Abstract

Objective To study whether adenovirus-mediated human β-nerve growth factor (Ad-hNGF β) gene has any protective effect on rat cochlear spiral ganglion after blast exposure. Methods Deafness was induced by blast exposure (172.0 dB) in 20 healthy rats. Seven days after blast exposure, Ad-hNGF β was infused into the perilymphatic space of 10 animals as the hNGF β/blast group, and artificial perilymph fluid (APF) was infused into the perilymphatic space of 10 animals as the APF/blast control group. An additional control group consisted of 10 healthy rats which received Ad-hNGF β target gene with no blast exposure (hNGF β/control group). Auditory functions were monitored by thresholds of auditory brain stem responses (ABR). At weeks 1, 4, and 8 postoperatively, the animals were killed, and the cochleae were removed for immunohistochemical, hematoxylin and eosin staining study. Results The ABR threshold shifts in the hNGF β/blast group were significantly smaller than that of APF/blast control group. There were no significant differences of the ABR values between before and after operation in the hNGF β/control group. Expression of Ad-hNGF β protein was detected in each turn of the cochlea in the first week, with almost equal intensity in all turns. In the fourth week, the reactive intensity decreased. In the eighth week, no reaction was detectable. The results of hematoxylin and eosin stain showed that the number of spiral ganglions in the hNGF β/blast group was significantly greater than that of the APF/blast control group in the 4th week ( P < .01). Conclusion Adenovirus-mediated human β-nerve growth factor can be expressed at a high level and for a relatively long period in the blast impaired cochlea, suggesting that Ad-hNGF β has a protective effect on rat cochlear spiral ganglion cells after blast exposure.

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