Abstract
An impaired cochlear perfusion seems to be an important etiopathogenetic event in idiopathic sudden sensorineural hearing loss (ISSNHL). Recently, oxidative stress has been proposed as risk factors of microvascular damage. This observational study aimed to evaluate the possible role of oxidative stress in ISSNHL. In thirty-nine ISSNHL patients and seventy healthy subjects serum reactive oxygen species concentrations (ROS) and total antioxidant capacity (TAC) were measured by spectrophotometric methods on F.R.E.E. analyzer (Diacron International, Italy). Moreover, a global oxidative stress index (Oxidative-INDEX), reflecting both oxidative and antioxidant counterparts, was also calculated. 25/39 patients showed oxidative stress due to ROS levels significantly higher than controls (348.2 ± 84.8 vs. 306.75 ± 46.7 UCarr; p = 0.001). The Oxidative-INDEX was significantly higher in patients than in controls (0.75 ± 2.4 vs. −0.0007 ± 1.28 AU, p = 0.03). As oxidative stress is a key determinant in endothelial dysfunction, our findings could suggest vascular impairment involvement in ISSNHL etiopathogenesis.
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References
Byl FM Jr (1984) Sudden hearing loss: eight years’ experience and suggested prognostic table. Laryngoscope 94:647–661
Stokroos RJ, Albers FW, Schirm J (1998) The etiology of idiopathic sudden sensorineural hearing loss. Experimental herpes simplex virus infection of the inner ear. Am J Otol 19:447–452
Berrocal JR, Ramirez-Camacho R (2002) Sudden sensorineural hearing loss: supporting the immunologic theory. Ann Otol Rhinol Laryngol 111:989–997
Tran BH (2002) Endolymphatic deafness: a particular variety of cochlear disorder. ORL J Otorhinolaryngol Relat Spec 64:120–124
Schweinfurth JM, Cacace AT (2000) Cochlear ischemia induced by circulating iron particles under magnetic control: an animal model for sudden hearing loss. Am J Otol 21:636–640
Mom T, Avan P, Bonfils P (1999) Vulnerability of the gerbil cochlea to sound exposure during reversible ischemia. Hear Res 136:65–74
Nakashima T, Naganawa S, Sone M et al (2003) Disorders of cochlear blood flow. Brain Res Brain Res Rev 43:17–28
Capaccio P, Ottaviani F, Cuccarini V et al (2007) Genetic and acquired prothrombotic risk factors and sudden hearing loss. Laryngoscope 117:547–551
Sachdev S, Davies KJ (2008) Production, detection, and adaptive responses to free radicals in exercise. Free Radic Biol Med 44:215–223
Campise M, Bamonti F, Novembrino C et al (2003) Oxidative stress in kidney transplant patients. Transplantation 76:1474–1478
Son SM (2007) Role of vascular reactive oxygen species in development of vascular abnormalities in diabetes. Diabetes Res Clin Pract 77(suppl 1):65–70
Halliwell B, Gutteridge JMC (1984) Lipid peroxidation, oxygen radicals, cell damage, and antioxidant therapy. Lancet 1:1396–1397
Vassalle C, Pratali L, Boni C et al (2008) An oxidative stress score as a combined measure of the pro-oxidant and anti-oxidant counterparts in patients with coronary artery disease. Clin Biochem 41:1162–1167
Crimi E, Ignarro LJ, Napoli C (2007) Microcirculation and oxidative stress. Free Radic Res 41(12):1364–1375
Zhang Y, Du Y, Le W, et al. (2011) Redox control of the survival of healthy and diseased cells. Antioxid Redox Signal (Epub ahead of print)
Yamaguchi Y, Nasu F, Harada A et al (2007) Oxidants in the gas phase of cigarette smoke pass through the lung alveolar wall and raise systemic oxidative stress. J Pharmacol Sci 103:275–282
Bamonti F, Novembrino C, Ippolito S et al (2006) Increased free malondialdehyde concentrations in smokers normalise with a mixed fruit and vegetable juice concentrate: a pilot study. Clin Chem Lab Med 44:391–395
Fechter DL (2005) Oxidative stress: a potential basis for potentiation of noise-induced hearing loss. Environ Toxicol Pharmacol 19:543–546
Li H, Steyger P (2009) Synergistic ototoxicity due to noise exposure and aminoglycoside antibiotics. Noise Health 11:26–32
Henderson D, Bielefeld EC, Harris KC et al (2006) The role of oxidative stress in noise-induced hearing loss. Ear Hear 27:1–19
Mak S, Newton GE (2001) The oxidative stress hypothesis of congestive heart failure: radical thoughts. Chest 120:2035–2046
Hatano M, Uramoto N, Okabe Y et al (2008) Vitamin E and vitamin C in the treatment of idiopathic sudden sensorineural hearing loss. Acta Otolaryngol 128:116–121
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Capaccio, P., Pignataro, L., Gaini, L.M. et al. Unbalanced oxidative status in idiopathic sudden sensorineural hearing loss. Eur Arch Otorhinolaryngol 269, 449–453 (2012). https://doi.org/10.1007/s00405-011-1671-2
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DOI: https://doi.org/10.1007/s00405-011-1671-2