豚鼠庆大霉素耳中毒后诱发的耳蜗热休克反应

目的：探讨热休克蛋白（HSP）70在庆大霉素（GM）耳中毒中的意义。方法：应用SABC免疫组化技术及图像分析技术并结合听脑干反应（ABR）测试。观察庆大霉素耳中毒后热休克蛋白70在豚鼠耳蜗中表达及其与听阈的关系。结果：实验组耳蜗Corti‘s器、血管纹、螺旋韧带、螺旋缘、螺旋神经节细胞HSP70表达呈强阳性。且ABP阈值变化与HSP70表达的变化高度相关（｜γ｜＞0．8,P＜0．01）。结论：庆大霉素耳中毒后能够诱发耳蜗热休克反应,增加HSP70在豚鼠耳蜗的表达,保护听力。     

卡那霉素耳慢性中毒对豚鼠耳蜗毛细胞中Bcl-2表达的影响

目的:探讨卡那霉素耳慢性中毒对豚鼠耳蜗毛细胞中Bcl-2表达的影响。方法:取20只豚鼠随机分为2组,实验组连续14d肌肉注射硫酸卡那霉素,200mg/(kg.d),对照组连续14d等量肌肉注射生理盐水,停药14d处死动物后制作耳蜗标本,处死前检测其ABR的变化,免疫组化及原位杂交法测定Bcl-2的表达。结果:豚鼠卡那霉素耳慢性中毒后,ABR阈值较对照组明显上升,Bcl-2阳性表达减低,与对照组比较差异有显著性(P<0.05)。结论:卡那霉素耳慢性损害可能与抑制Bcl-2的表达有关。     

丹参注射液对庆大霉素耳中毒豚鼠耳蜗NOS异构体表达的影响

目的：研究丹参注射液（SM）对庆大霉素（GM）耳中毒豚鼠耳蜗一氧化氮合酶（NOS）异构体表达的影响,探讨SM对GM耳毒性的防护机制。方法：40只豚鼠随机分成对照组、GM组、SM组和GM＋SM组,应用SABC免疫组织化学方法及显微图像分析技术,观察NOS三型异构体在豚鼠耳蜗的表达;同时结合听脑干反应（ABR）测试,观察用药前后豚鼠听阈的变化。结果：GM＋SM组豚鼠耳蜗诱导型NOS（iNOS/NOSⅡ）表达和ABR阈值均明显低于GM组（P〈0.01）;且iNOS表达变化与ABR阈值改变高度相关（｜r｜〉0.7,P〈0.01）;而各组豚鼠耳蜗神经元型NOS（nNOS/NOSⅠ）和内皮型NOS（eNOS/NOSⅢ）表达均无显著性差异。结论：SM对GM耳中毒后豚鼠耳蜗nNOS和eNOS表达无影响,但可通过抑制GM所致iNOS高表达,以减少NO的过量生成,从而对GM的耳毒性损伤发挥防护作用。     

丹参注射液对庆大霉素耳中毒豚鼠耳蜗氧自由基生成的影响

目的:研究丹参注射液(SM)对庆大霉素(GM)耳中毒豚鼠耳蜗氧自由基生成的影响,探讨SM对GM耳毒性损伤的保护作用及其机制.方法:检测豚鼠耳蜗组织中超氧化物歧化酶(SOD)活力和丙二醛(MDA)含量,结合听性脑干反应(ABR)测试及透射电镜技术.结果:经GM处理的耳蜗组织中SOD活力明显下降,MDA含量则明显增加(P＜0.01),且与ABR阈值升高高度相关(|r|＞0.8,P＜0.05).同时接受SM的动物,其耳蜗组织中SOD活力明显升高(P＜0.01),MDA含量则明显减少(P＜0.05),且听功能显著改善.电镜观察显示耳蜗形态学改变与听力变化相一致.结论:氧自由基及其引发的脂质过氧化参与了GM耳中毒过程,SM可通过提高耳蜗组织中SOD活力,防止脂质过氧化,减轻GM的耳蜗毒性,改善听功能.     

