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Cisplatin-Induced Ototoxicity in Rats Is Driven by RIP3-Dependent Necroptosis
Mi-Jin Choi1,2, Hyunsook Kang3, Yun Yeong Lee4,5
1Department of Otolaryngology, Ajou University School of Medicine, Suwon 16499, Korea. cmjpink@naver.com.
Abstract:
Cisplatin-induced early-onset ototoxicity is linked to hearing loss. The mechanism by which cisplatin causes ototoxicity remains unclear. The purpose of this study was to identify the involvement of receptor-interacting protein kinase (RIP)3-dependent necroptosis in cisplatin-induced ototoxicity in vitro and in vivo. Sprague-Dawley rats (SD, 8 week) were treated via intraperitoneal (i.p.) injection with cisplatin (16 mg/kg for 1 day), and their hearing thresholds were measured by the auditory brainstem response (ABR) method. Hematoxylin and eosin (H & E) staining, immunohistochemistry, and western blots were performed to determine the effect of cisplatin-induced ototoxicity on cochlear morphology. Inhibitor experiments with necrostatin 1 (Nec-1) and Z-VAD were also performed in HEI-OC1 cell line. H&E stains revealed that the necroptotic changes were increased in the organ of Corti (OC) and spiral ganglion neurons (SGNs). Moreover, immunohistochemistry and western blot analysis showed that cisplatin treatment increased the protein levels of RIP3 in both OCs and SGNs. The treatment of Nec-1, a selective RIP1 inhibitor, resulted in markedly suppression of cisplatin-induced cell death in HEI-OC1 cells, whereas Z-VAD treatment did not change the cisplatin-induced cell death. Our results suggest that RIP3-dependent necroptosis was substantial in cisplatin-induced ototoxicity; inner cochlear regions, the OCs, and SGNs were especially sensitive to necroptosis.
Insights
Cisplatin causes hearing loss through receptor-interacting protein kinase 3 (RIPK3)-dependent necroptosis. This programmed cell death pathway significantly impacts the organ of Corti and spiral ganglion neurons, contributing to ototoxicity.
Area of Science:
- Ototoxicity research
- Cellular mechanisms of hearing loss
- Necroptosis signaling pathways
Background:
- Cisplatin is a common chemotherapy agent.
- Cisplatin-induced ototoxicity leads to hearing loss.
- The precise mechanisms underlying cisplatin ototoxicity are not fully understood.
Purpose of the Study:
- To investigate the role of receptor-interacting protein kinase 3 (RIPK3)-dependent necroptosis in cisplatin-induced ototoxicity.
- To elucidate the cellular and molecular pathways involved in cisplatin-induced damage to the cochlea.
Main Methods:
- In vivo studies using Sprague-Dawley rats treated with cisplatin.
- Auditory brainstem response (ABR) testing to measure hearing thresholds.
- Histological analyses (H&E staining, immunohistochemistry) and Western blot to assess cochlear damage and protein expression.
- In vitro experiments using HEI-OC1 cells treated with necrostatin-1 (Nec-1) and Z-VAD.
Main Results:
- Cisplatin treatment increased necroptotic changes in the organ of Corti (OC) and spiral ganglion neurons (SGNs).
- Cisplatin elevated RIPK3 protein levels in the OC and SGNs.
- Necrostatin-1 (Nec-1) significantly suppressed cisplatin-induced cell death in HEI-OC1 cells, while Z-VAD did not.
Conclusions:
- Receptor-interacting protein kinase 3 (RIPK3)-dependent necroptosis plays a substantial role in cisplatin-induced ototoxicity.
- Inner cochlear structures, specifically the organ of Corti (OC) and spiral ganglion neurons (SGNs), are highly susceptible to necroptosis induced by cisplatin.
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