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皮质激素对顺铂所致耳毒性的保护作用。

The Protective Effect of Cortexin on Cisplatin-Induced Ototoxicity.

作者信息

Eroğlu Orkun, Karlıdağ Turgut, Kuloğlu Tuncay, Keleş Erol, Kaygusuz İrfan, Yalçın Şinasi

机构信息

Department of Otorhinolaryngology, Fırat University School of Medicine, Elazığ, Turkey.

Department of Histology and Embryology, Fırat University School of Medicine, Elazığ, Turkey.

出版信息

J Int Adv Otol. 2018 Apr;14(1):27-33. doi: 10.5152/iao.2017.3825. Epub 2017 Nov 2.

DOI:10.5152/iao.2017.3825
PMID:29092803
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6354512/
Abstract

OBJECTIVE

The aim of this report is to evaluate whether cortexin provides any protective activity against ototoxicity of cisplatin.

MATERIALS AND METHODS

The study was performed on 30 healthy adult Wistar Albino rats, and rats were randomly divided into three groups of ten. Group I (Control group) was given intraperitoneal (ip) saline solution 1 mL/day. Group II (Cisplatin group) was given ip cisplatin for 2 days at doses of 10 mg/kg. Group III (Cisplatin + Cortexin group) was given ip cisplatin for 2 days at same doses with ip cortexin 2 mg/day for 7 days. Before and on the fourth day of the study, all subjects underwent auditory brainstem response (ABR) and distortion product otoacoustic emissions (DPOAE) tests. At the end of fourth day, half of the subjects in all three groups were decapitated, and their cochlea were removed for histopathologic examination. On the eighth day, tests of the remaining subjects and histopathological examinations were repeated.

RESULTS

ABR tests on the fourth and eighth days showed elevations in the mean hearing thresholds of Groups II and III compared to Group I (p < 0.05). DPOAE tests revealed a loss in emission values on the fourth and eighth days of the study compared to the baseline in Groups II and III. Comparison of Groups II with III showed that emission loss was higher in Group II at both time points, and the difference was more pronounced on the eighth day. Histopathological findings supported these tests.

CONCLUSION

Cortexin provide protective activity against cisplatin-induced ototoxicity.

摘要

目的

本报告旨在评估皮质素是否对顺铂的耳毒性具有任何保护作用。

材料与方法

对30只健康成年Wistar白化大鼠进行研究,将大鼠随机分为三组,每组10只。第一组(对照组)每天腹腔注射1 mL生理盐水。第二组(顺铂组)以10 mg/kg的剂量腹腔注射顺铂2天。第三组(顺铂+皮质素组)以相同剂量腹腔注射顺铂2天,同时每天腹腔注射2 mg皮质素,共7天。在研究前和研究的第四天,所有受试者均接受听性脑干反应(ABR)和畸变产物耳声发射(DPOAE)测试。在第四天结束时,将三组中一半的受试者断头,取出其耳蜗进行组织病理学检查。在第八天,对其余受试者重复进行测试和组织病理学检查。

结果

与第一组相比,第二组和第三组在第四天和第八天的ABR测试显示平均听力阈值升高(p < 0.05)。DPOAE测试显示,与基线相比,第二组和第三组在研究的第四天和第八天发射值下降。第二组与第三组的比较表明,在两个时间点,第二组的发射损失更高,且在第八天差异更明显。组织病理学结果支持了这些测试。

结论

皮质素对顺铂诱导的耳毒性具有保护作用。

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本文引用的文献

1
Efficacy of Cortexin and Methylprednisolone on Traumatic Facial Nerve Paralysis.皮质醇和甲泼尼龙治疗外伤性面神经麻痹的疗效
J Int Adv Otol. 2016 Dec;12(3):303-309. doi: 10.5152/iao.2016.1166. Epub 2016 Nov 7.
2
[Cortexin. Molecular mechanisms and targets of neuroprotective activity].[皮质素。神经保护活性的分子机制与靶点]
Zh Nevrol Psikhiatr Im S S Korsakova. 2015;115(8):99-104. doi: 10.17116/jnevro20151158199-104.
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[An open clinical trial of cortexin in treatment of brain ischemia].[促皮质素治疗脑缺血的开放性临床试验]
Zh Nevrol Psikhiatr Im S S Korsakova. 2014;114(9):49-52.
4
[Regulation of content of cytokines in blood serum and of caspase-3 activity in brains of old rats in model of sharp hypoxic hypoxia with Cortexin and Pinealon].[在急性低氧性缺氧模型中,Cortexin和Pinealon对老年大鼠血清细胞因子含量及大脑中半胱天冬酶-3活性的调节作用]
Adv Gerontol. 2014;27(1):94-7.
5
Systemic dexamethasone for the prevention of cisplatin-induced ototoxicity.全身用地塞米松预防顺铂所致耳毒性。
Eur Arch Otorhinolaryngol. 2013 May;270(5):1597-605. doi: 10.1007/s00405-012-2150-0. Epub 2012 Aug 21.
6
Platinum-induced ototoxicity in children: a consensus review on mechanisms, predisposition, and protection, including a new International Society of Pediatric Oncology Boston ototoxicity scale.铂类诱导的儿童耳毒性:机制、易感性和保护的共识综述,包括新的国际儿科肿瘤学会波士顿耳毒性量表。
J Clin Oncol. 2012 Jul 1;30(19):2408-17. doi: 10.1200/JCO.2011.39.1110. Epub 2012 Apr 30.
7
[Cortexin and cortagen as correcting agents in functional and metabolic disorders in the brain in chronic ischemia].[皮质激素和皮质原作为慢性缺血性脑功能和代谢紊乱的校正剂]
Eksp Klin Farmakol. 2011;74(2):8-15.
8
[Adjuvants to the treatment of acute cerebral insufficiency in newborns].[新生儿急性脑功能不全的治疗辅助剂]
Zh Nevrol Psikhiatr Im S S Korsakova. 2011;111(2):60-3.
9
Practical grading system for evaluating cisplatin ototoxicity in children.儿童顺铂耳毒性的实用分级系统。
J Clin Oncol. 2010 Apr 1;28(10):1788-95. doi: 10.1200/JCO.2009.24.4228. Epub 2010 Mar 1.
10
Cisplatin-induced ototoxicity: effect of intratympanic dexamethasone injections.顺铂诱导的耳毒性:鼓室内注射地塞米松的效果。
Otol Neurotol. 2008 Oct;29(7):1005-11. doi: 10.1097/MAO.0b013e31818599d5.