PMID- 29194212 OWN - NLM STAT- MEDLINE DCOM- 20180622 LR - 20190107 IS - 1537-4505 (Electronic) IS - 1531-7129 (Print) IS - 1531-7129 (Linking) VI - 39 IP - 1 DP - 2018 Jan TI - Evaluation of Mitoquinone for Protecting Against Amikacin-Induced Ototoxicity in Guinea Pigs. PG - 111-118 LID - 10.1097/MAO.0000000000001638 [doi] AB - HYPOTHESIS: Mitoquinone (MitoQ) attenuates amikacin ototoxicity in guinea pigs. BACKGROUND: MitoQ, a mitochondria-targeted derivative of the antioxidant ubiquinone, has improved bioavailability and demonstrated safety in humans. Thus, MitoQ is a promising therapeutic approach for protecting against amikacin-induced ototoxicity. METHODS: Both oral and subcutaneous administrations of MitoQ were tested. Amikacin-treated guinea pigs (n = 12-18 per group) received water alone (control) or MitoQ 30 mg/l-supplemented drinking water; or injected subcutaneously with 3 to 5 mg/kg MitoQ or saline (control). Auditory brainstem responses and distortion product otoacoustic emissions were measured before MitoQ or control solution administration and after amikacin injections. Cochlear hair cell damage was assessed using scanning electron microscopy and Western blotting. RESULTS: With oral administration, animals that received 30 mg/l MitoQ had better hearing than controls at only 24 kHz at 3-week (p = 0.017) and 6-week (p = 0.027) post-amikacin. With subcutaneous administration, MitoQ-injected guinea pigs had better hearing than controls at only 24 kHz, 2-week post-amikacin (p = 0.013). Distortion product otoacoustic emission (DPOAE) amplitudes were decreased after amikacin injections, but were not different between treatments (p > 0.05). Electron microscopy showed minor difference in outer hair cell loss between treatments. Western blotting demonstrated limited attenuation of oxidative stress in the cochlea of MitoQ-supplemented guinea pigs. CONCLUSIONS: Oral or subcutaneous MitoQ provided limited protection against amikacin-induced hearing loss and cochlear damage in guinea pigs. Other strategies for attenuating aminoglycoside-induced ototoxicity should be explored. FAU - Dirain, Carolyn O AU - Dirain CO AD - Department of Otolaryngology, University of Florida, Gainesville, Florida. FAU - Ng, Maria Raye Ann V AU - Ng MRAV FAU - Milne-Davies, Bailey AU - Milne-Davies B FAU - Joseph, Jerin K AU - Joseph JK FAU - Antonelli, Patrick J AU - Antonelli PJ LA - eng GR - R03 DC013659/DC/NIDCD NIH HHS/United States PT - Journal Article 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 (Anti-Bacterial Agents) RN - 0 (Antioxidants) RN - 0 (Organophosphorus Compounds) RN - 1339-63-5 (Ubiquinone) RN - 47BYS17IY0 (mitoquinone) RN - 84319SGC3C (Amikacin) SB - IM MH - Amikacin/*toxicity MH - Animals MH - Anti-Bacterial Agents/*toxicity MH - Antioxidants/pharmacology MH - Evoked Potentials, Auditory, Brain Stem/drug effects MH - Guinea Pigs MH - Hair Cells, Auditory/drug effects MH - Hearing/drug effects MH - Hearing Loss/*chemically induced/prevention & control MH - Organophosphorus Compounds/*pharmacology MH - Otoacoustic Emissions, Spontaneous/drug effects MH - Ubiquinone/*analogs & derivatives/pharmacology PMC - PMC5728173 MID - NIHMS913413 COIS- The authors have no financial conflicts to disclose. EDAT- 2017/12/02 06:00 MHDA- 2018/06/23 06:00 PMCR- 2019/01/01 CRDT- 2017/12/02 06:00 PHST- 2017/12/02 06:00 [pubmed] PHST- 2018/06/23 06:00 [medline] PHST- 2017/12/02 06:00 [entrez] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.1097/MAO.0000000000001638 [doi] PST - ppublish SO - Otol Neurotol. 2018 Jan;39(1):111-118. doi: 10.1097/MAO.0000000000001638.