3.Clinical Safety and Efficacy of Autologous Bone Marrow-Derived Mesenchymal Stem Cell Transplantation in Sensorineural Hearing Loss Patients
Ho Seok LEE ; Woo Jin KIM ; Ji Sun GONG ; Kyoung Ho PARK
Journal of Audiology & Otology 2018;22(2):105-109
Stem cell transplantation represents a promising therapy for several degenerating and necrotic diseases. In several animal studies, we could find hearing restoration after inoculation of the mesenchymal stem cells' as well as mesenchymal stem cells' differentiation of hair cells and spiral ganglion. But until now, no clinical study has been reported directly for the human being. In this pilot studies, we applied mesenchymal stem cells to human beings trans-venously. Although we verified the safety of the autologous bone marrow stem cell transplantation in sensorineural hearing loss patients but we could not achieve significant improvement in hearing.
Animals
;
Bone Marrow
;
Clinical Study
;
Electric Stimulation
;
Hair
;
Hearing Loss
;
Hearing Loss, Sensorineural
;
Hearing
;
Humans
;
Mesenchymal Stem Cell Transplantation
;
Mesenchymal Stromal Cells
;
Pilot Projects
;
Spiral Ganglion
;
Stem Cell Transplantation
4.The Protective Effect of Egb 761 Against 3-Nitropropionic Acid-Induced Hearing Loss: The Role of Sirtuin 1.
Mun Young CHANG ; Jihye RHEE ; Shin Hye KIM ; Young Ho KIM
Clinical and Experimental Otorhinolaryngology 2018;11(1):9-16
OBJECTIVES: Local administration of 3-nitropropionic acid (3-NP) to the inner ear induces sensorineural hearing loss. Several studies have shown the otoprotective effects of ginkgo biloba extract EGb 761. Moreover, EGb 761 has been reported to activate Sirtuin 1 (SIRT1). The present study was designed to investigate whether EGb 761 prevents 3-NP-induced sensorineural hearing loss and determine its effects on the expression of SIRT1. METHODS: Sprague Dawley rats were divided into four experimental groups: control group receiving vehicle of 3-NP, EGb group receiving EGb 761, 3-NP group receiving 3-NP, and EGb+3-NP group receiving EGb 761 and 3-NP. EGb 761 was given orally for 5 days. The 3-NP solution was injected into the tympanum 3 days after the start of EGb 761 administration. The auditory brainstem response was recorded before and after the injection. At 4 weeks after the administration of 3-NP or vehicle of 3-NP, cochleae were harvested, and hematoxylin and eosin staining and immunohistochemistry for SIRT1 antibody were performed. RESULTS: EGb+3-NP group showed significantly lower threshold shifts than 3-NP group. There was a significant preservation of type II fibrocytes and spiral ganglion cells in EGb+3-NP group than in 3-NP group. In EGb+3-NP group, there was a significantly greater number of SIRT1 immunopositive type II fibrocytes and spiral ganglion cells than in 3-NP group. Calculating the percentage of SIRT1 immunoreactive type II fibrocytes and spiral ganglion cells in viable type II fibrocytes and spiral ganglion cells, respectively, EGb+3-NP group showed significantly higher SIRT1 immunoreactive cells than 3-NP group. CONCLUSION: These results suggest that EGb 761 may prevent hearing loss induced by 3-NP in an acute ototoxic animal model, which appears to be related with SIRT1 expression.
Cochlea
;
Ear, Inner
;
Ear, Middle
;
Eosine Yellowish-(YS)
;
Evoked Potentials, Auditory, Brain Stem
;
Ginkgo biloba
;
Hearing Loss*
;
Hearing Loss, Sensorineural
;
Hearing*
;
Hematoxylin
;
Immunohistochemistry
;
Models, Animal
;
Rats, Sprague-Dawley
;
Sirtuin 1*
;
Spiral Ganglion
5.The Presence of Neural Stem Cells and Changes in Stem Cell-Like Activity With Age in Mouse Spiral Ganglion Cells In Vivo and In Vitro.
