Evidence map›Paper›PMID 38928621›Full record

ReviewBrain sciences2024

Exploring Inner Ear and Brain Connectivity through Perilymph Sampling for Early Detection of Neurological Diseases: A Provocative Proposal.

Arianna Di Stadio, Massimo Ralli, Diego Kaski, Nehzat Koohi, Federico Maria Gioacchini, Jeffrey W Kysar, Anil K Lalwani, Athanasia Warnecke, Evanthia Bernitsas

Abstract readReview
In one paragraph

Review in Brain sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

9 authors.

Arianna Di StadioDepartment GF Ingrassia, University of Catania, 95131 Catania, Italy.ORCID 0000-0001-5510-3814
Massimo RalliOrgan of Sense Department, University La Sapienza, 00185 Rome, Italy.ORCID 0000-0001-8776-0421
Diego KaskiSense Research Unit, Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London WC1N 3BG, UK.ORCID 0000-0002-0591-646X
Nehzat KoohiSense Research Unit, Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London WC1N 3BG, UK.ORCID 0000-0003-1545-8527
Federico Maria GioacchiniEar, Nose, and Throat Unit, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60020 Ancona, Italy.
Jeffrey W KysarOtolaryngology-Head and Neck Department, Columbia University, New York, NY 10032, USA.ORCID 0000-0003-3655-1077
Anil K LalwaniOtolaryngology-Head and Neck Department, Columbia University, New York, NY 10032, USA.ORCID 0000-0002-3823-3470
Athanasia WarneckeDepartment of Otolaryngology-Head and Neck Surgery, Hannover Medical School, 30625 Hannover, Germany.ORCID 0000-0001-9652-1035
Evanthia BernitsasMultiple Sclerosis Center, Neurology Department, Wayne State University, Detroit, MI 48201, USA.ORCID 0000-0001-9382-1008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent evidence shows that it is possible to identify the elements responsible for sensorineural hearing loss, such as pro-inflammatory cytokines and macrophages, by performing perilymph sampling. However, current studies have only focused on the diagnosis of such as otologic conditions. Hearing loss is a feature of certain neuroinflammatory disorders such as multiple sclerosis, and sensorineural hearing loss (SNHL) is widely detected in Alzheimer's disease. Although the environment of the inner ear is highly regulated, there are several communication pathways between the perilymph of the inner ear and cerebrospinal fluid (CSF). Thus, examination of the perilymph may help understand the mechanism behind the hearing loss observed in certain neuroinflammatory and neurodegenerative diseases. Herein, we review the constituents of CSF and perilymph, the anatomy of the inner ear and its connection with the brain. Then, we discuss the relevance of perilymph sampling in neurology. Currently, perilymph sampling is only performed during surgical procedures, but we hypothesize a simplified and low-invasive technique that could allow sampling in a clinical setting with the same ease as performing an intratympanic injection under direct visual check. The use of this modified technique could allow for perilymph sampling in people with hearing loss and neuroinflammatory/neurodegenerative disorders and clarify the relationship between these conditions; in fact, by measuring the concentration of neuroinflammatory and/or neurodegenerative biomarkers and those typically expressed in the inner ear in aging SNHL, it could be possible to understand if SNHL is caused by aging or neuroinflammation.

Indexed as

brainCSFneurodegenerationneuroinflammationperilymph

Identifiers

PMID38928621
PMCPMC11201480

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Registered trials

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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.