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Intramuscular streptomycin effect on dark cells of utricle in guinea pigs

X Ge1, J J Shea

  • 1Shea Clinic, Memphis, Tennessee 38119.

Insights

Streptomycin treatment for Meniere

Area of Science:

  • Ototoxicology
  • Inner ear physiology
  • Cell biology

Background:

  • Streptomycin has been a long-standing treatment for Meniere's disease, aiming to control vertigo and preserve hearing.
  • Previous research indicates streptomycin can cause significant damage to vestibular hair cells.
  • The specific impact of streptomycin on the utricle's dark cells, crucial for endolymph homeostasis, remains less understood.

Purpose of the Study:

  • To investigate the ultrastructural effects of intramuscular streptomycin on the dark cells of the guinea pig utricle.
  • To elucidate the cellular mechanisms by which streptomycin may influence endolymph production.

Main Methods:

  • Guinea pigs received daily intramuscular injections of streptomycin sulfate (400 mg/kg) for one or two weeks.
  • Transmission electron microscopy was employed to examine the morphology of utricular dark cells.
  • Quantitative and qualitative assessments of cellular organelles and membrane structures were performed.

Main Results:

  • Streptomycin administration led to a marked decrease in pinocytotic vesicles and rough endoplasmic reticulum in dark cells.
  • Reduction in plasmalemma infoldings and bulging of the luminal membrane were observed, preceding cell rupture.
  • Cellular dissolution and release of cytoplasmic organelles into the endolymphatic space were evident, indicating severe damage.

Conclusions:

  • Intramuscular streptomycin induces significant morphological damage to utricular dark cells, affecting key secretory structures.
  • The observed damage to dark cells suggests a compromised fluid secretion capacity, potentially reducing endolymph volume.
  • These findings provide cellular insights into the ototoxic mechanisms of streptomycin and its potential impact on Meniere's disease pathophysiology.

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