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An optimized, clinically relevant mouse model of cisplatin-induced ototoxicity
K Fernandez1, T Wafa1, T S Fitzgerald1
1National Institute on Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD, 20892, USA.
Abstract:
Cisplatin-induced ototoxicity results in significant, permanent hearing loss in pediatric and adult cancer survivors. Elucidating the mechanisms underlying cisplatin-induced hearing loss as well as the development of therapies to reduce and/or reverse cisplatin ototoxicity have been impeded by suboptimal animal models. Clinically, cisplatin is most commonly administered in multi-dose, multi-cycle protocols. However, many animal studies are conducted using single injections of high-dose cisplatin, which is not reflective of clinical cisplatin administration protocols. Significant limitations of both high-dose, single-injection protocols and previous multi-dose protocols in rodent models include high mortality rates and relatively small changes in hearing sensitivity. These limitations restrict assessment of both long-term changes in hearing sensitivity and effects of potential protective therapies. Here, we present a detailed method for an optimized mouse model of cisplatin ototoxicity that utilizes a multi-cycle administration protocol that better approximates the type and degree of hearing loss observed clinically. This protocol results in significant hearing loss with very low mortality. This mouse model of cisplatin ototoxicity provides a platform for examining mechanisms of cisplatin-induced hearing loss as well as developing therapies to protect the hearing of cancer patients receiving cisplatin therapy.
Insights
Cisplatin chemotherapy causes permanent hearing loss. This study optimized a mouse model using multi-cycle cisplatin doses, improving accuracy and reducing mortality for better ototoxicity research.
Area of Science:
- Ototoxicity research
- Cancer therapy side effects
- Animal modeling
Background:
- Cisplatin chemotherapy is a vital cancer treatment but frequently causes permanent hearing loss (ototoxicity) in survivors.
- Current animal models inadequately replicate clinical cisplatin administration, leading to high mortality and limited insights into hearing loss mechanisms.
- Existing models fail to assess long-term hearing changes or test protective therapies effectively.
Purpose of the Study:
- To develop an optimized mouse model for studying cisplatin-induced ototoxicity.
- To create a model that better reflects clinical cisplatin administration protocols.
- To facilitate research into the mechanisms of hearing loss and the development of protective therapies.
Main Methods:
- Implemented a multi-cycle cisplatin administration protocol in mice.
- The protocol was designed to mimic clinical dosing schedules and levels.
- Evaluated hearing sensitivity changes and mortality rates.
Main Results:
- The optimized multi-cycle protocol induced significant hearing loss in mice.
- This protocol demonstrated a substantially lower mortality rate compared to previous models.
- The model effectively replicates the type and degree of hearing loss seen in human patients.
Conclusions:
- The developed mouse model accurately represents cisplatin-induced ototoxicity with reduced mortality.
- This optimized model serves as a valuable platform for investigating ototoxicity mechanisms.
- It will aid in developing and testing therapies to preserve hearing in cancer patients undergoing cisplatin treatment.
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