Carboplatin-induced early cochlear lesion in chinchillas

Jian Wang1, Dalian Ding, Richard J Salvi

  • 1School of Human Communication Disorders, Dalhousie University, 5599 Fenwick Street, B3H 1R2 Halifax, NS, Canada. wangj4@dal.ca

Hearing Research
|July 12, 2003
PubMed

Insights

Carboplatin damages auditory nerve fibers before inner hair cells. Neurotoxic effects on spiral ganglion neurons precede hair cell damage, indicating a distinct temporal sequence in ototoxicity.

Area of Science:

  • Ototoxicity and neurobiology
  • Auditory system research

Background:

  • Carboplatin is known to damage inner hair cells (IHCs) and type I spiral ganglion neurons (SGNs).
  • The precise timing and sequence of these damaging events remain unclear.

Purpose of the Study:

  • To elucidate the temporal sequence of carboplatin-induced damage to IHCs and type I SGNs.
  • To correlate physiological changes in auditory nerve fibers with histopathological alterations.

Main Methods:

  • Monitoring single auditory nerve fiber activity for 8 hours post-carboplatin treatment.
  • Assessing histopathological changes in SGNs and IHCs.
  • Measuring spontaneous discharge rate (SDR) and saturation driven discharge rate (DDR).

Main Results:

  • Physiological changes, including SDR fluctuations and DDR increase, occurred within 1-5 hours post-treatment.
  • Histopathological signs of neurotoxicity, such as vacuole formation in afferent terminals, were observed 1-6 hours post-treatment.
  • IHC damage was evident significantly later, around 24-48 hours, indicating neurotoxicity precedes hair cell damage.

Conclusions:

  • Carboplatin's neurotoxic effects on SGNs and their afferent fibers manifest before observable damage to IHCs.
  • Auditory nerve fiber dysfunction occurs approximately 24 hours before inner ear hair cell damage, highlighting a critical temporal window in carboplatin ototoxicity.