Dexamethasone protects against apoptotic cell death of cisplatin-exposed auditory hair cells in vitro

Christine T. Dinh, Si Chen, Esperanza Bas, John Dinh, Stefania Goncalves, Fred Telischi, Simon Angeli, Adrien A. Eshraghi, Thomas Van De Water

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Hypothesis: Dexamethasone (DXM) protects against cisplatininduced auditory hair cell (HC) loss in rat organ of Corti (OC) explants in vitro by reducing levels of oxidative stress and NADPH-Oxidase-3 (NOX-3). Background: Intratympanic DXM has demonstrated protective effects against cisplatin-induced hearing loss in a few animal studies and one clinical trial. However, levels of protection with intratympanic DXM vary significantly between studies, which may not be a result of the intrinsic properties of DXM but rather reflect the diffusion of DXM into the cochlea. The molecular mechanisms and degree of DXM protection against cisplatin ototoxicity are currently unknown. Methods: OC explants from 3-day-old rats were cultured with no treatment or various concentrations of cisplatin (2, 5, or 10μM) and DXM (75, 150, or 300μg/mL) in vitro. HC viability and TUNEL assay were performed after 72 hours in vitro and levels of oxidative stress and NOX-3 were evaluated with confocal microscopy after 48 hours in vitro. Analysis of variance with Tukey's post hoc testing was performed. Results: Cisplatin initiated dose-dependent losses of outer HCs (OHCs) in the basal turns of exposed explants (p<0.001). DXM protected against cisplatin (2μM)-induced OHC loss in a dose-dependent manner with complete protection at 300μg/mL of DXM (p<0.001). DXM (150μg/mL) significantly reduced levels of oxidative stress, NOX-3, and apoptosis in the basal turn of explants exposed to cisplatin (2μM). Conclusions: DXM protects against cisplatin-induced loss of OHCs in the basal turn of rat OC explants as demonstrated by reductions in oxidative stress and NOX-3 production and decreased levels of apoptotic cell death.

Original languageEnglish (US)
Pages (from-to)1566-1571
Number of pages6
JournalOtology and Neurotology
Issue number9
StatePublished - Oct 1 2015


  • Apoptosis
  • Cisplatin
  • Hair cell
  • Ototoxicity
  • ROS
  • Steroid

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology


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