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Updated: Sep 25, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Sequence variations of mitochondrial DNA and individual sensitivity to the ototoxic effect of cisplatin
Ulrike Peters1, S Preisler-Adams, Claudia Lanvers-Kaminsky
1Institute for Human Genetics, University of Muenster, Muenster, Germany.
Background:
Since mutations in the mitochondrial genome are associated with hearing loss, we analyzed whether sequence variations of mtDNA are associated with individual sensitivity to cisplatin-induced ototoxicity.
Materials And Methods:
The mtDNA of 20 patients with and 19 patients without hearing impairment under therapeutic doses of cisplatin was sequenced for mutations and characterized for haplotype by restriction analysis.
Results:
Neither the A7445G mutation, nor the 7472insC insertion or the A1555G mutation were identified in any of the patients. Nucleotide variations in the variable D-loop region did not correlate with cisplatin-induced hearing loss. However, these patients clustered more frequently (5 out of 20) in the rare European haplogroup J, than those with normal hearing after therapy (1 out of 19).
Conclusion:
The linkage of cisplatin-induced hearing impairment to the mitochondrial haplogroup J, which is also associated with the mitochondrially-mediated Leber's Hereditary Optic Neuropathy, might act as a predisponsing genetic background for biochemical differences in mitochondria.
Insights
Mitochondrial DNA (mtDNA) variations, particularly haplogroup J, may predispose individuals to hearing loss from cisplatin chemotherapy. This genetic background influences mitochondrial function and sensitivity to ototoxicity.
Area of Science:
- Genetics
- Ophthalmology
- Pharmacology
Background:
- Mitochondrial DNA (mtDNA) mutations are linked to hearing loss.
- Cisplatin chemotherapy can cause ototoxicity (hearing damage).
Purpose of the Study:
- To investigate the association between mtDNA sequence variations and cisplatin-induced ototoxicity.
- To determine if specific mtDNA mutations or haplogroups correlate with hearing impairment in patients receiving cisplatin therapy.
Main Methods:
- Sequencing of mtDNA from patients with and without cisplatin-induced hearing impairment.
- Restriction analysis to characterize mtDNA haplotypes.
Main Results:
- No common mtDNA mutations (A7445G, 7472insC, A1555G) were found in patients.
- Variations in the D-loop region did not correlate with hearing loss.
- Patients with hearing impairment showed a higher frequency (5/20) of the rare European haplogroup J compared to controls (1/19).
Conclusions:
- Mitochondrial haplogroup J may be linked to cisplatin-induced hearing impairment.
- This association suggests a predisposing genetic background for altered mitochondrial biochemical function.
- Haplogroup J is also associated with Leber's Hereditary Optic Neuropathy, indicating a potential shared genetic susceptibility.
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