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1.
Biomed Pharmacother ; 137: 111281, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33578233

RESUMO

BACKGROUND: Acrolein is a reactive aldehyde that forms during burning of wood and other fuels. It is also a product of lipid peroxidation (LPO) reactions and is present in cigarette smoke. Acrolein is known to cause oxidative stress and inflammatory nerve tissue damage. Lutein is a tetraterpenoid molecule with antioxidant and anti-inflammatory properties. There appear to be no studies on the effect of lutein on vestibulocochlear nerve damage induced by acrolein. The aim of this study was to investigate the effect of lutein on vestibulocochlear nerve damage induced by acrolein in rats using biochemical and histopathological methods. METHODS: The rats were divided into three groups (n = 6, for each group) a healthy control group (HG), an acrolein (ACR) group and a lutein and acrolein (LACR) group. In the LACR group, lutein was administered (1 mg/kg) via oral gavage. The ACR and HG groups received saline via oral gavage. Then, 1 h after the administration of lutein and saline, the LACR and ACR groups were treated with 3 mg/kg of acrolein via oral gavage. This procedure was repeated once a day for 30 days. RESULTS: The results of biochemical experiments showed that in the vestibulocochlear nerve tissues of the animals treated with acrolein, the levels of malondialdehyde, total oxidants, nuclear factor kappa b, tumor necrosis factor alpha and interleukin 1 beta significantly increased, whereas the levels of total glutathione and total antioxidants decreased as compared to those in the HG and LACR groups. In addition, severe histopathological damage was observed in vestibulocochlear nerve tissue of the acrolein group, whereas this damage was alleviated in the lutein group. CONCLUSION: Lutein protected vestibulocochlear nerve tissue from acrolein-associated oxidative and proinflammatory damage. This suggests that lutein might be useful in preventing or treating acrolein-induced ototoxicity.


Assuntos
Anti-Inflamatórios/farmacologia , Antioxidantes/farmacologia , Mediadores da Inflamação/metabolismo , Luteína/farmacologia , Ototoxicidade/prevenção & controle , Estresse Oxidativo/efeitos dos fármacos , Doenças do Nervo Vestibulococlear/prevenção & controle , Nervo Vestibulococlear/efeitos dos fármacos , Acroleína , Animais , Modelos Animais de Doenças , Masculino , Ototoxicidade/etiologia , Ototoxicidade/metabolismo , Ototoxicidade/patologia , Ratos Wistar , Nervo Vestibulococlear/metabolismo , Nervo Vestibulococlear/patologia , Doenças do Nervo Vestibulococlear/induzido quimicamente , Doenças do Nervo Vestibulococlear/metabolismo , Doenças do Nervo Vestibulococlear/patologia
3.
J Am Acad Audiol ; 19(6): 461-4, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19253779

RESUMO

BACKGROUND: Hearing loss is an infrequently-reported consequence of recreational drug abuse. Although there are sporadic reports of hearing loss from heroin and cocaine ingested separately, there are no reports of hearing loss resulting from the combination of both drugs ingested simultaneously in the form of speedballing. PURPOSE: The purpose of this report is to document a case of bilateral sensorineural hearing loss associated with an episode of speedballing. RESEARCH DESIGN: Case Report. DATA COLLECTION AND ANALYSIS: The subject of this report was a 40-year-old man with a 20-year history of substance abuse. Data collected included a case history, pure tone audiometry, tympanometry and acoustic reflexes, and transient evoked otoacoustic emissions. RESULTS: The audiologic evaluation indicated a mild to moderate, relatively flat, bilateral sensorineural hearing loss that was worse in the right ear. CONCLUSIONS: A bilateral sensorineural hearing loss involving both cochlear and neural pathology may be a rare complication of cocaine, heroin, or the combination of the two drugs.


Assuntos
Transtornos Relacionados ao Uso de Cocaína/complicações , Cocaína/toxicidade , Perda Auditiva Bilateral/induzido quimicamente , Perda Auditiva Súbita/induzido quimicamente , Dependência de Heroína/complicações , Heroína/toxicidade , Testes de Impedância Acústica , Adulto , Audiometria de Tons Puros , Diagnóstico Diferencial , Sinergismo Farmacológico , Humanos , Masculino , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Reflexo Acústico/efeitos dos fármacos , Doenças Retrococleares/induzido quimicamente , Doenças Retrococleares/diagnóstico , Zumbido/induzido quimicamente , Nervo Vestibulococlear/efeitos dos fármacos
4.
Brain Res ; 997(2): 165-75, 2004 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-14706869

