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Updated: Aug 24, 2025

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Kinesin spindle protein inhibitor exacerbates cisplatin-induced hair cell damage
Dongmei Tang1, Shimei Zheng2, Chang Liu3
1ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Fudan University, NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai, 200031, China.
Abstract:
There is emerging evidence indicating that Kinesin family, plays vital roles in influencing the growth of axons, interference with the progression of tumor. However, the function of Kinesin member in the auditory organs remains unknown. SB743921, a kinesin spindle protein (KSP) inhibitor, was applied in mouse organ of Corti and House Ear Institute-Organ of Corti 1 (HEI-OC1) cell line to examine the role of KSP in auditory system with and without cisplatin damage. Cell Counting Kit-8 (CCK-8) and Lactase dehydrogenase (LDH) release assay were conducted to evaluate cell activity and toxicity. Pretreatment with SB743921 increased the sensitivity of HEI-OC1 cells to cisplatin ototoxicity through promoting cell apoptosis and deteriorating superoxide generation mediated damage from cisplatin. SB743921 also enhanced cisplatin induced hair cell damage in explants of mouse cochleae in vitro. Furthermore, the combined N-acetylcysteine (NAC) treatment with cisplatin or with cisplatin and SB743921 both completely rescued the reduced number of hair cells impaired by cisplatin, confirming the strengthening function of superoxide accumulation by SB743921 after cisplatin treatment. Inhibition of kinesin spindle protein enhanced the susceptibility of hair cells to cisplatin induced damage in mouse cochlear explants and HEI-OC1 cells, indicating that kinesin spindle protein might be an unprecedented target to weaken the ototoxicity of platinum medicaments.
Insights
Kinesin spindle protein (KSP) inhibition increases hair cell susceptibility to cisplatin ototoxicity by promoting apoptosis and oxidative stress. Targeting KSP may offer a novel strategy to mitigate platinum-induced hearing damage.
Area of Science:
- Ototoxicity research
- Molecular mechanisms of hearing loss
- Cancer therapeutics side effects
Background:
- Kinesin family proteins are crucial for axonal growth and tumor progression.
- The role of Kinesin spindle protein (KSP) in auditory organs is largely unexplored.
- Cisplatin is a common chemotherapy agent with known ototoxic side effects.
Purpose of the Study:
- To investigate the role of Kinesin spindle protein (KSP) in the auditory system.
- To determine the effect of KSP inhibition on cisplatin-induced ototoxicity.
- To explore KSP as a potential therapeutic target for reducing hearing damage.
Main Methods:
- Utilized mouse organ of Corti explants and HEI-OC1 cell line.
- Administered SB743921, a KSP inhibitor, with and without cisplatin.
- Assessed cell viability and toxicity using CCK-8 and LDH assays.
- Evaluated apoptosis and superoxide generation.
- Investigated the protective effects of N-acetylcysteine (NAC).
Main Results:
- SB743921 pretreatment sensitized HEI-OC1 cells to cisplatin ototoxicity.
- KSP inhibition promoted cisplatin-induced apoptosis and exacerbated superoxide generation.
- SB743921 enhanced cisplatin-induced hair cell damage in cochlear explants.
- NAC treatment rescued cisplatin-induced hair cell loss, confirming SB743921's role in superoxide accumulation.
Conclusions:
- Inhibition of Kinesin spindle protein (KSP) increases hair cell susceptibility to cisplatin-induced ototoxicity.
- KSP inhibition exacerbates cisplatin-induced damage through apoptosis and oxidative stress.
- KSP inhibition represents a potential therapeutic target for mitigating platinum-based drug ototoxicity.
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