Strauss M, Griffith B P
Department of Otolaryngology-Head and Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio.
Am J Otol. 1991 Mar;12(2):97-100.
Cytomegalovirus is the most frequently recognized cause of congenital viral infection and of viral induced congenital hearing loss. Histopathologic reports on temporal bones from nine congenitally infected infants have most often demonstrated an endolabyrinthitis. The guinea pig and its specific cytomegaloviruses have been studied extensively as a model of transplacentally acquired infection. However, to date no investigation has been performed on the inner ear of such congenitally infected animals. To determine if a congenital viral labyrinthitis occurs in these guinea pigs, a study was conducted in which pregnant Hartley and Strain 2 guinea pigs were injected intraperitoneally with virulent salivary gland passaged cytomegalovirus during the first, second, or third trimester. Various durations of gestation up to delivery were permitted and selected organs from the products were then studied with routine histologic and immunocytochemical methods and cell cultures to verify the presence of transplacental infection. The temporal bones were studied with routine histopathology as well as immunocytochemical methods to detect cytomegalovirus antigen. Over 190 products of conception studied in this fashion revealed no evidence of teratogenesis or labyrinthine infection. It is not clear why in the presence of viremia, which resulted in cytomegalovirus infection of multiple organs, the inner ears of these animals were apparently spared.
巨细胞病毒是先天性病毒感染及病毒所致先天性听力损失最常见的病因。对9例先天性感染婴儿颞骨的组织病理学报告大多显示为内耳炎。豚鼠及其特定的巨细胞病毒作为经胎盘感染的模型已得到广泛研究。然而,迄今为止,尚未对这类先天性感染动物的内耳进行过研究。为确定这些豚鼠是否发生先天性病毒性迷路炎,开展了一项研究,在妊娠的第一、第二或第三个月,给怀孕的哈特利豚鼠和2号品系豚鼠腹腔注射经唾液腺传代的强毒株巨细胞病毒。允许妊娠持续至分娩的不同阶段,然后用常规组织学和免疫细胞化学方法以及细胞培养对产出物的选定器官进行研究,以证实经胎盘感染的存在。用常规组织病理学以及免疫细胞化学方法研究颞骨,以检测巨细胞病毒抗原。以这种方式研究的190多个妊娠产物未显示致畸或迷路感染的证据。尚不清楚为何在出现病毒血症(导致多个器官发生巨细胞病毒感染)的情况下,这些动物的内耳显然未受影响。