RESUMO

Although debilitating syndromes like Ménière's disease are in part characterized by recurrent or episodic vestibular disturbance the study of episodic vestibular disruption has only recently been possible with the introduction of a new model utilizing tetrodotoxin (TTX). In the present study, serial unilateral transtympanic administration of TTX produced behavioral symptoms indicative of transient vestibular disruption and novel patterns of Fos activity in the brainstem and cerebellum. Following two or three serial injections of TTX and a final survival time of 2 h, Fos immunocytochemistry revealed a distinct pattern of labeling in the brainstem that differed temporally from that observed following a single unilateral TTX injection. Specifically there was protracted expression of Fos in the beta subdivision of the inferior olive (IO) on the side ipsilateral to TTX treatment. In the cerebellum, the hallmark of episodic vestibular blockade was an asymmetric pattern of Fos labeling that involved all three layers of the cortex. In particular, there was prominent Fos labeling of Purkinje cells in the contra-TTX half of lobule X. In view of the fact that Fos labeling is not found in Purkinje cells following a single transient event or following peripheral vestibular ablation, it is suggested that Fos expression in Purkinje cells is a unique feature of episodic vestibular disruption and may represent a novel plastic response by a select population of Purkinje cells to episodic functional deafferentation.


Assuntos
Tronco Encefálico/metabolismo , Cerebelo/metabolismo , Bloqueio Nervoso/métodos , Proteínas Proto-Oncogênicas c-fos/biossíntese , Nervo Vestibulococlear/metabolismo , Animais , Tronco Encefálico/efeitos dos fármacos , Cerebelo/efeitos dos fármacos , Masculino , Ratos , Ratos Sprague-Dawley , Tetrodotoxina/farmacologia , Nervo Vestibulococlear/efeitos dos fármacos
5.
Brain Res ; 966(1): 134-49, 2003 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-12646317

RESUMO

The sodium channel blocker, tetrodotoxin (TTX), is an effective tool for blockade of action potentials in neurons. Unilateral transtympanic administration of 3 mM TTX produced behavioral symptoms paralleling those previously reported following unilateral vestibular ablation. Behavioral symptoms were evident as early as 15 min post-TTX. Fos immunocytochemistry revealed an initial bilateral distribution of Fos in the inferior olive (IO) followed by an almost exclusively unilateral distribution of Fos. By 1 h, Fos was predominantly localized in subdivisions of the IO contralateral to TTX treatment. Fos labeling in the IO was most pronounced at 2- and 6-h survival times and was localized in the contralateral IOA, IOB, IOC, IOBe, and IOK subdivisions and bilaterally in the IOM and IODM. Other regions of the brainstem including the vestibular nuclei, prepositus hypoglossi, dorsal paragigantocellular reticular nucleus, nucleus of the tractus solitarius and locus coeruleus also exhibited altered patterns of Fos labeling following TTX. The finding that Fos activity in the IO is initially bilateral and then rapidly becomes unilateral has not been reported for the traditional vestibular ablation models and may be unique to the TTX model. In addition, since altered Fos activity is readily detected in the IO at time-points prior to detectable changes in Fos in the central vestibular complex it is possible that the IO is particularly sensitive to events precipitated by unilateral vestibular disturbance.


Assuntos
Bloqueio Nervoso/métodos , Núcleo Olivar/metabolismo , Proteínas Proto-Oncogênicas c-fos/metabolismo , Nervo Vestibulococlear/metabolismo , Animais , Imunoquímica , Locomoção/efeitos dos fármacos , Locomoção/fisiologia , Masculino , Núcleo Olivar/efeitos dos fármacos , Núcleo Olivar/fisiologia , Proteínas Proto-Oncogênicas c-fos/efeitos dos fármacos , Proteínas Proto-Oncogênicas c-fos/fisiologia , Ratos , Ratos Sprague-Dawley , Tetrodotoxina/farmacologia , Nervo Vestibulococlear/efeitos dos fármacos , Nervo Vestibulococlear/fisiologia
6.
Psychopharmacology (Berl) ; 138(2): 124-32, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9718281

RESUMO

The present study determined the behavioural effects of the corticotropin releasing factor (CRF)-related peptides, human/rat CRF (h/rCRF), ovine CRF (oCRF), sauvagine (SAUV), urotensin I (UT) and the recently discovered neuropeptide, rat urocortin (rUCN). All of the peptides dose-dependently increased motor activity in a familiar environment and reduced feeding in hungry rats. There was no apparent relationship between potency/affinity at CRF2 receptors and effects in these two tests. In a comparison of h/rCRF and rUCN upon discrete spontaneous behaviours, both peptides (3.0 microg i.c.v.) increased activity and grooming, induced a fore-paw tremor and reduced the incidence of motionlessness. However, h/rCRF reduced motionlessness to a greater extent and was a more potent inducer of defaecation, weight loss, oral movements and fore-paw tremor than rUCN. In the elevated X maze, both h/rCRF and rUCN (1.0 microg i.c.v.) had anxiogenic-like effects upon behaviour. In contrast, h/rCRF (1.0 microg i.c.v.), but not rUCN (1.0-10 microg i.c.v.) increased the startle response to an acoustic stimulus. In summary, all the CRF-related peptides increased motor activity and reduced feeding in rats in a similar manner and both rUCN and h/rCRF induced anxiogenesis. However, there were some behavioural differences between rUCN and h/rCRF which require further study. Further pharmacological investigation of the role of CRF receptor subtypes requires the use of subtype selective antagonists.


