Abstract

Aminoglycoside-induced hair cell (HC) loss is a major cause of hearing impairment, and the effective prevention of HC loss remains an unmet medical need. Epigenetic mechanisms have been reported to be involved in protecting cochlear cells against ototoxic drug injury, and in this study we developed new bioactive compounds that have similar chemical structures as the epigenetics-related lysine-specific demethylase 1 (LSD1) inhibitors. LSD1 inhibitors have been reported to protect cochlear cells by preventing demethylation of dimethylated histone H3K4 (H3K4me2). To determine whether these new compounds exert similar protective effects on HCs, we treated mouse cochlear explant cultures with the new compounds together with gentamycin. There was a severe loss of HCs in the organ of Corti after gentamycin exposure, while co-treatment with the new compounds significantly protected against gentamycin-induced HC loss. H3K4me2 levels in the nuclei of HCs decreased after exposure to gentamycin, but H3K4me2 levels were maintained in the presence of the new compounds. Apoptosis is also involved in the injury process, and the new compounds protected the inner ear HCs against apoptosis by reducing caspase-3 activation. Together, our findings demonstrate that our new compounds prevent gentamycin-induced HC loss by preventing the demethylation of H3K4me2 and by inhibiting apoptosis, and these results might provide the theoretical basis for novel drug development for hearing protection.

Highlights

  • In all mammals, hair cells (HCs) are the sensory receptors of both the auditory and the vestibular systems (Borg & Viberg, 2002)

  • At a very high concentration of 200 lM for 24 h, large numbers of transferase-mediated dUTP nick end labeling (TUNEL)-positive cells were detected in the compound A group along with significant HC loss and disorganization of the cochlear structure (Figure 1Cf, D)

  • We have developed a novel group of chemical compounds with better water solubility than S2101 that prevent the decrease in H3K4me2 levels that is normally seen after gentamycin exposure

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Summary

Introduction

Hair cells (HCs) are the sensory receptors of both the auditory and the vestibular systems (Borg & Viberg, 2002). Sensorineural hearing loss is a common health problem worldwide, and a significant proportion of hearing loss is caused by the use of aminoglycoside antibiotics, with reported incidences of hearing loss in 2–25% of treated patients (Huth et al, 2011). Aminoglycosides such as gentamycin ( known as gentamicin), kanamycin, and neomycin are commonly prescribed antibiotics for the treatment of severe gram-negative bacterial infections (Schatz et al, 2005), but the clinical use of aminoglycosides is restricted by severe ototoxic side effects that can lead to the loss of HCs (Durante-Mangoni et al, 2009).

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