Fitzgerald J J, Robertson D, Johnstone B M
Department of Physiology, University of Western Australia, Nedlands.
Hear Res. 1993 May;67(1-2):147-56. doi: 10.1016/0378-5955(93)90242-s.
The ototoxic action of salicylate was investigated in the guinea pig by perfusion of both salicylate and bromosalicylate through scala tympani. The results qualitatively confirmed experiments using intravenous administration in cats (Stypulkowski, 1990), showing dose-dependent elevations in compound action potential (CAP) thresholds, increases in cochlear microphonics (CM) and level-dependent reductions in 2f1-f2 acoustic distortion products. The endocochlear potential was not significantly affected and iontophoretic injection of salicylate into scala media had no measurable effect on CAP thresholds, consistent with an action on the basolateral walls of the hair cells. Perfusion with indomethacin produced effects similar to those of the salicylates, but at non-physiological doses. Together with the great effectiveness of 5-bromosalicylate, this suggests that salicylate does not act by inhibiting prostaglandin synthesis. The results are qualitatively consistent with the proposition that salicylates act on the basolateral walls of the outer hair cells. However, the magnitude of the CM increases, particularly at high drug concentrations, and the fact that salicylate reduced, but did not eliminate the effects of olivocochlear efferent stimulation on CM amplitude indicate that a simple explanation for salicylate effects based solely on a conductance increase in the outer hair cell membranes may be inadequate.
通过向鼓阶灌注水杨酸盐和溴代水杨酸盐,在豚鼠身上研究了水杨酸盐的耳毒性作用。结果定性地证实了在猫身上使用静脉注射的实验(Stypulkowski,1990),显示复合动作电位(CAP)阈值呈剂量依赖性升高,耳蜗微音器电位(CM)增加,以及2f1 - f2声畸变产物呈强度依赖性降低。内淋巴电位未受到显著影响,并且向中阶离子电渗注射水杨酸盐对CAP阈值没有可测量的影响,这与对毛细胞基底外侧壁的作用一致。用吲哚美辛灌注产生的效果与水杨酸盐相似,但剂量是非生理性的。连同5 - 溴代水杨酸盐的高效性,这表明水杨酸盐并非通过抑制前列腺素合成起作用。结果在定性上与水杨酸盐作用于外毛细胞基底外侧壁的观点一致。然而,CM增加的幅度,特别是在高药物浓度时,以及水杨酸盐降低但并未消除橄榄耳蜗传出神经刺激对CM幅度的影响这一事实表明,仅基于外毛细胞膜电导增加对水杨酸盐作用进行简单解释可能并不充分。