THE OTOTOXIC MECHANISM OF CISPLATIN

被引:91
作者
MCALPINE, D [1 ]
JOHNSTONE, BM [1 ]
机构
[1] UNIV WESTERN AUSTRALIA, DEPT PHYSIOL, NEDLANDS, WA 6009, AUSTRALIA
关键词
Cisplatin; Cochlear microphonic; Distortion products; Potentiation;
D O I
10.1016/0378-5955(90)90151-E
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
The ototoxic mechanism of cisplatin was investigated. Potentiation of cisplatin ototoxicity by furosemide and amino-oxyacetic acid (AOAA) was observed. Substantial hearing loss in cisplatin-deafened animals was accompanied by normal values of the endocochlear potential and a reduction in the sensitivity of the 2f1-f2 distortion products. The loss in dB of the sensitivity of the distortion products correlated extremely well with the loss of the neural sensitivity in dB. There was also a relationship between the fractional reduction of the low frequency (1000 Hz) microphonic potential and hearing loss in dB. Iontophoresis of cisplatin into scala media resulting in the immediate loss of neural thresholds at the site of iontophoresis. It is concluded that cisplatin caused the hearing loss by blocking OHC transduction channels. © 1990.
引用
收藏
页码:191 / 204
页数:14
相关论文
共 51 条
[1]   EVOKED COCHLEAR MECHANICAL RESPONSE IN LABORATORY PRIMATES - PRELIMINARY-REPORT [J].
ANDERSON, SD ;
KEMP, DT .
ARCHIVES OF OTO-RHINO-LARYNGOLOGY-ARCHIV FUR OHREN-NASEN-UND KEHLKOPFHEILKUNDE, 1979, 224 (1-2) :47-54
[2]   EFFECT OF CISPLATIN ON HAIR CELL MORPHOLOGY AND LATERAL WALL NA, K-ATPASE ACTIVITY [J].
BARRON, SE ;
DAIGNEAULT, EA .
HEARING RESEARCH, 1987, 26 (02) :131-137
[3]  
Borch RF, 1987, METABOLISM ACTION AN, P163
[4]   AUDIOMETRIC MONITORING OF CIS-PLATINUM OTOTOXICITY [J].
BROWN, RL ;
NUSS, RC ;
PATTERSON, R ;
IREY, J .
GYNECOLOGIC ONCOLOGY, 1983, 16 (02) :254-262
[5]  
BRUMMETT RE, 1978, ARCH OTOLARYNGOL, V104, P579
[6]  
BRUMMETT RE, 1979, ARCH OTOLARYNGOL, V105, P240
[7]  
BRUMMETT RE, 1981, SCAND AUDIOL, P215
[8]   COCHLEAR DAMAGE RESULTING FROM KANAMYCIN AND FUROSEMIDE [J].
BRUMMETT, RE ;
TRAYNOR, J ;
BROWN, R ;
HIMES, D .
ACTA OTO-LARYNGOLOGICA, 1975, 80 (1-2) :86-92
[9]   THE POTENTIATION OF OTOTOXICITY WHEN AMINOOXYACETIC ACID AND KANAMYCIN ARE CO-ADMINISTERED [J].
BRYANT, GM ;
CRONINSCHREIBER, R ;
ALEXANDER, A ;
NORRIS, CH ;
QUINE, DB ;
GUTH, PS .
HEARING RESEARCH, 1984, 15 (02) :173-178
[10]  
DECONTI RC, 1973, CANCER RES, V33, P1310