丹参注射液对链霉素耳中毒豚鼠耳蜗iNOS表达的影响

目的: 探讨链霉素(SM)耳中毒过程中豚鼠耳蜗iNOS表达,以及丹参注射液(DS)的拮抗作用.方法: 应用光镜、电镜、免疫组化及图像分析技术,结合听性脑干反应(ABR)测试.结果: 用药10d后,SM组ABR阈值明显升高,DS SM组ABR阈值明显低于SM组,差异显著(P<0.01).光镜及电镜下可见SM组柯蒂氏器、内外毛细胞、螺旋神经节细胞、血管纹损伤严重,DS SM组损伤较轻.SM组iNOS在柯蒂氏器、内外毛细胞、螺旋神经节、血管纹的表达明显高于DS SM组.结论: SM耳中毒时ABR阈值升高,iNOS表达增强.DS能有效的降低SM所致的ABR阈值升高,并抑制iNOS的过量表达,从而减轻SM的耳毒性损伤,提示DS对SM耳毒性损伤有保护作用.     

刺五加注射液对豚鼠庆大霉素耳毒性拮抗作用的实验研究

目的：探讨中药刺五加注射液（ASS）对庆大霉素（GM）耳毒性作用的影响及其机制。方法：豚鼠随机分成对照组、GM组、ASS4-GM组和ASS组。采用听性脑干反应（ABR）、透射电镜技术（TEM）、Western blot方法观察用药前后豚鼠的ABR阈值、形态学变化及caspase-3的表达情况。结果：用药后GM组ABR阈值明显升高;ASS组ABR阈值与对照组相比无显著性差异,与GM组和ASS4-GM组相比明显降低。透射电镜观察用药后GM组毛细胞损伤严重,出现了凋亡的形态学特征,而ASS4-GM组损伤较轻。Western blot结果表明用药后GM组豚鼠caspase-3表达明显增加;ASS4-GM组caspase-3的表达稍有升高。结论：刺五加注射液对庆大霉素耳毒性具有拮抗作用,其机制可能是通过抑制caspase-3的表达来实现的。     

硫酸卡那霉素对成年大鼠的耳毒性效应

本研究旨在观察硫酸卡那霉素(kanamycin sulfate,KM)对成年大鼠的耳毒性效应。6～7周龄的雄性Sprague-Dawley(SD)大鼠40只,随机分为2组:实验组,每天腹腔注射KM(500mg/kg)2周;对照组,注射等量生理盐水2周。通过检测脑干听觉诱发电位(auditory brainstem response,ABR)观察大鼠听力改变。ABR检测结束后,分离出耳蜗进行基底膜铺片、耳蜗冰冻切片,观察耳蜗螺旋神经节细胞(spiral ganglion cells,SGCs)的密度和耳蜗形态学改变。结果显示,注射KM2周后,大鼠在各频率的听觉阈值均有明显升高,其上升幅度超过60dB;随着时间推移,KM组SGCs密度逐渐降低,Corti器结构尚存,但外毛细胞及内毛细胞均有不同程度的缺失,以外毛细胞为甚;内毛细胞缺失与SGCs的密度下降相平行。以上结果表明,6～7周龄大鼠经过KM作用2周后,听力会明显下降,达到重度耳聋甚至全聋。KM的耳毒性作用与SGCs和内外毛细胞的损伤密切相关。     

卡那霉素致聋豚鼠耳蜗电极植入模型的建立及意义

目的:探讨人工耳蜗电极的插入对耳蜗功能的影响,为研究人工耳蜗植入建立相应的动物模型。方法:取听力正常的豚鼠8只,4只注射卡那霉素联合呋塞米致聋,为致聋组;4只仅注射生理盐水,为对照组。对两组动物行听性脑干反应(ABR)及耳声发射(DPOAE)检查后,将耳蜗电极植入左侧耳蜗。结果:致聋组术侧4个频率段ABR阈移随着时间的推移逐渐减小,术后24 h、48 h、72 h时间段比较无显著性差异(P0.05);对照组术侧ABR阈移随着时间的推移逐渐减小,32 kHz频率的三个时间段比较有显著性差异(P0.05),其余3个频率无显著性差异。此外,致聋组与对照组术侧耳ABR阈移比较均无显著性差异(P0.05)。致聋组术前5个频率的DPOAE无法引出,术后DPOAE仍无法引出;对照组术前DPOAE均可引出,术后术侧的DPOAE均无法引出。术后72 h可见电极周围有组织包绕,固定良好,局部未见明显炎症反应。结论:本实验成功建立了卡那霉素致聋的豚鼠耳蜗电极植入模型,可为人工耳蜗植入术后颞骨病理改变的研究提供实验基础。     

