Kurihara Sho, Fujioka Masato, Yoshida Tomohiko, Koizumi Makoto, Ogawa Kaoru, Kojima Hiromi, Okano Hirotaka James
Division of Regenerative Medicine, Jikei University School of Medicine; Department of Otorhinolaryngology, Jikei University School of Medicine.
Department of Otorhinolaryngology, Head and Neck Surgery, Keio University School of Medicine;
J Vis Exp. 2018 Feb 27(132):56574. doi: 10.3791/56574.
Hearing research has long been facilitated by rodent models, although in some diseases, human symptoms cannot be recapitulated. The common marmoset (Callithrix jacchus) is a small, easy-to-handle New World monkey which has a similar anatomy of the temporal bone, including the middle ear ossicular chains and inner ear to humans, than in comparison with that of rodents. Here, we report a reproducible, safe, and rational surgical approach to the cochlear round window niche for the drug delivery to the inner ear of the common marmoset. We adopted posterior tympanotomy, a procedure used clinically in human surgery, to avoid manipulation of the tympanic membrane that may cause conductive hearing loss. This surgical procedure did not lead to any significant hearing loss. This approach was possible due to the large bulla structure of the common marmoset, although the lateral semicircular canal and vertical portion of the facial nerve should be carefully considered. This surgical method allows us to perform the safe and accurate administration of drugs without hearing loss, which is of great importance in obtaining pre-clinical proof of concept for translational research.
长期以来,啮齿动物模型推动了听力研究,尽管在某些疾病中,人类症状无法在这些模型中重现。普通狨猴(Callithrix jacchus)是一种小型、易于操作的新大陆猴,与啮齿动物相比,其颞骨解剖结构,包括中耳听骨链和内耳,与人类更为相似。在此,我们报告一种可重复、安全且合理的手术方法,通过耳蜗圆窗龛向普通狨猴内耳给药。我们采用了后鼓室切开术,这是一种在人类手术中临床使用的方法,以避免对鼓膜的操作,因为这种操作可能导致传导性听力损失。该手术未导致任何显著的听力损失。由于普通狨猴的大泡结构,这种方法是可行的,不过应仔细考虑外半规管和面神经垂直段。这种手术方法使我们能够在不造成听力损失的情况下安全、准确地给药,这对于获得转化研究的临床前概念验证非常重要。