Evidence map›Paper›PMID 29466997›Full record

SynthesisOrphanet journal of rare diseases2018

Hearing impairment in MELAS: new prospective in clinical use of microRNA, a systematic review.

Arianna Di Stadio, Valentina Pegoraro, Laura Giaretta, Laura Dipietro, Roberta Marozzo, Corrado Angelini

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Orphanet journal of rare diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Hearing loss and dementia: radiologic and biomolecular basis of their shared characteristics. A systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Pooled it
  2. Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review.International journal of environmental research and public health · 2018
    Pooled it
  3. Hearing Loss and Alzheimer Disease.Current topics in behavioral neurosciences · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Recent advances in mitochondrial diseases: From molecular insights to therapeutic perspectives.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2022
    Review
  9. Impaired Hearing in MELAS.The journal of international advanced otology · 2022
    Article
  10. Article
  11. Article
  12. Temporal bone histopathology in MELAS syndrome.Laryngoscope investigative otolaryngology · 2020
    Article
  13. Review
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Arianna Di StadioSan Camillo Hospital IRCCS, Via Alberoni, 70, Venice, Italy. ariannadistadio@hotmail.com.ORCID 0000-0001-5510-3814
Valentina PegoraroSan Camillo Hospital IRCCS, Via Alberoni, 70, Venice, Italy.
Laura GiarettaSan Camillo Hospital IRCCS, Via Alberoni, 70, Venice, Italy.
Laura DipietroHighland Instruments, Cambridge, MA, USA.
Roberta MarozzoSan Camillo Hospital IRCCS, Via Alberoni, 70, Venice, Italy.
Corrado AngeliniSan Camillo Hospital IRCCS, Via Alberoni, 70, Venice, Italy.
IRCCS San Camillo Hospital · ITHighland Community College - Illinois · US

Funding

Fondazione Telethon GP14066
6 · The paper itself

Abstract

aimTo evaluate the feasibility of microRNAs (miR) in clinical use to fill in the gap of current methodology commonly used to test hearing impairment in MELAS patients. MATERIAL AND

methodA literature review was performed using the following keywords, i.e., MELAS, Hearing Loss, Hearing Impairment, Temporal Bone, Otoacustic Emission (OTOAE), Auditory Brain Response (ABR), and microRNA. We reviewed the literature and focused on the aspect of the temporal bone, the results of electrophysiological tests in human clinical studies, and the use of miR for detecting lesions in the cochlea in patients with MELAS.

resultsIn patients with MELAS, Spiral Ganglions (SG), stria vascularis (SV), and hair cells are damaged, and these damages affect in different ways various structures of the temporal bone. The function of these cells is typically investigated using OTOAE and ABR, but in patients with MELAS these tests provide inconsistent results, since OTOAE response is absent and ABR is normal. The normal ABR responses are unexpected given the SG loss in the temporal bone. Recent studies in humans and animals have shown that miRs, and in particular miRs 34a, 29b, 76, 96, and 431, can detect damage in the cells of the cochlea with high sensitivity. Studies that focus on the temporal bone aspects have reported that miRs increase is correlated with the death of specific cells of the inner ear. MiR - 9/9* was identified as a biomarker of human brain damage, miRs levels increase might be related to damage in the central auditory pathways and these increased levels could identify the damage with higher sensitivity and several months before than electrophysiological testing.

conclusionWe suggest that due to their accuracy and sensitivity, miRs might help monitor the progression of SNHL in patients with MELAS.

Indexed as

MicroRNAsHearing LossHumansMELAS SyndromeMicroRNAsAuditory brain responseDiagnosisHearing impairmentHearing lossMELASmicroRNAOtoacustic emission

Identifiers

PMID29466997
PMCPMC5822652
OpenAlexW2806124787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.