PMID- 30971872 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 1662-4548 (Print) IS - 1662-453X (Electronic) IS - 1662-453X (Linking) VI - 13 DP - 2019 TI - Detection of BDNF-Related Proteins in Human Perilymph in Patients With Hearing Loss. PG - 214 LID - 10.3389/fnins.2019.00214 [doi] LID - 214 AB - The outcome of cochlear implantation depends on multiple variables including the underlying health of the cochlea. Brain derived neurotrophic factor (BDNF) has been shown to support spiral ganglion neurons and to improve implant function in animal models. Whether endogenous BDNF or BDNF-regulated proteins can be used as biomarkers to predict cochlear health and implant outcome has not been investigated yet. Gene expression of BDNF and downstream signaling molecules were identified in tissue of human cochleae obtained from normal hearing patients (n = 3) during skull base surgeries. Based on the gene expression data, bioinformatic analysis was utilized to predict the regulation of proteins by BDNF. The presence of proteins corresponding to these genes was investigated in perilymph (n = 41) obtained from hearing-impaired patients (n = 38) during cochlear implantation or skull base surgery for removal of vestibular schwannoma by nanoscale liquid chromatography coupled to tandem mass spectrometry (nano LC-MS/MS). Analyzed by mass spectrometry were 41 perilymph samples despite three patients undergoing bilateral cochlear implantation. These particular BDNF regulated proteins were not detectable in any of the perilymph samples. Subsequently, targeted analysis of the perilymph proteome data with Ingenuity Pathway Analysis (IPA) identified further proteins in human perilymph that could be regulated by BDNF. These BDNF regulated proteins were correlated to the presence of residual hearing (RH) prior to implantation and to the performance data with the cochlear implant after 1 year. There was overall a decreased level of expression of BDNF-regulated proteins in profoundly hearing-impaired patients compared to patients with some RH. Phospholipid transfer protein was positively correlated to the preoperative hearing level of the patients. Our data show that combination of gene expression arrays and bioinformatic analysis can aid in the prediction of downstream signaling proteins related to the BDNF pathway. Proteomic analysis of perilymph may help to identify the presence or absence of these molecules in the diseased organ. The impact of such prediction algorithms on diagnosis and treatment needs to be established in further studies. FAU - de Vries, Ines AU - de Vries I AD - Department of Otolaryngology, Hannover Medical School, Hanover, Germany. FAU - Schmitt, Heike AU - Schmitt H AD - Department of Otolaryngology, Hannover Medical School, Hanover, Germany. AD - Cluster of Excellence Hearing4all, German Research Foundation, Hannover Medical School, Hanover, Germany. FAU - Lenarz, Thomas AU - Lenarz T AD - Department of Otolaryngology, Hannover Medical School, Hanover, Germany. AD - Cluster of Excellence Hearing4all, German Research Foundation, Hannover Medical School, Hanover, Germany. FAU - Prenzler, Nils AU - Prenzler N AD - Department of Otolaryngology, Hannover Medical School, Hanover, Germany. FAU - Alvi, Sameer AU - Alvi S AD - Department of Otolaryngology, Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, MO, United States. FAU - Staecker, Hinrich AU - Staecker H AD - Department of Otolaryngology, Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, MO, United States. FAU - Durisin, Martin AU - Durisin M AD - Department of Otolaryngology, Hannover Medical School, Hanover, Germany. FAU - Warnecke, Athanasia AU - Warnecke A AD - Department of Otolaryngology, Hannover Medical School, Hanover, Germany. AD - Cluster of Excellence Hearing4all, German Research Foundation, Hannover Medical School, Hanover, Germany. LA - eng PT - Journal Article DEP - 20190326 PL - Switzerland TA - Front Neurosci JT - Frontiers in neuroscience JID - 101478481 PMC - PMC6445295 OTO - NOTNLM OT - BDNF OT - bioinformatic analysis OT - cochlear implant OT - diagnostics OT - inner ear OT - neurotrophin OT - perilymph OT - proteomics EDAT- 2019/04/12 06:00 MHDA- 2019/04/12 06:01 PMCR- 2019/01/01 CRDT- 2019/04/12 06:00 PHST- 2018/10/18 00:00 [received] PHST- 2019/02/25 00:00 [accepted] PHST- 2019/04/12 06:00 [entrez] PHST- 2019/04/12 06:00 [pubmed] PHST- 2019/04/12 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fnins.2019.00214 [doi] PST - epublish SO - Front Neurosci. 2019 Mar 26;13:214. doi: 10.3389/fnins.2019.00214. eCollection 2019.