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腺伴随病毒携带神经营养因子-3对庆大霉素致聋豚鼠耳蜗的保护作用
引用本文:姚小宝,李胜利,朱宏亮,王晓侠,刘晖,闫利英.腺伴随病毒携带神经营养因子-3对庆大霉素致聋豚鼠耳蜗的保护作用[J].南方医科大学学报,2007,27(11):1642-1645.
作者姓名:姚小宝  李胜利  朱宏亮  王晓侠  刘晖  闫利英
作者单位:1. 西安交通大学医学院第一附属医院耳鼻喉科,陕西,西安,710061
2. 解放军451医院耳鼻喉科,陕西,西安,710054
3. 西安交通大学医学院第二附属医院耳鼻喉科,陕西,西安,710004
摘    要:目的 探讨采用腺伴随病毒(AAV)携带神经营养因子-3(NT-3)对庆大霉素(GM)致聋豚鼠的局部基因治疗及其对耳蜗功能及形态的保护作用.方法 选用18只杂色健康豚鼠,用GM按80 mg/kg·d连续肌肉注射4 d后随机分为3组:AAV-NT-3治疗组(A组)7只,AAV对照组(B组)7只,GM对照组(C组)4只.A、B组动物在埋植微量渗透泵后继续肌肉注射GM 10 d,C组动物继续注射GM 10 d.AAV-NT-3及空白AAV载体滴度均为1.1×1010pfu/ml.对A、B两组注射GM前及术后10 d、C组注射GM后14 d进行听性脑干反应测听(ABR)及畸变产物耳声发射(DPOAE)测定.而后将动物麻醉处死取听泡,行基底膜铺片和毛细胞计数,计算外毛细胞损失率.结果 实验组与对照组相比听功能(ABR及DPOAE)及耳蜗毛细胞生存率均有显著性差异(P<0.05).结论 腺伴随病毒介导NT-3转基因治疗可用于保护受氨基甙类药物损害的豚鼠听功能和耳蜗毛细胞;在行局部耳蜗转基因治疗中应严格遵循无菌原则.

关 键 词:腺伴随病毒  神经营养因子-3  基因治疗  耳蜗  庆大霉素
文章编号:1673-4254(2007)11-1642-04
修稿时间:2007-04-24

Protective effect of adeno-associated virus-mediated neurotrophin-3 on the cochlea of guinea pigs with gentamicin-induced hearing loss
YAO Xiao-bao,LI Sheng-li,ZHU Hong-liang,WANG Xiao-xia,LIU hui,YAN Li-ying.Protective effect of adeno-associated virus-mediated neurotrophin-3 on the cochlea of guinea pigs with gentamicin-induced hearing loss[J].Journal of Southern Medical University,2007,27(11):1642-1645.
Authors:YAO Xiao-bao  LI Sheng-li  ZHU Hong-liang  WANG Xiao-xia  LIU hui  YAN Li-ying
Affiliation:Department of Otolaryngology, First Affiliated Hospital of School of Medicine, Xi'an Jiaotong University, Xi'an 710061, China. yaoxiaobao@sohu.com
Abstract:OBJECTIVE: To study the protective effect of local gene therapy with adeno-associated virus (AAV)-mediated neurotrophin-3 (NT-3) on the function and morphology of the cochlea of guinea pigs with gentamicin-induced hearing loss. METHODS: Hearing loss was induced with gentamicin (80 mg.kg(-1).day(-1) injected intramuscularly) in 18 pigmented guinea pigs 4 days prior to gene transfer. The guinea pigs were then divided into groups A, B, and C for AAV-mediated NT-3 gene transfer (n=7), AAV infection (n=7) or no particular intervention (n=4), respectively. Mini-Osmotic pump were implanted in either side of the ears in groups A and B, and the guinea pigs were injected with gentamicin (80 mg.kg(-1).day(-1)) intramuscularly since the operation day for 10 consecutive days. In group C, only gentamicin was administrated. Before and 14 days after gentamicin administration, auditory brainstem response audiometry (ABR) and distort-product otoacoustic emissions (DPOAE) were recorded, and the animals sacrificed to observe the morphological changes of the cochlear microscopically. RESULTS: Compared with groups B and C, the animals in group A showed better auditory ability (ABR and DPOAE) and significantly higher surviving rate of the outer hair cells (P<0.05). CONCLUSION: AAV-mediated NT-3 gene transfer may protect and repair the cochlear hair cells and auditory function damaged by aminoglycoside ototoxicity in guinea pigs, and aseptic procedure id of vital importance in cochlear local gene therapy.
Keywords:adeno-associated virus  neurotrophin-3  gene therapy  cochlea  gentamicin
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