2.Relation between Stress-Related Hormone and Sudden Sensorineural Hearing Loss.
Bo Sung KANG ; Hyun Soo LEE ; Jin Su PARK ; Kong Geun BAE ; Byung Don LEE ; Ji Sung LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 2014;57(6):373-378
BACKGROUND AND OBJECTIVES: The plasma stress-related hormonal [cortisol, growth hormone, prolactin, antidiuretic hormone (ADH), adrenocorticotropic hormone (ACTH)] levels have been reported to be elevated in sudden sensorineural hearing loss (SSNHL) patients. However, little is known regarding the mechanisms related with the elevation of stress-related hormonal levels in SSNHL. Therefore, we measured the level of plasma stress-related hormones in SSNHL patients and in normal persons to demonstrate the association between the stress-related hormones and SSNHL. SUBJECTS AND METHOD: Stress-related hormonal levels were measured from 68 patients who were diagnosed with SSNHL. These values were compared with the stress-related hormonal levels of 24 healthy control subjects. RESULTS: The plasma ADH levels was significantly higher in SSNHL group compared with that in their normal control group, as shown by their respective values, 4.46 [95% confidence interval (CI): 3.80-5.24 pg/mL] and 3.05 (95% CI: 2.34-3.98 pg/mL). The values for plasma cortisol, growth hormone, and ACTH levels whose values were 2.07 (95% CI: 1.65-2.61 microg/L), 0.20 (95% CI: 0.14-0.29 microg/L), and 12.79 (95% CI: 11.16-14.66 pg/mL), respectively, were significantly lower in the SSNHL group than those in the normal control group whose values were 7.86 (95% CI: 5.33-5.24 microg/L), 0.61 (95% CI: 0.36-1.04 microg/L), 18.48 (95% CI: 14.99-22.78 pg/mL), respectively. But there was no significant difference in prolactin between the two groups. CONCLUSION: This study demonstrates a possible role of stress-related hormones in the pathogenesis of SSNHL. However, only ADH level was higher than the control group. Furthermore, ACTH, growth hormone and cortisol levels were lower than the control groups. This means ADH, growth hormone, cortisol, ACTH levels are related with SSNHL. However, the impact of this hormone on the inner ear and endolymph homeostasis is still unknown. Further investigation is necessary to identify the action mechanism of these hormones in the inner ear.
Adrenocorticotropic Hormone
;
Ear, Inner
;
Endolymph
;
Growth Hormone
;
Hearing Loss, Sensorineural*
;
Homeostasis
;
Humans
;
Hydrocortisone
;
Plasma
;
Prolactin
3.Distribution of basic fibroblast growth factor in inner ear of guinea pigs injected by different drug-approaches.
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(2):115-118
OBJECTIVETo investigate the approach of basic fibroblast growth factor(bFGF) entering inner ear, as well as its the protective mechanism to inner ear and nerve tissue in pathological situation.
METHODS125I-bFGF was injected into guinea pigs body via the lateral ventricle and muscle under physical situation as well as pathological situation. Then the per minute gamma-radioactive in blood, liver, thyroid gland, brain, cochlear and perilymph fluid was counted, and the distribution and metabolism of bFGF in the inner ear and autoradiography of the cochlea were also observed.
RESULTSGamma-radioactive cpm of blood and liver increased significantly, while it did not change in brain, cochlea and perilymph after 125I-bFGF intramuscular injections. Gamma-radioactive cpm in blood, liver, brain, perilymph and cochlea had increased and autoradiography granules was found in the cochlea in 30 min after 125I-bFGF injected into CSF. In brain, perilymph and cochlea, a maximal value of gamma-radioactive cpm was obtained between 2 h and 4 h, while that in 8 h decreased significantly. Autoradiography granules still were seen in 8 h. gamma-radioactive cpm in 12 h was still higher than that in control group, but autoradiography granules can't be seen. The result in 24 h was similar to that in control group. The time course of cpm in the blood, cochlea and perilymph always parallel changed.
CONCLUSIONSbFGF has some difficulties in getting across blood-labyrinth barrier (BLB) and blood-brain barrier (BBB) under physical and pathological situation, such as acute anoxia, aminoglycoside-induced deafness. bFGF can reach inner ear, perilymph fluid, brain tissue and blood rapidly when it is injected into CSF and excreted slowly in those tissues. Permeability of BBB and BLB to bFGF is similar and has orientation.
Animals ; Autoradiography ; Blood-Brain Barrier ; metabolism ; Ear, Inner ; metabolism ; Fibroblast Growth Factor 2 ; administration & dosage ; pharmacokinetics ; Guinea Pigs ; Iodine Radioisotopes ; administration & dosage
4.Expression of TGFbeta Family in the Developing Internal Ear of Rat Embryos.
