Gallais A
Acta Otolaryngol. 1979;88(1-2):88-96. doi: 10.3109/00016487909137144.
This work is an electrophysiological study made in the frog. The technique allows one to test and to compare the actions of a number of aminoglycoside antibiotics, directly introduced into the labyrinthic cavity, on the spontaneous activity of a vestibular receptor--the horizontal semicircular canal. The effects of aminoglycoside solutions have been compared with those of physiological solutions (NaCl 7 g/l, Ringer) and of penicillin (not ototoxic). The results obtained show: (1) After the introduction of a physiological solution the activity disappears only very briefly (electrical artefact, probably); after a few minutes the activity returns to its initial value. A similar phenomenon is obtained with penicillin. (2) When used at a dose of 10 microgram, all the aminoglycosides studied generally induced an important and lasting decrease in semicircular canal activity. (3) These aminoglycosides have been classified according to their vestibular local toxicity. Their descending order of influence is as follows: streptomycin, dihydrostreptomycin, amikacin (BBK 8), neomycin, sisomycin, gentamicin and lividomycin, tobramycin, kanendomycin. (4) A parallel can be drawn between local vestibular toxicity and clinical ototoxicity. The role and importance of the hemolabyrinthic barrier are noted and the notion of ototoxicity is discussed.
本研究是在青蛙身上进行的一项电生理研究。该技术能够对直接注入内耳腔的多种氨基糖苷类抗生素作用于前庭感受器——水平半规管的自发活动进行测试和比较。已将氨基糖苷类溶液的作用与生理溶液(7 g/l氯化钠、林格液)及青霉素(无耳毒性)的作用进行了比较。所得结果表明:(1)注入生理溶液后,活动仅在极短时间内消失(可能是电假象);几分钟后活动恢复到初始值。青霉素也会出现类似现象。(2)以10微克的剂量使用时,所研究的所有氨基糖苷类药物通常都会导致半规管活动显著且持久地降低。(3)这些氨基糖苷类药物已根据其前庭局部毒性进行了分类。它们的影响程度由高到低依次为:链霉素、双氢链霉素、阿米卡星(BBK 8)、新霉素、西索米星、庆大霉素和青紫霉素、妥布霉素、卡那霉素。(4)局部前庭毒性与临床耳毒性之间存在平行关系。文中指出了血迷路屏障的作用和重要性,并对耳毒性的概念进行了讨论。