Assuntos
Hormônio Liberador da Corticotropina/farmacologia , Comportamento Alimentar/efeitos dos fármacos , Aprendizagem em Labirinto/efeitos dos fármacos , Atividade Motora/efeitos dos fármacos , Animais , Peso Corporal/efeitos dos fármacos , Peptídeos/farmacologia , Ratos , Ratos Sprague-Dawley , Receptores de Hormônio Liberador da Corticotropina/efeitos dos fármacos , Inanição , Urocortinas , Nervo Vestibulococlear/efeitos dos fármacos
7.
Audiology ; 37(3): 162-73, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9626861

RESUMO

Gentamicin (GM) has been shown to reversibly reduce the ability of contralateral noise to suppress ipsilateral cochlear activity, in a dose-dependent manner. However, during chronic administration of lower doses (60 mg/kg) the involvement of medial efferents could not be demonstrated. The purposes of the present study were to determine whether other aminoglycosides would display the same acute effects as GM and whether there was any correlation between their specificity and degree of cochlear and vestibular toxicity and their potency of blockade of the medial efferent system. Thus, we observed changes in ipsilateral ensemble background activity (EBA) of the VIIIth nerve without and with contralateral low level (55 dB SPL) broadband noise stimulation, in awake guinea pigs (GPs), before and after one single high-dose intramuscular injection of different aminoglycoside antibiotics (AAs) (gentamicin, amikacin, neomycin, netilmicin, streptomycin, tobramycin). For comparison, the effects of strychnine, a known antagonist of the efferent transmission and of cisplatin, an antineoplastic agent with cochleotoxic properties were also studied. Netilmicin displayed blocking properties similar to GM, although less pronounced, while amikacin and neomycin had no effect on medial efferent function. With tobramycin and streptomycin a decrease in suppression was usually associated with a reduction of the EBA measured without acoustic stimulation. However, with cisplatin, suppression was still effective when EBA was severely decreased. We could not observe specific effects of strychnine on medial efferent function. In conclusion, no correlation was found between specificity and degree of AA ototoxicity and their action on the medial efferent system.


Assuntos
Antibacterianos/efeitos adversos , Gentamicinas/efeitos adversos , Transtornos da Audição/induzido quimicamente , Neurônios Eferentes/efeitos dos fármacos , Relação Dose-Resposta a Droga , Humanos , Fatores de Tempo , Nervo Vestibulococlear/efeitos dos fármacos
8.
Hear Res ; 118(1-2): 47-61, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9606060

RESUMO

In the cochlea, outer hair cells (OHCs) generate the active cochlear mechanics whereas the supporting cells, such as Deiters' cells and Hensen's cells, may play a role in both the active and passive cochlear mechanics. The presence of receptors for adenosine triphosphate (ATP) on OHCs, Deiters' cells and Hensen's cells indicates that endogenous ATP may have a role in cochlear mechanics. To explore this possibility, the effects of the ATP antagonist, pyridoxal-phosphate-6-azophenyl-2',4'-disulfonic acid (PPADS), were studied in guinea pig both in vitro on isolated OHCs, Deiters' cells, Hensen's cells and pillar cells using the whole-cell configuration of the patch-clamp technique, and in vivo on sound evoked cochlear potentials (cochlear microphonic, CM; summating potential, SP; compound action potential, CAP) and distortion product otoacoustic emissions (DPOAEs) using cochlear perilymphatic perfusion. Results show that PPADS (100 microM) reduced the inward current evoked by 5-10 microM ATP in OHCs, Deiters' cells, Hensen's cells and pillar cells. This effect of PPADS was slow in onset and was slowly reversed to a varying degree in the different cell types. In vivo application of PPADS in increasing concentrations reduced the sound evoked CAP, SP and increased N1 latency starting at about 0.33 mM (SP) and 1 mM (CAP and N1 latency). PPADS (0.33-1 mM) reversibly suppressed the initial value of the quadratic DPOAE and reversed the 'slow decline' in the quadratic DPOAE that occurs during continuous stimulation with moderate level primaries. These results, together with the similar effects of the ATP antagonist suramin reported previously (Skellett et al., 1997), may be evidence that endogenous ATP acting on cells in the organ of Corti alters cochlear mechanics.