丹参注射液对庆大霉素耳中毒豚鼠耳蜗血管纹NOS活性的影响

目的：研究丹参注射液（SM）对庆大霉素（GM）耳中毒豚鼠耳蜗血管纹一氧化氮合酶（NOS）活性的影响及其与听阈的关系,探讨SM对GM耳毒性损伤的保护作用。方法：应用NADPH－黄递酶（NADPH-d）组织化学染色以及图象分析技术,并结合听性脑干反应（ABR）测试。结果：SM－GM组耳蜗血管纹NOS活性和ABR阈值均明显低于GM组（P＜0.01）;且各组NOS活性变化与ABR阈移高庆相关（rcontrol=-0.9464;rGM=-0.9117;rSM GM=-0.8958,P＜0.01）。结论：SM可通过降低耳蜗血管纹NOS活性以减轻GM的耳毒性损伤,从而改善听功能。     

川芎嗪对顺铂诱导豚鼠耳蜗细胞凋亡的影响

目的:探讨川芎嗪对顺铂耳蜗毒性中细胞凋亡的影响及可能的作用机制。方法:将60只健康白色红目豚鼠随机分为3组:对照组、顺铂组和中药组,各组动物均于用药前及停药后测试听觉脑干诱发电位(ABR).电镜观察螺旋神经节细胞超微结构损伤情况,利用TUNEL测定各组耳蜗细胞凋亡情况。结果:对照组ABR阈值为40.94±6.75 db,顺铂组ABR阈值为76.26±4.54 db,中药组ABR阈值为58.98±5.82 db,三组比较,差异具有显著性(P<0.01);耳蜗透射电镜显示中药组较顺铂组耳蜗组织超微结构损伤明显减轻;TUNEL检测顺铂组有大量阳性细胞,与中药组比较,差异具有显著性(P<0.01)。结论:川芎嗪可以通过抑制细胞凋亡来拮抗顺铂的耳蜗毒性。     

An otoprotective role for the apoptosis inhibitor protein survivin

Hearing impairment caused by ototoxic insults, such as noise or gentamicin is a worldwide health problem. As the molecular circuitries involved are not yet resolved, current otoprotective therapies are rather empirical than rational. Here, immunohistochemistry and western blotting showed that the cytoprotective protein survivin is expressed in the human and guinea pig cochlea. In the guinea pig model, moderate noise exposure causing only a temporary hearing impairment transiently evoked survivin expression in the spiral ligament, nerve fibers and the organ of Corti. Mechanistically, survivin upregulation may involve nitric oxide (NO)-induced Akt signaling, as enhanced expression of the endothelial NO synthase and phosphorylated Akt were detectable in some surviving-positive cell types. In contrast, intratympanic gentamicin injection inducing cell damage and permanent hearing loss correlated with attenuated survivin levels in the cochlea. Subsequently, the protective activity of the human and the guinea pig survivin orthologs against the ototoxin gentamicin was demonstrated by ectopic overexpression and RNAi-mediated depletion studies in auditory cells in vitro. These data suggest that survivin represents an innate cytoprotective resistor against stress conditions in the auditory system. The pharmacogenetic modulation of survivin may thus provide the conceptual basis for the rational design of novel therapeutic otoprotective strategies.     

Upregulation of HSP60 expression in the postnatal rat cochlea and rats with drug-induced hearing loss

Heat shock protein 60 (HSP60) is a highly conserved chaperone molecule that plays important roles in mediating some physiological and pathological functions. However, researchers have not yet determined whether HSP60 is expressed in the mammalian cochlea. This study constitutes the first investigation of the expression of HSP60 in the postnatal rat cochlea. We also examined the expression of HSP60 in rats with drug-induced hearing loss. Auditory thresholds were assessed by monitoring the auditory brainstem response (ABR) prior to and after drug injection. Expression levels of the HSP60 gene (Hsp60) and HSP60 protein in the rat cochlea were detected by quantitative real-time polymerase chain reaction and Western blotting, respectively. The distribution of HSP60 in the rat cochlea was further examined by immunofluorescence staining. We have demonstrated that HSP60 was expressed in the postnatal rat cochlea in an age-dependent and cell-specific manner. In addition, after drug exposure, the average hearing threshold of rats in the experimental group was significantly higher than that in the control group, with increased HSP60 expression level in response to kanamycin and furosemide treatments. HSP60 expression was observed in the supporting cells (SCs) within the organ of Corti in both the uninjured and the injured cochlea, but it was undetectable in the mechanosensory hair cells (HCs) and spiral ganglion neurons. Therefore, our research suggests that HSP60 may play an important role in auditory function.     

