Ivacaftor attenuates gentamicin-induced ototoxicity through the CFTR-Nrf2-HO1/NQO1 pathway

Rui Hu1,2, Fan Wu2,3,4, Yi-Qing Zheng1,2,3

  • 1Shenshan Medical Center, Memorial Hospital of Sun Yat-Sen University, Shanwei, People's Republic of China.

Abstract

Insights

Ivacaftor, a CFTR activator, protects against gentamicin-induced ototoxicity by reducing oxidative stress and apoptosis. This suggests potential for treating aminoglycoside-induced hearing loss.

Area of Science:

  • Ototoxicity research
  • Drug discovery
  • Cellular biology

Background:

  • Gentamicin is a common ototoxic drug causing hearing loss.
  • Oxidative stress is a key factor in gentamicin-induced hair cell death.
  • No effective treatments currently exist for this hearing loss.

Purpose of the Study:

  • To evaluate ivacaftor's effect on gentamicin-induced ototoxicity.
  • To elucidate the mechanism of ivacaftor's protective action.

Main Methods:

  • In vitro cochlear explant model.
  • Myosin 7a staining for hair cell count.
  • TUNEL assay for apoptosis.
  • DCFH-DA probes for reactive oxygen species (ROS).
  • Western blot for Nrf2 pathway proteins.

Main Results:

  • Gentamicin induced ROS accumulation and apoptosis in hair cells.
  • Ivacaftor pretreatment alleviated gentamicin's ototoxic effects.
  • Ivacaftor increased Nrf2, HO1, and NQO1 protein expression.
  • The Nrf2 inhibitor ML385 abolished ivacaftor's protective effect.

Conclusions:

  • The CFTR-Nrf2-HO1/NQO1 pathway is protective against gentamicin ototoxicity.
  • Ivacaftor shows potential for treating aminoglycoside-induced hearing loss.

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