Changes in Otoacoustic Emissions and Auditory Brain Stem Response after C/s-Platinum Exposure in Gerbils

Kathleen C Y Sie1, Susan J Norton1

  • 11 Children's Hospital and Medical Center, Seattle, and the Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington.

Insights

Cis-platinum chemotherapy can cause hearing loss by damaging outer hair cells (OHCs). Distortion-product otoacoustic emissions (DPOAE) effectively monitor this ototoxicity, showing significant threshold elevations post-treatment.

Area of Science:

  • Ototoxicology
  • Auditory Neuroscience
  • Pharmacology

Background:

  • Cis-platinum chemotherapy is known to cause ototoxicity, manifesting as hearing loss and tinnitus.
  • Outer hair cells (OHCs) are the primary targets of cis-platinum-induced ototoxicity.
  • Evoked otoacoustic emissions (EOAE) assess OHC function, with distortion-product otoacoustic emissions (DPOAE) offering frequency-specific monitoring.

Purpose of the Study:

  • To evaluate the efficacy of distortion-product otoacoustic emissions (DPOAE) in monitoring cis-platinum ototoxicity.
  • To compare DPOAE threshold changes with auditory brain stem evoked response (ABR) thresholds following cis-platinum administration in gerbils.

Main Methods:

  • Distortion-product otoacoustic emissions (DPOAE) and auditory brain stem evoked response (ABR) thresholds were measured in gerbils before and at 2, 5, and 14 days after a single cis-platinum dose.
  • Control animals received saline.
  • DPOAE were measured at specific frequencies (f2 = 2, 4, 6, 8, 10, 12 kHz).

Main Results:

  • No significant ototoxic effects were observed at the 2-day post-treatment mark.
  • Cis-platinum treated gerbils showed significant elevations in both DPOAE and ABR thresholds at 5 and 14 days compared to controls.
  • No significant difference in threshold changes was found between the 5-day and 14-day groups.

Conclusions:

  • Distortion-product otoacoustic emissions (DPOAE) are sensitive indicators of cis-platinum-induced ototoxicity.
  • DPOAE provide a viable method for tracking outer hair cell damage caused by chemotherapy.
  • Monitoring DPOAE and ABR thresholds can help assess the impact of ototoxic drugs on hearing function.

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