Caspase-3在老年豚鼠耳蜗螺旋神经节细胞的表达

目的检测caspase-3在老年豚鼠耳蜗的表达。方法实验分两组:实验组和对照组,实验组豚鼠年龄为33至35个月之间,对照组豚鼠年龄为2至3个月。用免疫组织化学方法检测caspase-3在两组豚鼠耳蜗的表达。结果Caspase-3在实验组耳蜗的表达呈阳性,阳性区域主要存在于耳蜗螺旋神经节细胞。在对照组耳蜗的表达呈阴性。结论Caspase-3在老年豚鼠耳蜗螺旋神经节细胞中呈阳性表达,提示caspase-3在豚鼠耳蜗老化过程中起重要作用。     

Relationship of Glucocorticoid Receptor Expression in Peripheral Blood Mononuclear Cells and the Cochlea of Guinea Pigs and Effects of Dexamethasone Administration

Background

Glucocorticoids (GCs) are widely used to treat sudden sensorineural hearing loss (SSNHL) and significantly improve hearing. However, GC insensitivity has been observed in some patients of SSNHL.

Objective

To study the correlation between GR expression in peripheral blood mononuclear cells (PBMCs) and in the cochlea of guinea pigs at mRNA and protein levels.

Methods

One group of guinea pigs received dexamethasone (10 mg/kg/day) intraperitoneally for 7 consecutive days (dexamethasone group), and another group of guinea pigs received normal saline (control group). Real time PCR and Western blotting were used to detect the expression of GR mRNA and GR protein in PBMCs and the cochleae.

Results

The GR mRNA and GR protein were detected in both PBMCs and the cochlear tissue of guinea pigs. GR mRNA and GR protein levels in PBMCs were positively correlated with those in the cochlea. The expression of GR mRNA and GR protein was significantly increased in the dexamethasone group compared to the control group.

Conclusions

Levels of GR mRNA and GR protein in the PBMCs were positively correlated with those in the cochlea of guinea pigs. Systemic dexamethasone treatment can significantly up-regulate GR expression in PBMCs and in the cochlea. Measurement of the GR level in PBMCs could be used as an indicator of GR level in the cochlea.     

Prior peritoneal lavage with hot 0.9 % saline induces HSP70 expression and protects against cerulein-induced acute pancreatitis in rats

Recent studies have indicated that pre-induction of heat shock protein 70 (HSP70) expression in the pancreas protects against secretagogue-induced pancreatitis. In those studies, the HSP70 was mostly induced by unfeasible conditions. The aim of this current study was to investigate the effect of peritoneal lavage with hot 0.9 % saline (42 °C) on the pancreatic expression of HSP70 and its protective effect on cerulein-induced acute pancreatitis in rats. Male Wistar rats were peritoneally lavaged with 0.9 % saline at 42 °C for 30 min. HSP70 expression was evaluated by western blotting analysis. Prior peritoneal lavages with hot and warm saline were performed. Acute pancreatitis was induced by administration of intraperitoneal injection of cerulein (20 μg/kg) four times, and its severity was assessed by measuring serum amylase, tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and trypsinogen activation peptide (TAP) levels. Pancreatic sections were stained with hematoxylin and eosin for histological evaluation. Peritoneal lavage with hot 0.9 % saline increased intrapancreatic HSP70 expression and ameliorated the cerulein-induced pancreatitis in rats, judged by the significantly reduced serum amylase, TNF-α, and IL-6 concentrations; histopathological scores, and serum TAP levels. Peritoneal lavage with hot 0.9 % saline can induce HSP70 expression and prevent cerulein-induced acute pancreatitis in rats. The results suggest that HSP70 protects against cerulein-induced pancreatitis by preventing proinflammatory cytokine synthesis and trypsinogen activation during acute pancreatitis.