Fetoni Anna R, Eramo Sara Letizia Maria, Di Pino Antonella, Rolesi Rolando, Paciello Fabiola, Grassi Claudio, Troiani Diana, Paludetti Gaetano
Institute of Otolaryngology, Università Cattolica School of Medicine, Rome.
Institute of Cell Biology and Neurobiology, CNR, Monterotondo.
Otol Neurotol. 2018 Mar;39(3):378-386. doi: 10.1097/MAO.0000000000001700.
Trans-tympanic Rosmarinic Acid (RA), as compared with the systemic administration, protects against noise-induced auditory hair cell and hearing losses in rats in vivo.
ROS production, lipoperoxidative damage, and an imbalance of antioxidant defences play a significant role in noise-induced hearing loss. Several molecules with antioxidant properties have been tested to restore redox homeostasis; however, drug delivery system represents a challenge for their effectiveness. In our model, acute and intense noise exposure induces hearing loss, hair cell death, and oxidative stress, with an increase in superoxide production and over-expression of lipid peroxidation in cochlear structures.
RA was administrated in male Wistar rats by trans-tympanic (20 μl) and systemic (10 mg/kg) modality. In systemic administration, RA was injected 1 hour before noise exposure and once daily for the following 3 days. ABRs were measured before and at days 1, 3, 7, and 30 after noise exposure. Rhodamine-phalloidin staining, dihydroethidium and 8-isoprostane immunostainings were performed to assess and quantify outer hair cells loss, superoxide production, and lipid peroxidation in the different experimental groups.
Systemic RA administration significantly decreased noise-induced hearing loss and the improvement of auditory function was paralleled by a significant reduction in cochlear oxidative stress. The trans-tympanic modality of drug administration showed a similar degree of protection both at the functional and morphological levels.
The effectiveness of RA given via trans-tympanic injection could be interesting for the future application of this minimally-invasive procedure in the treatment of ROS-induced hearing loss.
与全身给药相比,经鼓膜给予迷迭香酸(RA)可在体内保护大鼠免受噪声诱导的听觉毛细胞损伤和听力损失。
活性氧(ROS)生成、脂质过氧化损伤以及抗氧化防御失衡在噪声诱导的听力损失中起重要作用。已测试了几种具有抗氧化特性的分子以恢复氧化还原稳态;然而,药物递送系统对其有效性构成挑战。在我们的模型中,急性高强度噪声暴露会导致听力损失、毛细胞死亡和氧化应激,耳蜗结构中超氧化物生成增加以及脂质过氧化过度表达。
通过经鼓膜(20 μl)和全身(10 mg/kg)方式给雄性Wistar大鼠给予RA。全身给药时,在噪声暴露前1小时注射RA,并在接下来的3天每天注射一次。在噪声暴露前以及暴露后第1、3、7和30天测量听性脑干反应(ABR)。进行罗丹明 - 鬼笔环肽染色、二氢乙锭和8 - 异前列腺素免疫染色,以评估和量化不同实验组中外毛细胞损失、超氧化物生成和脂质过氧化情况。
全身给予RA可显著降低噪声诱导的听力损失,听觉功能的改善与耳蜗氧化应激的显著降低平行。经鼓膜给药方式在功能和形态学水平上均显示出相似程度的保护作用。
经鼓膜注射给予RA的有效性对于这种微创方法未来在治疗ROS诱导的听力损失中的应用可能具有重要意义。