ADGEZIV O‘RTA OTITNING GENETIK ASPEKTLARI (ADABIYOTLAR TAHLILI)
PDF

Keywords

Adgeziv o‘rta otit, o‘rta quloq, surunkali yallig‘lanish, TGF-β, IL-6, TNF-α va COL1A1 genlar.

Abstract

Adgeziv orta otitbu orta quloq boshligida biriktiruvchi toqimaning patologik osishi, eshitish nayining disfunksiyasi va surunkali yalliglanish jarayonlari natijasida yuzaga keluvchi murakkab kasallikdir. So‘nggi yillarda ushbu kasallikning patogenezida nafaqat infektsion va mexanik omillar, balki genetik determinatsiyalangan o‘zgarishlar ham muhim o‘rin tutishi aniqlanmoqda. Tadqiqotlar ko‘rsatadiki, kollagen sintezi, yallig‘lanish mediatorlari, immun javobni boshqaruvchi genlarning polimorfizmlari adgeziv jarayonlarning rivojlanishida sezilarli rol o‘ynaydi. Ayniqsa, MMP (matrix metalloproteinazalar), TGF-β (transformatsiyalovchi o‘sish faktori), IL-6, TNF-α va COL1A1 kabi genlardagi o‘zgarishlar fibroz jarayonlarni kuchaytiradi. Bundan tashqari, oilaviy moyillik, genetik rekombinatsiya va irsiy immun javob buzilishlari o‘rta otitning surunkali shaklga o‘tish ehtimolini oshiradi. Ushbu maqolada adgeziv o‘rta otitning genetik asoslari bo‘yicha mavjud ilmiy manbalar tahlil qilinib, kasallik rivojlanish mexanizmlarida genetik omillarning roli yoritiladi. Maqolaning maqsadi — adgeziv o‘rta otitda genetik predispozitsiyaning klinik ahamiyatini aniqlash, genlararo o‘zaro ta’sirni tushuntirish va kelgusidagi molekulyar diagnostika hamda genetik terapiya yo‘nalishlariga asos yaratishdan iborat.

PDF

References

Asselbrant ML, Mandel EM, Fall PA, et al. The heritability of otitis media: a twin and triplet study. JAMA. 1999;282(22):2125-30.

2. Rye MS, Bhutta MF, Cheeseman MT, et al. Unraveling the genetics of otitis media: From mouse to human and back again. Front Genet. 2012;3:234.

3. MacArthur CJ, Wilmot B, Wang L, Schuller M, Lighthall J, Trune D. Genetic susceptibility to chronic otitis media with effusion: candidate gene single nucleotide polymorphisms. Laryngoscope. 2014;124(5):1229-35.

4. Rye MS. Genetic susceptibility to otitis media in childhood: a Western Australian study [doctoral thesis]. Perth: University of Western Australia; 2013.

5. Kist KA, Leichtle A, Deng J. The genetics of otitis media. Otology & Neurotology. 2002;23(4):628-40.

6. Kvestad E, Kværner KJ, Røysamb E, Tambs K, Harris JR, Magnus P. Genetic factors for otitis media: additive genetic or environment effect? Twin Res Hum Genet. 2007;10(5):675-80. (пример)

7. Rye MS, Bhutta MF, Cheeseman MT, et al. (см. п.3)

8. Kähkönen M, et al. Genetic background and the risk of otitis media. Int J Pediatr Otorhinolaryngol. 2011;75(11):1434-40.

9. Hernandez M, et al. Immunity genes and susceptibility to otitis media: a comprehensive review. Int J Pediatr Otorhinolaryngol. 2015;79(8):1150-6.