Byoung San MOON ; Aswathy AMMOTHUMKANDY ; Naibo ZHANG ; Lei PENG ; Albina IBRAYEVA ; Maxwell BAY ; Athira PRATAP ; Hong Ju PARK ; Michael Anthony BONAGUIDI ; Wange LU
Clinical and Experimental Otorhinolaryngology 2018;11(4):224-232
OBJECTIVES: Spiral ganglion neurons (SGNs) include potential endogenous progenitor populations for the regeneration of the peripheral auditory system. However, whether these populations are present in adult mice is largely unknown. We examined the presence and characteristics of SGN-neural stem cells (NSCs) in mice as a function of age. METHODS: The expression of Nestin and Ki67 was examined in sequentially dissected cochlear modiolar tissues from mice of different ages (from postnatal day to 24 weeks) and the sphere-forming populations from the SGNs were isolated and differentiated into different cell types. RESULTS: There were significant decreases in Nestin and Ki67 double-positive mitotic progenitor cells in vivo with increasing mouse age. The SGNs formed spheres exhibiting self-renewing activity and multipotent capacity, which were seen in NSCs and were capable of differentiating into neuron and glial cell types. The SGN spheres derived from mice at an early age (postnatal day or 2 weeks) contained more mitotic stem cells than those from mice at a late age. CONCLUSION: Our findings showed the presence of self-renewing and proliferative subtypes of SGN-NSCs which might serve as a promising source for the regeneration of auditory neurons even in adult mice.
Adult
;
Animals
;
Cochlea
;
Deafness
;
Hearing Loss
;
Humans
;
In Vitro Techniques*
;
Mice*
;
Nestin
;
Neural Stem Cells*
;
Neuroglia
;
Neurons
;
Regeneration
;
Spiral Ganglion*
;
Stem Cells
6.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
;
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
7.A study on toxic effects of sodium salicylate on rat cochlear spiral ganglion neurons: dopamine receptors mediate expressions of NMDA and GABAreceptors.
Ting-Jia WEI ; Hui-Ying CHEN ; Xi HUANG ; Jing-Jin WENG ; Jiang-Yuan QIN ; Ji-Ping SU
Acta Physiologica Sinica 2017;69(3):285-290
The aim of the present study was to observe whether dopamine receptor (DR) was involved in the effects of sodium salicylate (SS) on the expressions of N-methyl-D-aspartic acid (NMDA) and γ-aminobutyric acid (GABA) receptors in rat cochlear spiral ganglion neurons (SGNs). Forty-eight hours after primary culture of rat SGNs, immunofluorescence technique was applied to detect expressions of DR1 and DR2, the two subtypes of dopamine receptors. Western blot was performed to assess NMDA receptor NR1 subunit and GABAreceptor subunit α2 (GABRα2) protein expressions in the SGNs after the treatments of SS alone or in combination with DR antagonists. The results demonstrated that: (1) The DR1 and DR2 were expressed in the bodies and axons of the SGN; (2) After the treatment with SS, the surface protein expressions of GABRα2 and NR1 were decreased by 44.69% and 21.57%, respectively, while the total protein expressions showed no significant changes; (3) Neither SS + SCH23390 (DR1 antagonist) group nor SS + Eticlopride (DR2 antagonist) group showed significant differences in GABRα2 and NR1 surface protein expressions compared with the control group. These results suggest that SS regulates the surface GABAand NMDA receptors trafficking on SGN, and the mechanism may involve DR mediation.
Animals
;
Benzazepines
;
pharmacology
;
Cells, Cultured
;
Cochlea
;
cytology
;
Neurons
;
drug effects
;
Rats
;
Receptors, Dopamine
;
metabolism
;
Receptors, GABA-A
;
metabolism
;
Receptors, N-Methyl-D-Aspartate
;
metabolism
;
Sodium Salicylate
;
toxicity
;
Spiral Ganglion
;
drug effects
8.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
9.Effectiveness of cisplatin on the expressions of Bcl-2 and Bax in cochlea and spiral ganglion cells of guinea pigs.
