PMID- 23973291 OWN - NLM STAT- MEDLINE DCOM- 20140819 LR - 20131216 IS - 1873-7064 (Electronic) IS - 0028-3908 (Linking) VI - 75 DP - 2013 Dec TI - TGF-beta superfamily member activin A acts with BDNF and erythropoietin to improve survival of spiral ganglion neurons in vitro. PG - 416-25 LID - S0028-3908(13)00365-1 [pii] LID - 10.1016/j.neuropharm.2013.08.008 [doi] AB - Activins are regulators of embryogenesis, osteogenesis, hormones and neuronal survival. Even though activin receptor type II has been detected in spiral ganglion neurons (SGN), little is known about the role of activins in the inner ear. An activin-mediated neuroprotection is of considerable clinical interest since SGN are targets of electrical stimulation with cochlear implants in hearing impaired patients. Thus, the presence of activin type-I and type-II receptors was demonstrated immunocytochemically and the individual and combined effects of activin A, erythropoietin (EPO) and brain-derived neurotrophic factor (BDNF) on SGN were examined in vitro. SGN isolated from neonatal rats (P 3-5) were cultured in serum-free medium supplemented with activin A, BDNF and EPO. Compared to the negative control, survival rates of SGN were significantly improved when cultivated individually with activin A (p<0.001) and in combination with BDNF (p<0.001). Neither neurite outgrowth nor neuronal survival was influenced by the addition of EPO to activin A-treated neurons. However, when all three factors were added, a significantly (p<0.001) improved neuronal survival was observed (61.2+/-3.6%) compared to activin A (25.4+/-2.1%), BDNF (22.8+/-3.3%) and BDNF+EPO (19.2+/-1.5%). Under the influence of the EPO-inhibitors, this increase in neuronal survival was blocked. Acting with BDNF and EPO to promote neuronal survival in vitro, activin A presents an interesting factor for pharmacological intervention in the inner ear. The present study demonstrates a synergetic effect of a combined therapy with several trophic factors. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Kaiser, Odett AU - Kaiser O AD - Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Electronic address: odettgenerlich@gmx.de. FAU - Paasche, Gerrit AU - Paasche G AD - Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. FAU - Stover, Timo AU - Stover T AD - Department of Otolaryngology, University Hospital, Johann Wolfgang Goethe University, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany. FAU - Ernst, Stefanie AU - Ernst S AD - Institute for Biometry, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. FAU - Lenarz, Thomas AU - Lenarz T AD - Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. FAU - Kral, Andrej AU - Kral A AD - Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. FAU - Warnecke, Athanasia AU - Warnecke A AD - Department of Otolaryngology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625 Hannover, Germany. Electronic address: warnecke.athanasia@mh-hannover.de. LA - eng PT - Journal Article DEP - 20130822 PL - England TA - Neuropharmacology JT - Neuropharmacology JID - 0236217 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Culture Media, Serum-Free) RN - 0 (Drug Combinations) RN - 0 (Follistatin) RN - 0 (Nerve Tissue Proteins) RN - 0 (activin A) RN - 104625-48-1 (Activins) RN - 11096-26-7 (Erythropoietin) SB - IM MH - Activins/*pharmacology MH - Animals MH - Animals, Newborn MH - Brain-Derived Neurotrophic Factor/*pharmacology MH - Cell Survival/drug effects MH - Cells, Cultured MH - Culture Media, Serum-Free/pharmacology MH - Dose-Response Relationship, Drug MH - Drug Combinations MH - Erythropoietin/*pharmacology MH - Female MH - Follistatin/metabolism MH - Male MH - Nerve Tissue Proteins/metabolism MH - Neurons/*drug effects MH - Rats MH - Rats, Sprague-Dawley MH - Spiral Ganglion/*cytology OTO - NOTNLM OT - Activin OT - Brain-derived neurotrophic factor OT - Erythropoietin OT - Inner ear OT - Spiral ganglion neurons EDAT- 2013/08/27 06:00 MHDA- 2014/08/20 06:00 CRDT- 2013/08/27 06:00 PHST- 2013/04/25 00:00 [received] PHST- 2013/07/03 00:00 [revised] PHST- 2013/08/08 00:00 [accepted] PHST- 2013/08/27 06:00 [entrez] PHST- 2013/08/27 06:00 [pubmed] PHST- 2014/08/20 06:00 [medline] AID - S0028-3908(13)00365-1 [pii] AID - 10.1016/j.neuropharm.2013.08.008 [doi] PST - ppublish SO - Neuropharmacology. 2013 Dec;75:416-25. doi: 10.1016/j.neuropharm.2013.08.008. Epub 2013 Aug 22.