Autoimmunity as a candidate for the etiopathogenesis of Meniere's disease: detection of autoimmune reactions and diagnostic biomarker candidate

Meniere's disease is an inner ear disorder that can manifest as fluctuating vertigo, sensorineural hearing loss, tinnitus, and aural fullness. However, the pathologic mechanism of Meniere's disease is still unclear. In this study, we evaluated autoimmunity as a potential cause of Meniere&#...

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Veröffentlicht in:PloS one 2014-10, Vol.9 (10), p.e111039-e111039
Hauptverfasser: Kim, Sung Huhn, Kim, Jin Young, Lee, Hyun Jin, Gi, Mia, Kim, Bo Gyung, Choi, Jae Young
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Kim, Jin Young
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Choi, Jae Young
description Meniere's disease is an inner ear disorder that can manifest as fluctuating vertigo, sensorineural hearing loss, tinnitus, and aural fullness. However, the pathologic mechanism of Meniere's disease is still unclear. In this study, we evaluated autoimmunity as a potential cause of Meniere's disease. In addition we tried to find useful biomarker candidates for diagnosis. We investigated the protein composition of human inner ear fluid using liquid column mass spectrometry, the autoimmune reaction between circulating autoantibodies in patient serum and multiple antigens using the Protoarray system, the immune reaction between patient serum and mouse inner ear tissues using western blot analysis. Nine proteins, including immunoglobulin and its variants and interferon regulatory factor 7, were found only in the inner ear fluid of patients with Meniere's disease. Enhanced immune reactions with 18 candidate antigens were detected in patients with Meniere's disease in Protoarray analysis; levels of 8 of these antigens were more than 10-fold higher in patients than in controls. Antigen-antibody reactions between mouse inner ear proteins with molecular weights of 23-48 kDa and 63-75 kDa and patient sera were detected in 8 patients. These findings suggest that autoimmunity could be one of the pathologic mechanisms behind Meniere's disease. Multiple autoantibodies and antigens may be involved in the autoimmune reaction. Specific antigens that caused immune reactions with patient's serum in Protoarray analysis can be candidates for the diagnostic biomarkers of Meniere's disease.
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However, the pathologic mechanism of Meniere's disease is still unclear. In this study, we evaluated autoimmunity as a potential cause of Meniere's disease. In addition we tried to find useful biomarker candidates for diagnosis. We investigated the protein composition of human inner ear fluid using liquid column mass spectrometry, the autoimmune reaction between circulating autoantibodies in patient serum and multiple antigens using the Protoarray system, the immune reaction between patient serum and mouse inner ear tissues using western blot analysis. Nine proteins, including immunoglobulin and its variants and interferon regulatory factor 7, were found only in the inner ear fluid of patients with Meniere's disease. Enhanced immune reactions with 18 candidate antigens were detected in patients with Meniere's disease in Protoarray analysis; levels of 8 of these antigens were more than 10-fold higher in patients than in controls. Antigen-antibody reactions between mouse inner ear proteins with molecular weights of 23-48 kDa and 63-75 kDa and patient sera were detected in 8 patients. These findings suggest that autoimmunity could be one of the pathologic mechanisms behind Meniere's disease. Multiple autoantibodies and antigens may be involved in the autoimmune reaction. Specific antigens that caused immune reactions with patient's serum in Protoarray analysis can be candidates for the diagnostic biomarkers of Meniere's disease.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25330336</pmid><doi>10.1371/journal.pone.0111039</doi><oa>free_for_read</oa></addata></record>
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subjects Adult
Analysis
Animals
Antigens
Antigens - blood
Antigens - immunology
Antigens - isolation & purification
Autoantibodies
Autoantibodies - blood
Autoimmune diseases
Autoimmunity
Biology and Life Sciences
Biomarkers
Biomarkers - blood
Diagnostic systems
Ear
Ear, Inner - immunology
Ear, Inner - pathology
Happiness
Hearing loss
Hearing Loss, Sensorineural - blood
Hearing Loss, Sensorineural - immunology
Hearing Loss, Sensorineural - physiopathology
Hearing protection
Humans
Inner ear
Interferon
Interferon regulatory factor
Interferon regulatory factor 7
Mass spectrometry
Mass spectroscopy
Medical diagnosis
Medicine and Health Sciences
Meniere Disease - blood
Meniere Disease - etiology
Meniere Disease - immunology
Meniere Disease - physiopathology
Meniere's disease
Mice
Middle Aged
Otolaryngology
Patients
Protein composition
Proteins
Studies
Systemic lupus erythematosus
Tinnitus
Tissues
Vertigo
title Autoimmunity as a candidate for the etiopathogenesis of Meniere's disease: detection of autoimmune reactions and diagnostic biomarker candidate
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