Akiyoshi M, Yano S, Tajima T, Matsuzaki M, Akutsu S
Jpn J Antibiot. 1977 Feb;30(2):185-96.
Transplacental ototoxic effects of BB-K8 on development of inner ear in intrauterine guinea pigs were evaluated by differential frequency pinna reflex test in range of 20 kHZ to 500 HZ and histopathological examination of spiral and vestibular organs in new born guinea pigs from pregnant ones given BB-K8 i.m. during gestation.
Twenty-five pregnant guinea pigs of the Hartley strain and 63 new-born guinea pigs from the pregnant ones were used in the study. Following antibiotics were given i.m. daily to the 20 pregnant guinea pigs from 7th day of gestation for 56 days. BB-K8 was given at the dose level of 100 mg/kg and 200 mg/kg, respectively. Kanamycin (KM) was administered at the dose level of 100 mg/kg and 200 mg/kg, respectively. Physiological saline solution (1.0 ml/kg) was given i.m. to the pregnant guinea pigs for 56 days. The differential frequency pinna reflex test was performed in the frequency range from 20 kHZ to 500 HZ to determine an extent of frequency of pinna reflex loss. The test was carried out before the start of administration of the antibiotics and once a week during the administration. After the last injection of the antibiotics, intravital perfusion fixation was carried out in the new born animals under anesthesia with nembutal. Histopathological examination was made in celloidin serial sections of the cochlea and vestibulum of the new born animals to observe an extent or degree of hair cell damage.
(1) The differential frequency pinna reflex test revealed that new born guinea pigs from the pregnant ones given BB-K8 and KM respectively at the dose level of 100 mg/kg did not show occurrence of pinna reflex loss at any frequency tested. At the dose level of 200 mg/kg, BB-K8 did not result in transplacental hearing impairment in new born guinea pigs, but KM caused transplacental pinna reflex loss in the highest frequencies from 20 k to 15 kHZ in 3 of 10 animals. (2) Histopathological examination detected that unilateral incomplete loss of outer hair cells of the spiral organ confined to the basal end of cochlea was found in 3 of 13 new born guinea pigs from the pregnant ones treated with BB-K8 (100 mg/kg). In the animals, slight damage of hair cells in the vestibular organs occurred in 100%. These hair cell damages were enhanced slightly in the new born guinea pigs from the pregnant ones treated with BB-K8 (200 mg/kg) and much more in the new born ones from the pregnant ones treated with KM (100 mg/kg, 200 mg/kg). (3) These results suggest that BB-K8 has a mild potency to cause transplacental ototoxic damage in the inner ear of intrauterine guinea pigs within the pregnant ones treated for 56 days (normal gestation period approximately 70 days).
通过在20kHz至500Hz范围内的差频耳廓反射试验以及对孕期肌肉注射BB - K8的孕豚鼠所产新生豚鼠的螺旋器和前庭器官进行组织病理学检查,评估BB - K8对宫内豚鼠内耳发育的经胎盘耳毒性作用。
本研究使用了25只Hartley品系的孕豚鼠以及从这些孕豚鼠所产的63只新生豚鼠。从妊娠第7天起,每天对20只孕豚鼠肌肉注射以下抗生素,持续56天。BB - K8分别以100mg/kg和200mg/kg的剂量水平给药。卡那霉素(KM)分别以100mg/kg和200mg/kg的剂量水平给药。对孕豚鼠肌肉注射生理盐水溶液(1.0ml/kg),持续56天。在20kHz至500Hz的频率范围内进行差频耳廓反射试验,以确定耳廓反射丧失的频率范围。该试验在抗生素给药开始前进行,并在给药期间每周进行一次。在最后一次注射抗生素后,对新生动物在戊巴比妥麻醉下进行活体灌注固定。对新生动物的耳蜗和前庭的火棉胶连续切片进行组织病理学检查,以观察毛细胞损伤的程度。
(1)差频耳廓反射试验显示,分别以100mg/kg剂量水平给予BB - K8和KM的孕豚鼠所产新生豚鼠在任何测试频率下均未出现耳廓反射丧失。在200mg/kg剂量水平时,BB - K8未导致新生豚鼠经胎盘听力损害,但KM导致10只动物中有3只在20k至15kHz的最高频率出现经胎盘耳廓反射丧失。(2)组织病理学检查发现,在接受BB - K8(100mg/kg)治疗的孕豚鼠所产的13只新生豚鼠中有3只出现螺旋器外毛细胞单侧不完全丧失,局限于耳蜗基底端。在这些动物中,100%的前庭器官毛细胞出现轻微损伤。在接受BB - K8(200mg/kg)治疗的孕豚鼠所产新生豚鼠中,这些毛细胞损伤略有加重,而在接受KM(100mg/kg,200mg/kg)治疗的孕豚鼠所产新生豚鼠中损伤更为严重。(3)这些结果表明,在孕期治疗56天(正常妊娠期约70天)的孕豚鼠中,BB - K8对宫内豚鼠内耳具有轻度的经胎盘耳毒性损害作用。