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Updated: May 12, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Trichostatin A protects against cisplatin-induced ototoxicity by regulating expression of genes related to apoptosis
Ping Wang1, Ping Zhang, Ji Huang
1Department of Otolaryngology-Head and Neck Surgery, First Hospital of Jilin University, Changchun 130021, China.
Objective:
Although inhibition of histone deacetylases (HDACs) has been shown to protect against cisplatin-induced hearing loss, the underlying mechanism is still poorly understood. In the present study, we aim to investigate the protective effect of trichostatin A (TSA), a specific inhibitor of HDACs, on cisplatin-induced ototoxicity and to determine the differentially expressed genes involved in this process.
Methods:
The basilar membrane of the cochlea was isolated from 3-day newborn Wistar rats. Organotypic cultures were treated with 150 μM cisplatin or 200 nM TSA. For combination treatment, cells were pre-incubated with TSA for 1h, followed by TSA plus cisplatin treatment. Rhodamine-phalloidin staining was used to label hair cells, and immunocytochemistry with an anti-neurofilament-200 antibody was applied to label spiral ganglion neurons (SGNs). Global expression profile microarray analysis was used to identify differentially expressed genes. Molecular function and signal pathway analysis were performed using a protein analysis through evolutionary relationships (PANTHER) classification system. Real-time quantitative PCR (qPCR) was carried out for data validation.
Results:
Severe loss of hair cells and SGNs occurred after 48 h of cisplatin incubation, while TSA significantly increased the number of hair cells and SGNs in the combination treatment group (P<0.05). Compared with control, expression of 71 genes were up-regulated and 383 genes were down-regulated upon cisplatin treatment. Addition of TSA induced the up-regulation of 1387 genes and down-regulation of 1226 genes as compared with cisplatin administration alone. After cisplatin treatment, we observed significant down-regulation of mRNA for several genes related to synaptic function genes, including Camk2a, Camk2b, Vglut1, Snap25 and Rab3b, whereas pretreatment with TSA elevated mRNA levels of these genes. TSA greatly decreased expression of genes related to the calcium signaling pathway (Capn1 and Capn2) and apoptosis signaling pathway (Tnfrsf1a and Tp53), while addition of TSA significantly reduced levels of Tnfrsf1a and Tp53 compared with cisplatin alone (P<0.01).
Conclusions:
Our results suggested that TSA might protect against cisplatin-induced ototoxicity via mediating expression of genes responsible for regulating apoptosis, intracellular calcium homeostasis, neurotransmitter synthesis and release, and synaptic plasticity.
Insights
Trichostatin A (TSA) protects against cisplatin-induced ototoxicity by preserving hair cells and spiral ganglion neurons. This histone deacetylase inhibitor modulates genes involved in apoptosis, calcium signaling, and synaptic plasticity, offering a potential therapeutic strategy for hearing loss.
Area of Science:
- Ototoxicity research
- Molecular biology
- Neuroscience
Background:
- Cisplatin chemotherapy can cause hearing loss (ototoxicity).
- Histone deacetylase (HDAC) inhibition shows potential for preventing cisplatin-induced ototoxicity.
- The precise molecular mechanisms underlying this protective effect remain unclear.
Purpose of the Study:
- To investigate the protective effect of trichostatin A (TSA), an HDAC inhibitor, against cisplatin-induced ototoxicity.
- To identify differentially expressed genes involved in TSA's protective mechanism.
Main Methods:
- Organotypic cultures of rat cochlear basilar membranes were treated with cisplatin and/or TSA.
- Hair cell and spiral ganglion neuron (SGN) survival was assessed.
- Global gene expression profiling (microarray) identified differentially expressed genes.
- Real-time quantitative PCR (qPCR) validated gene expression changes.
Main Results:
- Cisplatin caused significant hair cell and SGN loss, which TSA treatment ameliorated.
- TSA modulated the expression of numerous genes, including those related to synaptic function, calcium signaling, and apoptosis.
- TSA upregulated synaptic function genes (e.g., Camk2a, Snap25) downregulated by cisplatin.
- TSA decreased the expression of apoptosis-related genes (e.g., Tnfrsf1a, Tp53).
Conclusions:
- TSA demonstrates a protective effect against cisplatin-induced ototoxicity.
- This protection is mediated by TSA's influence on gene expression critical for apoptosis regulation, calcium homeostasis, neurotransmission, and synaptic plasticity.
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