PMID- 22991972 OWN - NLM STAT- MEDLINE DCOM- 20130701 LR - 20231213 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) VI - 133 IP - 1 DP - 2013 Jan TI - Early hearing protection by brain-derived neurotrophic factor. PG - 12-21 LID - 10.3109/00016489.2012.712217 [doi] AB - CONCLUSION: Brain-derived neurotrophic factor (BDNF) protects the inner ear from PaExoA (exotoxin A from Pseudomonas aeruginosa)-induced sensory neural hearing loss when administered 12 h after exotoxin, but not after 72 h. OBJECTIVE: BDNF is a peptide in the neurotrophin family with protective effects against noise-induced hair cell loss and toxic inner ear damage following exposure to cisplatin. The exotoxin A (PaExoA) from P. aeruginosa, the most common microorganism in chronic suppurative otitis media, induces sensorineural hearing loss in rats. Previous study showed that, when given simultaneously with the exotoxin, BDNF protected the inner ear from damage. The aim of this study was to determine if BDNF has a protective effect when given 12-72 h after PaExoA. MATERIALS AND METHODS: Five groups of Sprague-Dawley rats were used. The three control groups (n = 16) were as follows. Group 1 (n = 8) received 15 microg/20 microl PaExoA; group 2 (n = 5) received 20 microg/20 microl PaExoA; and group 3 (n = 3) received 25 microg/20 microl PaExoA injected into the round window niche. There were two treatment groups (n = 12): group A (n = 6) received 15 microg/20 microl PaExoA and 4 microg/20 microl BDNF 12 h later; group B (n = 6) received 15 microg/20 microl PaExoA and 4 microg/20 microl BDNF 72 h later. Brainstem response audiometry (ABR) was performed on day 0 (control), and repeated on days 7, 14, 21, 28, and 35 to analyze the thresholds shifts. RESULTS: Exposure to 15 microg/20 microl PaExoA caused persistent and significant ABR impairment in controls when measured after 35 days. A single dose of BDNF given 12 h after PaExoA reduced hearing loss significantly, but when BDNF was given 72 h after PaExoA no protective effect was evident. FAU - Lidian, Adnan AU - Lidian A AD - Department of Oto-Rhino-Laryngology and Head & Neck Surgery, University Hospital (Akademiska sjukhuset), Uppsala, Sweden. adnan.lidian@akademiska.se FAU - Stenkvist-Asplund, Monika AU - Stenkvist-Asplund M FAU - Linder, Birgitta AU - Linder B FAU - Anniko, Matti AU - Anniko M FAU - Nordang, Leif AU - Nordang L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120919 PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 RN - 0 (Bacterial Toxins) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Exotoxins) RN - 0 (Virulence Factors) RN - EC 2.4.2.- (ADP Ribose Transferases) SB - IM MH - ADP Ribose Transferases MH - Animals MH - Auditory Threshold/physiology MH - Bacterial Toxins MH - Brain-Derived Neurotrophic Factor/*administration & dosage MH - Disease Models, Animal MH - Drug Administration Schedule MH - Ear, Middle MH - Evoked Potentials, Auditory, Brain Stem/physiology MH - Exotoxins MH - Hearing Loss/diagnosis/*etiology/*prevention & control MH - Instillation, Drug MH - Male MH - Rats MH - Rats, Sprague-Dawley MH - Virulence Factors MH - Pseudomonas aeruginosa Exotoxin A EDAT- 2012/09/21 06:00 MHDA- 2013/07/03 06:00 CRDT- 2012/09/21 06:00 PHST- 2012/09/21 06:00 [entrez] PHST- 2012/09/21 06:00 [pubmed] PHST- 2013/07/03 06:00 [medline] AID - 10.3109/00016489.2012.712217 [doi] PST - ppublish SO - Acta Otolaryngol. 2013 Jan;133(1):12-21. doi: 10.3109/00016489.2012.712217. Epub 2012 Sep 19.