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Updated: May 23, 2025

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Pinoresinol Diglucoside Attenuates Nuclear Receptor Coactivator 4-Mediated Ferritinophagy Associated with
Yin Chen1,2, Cheng Cheng1,2, Ao Li1,2
1Department of Otolaryngology Head and Neck Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, No. 321 Zhongshan Road, Nanjing, 210008, China.
Abstract:
Cisplatin can cause irreversible hearing loss. However, effective approaches to its prevention are not established. In this study, the effect of the traditional Chinese medicine monomer pinoresinol diglucoside (PDG) is evaluated on cisplatin-induced ototoxicity and its underlying mechanism of action. PDG significantly increases cell viability and inhibits reactive oxygen species production and ferroptosis in cisplatin-treated House Ear Institute-Organ of Corti 1 cells and basilar membranes. PDG partially restores hearing loss caused by cisplatin. Transcriptome sequencing identifies Suppressor of Cytokine Signaling 1 (SOCS1), which is significantly elevated in the cisplatin-only group but significantly reduced after PDG application. SOCS1 is a ferroptosis-promoting factor, and knocking it down significantly inhibits nuclear receptor coactivator 4 (NCOA4) and inhibits ferritinophagy. Transmission electron microscopy reveals that knocking down SOCS1 reduces the number of autophagic lysosomes induced by cisplatin. Co-immunoprecipitation is performed to confirm the interaction between SOCS1 and NCOA4. Taken together, these results indicate that PDG inhibits NCOA4-mediated ferritinophagy by downregulating SOCS1, which reduces cisplatin-induced ototoxicity. This study provides a new clinical option for the prevention of cisplatin-induced hearing loss.
Insights
Pinoresinol diglucoside (PDG) may prevent cisplatin-induced hearing loss by inhibiting ferroptosis and ferritinophagy. This traditional Chinese medicine component downregulates SOCS1, offering a potential new clinical option for ototoxicity prevention.
Area of Science:
- Ototoxicity research
- Pharmacology
- Traditional Chinese Medicine
Background:
- Cisplatin chemotherapy can cause irreversible hearing loss (ototoxicity).
- Effective preventive strategies for cisplatin-induced ototoxicity are lacking.
- Traditional Chinese medicine offers potential therapeutic compounds.
Purpose of the Study:
- To evaluate pinoresinol diglucoside (PDG) for preventing cisplatin-induced ototoxicity.
- To elucidate the underlying molecular mechanisms of PDG's protective effects.
- To explore PDG as a potential clinical intervention for hearing loss.
Main Methods:
- In vitro studies using House Ear Institute-Organ of Corti 1 cells and basilar membranes.
- Assessment of cell viability, reactive oxygen species (ROS) production, and ferroptosis.
- Transcriptome sequencing to identify molecular targets.
- Gene knockdown experiments (SOCS1) and protein interaction studies (Co-IP).
- Transmission electron microscopy to observe cellular structures.
Main Results:
- PDG significantly enhanced cell viability and reduced ROS production and ferroptosis in cisplatin-treated cells.
- PDG partially ameliorated cisplatin-induced hearing loss.
- Transcriptome analysis revealed Suppressor of Cytokine Signaling 1 (SOCS1) as a key target, elevated by cisplatin and reduced by PDG.
- Knockdown of SOCS1 inhibited nuclear receptor coactivator 4 (NCOA4)-mediated ferritinophagy and reduced cisplatin-induced autophagic lysosomes.
- SOCS1 was confirmed to interact with NCOA4.
Conclusions:
- PDG protects against cisplatin-induced ototoxicity by downregulating SOCS1.
- This mechanism involves the inhibition of NCOA4-mediated ferritinophagy.
- PDG represents a promising therapeutic agent for preventing cisplatin-induced hearing loss.
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