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向耳蜗管内注射人工内淋巴对耳蜗内电位的影响。

Effect of artificial endolymph injection into the cochlear duct on the endocochlear potential.

作者信息

Kakigi A, Takeda T

机构信息

Department of Otolaryngology, Kochi Medical School, Nankoku, Japan.

出版信息

Hear Res. 1998 Feb;116(1-2):113-8. doi: 10.1016/s0378-5955(97)00209-8.

Abstract

We investigated the effect of acute endolymphatic hydrops on the positive endocochlear potential (+EP) and negative endocochlear potential (-EP). The +EP was measured in guinea pigs during injection (without outlet) and perfusion (with outlet) of artificial endolymph into the cochlear duct. The -EP was measured during anoxia after the injection or the perfusion had finished. Injection of artificial endolymph produced a slight transient increase in the +EP, and a significant decrease in the magnitude of the -EP. Chronic endolymphatic hydrops produces both +EP and -EP decrease. The +EP decrease in chronic endolymphatic hydrops may cause the chronic change of the inner ear. The +EP increase in acute endolymphatic hydrops may be caused by a shift of the basilar membrane. However, the mechanism of the 'transient' +EP increase is not clear. The -EP decrease was not observed in animals whose cochlear duct was perfused with artificial endolymph. Therefore, the artificial endolymph itself did not cause the decrease in magnitude of the -EP. Dysfunction of the hair cells is a possible explanation for the -EP decrease but the mechanism of such a decrease is not clear in the present study. However, the results of this study support the notion that small increases in endolymphatic pressure below the resolution of recent measurements (DeMott and Salt, 1997) can lead directly to a reduction of the -EP during hydrops. The animal model described here can eliminate the chronic effect of hydrops, therefore, this model is useful for investigations into the effect of hydrops itself on the inner ear and the mechanism of hearing loss in Ménière's disease.

摘要

我们研究了急性内淋巴积水对内耳电位(+EP)和内淋巴负电位(-EP)的影响。在向豚鼠耳蜗管内注射(无出口)和灌注(有出口)人工内淋巴期间测量+EP。在注射或灌注结束后的缺氧期间测量-EP。注射人工内淋巴使+EP出现轻微短暂升高,-EP幅度显著降低。慢性内淋巴积水会导致+EP和-EP均降低。慢性内淋巴积水中+EP降低可能导致内耳的慢性变化。急性内淋巴积水中+EP升高可能是由基底膜移位引起的。然而,“短暂性”+EP升高的机制尚不清楚。在用人工内淋巴灌注耳蜗管的动物中未观察到-EP降低。因此,人工内淋巴本身不会导致-EP幅度降低。毛细胞功能障碍可能是-EP降低的一种解释,但在本研究中这种降低的机制尚不清楚。然而,本研究结果支持以下观点,即在内淋巴积水期间,内淋巴压力的小幅升高(低于近期测量分辨率,DeMott和Salt,1997)可直接导致-EP降低。此处描述的动物模型可以消除积水的慢性影响,因此,该模型对于研究积水本身对内耳的影响以及梅尼埃病听力损失的机制很有用。

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