Ototoxicity or teratogenicity. An analysis of drug-induced effects on the early development of the mammalian otocyst

Development of blood-labyrinth barrier in the semicircular canal ampulla of the rat

Cationic polyethyleneimine (PEI) administered intravenously was transported to anionic sites on the capillary and subepithelial basal laminae (BL) in the vestibular labyrinth. Therefore, changes in the PEI distribution on the BL reflect changes in the transport system in the vestibular labyrinth. A 0.1% PEI solution was administered intravenously (7.5 ml/kg) to developing (1, 4, 7, 14 days after birth) and adult rats in order to investigate the development of the macromolecular transport in the ampulla of the semicircular canal as a function of age. After 1 h, the bony labyrinth was removed and embedded in Epoxy resin. Ultrathin sections of the ampulla were then examined with a transmission electron microscope. In the subepithelial BL in the dark cell area and capillary BL in the crista ampullaris, the PEI distribution in both 1- and 4-day-old rats was markedly increased compared to that in either 7-, 14-day or adult rats. In the sensory cells in 1-, 4-day or 7-day-old rats, PEI density and area was significantly greater than in the adult rats. These findings suggest that the macromolecular transport system in the developing rat ampulla becomes mature by 14 days after birth and that the maturation of its transport system in the ampulla is strongly associated with that in the stria vascularis.

Development of the blood-labyrinth barrier in the rat

Systemically administered cationic polyethyleneimine (PEI) passes through the capillary endothelial cell and attaches to anionic sites on the capillary basal lamina (BL). Thus, the distribution of PEI on the BL reflects the changes in the endothelial cell transport system. A 0.1% PEI solution was administered by intravenous injection (7.5 ml/kg) to developing (4, 7, 11, 14, 21 days after birth) and adult rats to evaluate the development of endothelial cell transport in the cochlear capillary as related to age. One hour later, the bony labyrinth was removed and embedded in Epoxy resin. Ultrathin sections of the cochlear lateral wall were then viewed with a transmission electron microscope. The distribution of PEI in the capillary BL in the stria vascularis of the 4-, 7- and 11-day-old rats was significantly greater compared to the adult rats. The distribution of PEI in the capillary BL in the spiral ligament of the 4- and 7-day-old rats was also significantly greater compared to the adult rats. These findings suggest that the endothelial cell transport is more robust in the developing rat cochlea and that the blood-labyrinth barrier becomes mature by 14 days after birth in rats.

Insensitivity of the chicken embryo to the ototoxicity of aminoglycoside antibiotics and a loop diuretic

Guinea pigs are routinely used in the histological evaluation of the cochlea as a method of testing for ototoxicity, but the procedures are very time-consuming. Because the avian cochlea is easier to examine and newly hatched chicks are sensitive to the ototoxic effects of gentamicin, birds may be useful in testing for ototoxicity. The use of chicken embryos would be even better for testing, but whether or not chicken embryos are sensitive to ototoxicants is unknown. In an attempt to determine whether or not chicken embryos may be used instead of guinea pigs in screening tests for ototoxicity, aminoglycoside antibiotics and a loop diuretic, ethacrynic acid, were administered to chicken embryos. A maximum-tolerated dose of gentamicin, kanamycin, streptomycin, ethacrynic acid, or a combination of gentamicin and ethacrynic acid was administered to fertile eggs of White Leghorn chickens on incubation days 10-17. To compare the effect of route of exposure on ototoxicity, gentamicin was administered by injection into the allantoic space, yolk sac, and air cell as well as by submerging the egg in gentamicin solution. With the preferred air cell route the effects of the ototoxic drugs kanamycin, streptomycin, ethacrynic acid, and a combination of ethacrynic acid and gentamicin were compared. On incubation day 18, cochleas were removed from the chicken embryos. Serial sections of these avian cochleas were examined and hair cells were counted. No significant difference was seen between the number of hair cells in cochleas of control chicken embryos and those from chicken embryos treated with drugs. Therefore, the chicken embryo appears to be insensitive to the ototoxicity of aminoglycoside antibiotics and a loop diuretic.

Human embryonic organ of Corti in tissue culture and NSE expression

For the first time ever, the cochlear tissue of the human embryo has been successfully grown in vitro in two cases, and neuro-specific enolase (NSE) immunoreactivity was studied in one of these tissues. The outer hair cells were arranged in three rows, and the inner hair cells in one row and in better order than the outer hair cells. After NSE immunostaining, the outer spiral bundle, tunnel fiber, outer hair cells, inner hair cells, and the spiral ganglion cells showed positive staining. This data suggests that the human embryonic cochlea has nearly reached complete maturation by 16 weeks, and that the tissue of the Corti organ can be differentiated and matured in vitro.

Effect of viruses and interferon on chick embryo otocyst cultures

Chick embryo otocyst organ cultures were subjected to live vesicular stomatitis virus and rubella virus preparations, to interferon (IFN), and to a combination of both virus and IFN, and compared to control untreated otocysts. We observed morphologic and microscopic changes suggestive of individual cell death and delayed organ differentiation in the virus-treated groups, along with an appreciable decrease in size of the otocyst. Low-dose IFN treatment prior to virus inoculation appeared to partially prevent these effects. The addition of IFN alone did not seem to affect the differentiation process. Time-lapse videophotography further confirmed the above findings. This study suggests that the peripheral component of congenital deafness associated with viral infections is likely to be an effect of the virus itself, and not of the IFN. Interferon provides a partial protective effect against the insult from the virus in vitro and does not seem to be toxic to the developing otocyst.

