Sensorineural hearing loss in patients with mixed connective tissue disease: Immunological markers and cytokine levels

Agota Hajas, Peter Szodoray, Sandor Barath, Sandor Sipka, Szilard Rezes, Margit Zeher, Istvan Sziklai, Gyula Szegedi, Edit Bodolay

Research output: Article

14 Citations (Scopus)


Objective. To investigate the frequency of sensorineural hearing loss (SNHL) in patients with mixed connective tissue disease (MCTD). Methods. The study population consisted of 71 patients with MCTD (69 female; 2 male), with a mean age of 57.1 ± 7.9 years and a mean disease duration of 14.5 ± 8.0 years. All patients underwent audiological evaluation that included pure tone and speech audiometry. In addition, the systemic manifestations of the disease and drug therapy were recorded. All patients were tested for presence of autoantibodies. Fifty-one age-matched healthy subjects served as controls. Results. SNHL was found in 33 (46.4%) of the 71 patients with MCTD. There was no correlation between SNHL and age and disease duration. An association was found between Raynaud's phenomenon (p < 0.03), secondary antiphospholipid syndrome (APS) (p < 0.05), and SNHL. MCTD patients with SNHL had higher serum levels of anti-U1RNP (p < 0.05), antiendothelial cell antibodies (p < 0.001), and IgG type anticardiolipin antibodies (p < 0.0001) than patients without SNHL. Serum levels of interferon-γ and tumor necrosis factor-α were increased in MCTD patients with SNHL compared to patients without SNHL. The absolute number of natural (CD4+CD25highFoxP+) regulatory T cells (Treg) was lower compared to patients without SNHL. Conclusion. In MCTD, SNHL is a specific organ manifestation and appears frequently. We have found that pathogenic autoantibodies, decreased levels of regulatory T cells, and overexpression of proinflammatory cytokines may play a role in the pathogenesis of immune mediated inner ear disorders in MCTD. The Journal of Rheumatology

Original languageEnglish
Pages (from-to)1930-1936
Number of pages7
JournalJournal of Rheumatology
Issue number9
Publication statusPublished - szept. 1 2009

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

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