Bax, Bcl2, and p53 differentially regulate neomycin- and gentamicin-induced hair cell death in the zebrafish lateral

Allison B Coffin1, Edwin W Rubel, David W Raible

  • 1Virginia Merrill Bloedel Hearing Research Center, University of Washington, Box 357923, Seattle, WA, 98195, USA, Allison.coffin@wsu.edu.

Insights

Aminoglycoside antibiotics can cause hearing loss by damaging inner ear hair cells. Mitochondrial p53 activity appears to promote this hair cell death, offering a potential therapeutic target.

Area of Science:

  • Ototoxicity research
  • Cellular biology
  • Molecular mechanisms of hearing loss

Background:

  • Sensorineural hearing loss, often age-related, stems from factors like noise and ototoxic drugs (e.g., aminoglycosides).
  • Inner ear hair cell death is a primary cause of hearing loss, but the specific cell death pathways remain unclear.
  • Aminoglycosides like neomycin and gentamicin trigger overlapping cell death pathways in aquatic vertebrate lateral line hair cells.

Purpose of the Study:

  • To investigate the roles of p53, Bax, and Bcl2 in zebrafish lateral line hair cell death induced by neomycin and gentamicin.
  • To determine if inhibiting specific proteins or pathways can protect hair cells from aminoglycoside-induced toxicity.

Main Methods:

  • Utilized pharmacologic inhibitors and genetic manipulations in zebrafish.
  • Assessed the impact of inhibiting p53, Bax, and Bcl2 on hair cell survival.
  • Investigated the role of mitochondrial-specific p53 activity in aminoglycoside-induced hair cell death.

Main Results:

  • Bax inhibition protected against neomycin but not gentamicin.
  • Bcl2 overexpression protected against gentamicin but not neomycin.
  • p53 inhibition, particularly targeting mitochondrial p53, protected hair cells from both neomycin and gentamicin, suggesting a role upstream of Bax and Bcl2.

Conclusions:

  • Mitochondrial p53 activity plays a significant role in promoting hair cell death following aminoglycoside exposure.
  • The interplay between Bax and Bcl2 is differentially affected by neomycin and gentamicin.
  • Targeting mitochondrial p53 presents a potential strategy for preventing aminoglycoside-induced hearing loss.

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