Streptococcus pneumoniae-induced ototoxicity in organ of Corti explant cultures

Michael Perny1, Magdalena Solyga2, Denis Grandgirard3

  • 1Neuroinfection Laboratory, Institute for Infectious Diseases, University of Bern, Switzerland; Inner Ear Research Laboratory, Department of Otorhinolaryngology, Head& Neck Surgery, Inselspital Bern and Department of Clinical Research, University of Bern, Switzerland; Cluster for Regenerative Neuroscience, Department of Clinical Research, University of Bern, Switzerland.

Hearing Research
|May 2, 2017
PubMed

Insights

Pneumococcal meningitis survivors often experience hearing loss. This study reveals Streptococcus pneumoniae damages cochlear hair cells, particularly outer hair cells, with the toxin pneumolysin being a key factor in this ototoxicity.

Area of Science:

  • Ototoxicity and neuroinflammation
  • Microbiology and infectious diseases
  • Auditory neuroscience

Background:

  • Hearing loss is a common sequela of pneumococcal meningitis (PM), affecting up to 30% of survivors.
  • Streptococcus pneumoniae exhibits ototoxic properties contributing to PM-induced hearing damage.
  • Understanding pathogen-derived mechanisms of hearing loss is crucial for developing otoprotective therapies.

Purpose of the Study:

  • To investigate the pattern of cochlear hair cell loss induced by different Streptococcus pneumoniae strains using a novel ex vivo model.
  • To elucidate the role of bacterial factors, specifically pneumolysin (PLY), in pathogen-induced ototoxicity.
  • To determine the differential susceptibility of hair cell populations within the cochlea to S. pneumoniae and its toxins.

Main Methods:

  • Development of a novel ex vivo experimental setup to expose cochlear tissue to S. pneumoniae strains.
  • Quantitative analysis of hair cell loss (inner hair cells [IHCs] and outer hair cells [OHCs]) in response to bacterial exposure.
  • Comparison of damage patterns between wild-type and pneumolysin-deficient (PLY mutant) S. pneumoniae strains.

Main Results:

  • Outer hair cells (OHCs) demonstrated higher susceptibility to S. pneumoniae-induced damage than inner hair cells (IHCs).
  • Hair cell loss was dose- and time-dependent, with significant regional differences observed between basal and apical cochlear turns.
  • Pneumolysin (PLY) was identified as a critical ototoxic factor, causing both IHC and OHC loss, with a notable vulnerability in the basal and middle cochlear regions.

Conclusions:

  • The ex vivo model effectively recapitulates S. pneumoniae-induced cochlear damage, highlighting OHC vulnerability and regional susceptibility.
  • Pneumolysin is a significant contributor to S. pneumoniae ototoxicity, affecting hair cells across different cochlear regions.
  • These findings provide a basis for developing targeted otoprotective strategies against hearing loss in pneumococcal meningitis.

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