Gentamicin alters nitric oxide production in semicircular canals and otolith organs

Objectives/Hypothesis: Intratympanic application of gentamicin is an important therapeutic option to control vertigo spells in Ménière's disease. Low doses eliminate the function of semicircular canal ampullae (SCCA) and saccule in most patients, although utricular function is maintained in man...

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Veröffentlicht in:The Laryngoscope 2010-10, Vol.120 (10), p.2125-2128
Hauptverfasser: Helling, Kai, Heinrich, Ulf-Rüdiger, Heusgen, Lukas, Brieger, Jürgen, Schmidtmann, Irene, Li, Huige, Mann, Wolf J.
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container_end_page 2128
container_issue 10
container_start_page 2125
container_title The Laryngoscope
container_volume 120
creator Helling, Kai
Heinrich, Ulf-Rüdiger
Heusgen, Lukas
Brieger, Jürgen
Schmidtmann, Irene
Li, Huige
Mann, Wolf J.
description Objectives/Hypothesis: Intratympanic application of gentamicin is an important therapeutic option to control vertigo spells in Ménière's disease. Low doses eliminate the function of semicircular canal ampullae (SCCA) and saccule in most patients, although utricular function is maintained in many cases. Local alteration in free radical production might be responsible for these differences. Therefore, the gentamicin‐induced nitric oxide (NO) production was determined in an animal model using separate organ cultures of SCCA, saccule, and utricle. Study Design: Prospective pilot study in male guinea pigs. Methods: SCCA, saccule, and utricle of 28 guinea pigs were isolated and incubated separately for 6 hours in cell culture medium. Gentamicin was administered in two different concentrations (0.4 mg/mL and 0.8 mg/mL) to organ cultures of 16 animals. Tissues from 12 animals were used as controls. Nitric oxide was quantified by chemiluminescence. Results: Gentamicin led to an NO increase of about 70% in the saccule, an NO reduction of more than 70% in SCCA, and an NO reduction of 36% in the utricle. Conclusions: The selective effects of gentamicin on the NO production in the different sensory areas of the vestibular organ have to be taken into account in the therapy of Ménière's disease. Laryngoscope, 2010
doi_str_mv 10.1002/lary.21075
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Low doses eliminate the function of semicircular canal ampullae (SCCA) and saccule in most patients, although utricular function is maintained in many cases. Local alteration in free radical production might be responsible for these differences. Therefore, the gentamicin‐induced nitric oxide (NO) production was determined in an animal model using separate organ cultures of SCCA, saccule, and utricle. Study Design: Prospective pilot study in male guinea pigs. Methods: SCCA, saccule, and utricle of 28 guinea pigs were isolated and incubated separately for 6 hours in cell culture medium. Gentamicin was administered in two different concentrations (0.4 mg/mL and 0.8 mg/mL) to organ cultures of 16 animals. Tissues from 12 animals were used as controls. Nitric oxide was quantified by chemiluminescence. Results: Gentamicin led to an NO increase of about 70% in the saccule, an NO reduction of more than 70% in SCCA, and an NO reduction of 36% in the utricle. Conclusions: The selective effects of gentamicin on the NO production in the different sensory areas of the vestibular organ have to be taken into account in the therapy of Ménière's disease. Laryngoscope, 2010</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.21075</identifier><identifier>PMID: 20824779</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Aminoglycoside ; Animals ; Antibacterial agents ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; Biological and medical sciences ; Gentamicins - pharmacology ; Guinea Pigs ; inner ear ; Level of Evidence: 3a ; Linear Models ; Male ; Medical sciences ; Nitric Oxide - metabolism ; organ culture ; Otolithic Membrane - drug effects ; Otolithic Membrane - secretion ; Otorhinolaryngology. Stomatology ; Pharmacology. 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Low doses eliminate the function of semicircular canal ampullae (SCCA) and saccule in most patients, although utricular function is maintained in many cases. Local alteration in free radical production might be responsible for these differences. Therefore, the gentamicin‐induced nitric oxide (NO) production was determined in an animal model using separate organ cultures of SCCA, saccule, and utricle. Study Design: Prospective pilot study in male guinea pigs. Methods: SCCA, saccule, and utricle of 28 guinea pigs were isolated and incubated separately for 6 hours in cell culture medium. Gentamicin was administered in two different concentrations (0.4 mg/mL and 0.8 mg/mL) to organ cultures of 16 animals. Tissues from 12 animals were used as controls. Nitric oxide was quantified by chemiluminescence. Results: Gentamicin led to an NO increase of about 70% in the saccule, an NO reduction of more than 70% in SCCA, and an NO reduction of 36% in the utricle. 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Antiinfectious agents. Antiparasitic agents</topic><topic>Biological and medical sciences</topic><topic>Gentamicins - pharmacology</topic><topic>Guinea Pigs</topic><topic>inner ear</topic><topic>Level of Evidence: 3a</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nitric Oxide - metabolism</topic><topic>organ culture</topic><topic>Otolithic Membrane - drug effects</topic><topic>Otolithic Membrane - secretion</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pharmacology. Drug treatments</topic><topic>Pilot Projects</topic><topic>Prospective Studies</topic><topic>saccule</topic><topic>Semicircular Canals - drug effects</topic><topic>Semicircular Canals - secretion</topic><topic>utricle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helling, Kai</creatorcontrib><creatorcontrib>Heinrich, Ulf-Rüdiger</creatorcontrib><creatorcontrib>Heusgen, Lukas</creatorcontrib><creatorcontrib>Brieger, Jürgen</creatorcontrib><creatorcontrib>Schmidtmann, Irene</creatorcontrib><creatorcontrib>Li, Huige</creatorcontrib><creatorcontrib>Mann, Wolf J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helling, Kai</au><au>Heinrich, Ulf-Rüdiger</au><au>Heusgen, Lukas</au><au>Brieger, Jürgen</au><au>Schmidtmann, Irene</au><au>Li, Huige</au><au>Mann, Wolf J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gentamicin alters nitric oxide production in semicircular canals and otolith organs</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2010-10</date><risdate>2010</risdate><volume>120</volume><issue>10</issue><spage>2125</spage><epage>2128</epage><pages>2125-2128</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives/Hypothesis: Intratympanic application of gentamicin is an important therapeutic option to control vertigo spells in Ménière's disease. 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subjects Aminoglycoside
Animals
Antibacterial agents
Antibiotics. Antiinfectious agents. Antiparasitic agents
Biological and medical sciences
Gentamicins - pharmacology
Guinea Pigs
inner ear
Level of Evidence: 3a
Linear Models
Male
Medical sciences
Nitric Oxide - metabolism
organ culture
Otolithic Membrane - drug effects
Otolithic Membrane - secretion
Otorhinolaryngology. Stomatology
Pharmacology. Drug treatments
Pilot Projects
Prospective Studies
saccule
Semicircular Canals - drug effects
Semicircular Canals - secretion
utricle
title Gentamicin alters nitric oxide production in semicircular canals and otolith organs
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