Fukushima Munehisa, Kitahara Tadashi, Uno Yoshihiro, Fuse Yuka, Doi Katsumi, Kubo Takeshi
Department of Otolaryngology and Sensory Organ Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Acta Otolaryngol. 2002 Sep;122(6):600-6. doi: 10.1080/000164802320396268.
Although steroid treatment is generally administered for patients with inner ear disorders, including Meniere's disease, the mechanism via which steroids exert their effects remains to be clarified. The aquaporins (AQPs) are a family of small transmembrane water transporters, and it has recently been revealed that they play a role in regulating homeostasis in the inner ear fluids. In order to elucidate the action points of steroids in the inner ear, we firstly identified AQPI, 2, 3, 4, 5 and 6 mRNAs in the rat cochlea and AQP1, 3, 4, 5 and 6 in the rat endolymphatic sac by means of reverse transcription-polymerase chain reaction. Subsequently, we found that intratympanic injections of steroids upregulated AQPI mRNA of the rat cochlea in a dose-dependent manner. These results suggest that steroids may affect water homeostasis in the rat inner ear mainly via AQP1.
尽管类固醇治疗通常用于患有内耳疾病(包括梅尼埃病)的患者,但其发挥作用的机制仍有待阐明。水通道蛋白(AQPs)是一类小的跨膜水转运蛋白,最近发现它们在调节内耳液体的内环境稳定中发挥作用。为了阐明类固醇在内耳中的作用靶点,我们首先通过逆转录-聚合酶链反应在大鼠耳蜗中鉴定出AQP1、2、3、4、5和6的mRNA,在大鼠内淋巴囊中鉴定出AQP1、3、4、5和6。随后,我们发现鼓室内注射类固醇以剂量依赖的方式上调大鼠耳蜗的AQP1 mRNA。这些结果表明,类固醇可能主要通过AQP1影响大鼠内耳的水平衡。