Müller M, Smolders J W
Klinikum der J.W. Goethe-Universität, Physiologisches Institut III, Frankfurt am Main, Germany.
Hear Res. 1998 Jun;120(1-2):25-36. doi: 10.1016/s0378-5955(98)00049-5.
Hair cells in the basilar papilla of birds have the capacity to regenerate after injury. Methods commonly used to induce cochlear damage are systemic application of ototoxic substances such as aminoglycoside antibiotics or loud sound. Both methods have disadvantages. The systemic application of antibiotics results in damage restricted to the basal 50% of the papilla and has severe side effects on the kidneys. Loud sound damages only small parts of the papilla and is restricted to the short hair cells. The present study was undertaken to determine the effect of local aminoglycoside application on the physiology and morphology of the avian basilar papilla. Collagen sponges loaded with gentamicin were placed at the round window of the cochlea in adult pigeons. The time course of hearing thresholds was determined from auditory brain stem responses elicited with pure tone bursts within a frequency range of 0.35-5.565 kHz. The condition of the basilar papilla was determined from scanning electron micrographs. Five days after application of the collagen sponges loaded with gentamicin severe hearing loss, except for the lowest frequency tested, was observed. Only at the apical 20% of the basilar papilla hair cells were left intact, all other hair cells were missing or damaged. At all frequencies there was little functional recovery until day 13 after implantation. At frequencies above 1 kHz functional recovery occurred at a rate of up to 4 dB/day until day 21, beyond that day recovery continued at a rate below 1 dB/day until day 48 at the 5.6 kHz. Below 1 kHz recovery occurred up to day 22, the recovery rate was below 2 dB/day. A residual hearing loss of about 15-25 dB remained at all frequencies, except for the lowest frequency tested. At day 20 new hair cells were seen on the basilar papilla. At day 48 the hair cells appeared to have recovered fully, except for the orientation of the hair cell bundles. The advantage of the local application of the aminoglycoside drug over systemic application is that it damages almost all hair cells in the basilar papilla and it has no toxic side effects. The damage is more extensive than with systemic application.
鸟类基底乳头中的毛细胞在受伤后具有再生能力。常用于诱导耳蜗损伤的方法是全身应用耳毒性物质,如氨基糖苷类抗生素或高强度声音。这两种方法都有缺点。全身应用抗生素会导致损伤局限于乳头基部的50%,并且对肾脏有严重的副作用。高强度声音仅损伤乳头的小部分,并且局限于短毛细胞。本研究旨在确定局部应用氨基糖苷类药物对鸟类基底乳头的生理和形态的影响。将负载庆大霉素的胶原海绵置于成年鸽子耳蜗的圆窗处。通过在0.35 - 5.565 kHz频率范围内的纯音猝发诱发的听觉脑干反应来确定听力阈值的时间进程。通过扫描电子显微镜照片确定基底乳头的状况。应用负载庆大霉素的胶原海绵五天后,除了测试的最低频率外,观察到严重的听力损失。仅在基底乳头顶端的20%处毛细胞保持完整,所有其他毛细胞缺失或受损。在植入后第13天之前,在所有频率下几乎没有功能恢复。在1 kHz以上的频率,直到第21天功能恢复的速率高达4 dB/天,在那天之后,恢复速率低于1 dB/天,直到第48天在5.6 kHz频率处。在1 kHz以下,恢复持续到第2天,恢复速率低于2 dB/天。除了测试的最低频率外,在所有频率下仍存在约为15 - 25 dB的残余听力损失。在第20天,在基底乳头上可见新的毛细胞。在第48天,除了毛细胞束的方向外,毛细胞似乎已完全恢复。氨基糖苷类药物局部应用相对于全身应用的优点是它几乎损伤基底乳头中的所有毛细胞,并且没有毒性副作用。这种损伤比全身应用更广泛。