Assuntos
Trifosfato de Adenosina/fisiologia , Cóclea/efeitos dos fármacos , Células Ciliadas Auditivas Externas/efeitos dos fármacos , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Inibidores da Agregação Plaquetária/farmacologia , Fosfato de Piridoxal/análogos & derivados , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Trifosfato de Adenosina/antagonistas & inibidores , Animais , Cóclea/fisiologia , Potenciais Microfônicos da Cóclea/efeitos dos fármacos , Potenciais Microfônicos da Cóclea/fisiologia , Cobaias , Células Ciliadas Auditivas Externas/fisiologia , Órgão Espiral/citologia , Órgão Espiral/efeitos dos fármacos , Órgão Espiral/fisiologia , Emissões Otoacústicas Espontâneas/fisiologia , Técnicas de Patch-Clamp , Fosfato de Piridoxal/farmacologia , Núcleo Vestibular Lateral/efeitos dos fármacos , Núcleo Vestibular Lateral/fisiologia , Nervo Vestibulococlear/efeitos dos fármacos , Nervo Vestibulococlear/fisiologia
9.
Hear Res ; 110(1-2): 77-86, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9282890

RESUMO

Biochemical and pharmacological evidence support a role for nitric oxide (NO) and glutathione (GSH) in the cochlea. GSH combines with NO in tissue to form nitrosoglutathione (GSNO) that can act as a storage form for GSH and NO. Therefore, we tested GSNO on sound-evoked responses of the cochlea (cochlear microphonic, CM; summating potential, SP; compound action potential, CAP; cubic distortion product otoacoustic emission, DPOAE), on the endocochlear potential (EP), on isolated outer hair cell (OHC) currents and voltage-dependent capacitance, and on Deiters' cell currents. In vivo application of GSNO in increasing concentrations reversibly reduced low-intensity sound-evoked CAP, SP and DPOAEs starting at about 1 mM (CAP) and 3.3 mM (SP, DPOAE). However, even at 10 mM, GSNO had little effect on the EP. In vitro, salicylate (10 mM) but not GSNO (3 and 10 mM) suppressed the early capacitative transients of OHCs. GSNO (3 and 10 mM) had no effect on the whole cell currents of OHCs or Deiters' cells. Results show that GSNO suppresses cochlear function. This suppression may be due to an effect of GSNO on the cochlear amplifier. The actions of GSNO were different from those of other NO donors; therefore, the effects of GSNO may not be mediated by NO. The mechanisms underlying GSNO effects seem to be different from those of salicylate.


Assuntos
Potenciais Microfônicos da Cóclea/efeitos dos fármacos , Glutationa/análogos & derivados , Células Ciliadas Auditivas Externas/efeitos dos fármacos , Compostos Nitrosos/farmacologia , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Análise de Variância , Animais , Separação Celular , Cóclea/efeitos dos fármacos , Cóclea/fisiologia , Potenciais Evocados Auditivos/efeitos dos fármacos , Feminino , Glutationa/farmacologia , Glutationa/fisiologia , Cobaias , Células Ciliadas Auditivas Externas/fisiologia , Masculino , Óxido Nítrico/fisiologia , Técnicas de Patch-Clamp , S-Nitrosoglutationa , Nervo Vestibulococlear/efeitos dos fármacos , Nervo Vestibulococlear/fisiologia
10.
Hear Res ; 110(1-2): 179-90, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9282900

RESUMO

A hyperpolarization-activated current (termed I[h]) is believed to provide a pacemaker depolarization in sinoatrial node cells and in some central and peripheral neurons. In the present study, we examined if such an inward cation current exists in primary auditory neurons using the whole-cell patch-clamp technique. A large inward, non-inactivating current was seen during hyperpolarizing steps negative to the resting potential. A depolarizing sag occurred during hyperpolarizing current injection, and upon termination of the current injection there was an overshoot, or a rebound firing. A low concentration of Cs+, but not Ba2+, reversibly blocked the inward current and depolarizing sag. The activation of the current showed voltage dependence with half-activation occurring at -101 +/- 1 mV. The time course of I(h) activation was fitted by double exponential function and was voltage-dependent (time constants: tau1 and tau2 = 480 and 3125 ms at -100 mV, and 66 and 404 ms at -160 mV). The reversal potential of the current was -36 mV measured from tail currents. The conductance of the current was decreased in Na+-free solution, and increased in high K+ solution. Increases in the levels of intracellular cAMP or cGMP enhanced the current. The results suggest that there exists a hyperpolarization-activated inward cation current in mammalian primary auditory neurons. This current may provide a depolarizing current during the membrane hyperpolarization following each firing of the primary auditory nerve.


