PMID- 22222235 OWN - NLM STAT- MEDLINE DCOM- 20120710 LR - 20211021 IS - 1878-5891 (Electronic) IS - 0378-5955 (Print) IS - 0378-5955 (Linking) VI - 284 IP - 1-2 DP - 2012 Feb TI - Folic acid improves inner ear vascularization in hyperhomocysteinemic mice. PG - 42-51 LID - 10.1016/j.heares.2011.12.006 [doi] AB - More than 29 million adults in the United States have been diagnosed with hearing loss. Interestingly, elevated homocysteine (Hcy) levels, known as hyperhomocysteinemia (HHcy), are also associated with impaired hearing. However, the associated mechanism remains obscure. The collagen receptor such as discoidin domain receptor 1 and matrix metalloproteinase (MMP) play a significant role in inner ear structure and function. We hypothesize that HHcy increases hearing thresholds by compromise in inner ear vasculature resulted from impaired Hcy metabolism, increased oxidative stress, collagen IVa and collagen Ia turnover. The treatment with folic acid (FA) protects elevated hearing thresholds and prevents reduction in vessel density by lowering abundant collagen deposition and oxidative stress in inner ear. To test this hypothesis we employed 8 weeks old male wild type (WT), cystathionine-beta-synthase heterozygote knockout (CBS+/-) mice, WT + FA (0.0057 mug/g/day, equivalent to a 400 mug/70 kg/day human dose in drinking water); and CBS(+/-) +FA. The mice were treated for four weeks. The hearing thresholds were determined by recording the auditory brainstem responses. Integrity of vessels was analyzed by perfusion of horseradish peroxidase (HRP) tracer. Endothelial permeability was assessed, which indicated restoration of HRP leakage by FA treatment. A total Hcy level was increased in stria vascularis (SV) and spiral ligament (SL) of CBS+/- mice which was lowered by FA. Interestingly, FA treatment lowered Col IVa Immunostaining by affecting its turnover. The levels of MMP-2, -9, methylenetetrahydrofolate reductase (MTHFR) and cystathione gamma lyase (CSE) were measured by Western blot analysis. The oxidative stress was high in SV and SL of CBS+/- compared to WT however the treatment with FA lowered oxidative stress in CBS+/- mice. These data suggested that hearing loss in CBS+/- mice was primarily due to leakage in inner ear circulation, also partly by induced collagen imbalance, increase in Hcy and oxidative stress in inner ear. CI - Copyright (c) 2011 Elsevier B.V. All rights reserved. FAU - Kundu, Soumi AU - Kundu S AD - Department of Genetics and Pathology, Uppsala University, Dag Hammarskjolds vag 20, Rudbecklaboratoriet C11 PLAN 3, 751 85 Uppsala, Sweden. FAU - Munjal, Charu AU - Munjal C FAU - Tyagi, Neetu AU - Tyagi N FAU - Sen, Utpal AU - Sen U FAU - Tyagi, Aaron C AU - Tyagi AC FAU - Tyagi, Suresh C AU - Tyagi SC LA - eng GR - R01 HL071010/HL/NHLBI NIH HHS/United States GR - R01 NS051568/NS/NINDS NIH HHS/United States GR - HL-71010/HL/NHLBI NIH HHS/United States GR - NS-51568/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20111224 PL - Netherlands TA - Hear Res JT - Hearing research JID - 7900445 RN - 0 (Collagen Type IV) RN - 0 (RNA, Messenger) RN - 935E97BOY8 (Folic Acid) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) RN - EC 3.4.24.35 (Mmp9 protein, mouse) RN - EC 4.2.1.22 (Cystathionine beta-Synthase) SB - IM CIN - Hear Res. 2012 Dec;294(1-2):166-7; author reply 168-70. PMID: 22634391 MH - Adult MH - Animals MH - Auditory Threshold/drug effects/physiology MH - Cochlea/blood supply/drug effects/physiopathology MH - Collagen Type IV/genetics/metabolism MH - Cystathionine beta-Synthase/genetics/metabolism MH - Ear, Inner/*blood supply/*drug effects/physiopathology MH - Evoked Potentials, Auditory, Brain Stem/drug effects MH - Folic Acid/*pharmacology MH - Hearing Loss/etiology/genetics/physiopathology MH - Heterozygote MH - Humans MH - Hyperhomocysteinemia/complications/*drug therapy/genetics/*physiopathology MH - Male MH - Matrix Metalloproteinase 9/genetics/metabolism MH - Metabolic Networks and Pathways MH - Methylenetetrahydrofolate Reductase (NADPH2)/genetics/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Models, Biological MH - Oxidative Stress/drug effects MH - RNA, Messenger/genetics/metabolism PMC - PMC3609427 MID - NIHMS346956 EDAT- 2012/01/10 06:00 MHDA- 2012/07/11 06:00 PMCR- 2013/03/27 CRDT- 2012/01/07 06:00 PHST- 2011/08/03 00:00 [received] PHST- 2011/11/22 00:00 [revised] PHST- 2011/12/09 00:00 [accepted] PHST- 2012/01/07 06:00 [entrez] PHST- 2012/01/10 06:00 [pubmed] PHST- 2012/07/11 06:00 [medline] PHST- 2013/03/27 00:00 [pmc-release] AID - S0378-5955(11)00299-1 [pii] AID - 10.1016/j.heares.2011.12.006 [doi] PST - ppublish SO - Hear Res. 2012 Feb;284(1-2):42-51. doi: 10.1016/j.heares.2011.12.006. Epub 2011 Dec 24.