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2014 ; 15
(3
): 353-72
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Antioxidants reduce cellular and functional changes induced by intense noise in
the inner ear and cochlear nucleus
#MMPMID24497307
Lu J
; Li W
; Du X
; Ewert DL
; West MB
; Stewart C
; Floyd RA
; Kopke RD
J Assoc Res Otolaryngol
2014[Jun]; 15
(3
): 353-72
PMID24497307
show ga
The present study marks the first evaluation of combined application of the
antioxidant N-acetylcysteine (NAC) and the free radical spin trap reagent,
disodium 2,4-disulfophenyl-N-tert-butylnitrone (HPN-07), as a therapeutic
approach for noise-induced hearing loss (NIHL). Pharmacokinetic studies and C-14
tracer experiments demonstrated that both compounds achieve high blood levels
within 30 min after i.p injection, with sustained levels of radiolabeled cysteine
(released from NAC) in the cochlea, brainstem, and auditory cortex for up to 48
h. Rats exposed to 115 dB octave-band noise (10-20 kHz) for 1 h were treated with
combined NAC/HPN-07 beginning 1 h after noise exposure and for two consecutive
days. Auditory brainstem responses (ABR) showed that treatment substantially
reduced the degree of threshold shift across all test frequencies (2-16 kHz),
beginning at 24 h after noise exposure and continuing for up to 21 days. Reduced
distortion product otoacoustic emission (DPOAE) level shifts were also detected
at 7 and 21 days following noise exposure in treated animals. Noise-induced hair
cell (HC) loss, which was localized to the basal half of the cochlea, was reduced
in treated animals by 85 and 64% in the outer and inner HC regions, respectively.
Treatment also significantly reduced an increase in c-fos-positive neuronal cells
in the cochlear nucleus following noise exposure. However, no detectable spiral
ganglion neuron loss was observed after noise exposure. The results reported
herein demonstrate that the NAC/HPN-07 combination is a promising pharmacological
treatment of NIHL that reduces both temporary and permanent threshold shifts
after intense noise exposure and acts to protect cochlear sensory cells, and
potentially afferent neurites, from the damaging effects of acoustic trauma. In
addition, the drugs were shown to reduce aberrant activation of neurons in the
central auditory regions of the brain following noise exposure. It is likely that
the protective mechanisms are related to preservation of structural components of
the cochlea and blocking the activation of immediate early genes in the auditory
centers of the brain.