Assuntos
Vias Auditivas/fisiologia , Nervo Vestibulococlear/fisiologia , Animais , Vias Auditivas/efeitos dos fármacos , Bário/farmacologia , Césio/farmacologia , AMP Cíclico/farmacologia , GMP Cíclico/farmacologia , Cobaias , Canais Iônicos/efeitos dos fármacos , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologia , Neurônios/efeitos dos fármacos , Neurônios/fisiologia , Técnicas de Patch-Clamp , Potássio/farmacologia , Sódio/farmacologia , Gânglio Espiral da Cóclea/efeitos dos fármacos , Nervo Vestibulococlear/efeitos dos fármacos
11.
Hear Res ; 107(1-2): 67-82, 1997 May.
Artigo em Inglês | MEDLINE | ID: mdl-9165348

RESUMO

Current theories assume that the outer hair cells (OHC) are responsible for the sharp tuning and exquisite sensitivity of the ear whereas inner hair cells (IHC) are mainly responsible for transmitting acoustic information to the central nervous system. To further evaluate this model, we used a single (38 mg/kg) or double dose (38 mg/kg, 2 times) of carboplatin to produce a moderate (20-28%) or severe (60-95%) IHC loss while sparing a large proportion of the OHCs. The surviving OHCs were functionally intact as indicated by normal cochlear microphonic (CM) potentials and distortion product otoacoustic emissions (DPOAE). Single-unit responses were recorded from auditory nerve fibers to determine the effects of the moderate or severe IHC loss on the output of the surviving IHCs. Most neurons that responded to sound in the single-dose group had normal or near-normal thresholds and normal tuning. Relatively few neurons in the double-dose group responded to sound because of the severe IHC loss. The neurons that did respond to sound had narrow tuning curves. Some neurons in the double-dose group also had thresholds that were within the normal range, but most had thresholds that were elevated a mild-to-moderate degree. These results indicate that intact IHCs can retain relatively normal sensitivity and tuning despite massive IHC loss in surrounding regions of the cochlea. However, the spontaneous and driven discharge rates of neurons in the carboplatin-treated animals were significantly lower than normal. These changes could conceivably be due to sublethal damage to surviving IHCs or to postsynaptic dysfunction in the auditory nerve.


Assuntos
Limiar Auditivo/fisiologia , Células Ciliadas Auditivas Internas/fisiologia , Nervo Vestibulococlear/fisiologia , Potenciais de Ação/efeitos dos fármacos , Animais , Antineoplásicos/toxicidade , Limiar Auditivo/efeitos dos fármacos , Carboplatina/toxicidade , Chinchila , Eletrofisiologia , Células Ciliadas Auditivas Internas/efeitos dos fármacos , Células Ciliadas Auditivas Internas/lesões , Células Ciliadas Auditivas Externas/efeitos dos fármacos , Células Ciliadas Auditivas Externas/fisiologia , Modelos Biológicos , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Emissões Otoacústicas Espontâneas/fisiologia , Nervo Vestibulococlear/efeitos dos fármacos
12.
Neurol Med Chir (Tokyo) ; 37(2): 201-4, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9059047

RESUMO

Bioactive bone cement (BABC) is a novel artificial bone cement. It has some noteworthy characteristics that are applicable to neurological surgery. The toxicity of BABC to the nervous system was tested by implanting BABC and polymethylmethacrylate (PMMA) cement as a control at the parietal and the suboccipital regions of the skull in beagles. The auditory brainstem response (ABR) was tested before and after implantation. Sections of the cerebral cortex and the acoustic nerve were examined at 3 and 6 months after implantation. No abnormal ABR was found in any animals. Histological examination of the cerebral cortex and acoustic nerve demonstrated slight gliosis in both the BABC and PMMA cement groups, but no other abnormalities.


Assuntos
Cimentos Ósseos/toxicidade , Córtex Cerebral/efeitos dos fármacos , Neurotoxinas/toxicidade , Nervo Vestibulococlear/efeitos dos fármacos , Animais , Cães , Masculino
13.
J Am Acad Audiol ; 6(5): 351-7, 1995 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8547697

RESUMO

A brief review of the effects of the seven groups of substances and chemicals known to affect hearing and/or the vestibular system is followed by a more detailed discussion of cisplatin (cisplatinum). An illustrative case study is included that exemplifies a recent finding of some recovery of hearing following withdrawal of cisplatin chemotherapy. Some suggestions for reducing the potential for ototoxicity are also presented. The article continues with a discussion of the effects of irradiation on hearing and the ear and an illustrative case study. Included are some reported results from patients in the Ukraine who were exposed to excessive radiation as a result of the Chernobyl nuclear disaster. A discussion of the effects on the ear and the vestibular system caused by the interaction between chemotherapy and irradiation treatment is followed by the warning that, with the recent successes these treatments have had in the war against cancer, more patients with hearing loss triggered by these techniques will be seen in audiology clinics. These factors are now one of the newest and more frequent etiologic factors for hearing loss in adults in this decade.


