PMID- 24518411 OWN - NLM STAT- MEDLINE DCOM- 20141009 LR - 20181231 IS - 1537-4505 (Electronic) IS - 1531-7129 (Linking) VI - 35 IP - 3 DP - 2014 Mar TI - Mitochondria-targeted antioxidant MitoQ reduces gentamicin-induced ototoxicity. PG - 533-9 LID - 10.1097/MAO.0000000000000192 [doi] AB - HYPOTHESIS: Oral supplementation with mitoquinone (MitoQ) prevents gentamicin-induced ototoxicity in guinea pigs. BACKGROUND: Antioxidants have been shown to protect against aminoglycoside (AG)-induced ototoxicity. MitoQ, a mitochondria-targeted derivative of the antioxidant ubiquinone, is attached to a lipophilic triphenylphosphonium (TPP) cation, which enables its accumulation inside the mitochondria several hundred-fold over the untargeted antioxidant. MitoQ has improved bioavailability and can reach most tissues and has been used in Parkinson's disease and hepatitis C human trials, which demonstrated that MitoQ can be safely used in humans. Thus, MitoQ is a promising novel therapeutic approach for protecting against AG-induced ototoxicity. METHODS: Gentamicin-treated guinea pigs were supplied with water alone (control), decyl-TPP (positive control), or MitoQ-supplemented drinking water. Auditory function was assessed by auditory brainstem response. Cochlear damage was assessed using scanning electron microscopy. Western blotting was performed to evaluate changes in proteins related to apoptosis and oxidative damage in the cochlea. RESULTS: Threshold shifts at 4 and 8 kHz at 4 and 7 weeks after gentamicin treatment were smaller in animals treated with MitoQ compared with those in the control- and decyl-TPP-treated animals (p < 0.05). Protein carbonyls and levels of the proapoptotic protein Bak were lower (p < 0.05 and p = 0.008, respectively), whereas the level of the antioxidant enzyme manganese superoxide dismutase was higher (p = 0.01) in the cochlea of MitoQ-treated animals. The expression of 3-nitrotyrosine and Hrk were not different between groups (p > 0.05). CONCLUSION: Oral supplementation with MitoQ attenuated gentamicin-induced cochlear damage and hearing loss in guinea pigs. MitoQ holds promise as a means for protecting against AG ototoxicity. FAU - Ojano-Dirain, Carolyn P AU - Ojano-Dirain CP AD - Departments of *Otolaryngology - Head and Neck Surgery and daggerSpeech, Language, and Hearing Sciences, University of Florida, Gainesville, Florida, U.S.A. FAU - Antonelli, Patrick J AU - Antonelli PJ FAU - Le Prell, Colleen G AU - Le Prell CG LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Otol Neurotol JT - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology JID - 100961504 RN - 0 (Antioxidants) RN - 0 (Gentamicins) RN - 0 (Organophosphorus Compounds) RN - 1339-63-5 (Ubiquinone) RN - 47BYS17IY0 (mitoquinone) RN - EC 1.15.1.1 (Superoxide Dismutase) SB - IM MH - Animals MH - Antioxidants/pharmacology/*therapeutic use MH - Apoptosis/drug effects/physiology MH - Cochlea/*drug effects/metabolism MH - Cochlear Diseases/chemically induced/*drug therapy/metabolism MH - Evoked Potentials, Auditory, Brain Stem/*drug effects/physiology MH - Gentamicins MH - Guinea Pigs MH - Hearing Loss/chemically induced/*drug therapy/metabolism MH - Mitochondria/drug effects/metabolism MH - Organophosphorus Compounds/pharmacology/*therapeutic use MH - Oxidation-Reduction MH - Oxidative Stress/drug effects/physiology MH - Superoxide Dismutase/metabolism MH - Ubiquinone/*analogs & derivatives/pharmacology/therapeutic use EDAT- 2014/02/13 06:00 MHDA- 2014/10/10 06:00 CRDT- 2014/02/13 06:00 PHST- 2014/02/13 06:00 [entrez] PHST- 2014/02/13 06:00 [pubmed] PHST- 2014/10/10 06:00 [medline] AID - 00129492-201403000-00024 [pii] AID - 10.1097/MAO.0000000000000192 [doi] PST - ppublish SO - Otol Neurotol. 2014 Mar;35(3):533-9. doi: 10.1097/MAO.0000000000000192.