Cisplatin, a chemotherapeutic agent for treating various solid
tumors, produces
hearing loss in approximately half a million
cancer patients annually in the United States. In the course of developing a new
protective agent against
cisplatin-induced
ototoxicity, we have been interested in a novel synthetic compound, 3-amino-3-(4-fluoro-phenyl)-1H-quinoline-2,4-dione (KR-22332). The effect of
KR-22332 on
cisplatin-induced cytotoxicity was analyzed in vitro in an organ of Corti-derived cell line (HEI-OC1), and in vivo in a zebrafish and rat model.
Cisplatin-induced apoptosis,
reactive oxygen species (ROS) generation and altered mitochondrial membrane potential (
MMP) in HEI-OC1 cells were observed.
KR-22332 significantly inhibited
cisplatin-induced apoptosis, change of
MMP, and intracellular ROS generation.
KR-22332 markedly attenuated the
cisplatin-induced loss and changes of auditory neuromasts in the zebrafish.
Transtympanic administration of
KR-22332 in a rat model was protective against
cisplatin-induced
hearing loss, as determined by click-evoked auditory brainstem response (p<0.01). Tissue
terminal deoxynucleotidyl transferase-mediated dUTP-
biotin nick end labeling of rat cochlea demonstrated that
KR-22332 blocked
cisplatin-induced apoptosis. In addition,
transtympanic administration of
KR-22332 inhibited
cisplatin-induced
nicotinamide adenine dinucleotide phosphate-
oxidase 3 (NOX3) overexpression in the rat cochlea.
KR-22332 significantly reduced the expression of p-53,
mitogen-activated protein kinases,
caspase 3, and
tumor necrosis factor-α compared to their significant increase after
cisplatin treatment. The results of this study suggest that
KR-22332 may prevent
ototoxicity caused by the administration of
cisplatin through the inhibition of
mitochondrial dysfunction and the suppression of ROS generation. These novel findings implicate
KR-22332 as a potential candidate for
protective agent against
cisplatin-induced
ototoxicity.