While a clear role has been proposed for
glutamate as a putative
neurotransmitter at the inner hair cell type I spiral ganglion cell synapse, the possible role of excessive
glutamate release in cochlear impairment and of
NMDA receptors in such a process is uncertain. The present study compares the protective effects of (+)-
MK-801, an
NMDA receptor antagonist, and the relatively inactive isomer (-)-MK-801 against permanent
noise-induced hearing loss (NIHL). The study also asks whether (+)-
MK-801 can protect against the NIHL potentiation by
carbon monoxide (CO). Rats (n = 6) were exposed to 100-dB, 13.6-kHz octave-band noise for 2 h after receiving injection of (+)-
MK-801 hydrogen maleate (1 mg/kg), (-)-MK-801
hydrogen maleate (1 mg/kg), or saline. Other groups of animals were exposed to the combination of noise and CO (1200 ppm) after receiving (+)-
MK-801 or saline. Additional subjects received (+)-
MK-801, saline or CO exposure alone. Compound action potential (CAP) threshold sensitivities were compared 4 weeks after the exposures. The results show significant protection by (+)-
MK-801 against the permanent CAP threshold elevation induced by noise alone, but no protective effect of (-)-MK-801. (+)-
MK-801 produced limited protection against threshold shifts induced by the combination of noise and CO. Outer hair cell (OHC) loss was not protected by (+)-
MK-801 administration. The data suggest that
NMDA receptor stimulation may play a role in NIHL resulting from fairly mild noise exposure. The data do not support a role for
NMDA receptor stimulation in the potentiation of NIHL that results from simultaneous exposure to CO and noise.