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KMID : 1195620130060040219
Clinical and Experimental Otorhinolaryngology
2013 Volume.6 No. 4 p.219 ~ p.225
Protective Role of Trimetazidine Against Neomycin-induced Hair Cell Damage in Zebrafish
Chang Ji-Won

Im Gi-Jung
Chae Sung-Won
Lee Seung-Hoon
Kwon Soon-Young
Jung Hak-Hyun
Chung Ah-Young
Park Hae-Chul
Choi June
Abstract
Objectives: Trimetazidine (TMZ) is known to reduce the generation of oxygen-derived free radicals. The objective of the present study was to evaluate the effects of TMZ on neomycin-induced ototoxicity in transgenic zebrafish (Brn3C: EGFP).

Methods: Five-day, postfertilization zebrafish larvae were exposed to 125 ¥ìM neomycin and one of the following TMZ concentrations for 1 hour: 10 ¥ìM, 100 ¥ìM, 500 ¥ìM, 1,000 ¥ìM, 1,500 ¥ìM, or 2,000 ¥ìM. Hair cells within the neuromasts of the supraorbital (SO1 and SO2), otic (O1), and occipital (OC1) lateral lines were analyzed using fluorescence microscopy and confocal microscopy (n=10). Hair cell survival was calculated as a percentage of hair cells in the control group that were not exposed to neomycin. Ultrastructural changes were evaluated using scanning electron microscopy.

Results: TMZ protected against neomycin-induced hair cell loss in the neuromasts (TMZ 1,000 ¥ìM, 11.2¡¾0.4 cells; 125 ¥ìM neomycin only, 4.2¡¾0.5 cells; n=10; P<0.05) and decreased the terminal deoxynucleotidyl transferase (TdT)-mediated dUTP-biotin nick end labeling (TUNEL) reaction. In the ultrastructural analysis, structures of mitochondria and hair cells within the neuromasts were preserved in zebrafish exposed to 125 ¥ìM neomycin and 1,000 ¥ìM TMZ.

Conclusion: TMZ attenuated neomycin-induced hair cell loss in zebrafish. The results of this study suggest that neomycin induces apoptosis, and that apoptotic cell death can be prevented by treatment with tremetazidine.
KEYWORD
Trimetazidine, Neomycin, Ototoxicity, Zebrafish
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