Meuser Max, Schwitzer Susanne, Faraji Parisa, Ernst Arne, Basta Dietmar
Department of Otolaryngology at Unfallkrankenhaus Berlin, Charité Medical School, University of Berlin, 12683 Berlin, Germany.
Brain Sci. 2025 Jan 11;15(1):62. doi: 10.3390/brainsci15010062.
Previous studies have shown that multiple post-traumatic irradiations of the cochlea with near-infrared light (NIR) can significantly reduce noise-induced hearing loss. However, a single NIR pre-treatment was shown to have the same effect. Extending the pre-treatment time did not result in any further reduction in hearing loss. The present study investigated whether a combined NIR pre- and post-treatment had an increased effect on hearing preservation.
Frequency-specific auditory brainstem potential thresholds (ABR) were determined in young adult mice. One group (n = 8) underwent NIR irradiation (808 nm, 120 mW, 15 min) of the cochlea, followed by a 30 min noise exposure (5-20 kHz, 115 dB SPL). A post-NIR treatment was administered for 30 min immediately following the noise trauma. After 14 days, hearing loss was determined by ABR measurements. The results were compared with a trauma-only group (n = 8) and an untreated control group (n = 5). Subsequently, the spiral ganglion neuron density was investigated.
A peri-traumatic NIR treatment resulted in a significantly lower hearing loss compared to the trauma-only group. Hearing protection in these animals significantly exceeded the effect of an exclusive pre- or post-treatment across all frequencies. A loss of spiral ganglion neurons in the trauma-only group was observed, which was significantly rescued by the peri-traumatic NIR treatment.
A single peri-traumatic NIR treatment seems to be the more effective approach for the preservation of hearing thresholds after noise trauma compared to an isolated pre- or post-treatment. One target of the protective effect seems to be the spiral ganglion.
先前的研究表明,用近红外光(NIR)对耳蜗进行多次创伤后照射可显著降低噪声性听力损失。然而,单次NIR预处理也显示出相同的效果。延长预处理时间并未导致听力损失进一步降低。本研究调查了NIR预处理和后处理联合使用是否对听力保护有增强作用。
测定成年幼鼠特定频率的听性脑干反应阈值(ABR)。一组(n = 8)对耳蜗进行NIR照射(808 nm,120 mW,15分钟),随后进行30分钟的噪声暴露(5 - 20 kHz,115 dB SPL)。在噪声创伤后立即进行30分钟的NIR后处理。14天后,通过ABR测量确定听力损失情况。将结果与仅创伤组(n = 8)和未处理对照组(n = 5)进行比较。随后,研究螺旋神经节神经元密度。
与仅创伤组相比,创伤周围NIR处理导致的听力损失显著更低。这些动物的听力保护在所有频率上均显著超过单独预处理或后处理的效果。在仅创伤组中观察到螺旋神经节神经元的损失,而创伤周围NIR处理显著挽救了这种损失。
与单独的预处理或后处理相比,单次创伤周围NIR处理似乎是噪声创伤后保护听力阈值更有效的方法。保护作用的一个靶点似乎是螺旋神经节。