- and post-treatment. TLR4, NF-small ka, CyrillicB, and TNF-alpha expression in peripheral blood of ISSHL patients and healthy control subjects was assessed by ELISA before and after treatment. RESULTS: TLR4, NF-kappaB, and TNF-alpha levels were upregulated in ISSHL patients relative to healthy control subjects; the levels were decreased following treatment and were lower in the HBO group than that in the medicine group post-treatment ( P < 0.05 and P < 0.01). CONCLUSION: HBOT alleviates hearing loss in ISSHL patients by suppressing the inflammatory response induced by TLR4 and NF-kappaB signaling. CI - Copyright (c) 2020 The Editorial Board of Biomedical and Environmental Sciences. Published by China CDC. All rights reserved. FAU - Liu, Xue Hua AU - Liu XH AD - Department of Hyperbaric Oxygen Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. FAU - Liang, Fang AU - Liang F AD - Department of Hyperbaric Oxygen Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. FAU - Jia, Xing Yuan AU - Jia XY AD - Institute of Basic Medicine Sciences, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. FAU - Zhao, Lin AU - Zhao L AD - Department of Hyperbaric Oxygen Medicine, Beijing Pinggu Hospital, Beijing 101200, China. FAU - Zhou, Yan AU - Zhou Y AD - Institute of Basic Medicine Sciences, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. FAU - Yang, Jing AU - Yang J AD - Department of Hyperbaric Oxygen Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China. LA - eng PT - Journal Article PL - China TA - Biomed Environ Sci JT - Biomedical and environmental sciences : BES JID - 8909524 RN - 0 (NF-kappa B p50 Subunit) RN - 0 (NFKB1 protein, human) RN - 0 (TLR4 protein, human) RN - 0 (Toll-Like Receptor 4) SB - IM MH - Adolescent MH - Adult MH - Aged MH - China MH - Female MH - Hearing Loss, Sensorineural/*therapy MH - Hearing Loss, Sudden/*therapy MH - Humans MH - *Hyperbaric Oxygenation MH - Inflammation/genetics/*therapy MH - Male MH - Middle Aged MH - NF-kappa B p50 Subunit/*genetics/metabolism MH - Toll-Like Receptor 4/*genetics/metabolism MH - Young Adult OTO - NOTNLM OT - Hyperbaric oxygen treatment OT - Nuclear factor-kB OT - Sudden sensorineural hearing loss OT - Toll-like receptor 4 EDAT- 2020/06/20 06:00 MHDA- 2020/09/29 06:00 CRDT- 2020/06/20 06:00 PHST- 2019/07/30 00:00 [received] PHST- 2020/03/26 00:00 [accepted] PHST- 2020/06/20 06:00 [entrez] PHST- 2020/06/20 06:00 [pubmed] PHST- 2020/09/29 06:00 [medline] AID - 10.3967/bes2020.045 [doi] PST - ppublish SO - Biomed Environ Sci. 2020 May 20;33(5):331-337. doi: 10.3967/bes2020.045.