Immune‐Related Disorders Associated With Ménière's Disease: A Systematic Review and Meta‐analysis

Lopez-Escamez, José A.; Vela, Jonathan; Frejo, Lidia

doi:10.1002/ohn.386

Cited by 12 publications

(4 citation statements)

References 40 publications

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“…A weakness of our work is that no immunological studies were routinely completed for our cohort of patients, but this would be a desired feature for future work. 28 It is likely that there is a genetic proclivity for Meniere's disease subtypes, 29 so any future work would also benefit from genetic profiling. Work by colleagues have also reported the benefits of allergy testing.…”

Section: Discussionmentioning

confidence: 99%

Cluster Analysis to Identify Clinical Subtypes of Ménière's Disease

Phillips,

Murdin,

Khondoker

et al. 2024

The Laryngoscope

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ObjectiveTo identify distinct clinical subtypes of Ménière's disease by analyzing data acquired from a UK registry of patients who have been diagnosed with Ménière's disease.Study DesignObservational study.MethodsPatients with Ménière's disease were identified at secondary/tertiary care clinics. Cluster analysis was performed by grouping participants sharing similar characteristics and risk factors into groups based on a defined measure of similarity.ResultsA total of 411 participants were recruited into this study. Two main clusters were identified: participants diagnosed with ear infections (OR = 0.30, p < 0.014, 95% CI: 0.11–0.78) were more likely to be allocated in Cluster 1 (C1). Participants reporting tinnitus in both ears (OR = 11.89, p < 0.001, 95% CI: 4.08–34.64), low pitched tinnitus (OR = 21.09, p < 0.001, 95% CI: 7.47–59.54), and those reporting stress as a trigger for vertigo attacks (OR = 14.94, p < 0.001, 95% CI: 4.54–49.10) were significantly more likely to be in Cluster 2 (C2). Also, participants diagnosed with Benign Paroxysmal Positional Vertigo (OR = 13.14, <0.001, 95% CI: 4.35–39.74), autoimmune disease (OR = 5.97, p < 0.007, 95% CI: 1.62–22.03), depression (OR = 4.72, p < 0.056, 95% CI: 0.96–23.24), migraines (OR = 3.13, p < 0.008, 95% CI: 1.34–7.26), drug allergy (OR = 3.25, p < 0.029, 95% CI: 1.13–9.34), and hay fever (OR = 3.12, p < 0.009, 95% CI: 1.33–7.34) were significantly more likely to be clustered in C2.ConclusionsThis study supports the hypothesis that Ménière's disease is a heterogeneous condition with subgroups that may be identifiable by clinical features. Two main clusters were identified with differing putative etiological factors.Level of Evidence3 Laryngoscope, 2024

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Section: Discussionmentioning

confidence: 99%

Cluster Analysis to Identify Clinical Subtypes of Ménière's Disease

Phillips,

Murdin,

Khondoker

et al. 2024

The Laryngoscope

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“…Recent investigations have extensively explored the correlations between MD and a wide array of immune inflammation-related cytokines. Meta-analyses have underscored notable associations between MD and conditions like airway allergic disease and autoimmune thyroid disease ( 37 ), suggesting that allergic reactions could potentially trigger EH, consequently leading to MD ( 38 , 39 ). Notably, MD patients exhibit a distinctive cytokine profile characterized by Th17/Treg imbalance, notably elevated Treg and Treg/Th17 levels in individuals with allergies compared to controls ( 37 ).…”

Section: Discussionmentioning

confidence: 99%

Exploring causal correlations between inflammatory cytokines and Ménière’s disease: a Mendelian randomization

Xie,

Zhang,

Tang

et al. 2024

Front. Immunol.

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ObjectivesPrevious studies have highlighted associations between certain inflammatory cytokines and Ménière’s Disease (MD), such as interleukin (IL) -13 and IL-1β. This Mendelian randomization aims to comprehensively evaluate the causal relationships between 91 inflammatory cytokines and MD.MethodsA comprehensive two-sample Mendelian randomization (MR) analysis was conducted to determine the causal association between inflammatory cytokines and MD. Utilizing publicly accessible genetic datasets, we explored causal links between 91 inflammatory cytokines and MD risk. Comprehensive sensitivity analyses were employed to assess the robustness, heterogeneity, and presence of horizontal pleiotropy in our findings.ResultsOur findings indicate that MD causally influences the levels of two cytokine types: IL-10 (P=0.048, OR=0.945, 95%CI =0.894~1.000) and Neurotrophin-3 (P=0.045, OR=0954, 95%CI =0.910~0.999). Furthermore, three cytokines exhibited significant causal effects on MD: CD40L receptor (P=0.008, OR=0.865, 95%CI =0.777-0.963), Delta and Notch-like epidermal growth factor-related receptor (DNER) (P=0.010, OR=1.216, 95%CI =1.048-1.412), and STAM binding protein (P=0.044, OR=0.776, 95%CI =0.606-0.993).ConclusionThis study suggests that the CD40L receptor, DNER, and STAM binding protein could potentially serve as upstream determinants of MD. Furthermore, our results imply that when MD is regarded as the exposure variable in MR analysis, it may causally correlate with elevated levels of IL-10 and Neurotrophin-3. Using these cytokines for MD diagnosis or as potential therapeutic targets holds great clinical significance.

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“…In addition, a recent review on allergy and MD, published as we were preparing our work for submission, explored this issue in depth and confirmed the importance of allergy in the diagnosis and etiology of MD ( 70 ). Furthermore, a recent meta-analysis identified allergies (defined as asthma, allergic asthma, and AR) as important risk factors for MD (OR = 2.27) ( 71 ).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the clinical evidence for an association between type I hypersensitivity and inner ear disorders

Zeng,

Domarecka,

Kong

et al. 2024

Front. Neurol.

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Inner ear disorders have a variety of causes, and many factors can contribute to the exacerbation of cochlear and vestibular pathology. This systematic review aimed to analyze clinical data on the coexistence and potential causal interaction between allergic diseases and inner ear conditions. A search of PubMed and Web of Science identified 724 articles, of which 21 were selected for full-text analysis based on inclusion and exclusion criteria. The epidemiologic evidence found overwhelmingly supports an association between allergic disease and particular inner ear disorders represented by a high prevalence of allergic reactions in some patients with Ménière’s disease (MD), idiopathic sudden sensorineural hearing loss (ISSHL), and acute low-tone hearing loss (ALHL). In addition, patients with MD, ISSHL, and ALHL had higher levels of total serum IgE than healthy subjects. Finally, in some cases, changes in cochlear potential may have been induced by antigen exposure, while desensitization alleviated allergy and inner ear-related symptoms. The exact mechanism of interaction between the auditory/vestibular and immune systems is not fully understood, and further clinical and basic research is needed to understand the relationship between the two systems fully.

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Immune‐Related Disorders Associated With Ménière's Disease: A Systematic Review and Meta‐analysis

Cited by 12 publications

References 40 publications

Cluster Analysis to Identify Clinical Subtypes of Ménière's Disease

Cluster Analysis to Identify Clinical Subtypes of Ménière's Disease

Exploring causal correlations between inflammatory cytokines and Ménière’s disease: a Mendelian randomization

A systematic review of the clinical evidence for an association between type I hypersensitivity and inner ear disorders

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