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Control of chronic otitis media and sensorineural hearing loss in C3H/HeJ mice: glucocorticoids vs mineralocorticoids.

AbstractOBJECTIVE:
The impact of glucocorticoids and mineralocorticoids on chronic otitis media (COM) in toll-like receptor 4-deficient C3H/HeJ mice was investigated.
STUDY DESIGN:
To evaluate control of COM by steroids with differences in their anti-inflammatory (prednisolone, dexamethasone), and fluid absorption functions (fludrocortisone, aldosterone). A minimum sample size of five animals for each group was required based on power analysis calculations. Sample sizes ranged from 7 to 17 mice per treatment group.
SUBJECTS AND METHODS:
Auditory brain stem response (ABR) thresholds were performed at baseline, 2 weeks and 4 weeks. Histopathologic test results were evaluated on all mice ears at the end of the study.
RESULTS:
Analysis of variance (ANOVA) of ABR threshold change showed significant treatment effects (P < 0.05) by both steroid types at all time intervals and ABR frequencies except 4 weeks/8 kHz. Histologic assessment showed prednisolone-treated mice (62%) had a higher rate of clearance of middle and inner ear inflammation than control mice (4%).
CONCLUSION:
It was concluded that steroid treatments can improve the physiology of chronic middle and inner ear disease seen with COM.
AuthorsCarol J MacArthur, J Beth Kempton, Jacqueline DeGagne, Dennis R Trune
JournalOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery (Otolaryngol Head Neck Surg) Vol. 139 Issue 5 Pg. 646-53 (Nov 2008) ISSN: 0194-5998 [Print] England
PMID18984258 (Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Anti-Inflammatory Agents
  • Glucocorticoids
  • Mineralocorticoids
  • Aldosterone
  • Dexamethasone
  • Prednisolone
  • Fludrocortisone
Topics
  • Aldosterone (therapeutic use)
  • Animals
  • Anti-Inflammatory Agents (therapeutic use)
  • Chronic Disease
  • Dexamethasone (therapeutic use)
  • Evoked Potentials, Auditory, Brain Stem
  • Fludrocortisone (therapeutic use)
  • Glucocorticoids (therapeutic use)
  • Hearing Loss, Sensorineural (etiology, physiopathology, prevention & control)
  • Mice
  • Mice, Inbred C3H
  • Mineralocorticoids (therapeutic use)
  • Otitis Media (complications, drug therapy, pathology)
  • Prednisolone (therapeutic use)

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