Department of Otorhinolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, People's Republic of China.
Shanghai Key Laboratory of Translational Medicine on Ear and Nose Diseases (14DZ2260300), Shanghai, 200125, People's Republic of China.
Drug Des Devel Ther. 2021 Aug 11;15:3443-3450. doi: 10.2147/DDDT.S318117. eCollection 2021.
To investigate the hearing protection outcomes of different drug-eluting analog electrode arrays implanted into guinea pig cochleae.
Sixty guinea pigs were randomly divided into a negative control group and five experimental groups implanted separately with blank (drug carrier), dexamethasone (DXM), aracytine (Ara-C), Ara-C+DXM, and nicotinamide adenine dinucleotide (NAD+) eluting analog electrode arrays. Micro CT was used to supervise the surgical procedure. Auditory brainstem response (ABR) thresholds of the guinea pigs were measured and analyzed.
Compared with the negative control, all other groups showed a significant increase in ABR threshold (p<0.001) after surgery. Among them, there was no obvious difference between the blank (0 vs 90 days: 59.70±10.57 vs 64.60±9.47 dB SPL) and the NAD+ group (0 vs 90 days: 59.90±9.87 vs 64.70±8.65 dB SPL). On the other hand, the ABR thresholds in the DXM (0 days: 58.10±10.73 dB SPL; 90 days: 51.70±9.07 dB SPL) and the Ara-C group (0 days: 59.00±10.05 dB SPL; 90 days: 51.60±8.48 dB SPL) decreased significantly compared with the former two groups (p<0.001). However, the Ara-C+DXM group showed no further benefit (p>0.05). In addition, a significantly higher survival rate of spiral ganglion neurons in cochleae was observed in the Ara-C and/or DXM groups.
研究不同载药模拟电极阵列植入豚鼠耳蜗后的听力保护效果。
60 只豚鼠随机分为阴性对照组和 5 个实验组,分别植入空白(药物载体)、地塞米松(DXM)、阿糖胞苷(Ara-C)、Ara-C+DXM 和烟酰胺腺嘌呤二核苷酸(NAD+)洗脱模拟电极阵列。微 CT 用于监测手术过程。测量并分析豚鼠的听觉脑干反应(ABR)阈值。
与阴性对照组相比,术后所有组的 ABR 阈值均显著升高(p<0.001)。其中,空白组(0 天 vs 90 天:59.70±10.57 vs 64.60±9.47 dB SPL)和 NAD+组(0 天 vs 90 天:59.90±9.87 vs 64.70±8.65 dB SPL)之间差异无统计学意义。另一方面,DXM 组(0 天:58.10±10.73 dB SPL;90 天:51.70±9.07 dB SPL)和 Ara-C 组(0 天:59.00±10.05 dB SPL;90 天:51.60±8.48 dB SPL)的 ABR 阈值与前两组相比明显下降(p<0.001)。然而,Ara-C+DXM 组并未显示出进一步的益处(p>0.05)。此外,在 Ara-C 和/或 DXM 组中观察到耳蜗螺旋神经节神经元的存活率显著提高。