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Gut microbes from hearing loss patients trigger inner ear damage in young mice

Fecal transplants from elderly hearing loss patients induced blood-labyrinth barrier breakdown, neuroinflammation, and hair cell loss in recipient mice.

Research Square · Liu Y et al. · Paper published 30 Sep 2026

Paper

In a preprint study, researchers transferred gut microbiota from patients with age-related hearing loss and healthy elderly controls into two-month-old young C57BL/6 mice. Before the animal tests, the team performed a two-step Mendelian randomization analysis, finding that immune cells mediate the link between gut microbes and age-related hearing loss. Young mice receiving microbes from affected patients developed elevated hearing thresholds across frequencies from 2 to 32 kilohertz. In the cochlea, these mice showed increased capillary permeability at the blood-labyrinth barrier and NLRP3 inflammasome activation in the spiral ligament. The recipient mice also developed neuroinflammation and higher macrophage abundance at spiral ganglion neurons, along with complement system activation, macrophage morphological changes, and outer hair cell degeneration.

Why it matters

The findings indicate that age-related gut dysbiosis can promote inner ear inflammaging and tissue degeneration through systemic immune interactions.

Caveats

The study is a preprint that has not yet been peer-reviewed, and findings observed in young mice may not fully reflect human pathology.

Written from the paper’s abstract, and every claim checked against it before publishing. Read the paper for the full methods and data.

The paper

Transplantation of fecal microbiota from Age-related hearing loss patients compels inflammaging, age-related macrophage changes and hair cell degeneration in cochlea of young mice

Liu Y, Chen B, Zhang W et al.

Research Square · 30 Sep 2026 · Preprint, not yet peer-reviewed

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