title: Riluzole rescues cochlear sensory cells from acoustic trauma in the guinea-pig.
abstract: Acoustic trauma is the major cause of hearing loss in industrialised nations. We show in guinea-pigs that sound exposure (6 kHz, 120 dB sound pressure level for 30 min) leads to sensory cell death and subsequent permanent hearing loss. Ultrastructural analysis reveals that degeneration of the noise-damaged hair cells involved different mechanisms, including typical apoptosis, autolysis and, to a lesser extent, necrosis. Whatever the mechanisms, a common feature of noise damage to hair cells was mitochondrial alteration. Riluzole (2-amino-6-trifluoromethoxy benzothiazole) is a neuroprotective agent that prevents apoptosis- and necrosis-induced cell death. Perfusion of riluzole into the cochlea via an osmotic minipump prevents mitochondrial damage and subsequent translocation of cytochrome c, DNA fragmentation, and hair cell degeneration. This was confirmed by functional tests showing a clear dose-dependent reduction (ED(50)=16.8 microM) of permanent hearing loss and complete protection at 100 microM. Although less efficient than intracochlear perfusion, intraperitoneal injection of riluzole rescues the cochlea within a therapeutic window of 24 h after acoustic trauma.These results show that riluzole is able to prevent and rescue the cochlea from acoustic trauma. It may thus be an interesting molecule for the treatment of inner ear injuries.
authors.affiliation: INSERM UMR. 254 - Université de Montpellier 1, Laboratoire de Neurobiologie de l'Audition, 71 rue de Navacelles, 34090 Montpellier, France.
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.forename: M
authors.initials: M
authors.lastname: Dib
authors.forename: M
authors.initials: M
authors.lastname: Lenoir
authors.forename: P
authors.initials: P
authors.lastname: Vago
authors.forename: M
authors.initials: M
authors.lastname: Eybalin
authors.forename: A
authors.initials: A
authors.lastname: Hameg
authors.forename: R
authors.initials: R
authors.lastname: Pujol
authors.forename: J-L
authors.initials: JL
authors.lastname: Puel
mesh_terms: D000161:Acoustic Stimulation; D000200:Action Potentials / Q000187:drug effects / Q000502:physiology; D000818:Animals; D001309:Auditory Threshold / Q000187:drug effects; D002452:Cell Count; D003051:Cochlea / Q000187:drug effects* / Q000473:pathology / Q000503:physiopathology; D003056:Cochlear Nerve / Q000502:physiology / Q000503:physiopathology; D004195:Disease Models, Animal; D004305:Dose-Response Relationship, Drug; D004333:Drug Administration Routes; D004594:Electrophysiology; D005260:Female; D006168:Guinea Pigs; D006198:Hair Cells, Auditory / Q000187:drug effects* / Q000473:pathology / Q000503:physiopathology; D006317:Hearing Loss, Noise-Induced / Q000503:physiopathology / Q000517:prevention & control*; D007150:Immunohistochemistry; D020287:In Situ Nick-End Labeling; D015918:Infusion Pumps, Implantable; D018696:Neuroprotective Agents / Q000494:pharmacology*; D019782:Riluzole / Q000008:administration & dosage / Q000494:pharmacology*
chemical_list: D018696:Neuroprotective Agents; D019782:Riluzole