Prenatal low-dose gamma irradiation of the inner ear induces changes in the expression of intermediate filaments

The expression of intermediate filaments (1F) was analysed in the inner ear in normally developed adult CBA/CBA mice and in mice of the same age which had been gamma irradiated in utero with a low dose 1-2 Gy single exposure. Well characterized monoclonal antibodies (mAbs) against all classes of intermediate filament proteins (cytokeratins-Cks, vimentin, neurofilaments, desmin and glial fibrillar acidic protein) were used. With the exception of neurofilament proteins, the expression of intermediate filament proteins was the same in adult normal and irradiated inner ears, irrespective of gestational age at exposure. A complex Ck pattern occurred in the various cell types comprising the membranous labyrinth. In spite of the differences in cell shape and internal organization of organelles, epithelia actively involved in inner ear fluid homeostasis (stria vascularis, dark cell epithelium, endolymphatic duct and sac) revealed, according to our mAbs, the same expression of Cks, except for the mouse counterpart of human Ck 7, which was found exclusively in the stria vascularis and the endolymphatic duct and sac. The pattern of intermediate filament composition in the labyrinth was the same in the mouse as in man. Irradiation on gestational days 12 or 13 (the otocyst stage)--but not at more advanced embryonic age--induced immunoreactivity for neurofilament proteins in vestibular hair cells (HC) and to a minor extent also in cochlear HC. No such positivity was found in the control material.

Ethacrynic acid effects on the isolated inner ear: evaluation of the ototoxic potential in an organ culture system

The ototoxic potential of ethacrynic acid, defined as causing morphologic damage to hair cells or adjacent supporting structures, was analyzed in an organ culture model exposing inner ear structures to concentrations attainable during clinical conditions (0.1 to 10 micrograms/ml). In low doses more) ethacrynic acid caused generalized toxic effects on the tissue morphology of many types of inner ear tissues and an arrest of tissue differentiation. Although by definition ethacrynic acid is an ototoxic agent, there is, at least in the in vitro system, a very narrow dose range between the selective hair cell damaging concentration and that causing generalized toxic effects.

Histochemical, microchemical (microprobe) and organ culture approaches to the study of auditory development

Cochlear development has been studied by means of biochemistry/histochemistry (Na+/K+-ATPase, adenylate cyclase, 2-deoxy-D-glucose and phospholipids), the energy dispersive X-ray microanalysis technique and organ culture of the mammalian inner ear. A high level of Na+/K+-ATPase and adenylate cyclase occurs in the stria vascularis and has been cytochemically demonstrated at the contraluminal side of marginal cell membranes. An increase in the adenylate cyclase content occurs approximately one day before and in parallel with the rise of the potassium content in endolymph. These processes are preceded by an ultrastructural differentiation of the stria vascularis but appear prior to the rapid increase of the endolymphatic potential. The functional activity of the developing/differentiating cochlea is reflected by increased levels of 2-deoxy-D-glucose first during the postnatal morphologic maturation of the organ of Corti and the stria vascularis approximately 1 week after birth, and, later during the maturation of cochlear potentials 10-14 days after birth. Organ culture of the embryonic inner ear is a suitable tool for studies on early (embryonic) morphologic development, neural induction, fate-mapping, epithelio-mesenchymal interactions and neurotrophic interactions. Concerning postnatal inner ear structures, organ culture has focused on development of afferent nerve fibres. The isolated organ is deprived of efferent fibres of central origin.

Organ culture of the late embryonic inner ear as a model for ototoxicity studies

The 16th gestational day inner ear of the CBA/CBA mouse was used in an organ culture system as a model for ototoxicity studies. The specimens in culture were exposed to 1, 10, 100 and 1 000 micrograms/ml of gentamicin base during 1-5 days in culture. Minor changes were found after only one day of exposure. Pathological changes of vestibular hair cells characteristic for aminoglycoside antibiotics occurred after exposure to 1 and 10 micrograms/ml. Concentrations of 100 and 1 000 micrograms/ml caused a general toxicity with destruction of the whole morphology of the crista ampullaris. Hair cells were, however, more affected than were supporting cells. Initially, variation of hair cell damage occurred within each crista and between different cristae but this became less apparent after 5 days in culture. The 16th gestational day organ culture system can serve as a useful model system with many controlled experimental parameters in the testing of ototoxic drugs.

Aminoglycoside ototoxicity in the chick (Gallus domesticus) inner ear: I. The effects of kanamycin and netilmicin on the basilar papilla

A single dose (100 mg/kg of egg weight) of kanamycin or netilmicin was injected into the yolk sacs of 7-day-old chick (Gallus domesticus) embryos. Embryos were collected every 24 hours and processed for light and transmission electron microscopy. Morphologic study of the medial basilar papilla disclosed that both kanamycin and netilmicin are toxic to the hair cells in this region. Intoxication was manifested by an increased number of dense osmiophilic bodies, swollen mitochondria, agglomerated chromatin, and occasional disorganization of the kinocilium basal bodies. The cytologic changes observed in the hair cells of embryos injected with netilmicin and kanamycin were similar. However, mitochondrial damage was more severe in the chicks after kanamycin than after netilmicin injection. Some of the cytologic alterations described here are comparable to those already reported for aminoglycoside-intoxicated hair cells in several mammalian species. This study and previous work indicate that the chick embryo provides a satisfactory developmental model for testing ototoxicity of drugs in vivo.