Abstract

Ferroptosis is a recently discovered iron-dependent form of oxidative programmed cell death distinct from caspase-dependent apoptosis. In this study, we investigated the effect of ferroptosis in neomycin-induced hair cell loss by using selective ferroptosis inhibitor liproxstatin-1 (Lip-1). Cell viability was identified by CCK8 assay. The levels of reactive oxygen species (ROS) were determined by DCFH-DA and cellROX green staining. The mitochondrial membrane potential (ΔΨm) was evaluated by TMRM staining. Intracellular iron and lipid peroxides were detected with Mito-FerroGreen and Liperfluo probes. We found that ferroptosis can be induced in both HEI-OC1 cells and neonatal mouse cochlear explants, as evidenced by Mito-FerroGreen and Liperfluo staining. Further experiments showed that pretreatment with Lip-1 significantly alleviated neomycin-induced increased ROS generation and disruption in ΔΨm in the HEI-OC1 cells. In parallel, Lip-1 significantly attenuated neomycin-induced hair cell damage in neonatal mouse cochlear explants. Collectively, these results suggest a novel mechanism for neomycin-induced ototoxicity and suggest that ferroptosis inhibition may be a new clinical intervention to prevent hearing loss.

Highlights

  • Hearing loss can be caused by ototoxic pharmaceutical agents, excessive noise, genetic disorders, and aging

  • To test whether ferroptosis is induced in HEI-OC1 cells, twentyfour hours after the start of the HEI-OC1 cell culture, we replaced the culture medium with fresh medium with Ras-selective lethal 3 (RSL3), a ferroptosis inducer, at increasing concentrations for 12 h, h, and 48 h (Figures 1(a)–1(c))

  • For 24 h significantly reduced the cell viability to ~50% compared with the nontreated controls; a RSL3 concentration of 3 μM was used for the subsequent experiments

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Summary

Introduction

Hearing loss can be caused by ototoxic pharmaceutical agents, excessive noise, genetic disorders, and aging. The crucial mechanism responsible for aminoglycoside-induced ototoxicity is oxidative stress [3]. Overproduction of reactive oxygen species (ROS) resulting from oxidative stress overwhelms the ROS defense and disturbs the redox balance, triggering mitochondrial depolarization, activating caspase, and eventually inducing hair cell injury [1, 4]. This mechanism is not exclusively responsible for aminoglycoside-induced hair cell death [5,6,7]. Better understanding of the mechanisms of aminoglycosideinduced ototoxicity is crucial for developing a new promising treatment strategy to prevent hearing loss

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