Ho Jeong KIM ; Ki Young KANG ; Jin Ghi BAEK ; Hyoung Chul JO ; Hyun KIM
Journal of Korean Medical Science 2006;21(1):136-142
In order to investigate the expression patterns of the transforming growth factor (TGF)beta isoforms in the internal ear, an immunohistochemical study of rat embryos was performed. Rat embryos were taken on the 13th, 15th, 17th, and 19th day after conception and their internal ears were immunohistochemically stained against TGF beta1, beta2, and beta3. As a result, the 13-day-old embryo showed a very weak positivity to TGF beta1. After the 15th day of pregnancy, no reactivity to TGF beta1 was defected. Immunoreactivity to TGF beta2 was observed from the 15th day of pregnancy throughout the rest of the period. The ampulla of the semicircular canal and the cochlear duct showed a notably strong immunohistochemical reaction. A strong reaction to TGF beta3 was observed on the 15th day of pregnancy. However, no positive reactions were observed thereafter. A strong immunoreactivity was observed especially on the apical cytoplasms, the surfaces of the epithelial cells, and basement membranes of the cochlear duct, as well as the semicircular canals of the developing internal ear of rat embryo.
Animals
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Ear, Inner/embryology/*metabolism
;
Embryo/embryology/*metabolism
;
Female
;
Immunohistochemistry
;
Male
;
Rats
;
Rats, Sprague-Dawley
;
Time Factors
;
Transforming Growth Factor beta/*biosynthesis
5.MRI evidence of exogenous vascular endothelial growth factor-enhanced transport across inner ear barriers in guinea pigs.
Jin ZOU ; Pyykko ILMARI ; Bjelke BORJE ; Counter S ALLEN
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2005;40(4):266-270
OBJECTIVEIncreased vascular endothelial growth factor (VEGF) and VEGF receptor expression is the important biological response under shear stress, ischemia and hypoxia conditions. Mechanical vibration induced cochlea shear stress and trauma obviously upregulate VEGF and VEGF receptor 2 (VEGFR2) expression in the cochlea. To evaluate the possibility of VEGF varying the transport in blood-labyrinth barrier and blood-perilymphatic barrier.
METHODSEleven guinea pigs, male and female, weighing from 300 g to 900 g were kept under general anaesthesia with xylazine (16 mg/kg) and ketamine (60 mg/kg) for both drug delivery and MRI measurement. VEGF (6 ears) and phosphate-buffered saline (PBS, 5 ears) were delivered to the inner ear via the round window membrane (soaked in gelfoam). The T1 contrast agent gadodiamide (Gd-DTPA-BMA) chelated bound paramagnetic gadolinium was used as the inner ear barrier transportation tracer. A Bruker Biospec Avance 47/40 experimental MRI system with a magnetic field strength of 4. 7 Tesla and a 40 cm bore was used for the 2-dimensional cochlea MRI evaluation. The Paravision software was used for image intensity measurement and the Adobe Photoshop 6.0 software was used for image presentation.
RESULTSVEGF induced significant Gd uptake in the scala tympani and scala vestibuli, but had little effect on the uptake of Gd in the scala media.
CONCLUSIONSVEGF significantly increased the transportation of blood-perilymphatic barrier and adapted the inner ear for compensation and repair.
Animals ; Blood-Brain Barrier ; drug effects ; Blood-Retinal Barrier ; drug effects ; Ear, Inner ; drug effects ; metabolism ; Female ; Guinea Pigs ; Magnetic Resonance Imaging ; Male ; Vascular Endothelial Growth Factor A ; pharmacology
6.Effects of Toluene on the Development of the Inner Ear and Lateral Line Sensory System of Zebrafish.
Xu Dong LI ; Hong Wei TU ; Ke Qi HU ; Yun Gang LIU ; Li Na MAO ; Feng Yan WANG ; Hong Ying QU ; Qing CHEN
Biomedical and Environmental Sciences 2021;34(2):110-118
Objective:
The aim of this study was to explore the ototoxicity of toluene in the early development of zebrafish embryos/larvae.
Methods:
Zebrafish were utilized to explore the ototoxicity of toluene. Locomotion analysis, immunofluorescence, and qPCR were used to understand the phenotypes and molecular mechanisms of toluene ototoxicity.