Assuntos
Encéfalo/efeitos dos fármacos , Encéfalo/efeitos da radiação , Cisplatino/efeitos adversos , Cisplatino/farmacologia , Neoplasias da Orelha/tratamento farmacológico , Neoplasias da Orelha/radioterapia , Transtornos da Audição/diagnóstico , Neuroblastoma/tratamento farmacológico , Neuroblastoma/radioterapia , Neuroma Acústico/tratamento farmacológico , Neuroma Acústico/radioterapia , Radioterapia/efeitos adversos , Nervo Vestibulococlear/efeitos dos fármacos , Nervo Vestibulococlear/efeitos da radiação , Encéfalo/patologia , Pré-Escolar , Cisplatino/uso terapêutico , Terapia Combinada , Neoplasias da Orelha/patologia , Feminino , Humanos , Masculino , Neuroblastoma/patologia , Neuroma Acústico/patologia , Centrais Elétricas , Doses de Radiação , Liberação Nociva de Radioativos , Ucrânia , Nervo Vestibulococlear/patologia
14.
Acta Otolaryngol ; 115(4): 517-21, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7572128

RESUMO

The influence of laminin on cell cultures derived from unilateral acoustic nerve schwannomas was investigated. Cell cultures were initiated from 12 schwannomas, removed via the enlarged middle cranial fossa approach. Tumor tissue was dispersed by collagenase treatment and cells seeded in uncoated or laminin-coated culture dishes. Confluent cultures were immunocytochemically characterized with antibodies against S-100, CD 68, factor VIII-related antigen and type IV collagen. Cell adhesion in response to different doses of laminin was evaluated with an electronic cell counter. The effect of laminin on cell proliferation was assessed by measuring the incorporation of 5-bromo-2'-deoxy-uridine (BRDU) into cellular DNA. Cells cultured on laminin as substrate appeared more differentiated with long, fusiform, cytoplasmic processes. Cultured cells stained positive for S-100, not for factor VIII-related antigen or CD 68. Only cells cultured on laminin deposited a dense extracellular network of type IV collagen. When laminin was added to the culture medium, cell attachment and proliferation was stimulated in a dose dependent manner. Maximal stimulation of both was observed with a laminin concentration of 50 micrograms/ml, which induced a nearly 2-fold increase in cell attachment and an approximately 66% increase in DNA content. Since laminin is a major component of the extracellular matrix in schwannomas, the possibility exists that laminin is also mitogenic for human neoplastic Schwann cells in situ.


Assuntos
Adesão Celular/efeitos dos fármacos , Movimento Celular/efeitos dos fármacos , Neoplasias da Orelha/ultraestrutura , Laminina/farmacocinética , Neurilemoma/ultraestrutura , Nervo Vestibulococlear/efeitos dos fármacos , Nervo Vestibulococlear/ultraestrutura , Adulto , Idoso , Bromodesoxiuridina/farmacocinética , Bromodesoxiuridina/farmacologia , Colágeno , Técnicas de Cultura , DNA/efeitos dos fármacos , Humanos , Laminina/farmacologia , Pessoa de Meia-Idade
15.
Hear Res ; 78(2): 181-8, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7982811

RESUMO

The P2-purinergic receptor antagonists suramin, cibacron blue and basilen blue, the latter two being isomers of reactive blue 2, were studied for their effects on sound-evoked responses from the cochlea (cochlear microphonic, CM; summating potential, SP; distortion product otoacoustic emissions, DPOAE) and auditory nerve (compound action potential, CAP). Local application of these compounds (10-1000 microM) into the cochlear perilymph was associated with concentration-dependent response alterations. Effects of suramin on cochlear responses were minimal: High-intensity SP was reduced slightly at concentrations > or = 330 microM without significant alterations in CM or DPOAEs. The amplitude of the auditory nerve CAP was suppressed and its latency increased at drug concentrations > or = 100 microM. Cibacron blue and basilen blue were of greater potency in their effects on cochlear and auditory nerve responses. DPOAEs were generally reduced, low-intensity SP was reduced and high-intensity SP was increased and CM was little affected at drug concentrations 100-1000 microM. The CAP was suppressed and its latency increased at concentrations > or = 33 microM. Effects of suramin were largely reversible; those associated with cibacron blue and basilen blue generally were not. To the extent that these drugs acted selectively as antagonists of ATP receptor-mediated activity, results support the hypothesis that endogenous ATP exerts profound actions at the level of the cochlea and the auditory nerve.


