title: Pathogenesis of middle ear cholesteatoma: a new model of experimentally induced cholesteatoma in Mongolian gerbils.
abstract: Middle ear cholesteatoma is characterized by enhanced proliferation of epithelial cells with aberrant morphological characteristics. To investigate the origin of the cholesteatoma cells, we analyzed spontaneously occurring cholesteatomas associated with a new transplantation model in Mongolian gerbils (gerbils). Cholesteatomas were induced in gerbils with a transplanted tympanic membrane by using the external auditory canal (EAC) ligation method. After the pars flaccida of the tympanic membranes were completely removed from male gerbils, corresponding portions of tympanic membranes of female gerbils were transplanted to the area of defect, and then we ligated the EAC (hybrid-model group). As a control group, the EAC of normal male and female gerbils was ligated without myringoplasty. In all ears of each group, the induced cholesteatomas were seen. In situ PCR was then performed to detect the mouse X chromosome-linked phosphoglycerate kinase-1 (pgk-1) gene on the paraffin sections. One pgk-1 spot in the epithelial nuclei was detected in male cholesteatoma, and two pgk-1 spots were detected in female cholesteatoma, respectively. On the other hand, in the hybrid-model group, we detected not only one but also two pgk-1 spots in the epithelial nuclei of cholesteatoma. These results strengthened the evidence that the origin of epithelial cells in cholesteatoma is the tympanic membrane in this model, but not the residential middle ear epithelial cells or the skin of the EAC.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. tomomiyf@nagasaki-u.ac.jp
authors.forename: Tomomi
authors.initials: T
authors.lastname: Yamamoto-Fukuda
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Hishikawa
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Shibata
authors.forename: Toshimitsu
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Haruo
authors.initials: H
authors.lastname: Takahashi
authors.forename: Takehiko
authors.initials: T
authors.lastname: Koji
mesh_terms: D000818:Animals; D018424:Cholesteatoma, Middle Ear / Q000209:etiology / Q000473:pathology; D004195:Disease Models, Animal; D004424:Ear Canal / Q000601:surgery; D004847:Epithelial Cells / Q000378:metabolism; D005260:Female; D005849:Gerbillinae; D008297:Male; D051379:Mice; D010735:Phosphoglycerate Kinase / Q000235:genetics; D016133:Polymerase Chain Reaction; D014432:Tympanic Membrane / Q000473:pathology / Q000637:transplantation
chemical_list: D010735:Phosphoglycerate Kinase