Peng LI ; Wei ZHANG ; Yi ZHANG ; Qiuyang FU ; Qingxiang MENG ; Jinghua XIE ; Yong LIANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(1):45-48
OBJECTIVE:
To investigate the effectiveness of cisplatin on the expressions of Bcl-2 and Bax in cochlea and spiral ganglion cells (SGC) of guinea pigs.
METHOD:
Twenty guinea pigs were randomly divided into cisplatin (n = 10) and control groups (n = 10). Cisplatin group were administrated with a dose of intraperitoneal injection of 16 mg/kg, while the control group were received intraperitoneal injection of normal saline as placebo. Before and 7 days following injections, the ototoxic effect was measured with distortion product otoacoustic emission (DPOAE). Bcl-2, Bax in cochlea were detected by Western Blot. Immunohistochemical staining was used to detect the protein levels of Bcl-2 and Bax in spiral ganglion cells.
RESULT:
In control and cisplatin group, Bcl-2 protein levels were 0.727 8 ± 0.016 9 and 0.467 6 ± 0.020 1, Bax protein levels were 0.384 8 ± 0. 0217 and 0.735 6 ± 0.022 3 in cochlea respectively, both P < 0.01. In Control and cisplatin group, the grey values of Bcl-2 in SGC were 99.00 ± 2.42 and 149.80 ± 2.37 respectively, the grey values of Bax were 154.50 ± 2.80 and 104.50 ± 3.09 respectively, both P < 0.05.
CONCLUSION
Decreased expression of Bcl-2 and increased expression of Bax may be involved in cisplatin-induced apoptosis in cochlea and SGC of guinea pigs.
Animals
;
Apoptosis
;
Cisplatin
;
pharmacology
;
Cochlea
;
metabolism
;
Guinea Pigs
;
Proto-Oncogene Proteins c-bcl-2
;
metabolism
;
Spiral Ganglion
;
drug effects
;
metabolism
;
bcl-2-Associated X Protein
;
metabolism
10.Noise-Induced Neural Degeneration and Therapeutic Effect of Antioxidant Drugs.
Seong Hee CHOI ; Chul Hee CHOI
Journal of Audiology & Otology 2015;19(3):111-119
The primary site of lesion induced by noise exposure is the hair cells in the organ of Corti and the primary neural degeneration occurs in synaptic terminals of cochlear nerve fibers and spiral ganglion cells. The cellular basis of noise-induced hearing loss is oxidative stress, which refers to a severe disruption in the balance between the production of free radicals and antioxidant defense system in the cochlea by excessive production of free radicals induced by noise exposure. Oxidative stress has been identified by a variety of biomarkers to label free radical activity which include four-hydroxy-2-nonenal, nitrotyrosine, and malondialdehyde, and inducible nitric oxide synthase, cytochrome-C, and cascade-3, 8, 9. Furthermore, oxidative stress is contributing to the necrotic and apoptotic cell deaths in the cochlea. To counteract the known mechanisms of pathogenesis and oxidative stress induced by noise exposure, a variety of antioxidant drugs including oxygen-based antioxidants such as N-acetyl-L-cystein and acetyl-L-carnitine and nitrone-based antioxidants such as phenyl-N-tert-butylnitrone (PBN), disufenton sodium, 4-hydroxy PBN, and 2, 4-disulfonyl PBN have been used in our laboratory. These antioxidant drugs were effective in preventing or treating noise-induced hearing loss. In combination with other antioxidants, antioxidant drugs showed a strong synergistic effect. Furthermore, successful use of antioxidant drugs depends on the optimal timing of treatment and the duration of treatment, which are highly related to the time window of free radical formation induced by noise exposure.
Acetylcarnitine
;
Antioxidants
;
Biomarkers
;
Cell Death
;
Cochlea
;
Cochlear Nerve
;
Free Radicals
;
Hair
;
Hearing Loss, Noise-Induced
;
Malondialdehyde
;
Nitric Oxide Synthase Type II
;
Noise
;
Organ of Corti
;
Oxidative Stress
;
Presynaptic Terminals
;
Sodium
;
Spiral Ganglion

Result Analysis
Print
Save
E-mail