Shehata W E, Brownell W E, Dieler R
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Acta Otolaryngol. 1991;111(4):707-18. doi: 10.3109/00016489109138403.
A reversible tinnitus and hearing loss have long been known to result from large doses of salicylate. Cochlear electrophysiology and otoacoustic emission studies suggest that the drug may interfere with outer hair cell electromotility. Exposure of isolated outer hair cells to sodium salicylate concentrations ranging from 0.05 to 10 mM reveals a dose dependent, reversible loss of turgidity and dimunition of electromotility. There was also a change in membrane conductance with salicylate superfusion that occurred later in time from the onset of shape and electromotility changes. There was no evidence of dose dependence for the change in membrane conductance, nor was the change reversible. The changes in shape and electromotility that we observe in vitro may impair cochlear partition movements in vivo and could account, at least in part, for the salicylate-induced hearing loss and effects on otoacoustic emissions.
长期以来,人们一直知道大剂量水杨酸盐会导致可逆性耳鸣和听力损失。耳蜗电生理学和耳声发射研究表明,该药物可能会干扰外毛细胞的电运动。将分离的外毛细胞暴露于浓度范围为0.05至10 mM的水杨酸钠中,会出现剂量依赖性、可逆性的细胞肿胀丧失和电运动减弱。水杨酸盐灌流时,膜电导也发生了变化,这一变化比细胞形状和电运动变化的开始时间晚。膜电导的变化没有剂量依赖性证据,也不是可逆的。我们在体外观察到的细胞形状和电运动变化可能会损害体内耳蜗隔板运动,并且至少可以部分解释水杨酸盐引起的听力损失以及对耳声发射的影响。