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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.
Abstract:
Ototoxicity associated with cis-platinum administration commonly presents as hearing loss and tinnitus. The hearing loss is usually an irreversible, high-frequency sensorineural loss. Histologic studies in humans and animals suggest that the outer hair cells (OHCs) are most susceptible to cis-platinum. Evoked otoacoustic emissions (EOAE), as a measure of outer hair cell function, are potentially useful in following ototoxic insults involving OHCs. Distortion-product otoacoustic emissions (DPOAE) test frequency-specific regions of the cochlea and therefore may be particularly well suited for monitoring ototoxic injuries. We measured distortion product otoacoustic emissions, at f2 = 2, 4, 6, 8, 10, and 12 kHz, in gerbils after a single large dose of cis-platinum. Animals treated with saline served as controls. The findings were compared to auditory brain stem evoked response (ABR) thresholds, using tone pips of the same frequencies. The DPOAE and ABR thresholds were measured before treatment and again 2, 5, and 14 days after drug administration. The changes in DPOAE were compared with the changes in ABR. No treatment effect was noted in the 2-day group. Animals treated with c/s-platinum demonstrated significant elevation of DPOAE and ABR thresholds compared with control animals at 5 and 14 days. There was no significant difference between the threshold changes in the 5-and 14-day groups.
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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