The non-steroidal anti-inflammatory drugs protect mouse cochlea against acoustic injury

Tomofumi Hoshino1, Keiji Tabuchi, Yuki Hirose

  • 1Department of Otolaryngology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan.

Insights

Non-steroidal anti-inflammatory drugs targeting cyclooxygenase-1 (COX-1) and lipoxygenase (LOX) enzymes aided hearing recovery after acoustic injury. COX-1 and LOX inhibition protected against cochlear damage, unlike COX-2 inhibitors.

Area of Science:

  • Oto-toxicology
  • Pharmacology
  • Auditory Neuroscience

Background:

  • Acoustic injury is a significant cause of hearing loss in industrial societies.
  • Cyclooxygenase (COX) and lipoxygenase (LOX) pathways are implicated in arachidonic acid metabolism, with roles in the cochlea not fully understood regarding acoustic injury.
  • Non-steroidal anti-inflammatory drugs (NSAIDs) offer potential therapeutic avenues by inhibiting COX or LOX enzymes.

Purpose of the Study:

  • To investigate the effects of specific NSAIDs, targeting COX-1, COX-2, and LOX, on the functional recovery of the cochlea following acoustic injury.
  • To elucidate the specific roles of COX-1, COX-2, and LOX in the pathogenesis of noise-induced hearing loss.

Main Methods:

  • Mice were subjected to acoustic overexposure (4-kHz tone, 128 dB SPL for 4 hours).
  • Post-exposure, mice received daily treatments with indomethacin (COX-1 inhibitor), meloxicam, SC58125, CAY10404 (COX-2 inhibitors), or nordihydroguaiaretic acid (LOX inhibitor) for two weeks.
  • Auditory brainstem response (ABR) was used to measure hearing thresholds before and after acoustic exposure to assess ABR threshold shifts.

Main Results:

  • Treatment with indomethacin (COX-1 inhibitor) and nordihydroguaiaretic acid (LOX inhibitor) significantly reduced ABR threshold shifts, indicating protective effects against acoustic injury.
  • COX-2 inhibitors (meloxicam, SC58125, CAY10404) did not demonstrate noticeable effects on ABR threshold shifts.
  • These findings suggest differential involvement of COX isoforms and LOX in cochlear response to acoustic trauma.

Conclusions:

  • COX-1 and LOX pathways play a significant role in the development of cochlear acoustic injury.
  • Targeting COX-1 and LOX, but not COX-2, with NSAIDs may offer a therapeutic strategy for mitigating noise-induced hearing loss.
  • Further research into the specific mechanisms of COX-1 and LOX in cochlear damage is warranted.

Related Concept Videos