Assuntos
Cóclea/efeitos dos fármacos , Potenciais Evocados Auditivos/efeitos dos fármacos , Antagonistas do Receptor Purinérgico P2 , Nervo Vestibulococlear/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Trifosfato de Adenosina/antagonistas & inibidores , Animais , Cóclea/fisiologia , Corantes , Relação Dose-Resposta a Droga , Eletrofisiologia , Potenciais Evocados Auditivos/fisiologia , Feminino , Cobaias , Masculino , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Inibidores da Síntese de Proteínas/farmacologia , Estereoisomerismo , Suramina/farmacologia , Triazinas/farmacologia , Nervo Vestibulococlear/fisiologia
16.
Hear Res ; 76(1-2): 87-100, 1994 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-7928720

RESUMO

Several lines of evidence implicate a neurotransmitter/modulator role for ATP in the cochlea. Most of the work supporting such a notion has been accomplished using in vitro preparations of sensory hair cells or other cochlear tissues. Little is known regarding the functional consequences of ATP receptor activation in vivo. In the present experiments, we tested ATP and related agonist analogs for their effects on sound-evoked responses of the cochlea (cochlear microphonic, CM; summating potential, SP; distortion product otoacoustic emissions, DPOAE) and auditory nerve (compound action potential, CAP) in vivo and on outer hair cell (OHC) currents and cell length in vitro. In vivo, local application of these compounds was associated with concentration- and intensity-dependent response alterations. The slowly-hydrolyzable P2y agonist, ATP-gamma-S, was clearly of greatest in vivo potency: At low to moderate stimulus intensities, micromolar concentrations of this drug reduced all responses, in particular CAP and DPOAEs, which fell to the level of the noise floor. At high intensities, response suppression was smaller and SP was increased. In vivo effects of ATP, ATP-alpha-S and 2-Me-S-ATP were qualitatively similar to, but smaller in magnitude and requiring higher concentrations than those observed for ATP-gamma-S. Adenosine was without significant effect on responses of the cochlea and auditory nerve. In vitro, effects of ATP-gamma-S and ATP were similar: both induced inward currents in OHCs held at -60 mV without producing observable (> 0.3 micron) changes in OHC length. Results suggest that endogenous ATP influences cochlear function through receptors at several sites in the cochlea. Results suggest further that these response alterations are mediated, at least in part, by receptors of the P2y subtype.


Assuntos
Trifosfato de Adenosina/farmacologia , Cóclea/efeitos dos fármacos , Células Ciliadas Auditivas/efeitos dos fármacos , Nervo Vestibulococlear/efeitos dos fármacos , Potenciais de Ação/efeitos dos fármacos , Trifosfato de Adenosina/análogos & derivados , Animais , Tamanho Celular/efeitos dos fármacos , Cóclea/fisiologia , Relação Dose-Resposta a Droga , Eletrofisiologia , Potenciais Evocados Auditivos/efeitos dos fármacos , Feminino , Cobaias , Células Ciliadas Auditivas/citologia , Masculino , Neurônios Aferentes/efeitos dos fármacos , Emissões Otoacústicas Espontâneas/efeitos dos fármacos , Estria Vascular/efeitos dos fármacos , Transmissão Sináptica/efeitos dos fármacos , Tionucleotídeos/farmacologia
17.
Eur Arch Otorhinolaryngol ; 251(1): 23-9, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-8179863

RESUMO

Ototoxicity and neurotoxicity are among the most serious side-effects of cisplatin therapy. Previous experiments have shown that neurotoxicity can be delayed or prevented by treatment with the melanocortin-derived peptide ORG 2766, and ACTH4-9 analog. A remedy against ototoxicity is not available. In this study we describe cisplatin-induced abnormalities in cochlear potentials in guinea pigs. These included changes in compound action potential (CAP), cochlear microphonics (CM) and summating potential (SP) at frequencies from 500 Hz to 16 kHz. Cisplatin (2 mg/kg for 8 days) reduced CAP amplitude with the effect becoming more pronounced at higher frequencies. Cisplatin also reduced CM and SP. Concurrent treatment with ORG 2766 prevented cisplatin ototoxicity partially or completely in four out of ten animals. In the other six animals the effects were comparable to those seen in control animals not treated with the peptide. The protective effects found with this neurotrophic peptide warrant further experimentation.


Assuntos
Hormônio Adrenocorticotrópico/análogos & derivados , Audiometria de Resposta Evocada , Cisplatino/efeitos adversos , Cóclea/efeitos dos fármacos , Fragmentos de Peptídeos/farmacologia , Estimulação Acústica , Potenciais de Ação/efeitos dos fármacos , Hormônio Adrenocorticotrópico/farmacologia , Animais , Potenciais Microfônicos da Cóclea/efeitos dos fármacos , Feminino , Cobaias , Degeneração Neural/efeitos dos fármacos , Placebos , Nervo Vestibulococlear/efeitos dos fármacos
18.
Otolaryngol Clin North Am ; 26(5): 759-89, 1993 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8233488

