Department of Otolaryngology-Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China.
Inflammation. 2014 Apr;37(2):365-73. doi: 10.1007/s10753-013-9748-2.
Aspirin (salicylate), as a common drug that is frequently used for long-term treatment in a clinical setting, has the potential to cause reversible tinnitus. However, few reports have examined the inflammatory cytokines expression and alteration of synaptic ultrastructure in the cochlear nucleus (CN) in a rat model of tinnitus. The tinnitus-like behavior of rats were detected by the gap prepulse inhibition of acoustic startle (GPIAS) paradigm. We investigated the expression levels of the tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), N-methyl D-aspartate receptor subunit 2A (NR2A) mRNA and protein in the CN and compared synapses ultrastructure in the CN of tinnitus rats with normal ones. GPIAS showed that rats with long-term administration of salicylate were experiencing tinnitus, and the mRNA and protein expression levels of TNF-α and NR2A were up-regulated in chronic treatment groups, and they returned to baseline 14 days after cessation of treatment. Furthermore, compared to normal rats, repetitive salicylate-treated rats showed a greater number of presynaptic vesicles, thicker and longer postsynaptic densities, increased synaptic interface curvature. These data revealed that chronic salicylate administration markedly, but reversibly, induces tinnitus possibly via augmentation of the expression of TNF-α and NR2A and cause changes in synaptic ultrastructure in the CN. Long-term administration of salicylate causes neural plasticity changes at the CN level.
阿司匹林(水杨酸盐)作为一种在临床环境中经常用于长期治疗的常用药物,有可能引起可逆转的耳鸣。然而,很少有研究报告检查过耳鸣大鼠耳蜗核(CN)中炎症细胞因子表达和突触超微结构的改变。通过声惊跳的间隙预脉冲抑制(GPIAS)范式检测大鼠的耳鸣样行为。我们研究了肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、N-甲基-D-天冬氨酸受体亚单位 2A(NR2A)mRNA 和蛋白在 CN 中的表达水平,并比较了耳鸣大鼠和正常大鼠 CN 中的突触超微结构。GPIAS 表明,长期给予水杨酸盐的大鼠出现耳鸣,慢性治疗组 TNF-α 和 NR2A 的 mRNA 和蛋白表达水平上调,并在停止治疗 14 天后恢复基线。此外,与正常大鼠相比,重复给予水杨酸盐的大鼠表现出更多的突触前囊泡、更厚和更长的突触后密度、增加的突触界面曲率。这些数据表明,慢性水杨酸盐给药显著但可逆转地引起耳鸣,可能是通过增加 TNF-α 和 NR2A 的表达,并导致 CN 中突触超微结构的变化。长期给予水杨酸盐会导致 CN 水平的神经可塑性变化。