Early hair-cell degeneration in the extreme apex of the guinea pig cochlea

Prevention of cisplatin-induced hearing loss by administration of a thiosulfate-containing gel to the middle ear in a guinea pig model

PURPOSE

Thiosulfate may reduce cisplatin-induced ototoxicity, most likely by relieving oxidative stress and by forming inactive platinum complexes. This study aimed to determine the concentration and protective effect of thiosulfate in the cochlea after application of a thiosulfate-containing high viscosity formulation of sodium hyaluronan (HYA gel) to the middle ear prior to i.v. injection of cisplatin in a guinea pig model.

METHODS

The release of thiosulfate (0.1 M) from HYA gel (0.5% w/w) was explored in vitro. Thiosulfate in the scala tympani perilymph of the cochlea 1 and 3 h after application of thiosulfate in HYA gel to the middle ear was quantified with HPLC and fluorescence detection. Thiosulfate in blood and CSF was also explored. The potential otoprotective effect was evaluated by hair cell count after treatment with thiosulfate in HYA gel applied to the middle ear 3 h prior to cisplatin injection (8 mg/kg b.w.).

RESULTS

HYA did not impede the release of thiosulfate. Middle ear administration of thiosulfate in HYA gel gave high concentrations in the scala tympani perilymph while maintaining low levels in blood, and it protected against cisplatin-induced hair cell loss.

CONCLUSION

HYA gel is an effective vehicle for administration of thiosulfate to the middle ear. Local application of a thiosulfate-containing HYA gel reduces the ototoxicity of cisplatin most likely without compromising its antineoplastic effect. This provides a minimally invasive protective treatment that can easily be repeated if necessary.

The cochleogram of the guinea pig

The cochleogram is an important tool to relate properties of the cochlea (e.g. hair cell loss, damaged hair cells) to their position in the cochlear turns, to calculate the average hair cell density, and to measure the length of the whole cochlea. In this work different methods of plotting cochleograms are compared. We suggest that a sector-wise division of the cochlea for counting a cochleogram has advantages over line diagrams that provide a higher spatial resolution but might lead to misinterpretations of the degree of missing hair cells. The scanning electron microscopic analysis of 171 guinea pig cochleas revealed a mean basilar membrane length of 16.4 +/- 1.4 mm (mean +/- standard deviation) with sector lengths of 6.9, 4.2, 3.2, and 1.9 mm, thus adding relevant information to the morphology of the guinea pig cochlea.

Is there a close relationship between changes in amplitudes of distortion product otoacoustic emissions and hair cell damage after exposure to realistic industrial noise in guinea pigs?

In long-term experiments in awake guinea pigs (n = 12), distortion product otoacoustic emissions (DPOAEs) at various frequencies were measured repeatedly over 6-8 months. About 9 weeks after the first measurement, the animals were exposed to industrial noise (car industry, maximal intensity about 110 dB SPL) for 2 h. The amplitudes of DPOAE were measured prior to noise exposure and 10 min, 70 min, 1 day and 2 days after the noise exposure and then once every week. Three to four months after noise exposure, the animals were killed, and the cochleae were prepared for scanning electron microscopy. The row of inner hair cells (IHCs) was complete in all animals, while the rows of outer hair cells (OHCs) showed a considerable hair cell loss in some of the animals without a correlation to the change in amplitudes of DPOAE. However, a closer relationship between the decline of amplitudes of DPOAE and the number of missing and changed OHCs (fused stereocilia bundles, missing tip links) could be established. The number of lost OHC does not reflect the decline in DPOAE in all cases. This discrepancy must be considered when the degree of hearing loss needs to be established from changed DPOAE.

A contribution to the structural pattern differences between the apical and basal spiral ganglions in mammals

The purpose of this paper was to establish a mammalian comparative study between the neuronal spaces of the upper versus the basal cochlear turns. We studied with light microscopy i) Webster albino rat embryos at various gestational days (GD), and a postnatal (PN) series; ii) kittens 3 weeks old; iii) pigmented guinea pig embryos and also PN specimens; iv) diverse human fetuses. As from the 16th GD, the apical spiral ganglion primordium of the rat appears as a spherical cluster of cells immersed in the mesenchymal modular tissue whereas the basal spiral primordium displays a pyramidal shape with its apex towards the auditory receptor. Both ganglions keep this shape until the rat becomes adult. This structural pattern also appears in the cat, guinea pig and in human material. This morphological model enables a radial stratification of the peripheral and central auditory nerve projections. A thin uni- or bicellular connective layer covers the tympanic scala side of the apical spiral ganglion as from 8 hours after birth in the rat. No gap is detected in this layer which is: mesenchymal in the embryonic and fetal stages (rat, guinea pig, human), connective in PN rat and kitten, and osseous in PN guinea pig and in the human neonate.

Postnatal changes in the reticular lamina of the guinea pig organ of Corti

The dimensions of the apical surfaces of hair cells were measured in guinea pigs, aged from 3 weeks before term to 25 weeks after birth. In the basal two-thirds of the cochlea, the apical surfaces of the outer hair cells and their supporting cells changed with age, shrinking in a direction radial across the cochlear duct. There was an associated widening of the angle of the 'V' of the rows of stereocilia. Further apically, between 12 and 16 mm from the base of the cochlea, the outer hair cells and their supporting cells underwent the opposite change, becoming wider in a radial direction with age. The changes were seen before birth and continued for more than 3 weeks after birth. The results suggest that the guinea pig cochlea continues certain developmental processes for a considerable time after birth.

Morphology of the monotreme organ of Corti and macula lagena

The organ of Corti and macula lagena were studied by scanning and transmission electron microscopy in two species of monotreme, the platypus and echidna. In both species, the organ of Corti had a fundamentally mammalian conformation, with distinct outer and inner hair cells, separated by a tunnel of Corti. However, unlike eutherian mammals, the monotremes had three or four rows of pillar cells, and four to five rows of inner hair cells. The organ of Corti was much shorter than in eutherian mammals, at 4.4 mm (platypus), and 7.6 mm (echidna). While the total number of outer hair cells (3,350 platypus, 5,050 echidna) was many fewer than in most eutherian mammals, the total number of inner hair cells (1,600 platypus, 2,700 echidna) was comparable with that in eutherian mammals. The stereocilia on both inner and outer hair cells underwent a systematic change in orientation across the cochlear duct, with those nearest the tunnel of Corti having their axis of symmetry oriented transversely across the duct, and those on the outer edge of the organ having the axis oriented nearly longitudinally along the duct. The macula lagena had signs of a vestibular epithelium, with tall bundles of stereocilia, a division into areas with bundles of opposing orientation and type I and type II hair cells.