Results:
The results demonstrated that at 2 mmol/L, toluene induced zebrafish larvae death at 120 hours post fertilization (hpf) at a rate of 25.79% and inhibited the rate of hatching at 72 hpf. Furthermore, toluene exposure inhibited the distance travelled and average swimming velocity of zebrafish larvae while increasing the frequency of movements. As shown by fluorescence staining of hair cells, toluene inhibited the formation of lateral line neuromasts and middle line 1 (Ml
Conclusion
This study indicated that toluene may affect the development of both the inner ear and lateral line systems in zebrafish, while the lateral line system may be more sensitive to toluene than the inner ear.
Animals
;
Ear, Inner/growth & development*
;
Embryo, Nonmammalian/drug effects*
;
Gene Expression Regulation, Developmental/drug effects*
;
Hair Cells, Auditory/metabolism*
;
Lateral Line System/growth & development*
;
Locomotion/drug effects*
;
Ototoxicity/physiopathology*
;
Toluene/toxicity*
;
Zebrafish
7.Hearing Improvement in A/J Mice via the Mouse Nerve Growth Factor.
Lixiang GAO ; Ruli GE ; Gang XIE ; Dandan YAO ; Ping LI ; Oumei WANG ; Xiufang MA ; Fengchan HAN
Clinical and Experimental Otorhinolaryngology 2017;10(4):303-308
OBJECTIVES: To investigate the otoprotective effects of mouse nerve growth factor (mNGF) in A/J mice. METHODS: The mice at postnatal day 7 (P7) were randomly separated into a mNGF treated group (mNGF group) and a distilled water (for injection) treated group (control group). The mNGF dissolved in distilled water or distilled water alone was given to the mice once every other day from P7 by intramuscular injection in the hips. The otoprotective effects of mNGF in A/J mice were observed in a time course manner. The thresholds of auditory-evoked brainstem response (ABR) were tested from the age of the 3rd to the 8th week. Sections of the inner ears were stained by hematoxylin and eosin, and spiral ganglion neurons (SGNs) were observed at the age of the 3rd, the 6th,and the 8th week. Counts of whole mount outer hair cells (OHCs) in the cochleae were made at the age of 8 weeks. Expression of apoptosis related genes was determined by quantitative real-time polymerase chain reaction and Western blotting. RESULTS: ABR thresholds of the mNGF group were significantly lower than those of the control group at the age of the 6th and the 8th week. Moreover, the mNGF preserved OHC and SGN in the mouse cochleae in this period. Further experiments showed that the expression of caspase genes (including caspase-3) was inhibited in the mouse inner ears in the mNGF group. CONCLUSION: The mNGF improves hearing in A/J mice by preserving SGN and OHC in the cochleae.
Animals
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Apoptosis
;
Blotting, Western
;
Brain Stem
;
Cochlea
;
Ear, Inner
;
Eosine Yellowish-(YS)
;
Hair Cells, Auditory, Outer
;
Hearing*
;
Hematoxylin
;
Hip
;
Injections, Intramuscular
;
Mice*
;
Nerve Growth Factor*
;
Neurons
;
Real-Time Polymerase Chain Reaction
;
Spiral Ganglion
;
Water
8.Therapeutic effect of insulin-like growth factor-1 injection into the inner ears through scala tympani fenestration on gentamicin-induced hearing loss in guinea pigs.
Yong-he LI ; Hao CHEN ; Meng-he GUO
Journal of Southern Medical University 2008;28(2):200-203
OBJECTIVETo study the therapeutic effect of insulin-like growth factor-1 (IGF-1) injection into the inner ears through a scala tympani fenestration on sensorineural deafness in a guinea pig model of gentamicin-induced hearing loss.
METHODSTwenty guinea pigs with gentamicin-induced hearing loss were randomized equally into IGF-1 group and control group. In both groups, scala tympani fenestration was performed for injection of IGF-1 (10 microl) or artificial perilymphatic fluid (10 microl). Auditory brainstem responses (ABR) test was performed before and 7 and 14 days after surgery, respectively, and the cochlea was removed by decollation of 3 guinea pigs from each group after ABR test for observing the changes in the hair cells using scanning electron microscope.
RESULTSSignificant reduction in the ABR response threshold (RT) occurred in IGF-1 group 7 and 14 days after the surgery, and on day 14, ABR RT showed significant difference between IGF-1 group and the control group. Scanning electron microscopy revealed severer damages of the hair cells in the control group, and in the IGF-1 group, finger-like microvilli was detected on the surface of the damaged hair cells.
CONCLUSIONIGF-1 injection in the inner ear through the scala tympani fenestration may ameliorate the damages of the auditory function and relieve sustained toxicity of gentamicin in guinea pigs possibly by protection and partial repair of the damaged cochlea hair cells as well as protection of the afferent nerves.
