Protective Effects of Fasudil Against Cisplatin-Induced Ototoxicity in Zebrafish: An In Vivo Study

Kang Hyeon Lim1, Saemi Park1, Eunjung Han1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital, Ansan 15355, Republic of Korea.

Insights

Fasudil, a ROCK inhibitor, protects against cisplatin-induced ototoxicity by reducing hair cell death and preserving hearing function in zebrafish. This study highlights fasudil as a potential therapeutic agent for preventing chemotherapy-related hearing damage.

Area of Science:

  • Ototoxicity research
  • Pharmacology
  • Zebrafish models

Background:

  • Cisplatin is a potent anti-tumor drug but causes ototoxicity via DNA damage, oxidative stress, and apoptosis.
  • Rho-associated coiled-coil-containing protein kinase (ROCK) plays a role in apoptosis regulation, with inhibitors potentially preventing cell death.

Purpose of the Study:

  • To investigate the protective effects of the ROCK inhibitor fasudil against cisplatin-induced ototoxicity in zebrafish.
  • To evaluate fasudil's impact on hair cell survival, apoptosis, oxidative stress, and auditory function.

Main Methods:

  • Zebrafish larvae were exposed to cisplatin alone or with varying concentrations of fasudil.
  • Assessed hair cell counts, apoptosis markers, reactive oxygen species (ROS), mitochondrial membrane potential (ΔΨm), caspase 3 activity, and autophagy.
  • Rheotaxis behavior was used to evaluate auditory function.

Main Results:

  • Cisplatin significantly reduced hair cell counts and increased apoptosis, ROS, ΔΨm loss, caspase 3 activity, and autophagy.
  • Fasudil (100 and 500 µM) mitigated cisplatin-induced hair cell loss, apoptosis, caspase 3 activation, and autophagy.
  • Fasudil preserved rheotaxis behavior in cisplatin-exposed zebrafish.

Conclusions:

  • Cisplatin induces hair cell apoptosis and ototoxicity in zebrafish.
  • Fasudil demonstrates significant protective effects against cisplatin-induced ototoxicity.
  • Fasudil is a promising agent for preventing cisplatin-related hearing damage.

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