RESUMO

This chapter summarizes the reported ototoxicity data on the most clinically important ototoxic chemotherapeutic agents, notably emphasizing the oto(neuro)toxicities of the more commonly administered platinum compounds, cisplatin and carboplatin. Currently, in the United States, the only other marketed ototoxic chemotherapeutic agents are nitrogen mustard, alpha-difluoromethyl ornithine (DFMO), and the vinca alkaloids (vincristine and vinblastine sulfate); for these groups, animal ototoxicity data is sparse, and audiovestibular records of human ototoxicity are not available from most prospective, randomized controlled clinical trials. Future phase I, II, and III clinical oncologic trials of "experimental" chemotherapeutic agents should include methodology for audiovestibular monitoring, just as present FDA-approved cancer protocols with either monotherapy or combined therapy of known "ototoxic" agents should include standardized audiovestibular assessment in the database. Finally, continued clinical application of cisplatin alone or in combination with other chemotherapeutic agents in the successful treatment of solid tumors mandates decreasing or eliminating specifically the dose-dependent sensorineural hearing loss (partially in cases of complete or long-term partial remission) in addition to other common antiproliferation-induced side effects (nephritis, peripheral neuropathy, intractable nausea and vomiting, electrolyte imbalance, anaphylactic-like reactions, and myelosuppression). Because of the chemotherapeutic superiority of cisplatin, it is essential to continue to investigate methods of altering the dose-limiting oto(neuro)toxicity without causing a "counterproductive" reduction of the antitumor activity of cisplatin (or other second- or third-generation ototoxic platinum agents).


Assuntos
Antineoplásicos/efeitos adversos , Cóclea/efeitos dos fármacos , Animais , Cisplatino/efeitos adversos , Transtornos da Audição/induzido quimicamente , Humanos , Nervo Vestibulococlear/efeitos dos fármacos
19.
Hear Res ; 64(1): 93-8, 1992 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-1490905

RESUMO

To determine the independent contributions of estradiol and progesterone to the auditory brainstem response (ABR) latency changes associated with the menstrual cycle, we obtained ABRs on young women with premature ovarian failure who were undergoing cyclic hormone replacement therapy (HRT). We evaluated the influence of cyclic HRT on the ABRs of young women in three controlled phases of the same replacement cycles: 1) no steroid replacement, 2) estrogen-only replacement (E2-only), and 3) estrogen-plus-progesterone replacement (E2-plus-P). A significantly lengthening of wave V peak latency and I-V interpeak interval was found during E2-only replacement. Despite equivalent circulating estradiol levels, both wave V peak latencies and wave I-V interpeak intervals significantly decreased during the E2-plus-P replacement phase as compared to the E2-only replacement phase. These findings are compatible with the hypothesis that estradiol potentiates secretion of the inhibitory neurotransmitter gamma-amino-butyric acid (GABA) at auditory nerve synapses, leading to delayed synaptic conduction time. Progesterone is known to blunt E2-potentiated GABA release and may antagonize its prolongation of wave V latency.


Assuntos
Estradiol/farmacologia , Potenciais Evocados Auditivos do Tronco Encefálico/efeitos dos fármacos , Insuficiência Ovariana Primária/tratamento farmacológico , Progesterona/farmacologia , Adulto , Estradiol/uso terapêutico , Terapia de Reposição de Estrogênios , Feminino , Humanos , Progesterona/uso terapêutico , Nervo Vestibulococlear/efeitos dos fármacos , Ácido gama-Aminobutírico/metabolismo
20.
Hear Res ; 62(2): 173-80, 1992 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1429259

RESUMO

Anesthetic agents were compared in order to identify the most appropriate agent for use during surgery and electrophysiological recordings in the auditory system of the tokay gecko (Gekko gecko). Each agent was first screened for anesthetic and analgesic properties and, if found satisfactory, it was subsequently tested in electrophysiological recordings in the auditory nerve. The following anesthetic agents fulfilled our criteria and were selected for further screening: sodium pentobarbital (60 mg/kg); sodium pentobarbital (30 mg/kg) and oxymorphone (1 mg/kg); 3.2% isoflurane; ketamine (440 mg/kg) and oxymorphone (1 mg/kg). These agents were subsequently compared on the basis of their effect on standard response properties of auditory nerve fibers. Our results verified that different anesthetic agents can have significant effects on most of the parameters commonly used in describing the basic response properties of the auditory system in vertebrates. We therefore conclude from this study that the selection of an appropriate experimental protocol is critical and must take into consideration the effects of anesthesia on auditory responsiveness. In the tokay gecko, we recommend 3.2% isoflurane for general surgical procedures; and for electrophysiological recordings in the eighth nerve we recommend barbiturate anesthesia of appropriate dosage in combination if possible with an opioid agent to provide additional analgesic action.


Assuntos
Anestésicos/farmacologia , Lagartos/fisiologia , Nervo Vestibulococlear/efeitos dos fármacos , Estimulação Acústica , Analgésicos/farmacologia , Animais , Audiometria , Limiar Auditivo/efeitos dos fármacos , Eletrofisiologia , Isoflurano/farmacologia , Ketamina/farmacologia , Oximorfona/farmacologia , Pentobarbital/farmacologia , Nervo Vestibulococlear/fisiologia
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