Animals ; Ear, Inner ; drug effects ; physiopathology ; Gentamicins ; Guinea Pigs ; Hair Cells, Auditory ; ultrastructure ; Hearing Loss ; chemically induced ; drug therapy ; Insulin-Like Growth Factor I ; pharmacology ; Microscopy, Electron, Scanning ; Scala Tympani
9.Gene Therapy for Hearing Protection.
Korean Journal of Otolaryngology - Head and Neck Surgery 2017;60(6):263-270
Sensorineural hearing loss (SNHL) does not recover and only few exceptions exist. It is mostly due to the reason that hair cells in the cochlea cannot regenerate once damaged. Therefore, clinical approaches for SNHL mostly rely on the implantable or external device to deliver sound to brain. Despite the advance of technology, current strategy does not replicate the sound perception of naïve inner ear. To overcome this issue, novel trials to protect or rescue hair cells from the ototoxic insults are investigated. One of these is gene therapy. Protective gene therapy has been applied to several ototoxic insults, but some trials have shown negative effect. Gene therapy using neurotrophin, one of the growth factor, has been expected to show protective effect against acoustic overexposure. But unregulated and untargeted expression of Ntf3 revealed adverse effect showing deterioration of nerve ending and synapse. Meanwhile, gene therapies have been adopted and tried for cisplatin ototoxicity. Most of the studies has been shown promising outcome. Also several studies have shown protective effect of gene therapy for aminoglycoside ototoxicity. Recent publication showed that heat-shock protein 70 was effective in preventing aminoglycoside ototoxicity. Furthermore, use of gene therapy expands to the field of cochlear implant, in which it can be used as an enhancer of treatment outcome. Application of neurotrophins resulted in increase of spiral ganglion densities as well as migration of peripheral nervous fibers to the location which would be closer to the electrode when implanted.
Acoustics
;
Brain
;
Cisplatin
;
Cochlea
;
Cochlear Implants
;
Ear, Inner
;
Electrodes
;
Genetic Therapy*
;
Hair
;
Hearing Loss, Sensorineural
;
Hearing*
;
HSP70 Heat-Shock Proteins
;
Nerve Endings
;
Nerve Growth Factors
;
Publications
;
Spiral Ganglion
;
Synapses
;
Treatment Outcome
10.Effect of Growth Factors on Hearing Restoration in Deafened Animal Model.
Ji Hong KIM ; Shi Nae PARK ; Sang W YEO ; Young Ha KIM ; Sun Young JIN ; Jong Hoon KIM ; Sang Jae CHO ; Jung Hyun KIM ; Mi Yung CHOI ; Kyoung Ho PARK
Korean Journal of Otolaryngology - Head and Neck Surgery 2008;51(12):1093-1098
BACKGROUND AND OBJECTIVES: Sensorineural hearing loss is caused by ototoxic drugs, radiation therapy, noise exposure and trauma, etc. They make irreversible changes in cochlear hair cells and degeneration of spiral ganglion neurons. It is known that neurotrophins and other growth factors have an important role in protectingcochlear hair cells and spiral ganglion neurons. We designed this study to analyze the effect of neurotrophins and growth factors delivered to the inner ear of deafened guinea pig. MATERIALS AND METHOD: Healthy 15 guinea pigs with normal Preyer's reflex were chosen, and were made deaf by infusion of kanamycin and ethacrynic acid. Myringotomy was done to both ears, normal saline injected into the left ear, and BDNF (brainderived neurotrophic factor), GDNF (glial cell derived neurotrophic factor), NT-3 (neurotrophin-3), IGF (insulin-like growth factor), EGF (epidermal growth factor), FGF (fibroblast growth factor) were injected in the right ear. RESULTS: Statistically significant hearing gain was obtained up to 35.00+/-13.78 dB in the group 1 (BDNF, GDNF, NT-3 treated group), and up to 34.0+/-5.47 dB in the group 2 (IGF treated group). However, no statistically significant hearing gain was observed in the group 3 (EGF, FGF treated group). CONCLUSION: We observed statistically important improvement of hearing threshold in the BDNF, GDNF, NT-3 treated group and IGF treated group.
Animals
;
Brain-Derived Neurotrophic Factor
;
Ear
;
Ear, Inner
;
Epidermal Growth Factor
;
Ethacrynic Acid
;
Glial Cell Line-Derived Neurotrophic Factor
;
Guinea
;
Guinea Pigs
;
Hair
;
Hearing
;
Hearing Loss, Sensorineural
;
Intercellular Signaling Peptides and Proteins
;
Kanamycin
;
Models, Animal
;
Nerve Growth Factors
;
Neurons
;
Noise
;
Reflex
;
Spiral Ganglion