An in vivo Biomarker to Characterize Ototoxic Compounds and Novel Protective Therapeutics
Joseph A Bellairs, Van A Redila, Patricia Wu, Ling Tong, Alyssa Webster, Julian A Simon, Edwin W Rubel, David W Raible, Joseph A Bellairs, Van A Redila, Patricia Wu, Ling Tong, Alyssa Webster, Julian A Simon, Edwin W Rubel, David W Raible
Abstract
There are no approved therapeutics for the prevention of hearing loss and vestibular dysfunction from drugs like aminoglycoside antibiotics. While the mechanisms underlying aminoglycoside ototoxicity remain unresolved, there is considerable evidence that aminoglycosides enter inner ear mechanosensory hair cells through the mechanoelectrical transduction (MET) channel. Inhibition of MET-dependent uptake with small molecules or modified aminoglycosides is a promising otoprotective strategy. To better characterize mammalian ototoxicity and aid in the translation of emerging therapeutics, a biomarker is needed. In the present study we propose that neonatal mice systemically injected with the aminoglycosides G418 conjugated to Texas Red (G418-TR) can be used as a histologic biomarker to characterize in vivo aminoglycoside toxicity. We demonstrate that postnatal day 5 mice, like older mice with functional hearing, show uptake and retention of G418-TR in cochlear hair cells following systemic injection. When we compare G418-TR uptake in other tissues, we find that kidney proximal tubule cells show similar retention. Using ORC-13661, an investigational hearing protection drug, we demonstrate in vivo inhibition of aminoglycoside uptake in mammalian hair cells. This work establishes how systemically administered fluorescently labeled ototoxins in the neonatal mouse can reveal important details about ototoxic drugs and protective therapeutics.
Keywords: aminoglycloside; biomarker; hair cell; mouse model; otoprotection; ototoxicity.
Conflict of interest statement
JAS, EWR, and DWR are cofounders of Oricula Therapeutics, which has licensed patents covering ORC-13661 from the University of Washington. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Copyright © 2022 Bellairs, Redila, Wu, Tong, Webster, Simon, Rubel and Raible.
Figures
References
- Abe T., Kakehata S., Kitani R., Maruya S., Navaratnam D., Santos-Sacchi J., et al. (2007). Developmental expression of the outer hair cell motor prestin in the mouse. J. Membr. Biol. 215 49–56. 10.1007/s00232-007-9004-5
- Alharazneh A., Luk L., Huth M., Monfared A., Steyger P. S., Cheng A. G., et al. (2011). Functional hair cell mechanotransducer channels are required for aminoglycoside ototoxicity. PLoS One 6:e22347. 10.1371/journal.pone.0022347
- Aminoglycosides (2012). LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. Bethesda, MD: National Institute of Diabetes and Digestive and Kidney Diseases.
- Bailey T. C., Little J. R., Littenberg B., Reichley R. M., Dunagan W. C. (1997). A meta-analysis of extended-interval dosing versus multiple daily dosing of aminoglycosides. Clin. Infect. Dis. 24 786–795. 10.1093/clinids/24.5.786
- Bareggi R., Narducci P., Grill V., Mallardi F., Zweyer M., Fusaroli P. (1986). Localization of an aminoglycoside (streptomycin) in the inner ear after its systemic administration. Histochemistry 84 237–240. 10.1007/BF00495788
- Barza M., Ioannidis J. P., Cappelleri J. C., Lau J. (1996). Single or multiple daily doses of aminoglycosides: a meta- analysis. BMJ 312 338–344. 10.1136/bmj.312.7027.338
- Beurg M., Evans M. G., Hackney C. M., Fettiplace R. (2006). A large-conductance calcium-selective mechanotransducer channel in mammalian cochlear hair cells. J. Neurosci. 26 10992–11000. 10.1523/JNEUROSCI.2188-06.2006
- Chen C.-S., Saunders J. C. (1983). The sensitive period for ototoxicity of kanamycin in mice: morphological evidence. Arch. Otorhinolaryngol. 238 217–223. 10.1007/BF00453932
- Cheng A. G., Cunningham L. L., Rubel E. W. (2003). Hair cell death in the avian basilar papilla: characterization of the in vitro model and caspase activation. J. Assoc. Res. Otolaryngol. 4 91–105. 10.1007/s10162-002-3016-8
- Cheng A. G., Cunningham L. L., Rubel E. W. (2005). Mechanisms of hair cell death and protection. Curr. Opin. Otolaryngol. Head Neck Surg. 13 343–348. 10.1097/01.moo.0000186799.45377.63
- Chowdhury S., Owens K. N., Herr R. J., Jiang Q., Chen X., Johnson G., et al. (2018). Phenotypic optimization of urea-thiophene carboxamides to yield potent, well tolerated and orally active protective agents against aminoglycoside-induced hearing loss. J. Med. Chem. 61 84–97. 10.1021/acs.jmedchem.7b00932
- Coffin A. B., Williamson K. L., Mamiya A., Raible D. W., Rubel E. W. (2013). Profiling drug-induced cell death pathways in the zebrafish lateral line. Apoptosis 18 393–408. 10.1007/s10495-013-0816-8
- Contopoulos-Ioannidis D. G., Giotis N. D., Baliatsa D. V., Ioannidis J. P. A. (2004). Extended-interval aminoglycoside administration for children: a meta-analysis. Pediatrics 114 e111–e118. 10.1542/peds.114.1.e111
- Dai C. F., Mangiardi D., Cotanche D. A., Steyger P. S. (2006). Uptake of fluorescent gentamicin by vertebrate sensory cells in vivo. Hear. Res. 213 64–78. 10.1016/j.heares.2005.11.011
- de Groot J. C. M. J., Meeuwsen F., Ruizendaal W. E., Veldman J. E. (1990). Ultrastructural localization of gentamicin in the cochlea. Hear. Res. 50 35–42. 10.1016/0378-5955(90)90031-J
- Ding D., Liu H., Qi W., Jiang H., Li Y., Wu X., et al. (2016). Ototoxic effects and mechanisms of loop diuretics. J. Otol. 11 145–156. 10.1016/j.joto.2016.10.001
- Dunn K. W., Sandoval R. M., Kelly K. J., Dagher P. C., Tanner G. A., Atkinson S. J., et al. (2002). Functional studies of the kidney of living animals using multicolor two-photon microscopy. Am. J. Physiol. Cell Physiol. 283 C905–C916. 10.1152/ajpcell.00159.2002
- Durante-Mangoni E., Grammatikos A., Utili R., Falagas M. E. (2009). Do we still need the aminoglycosides? Int. J. Antimicrob. Agents 33 201–205. 10.1016/j.ijantimicag.2008.09.001
- Esterberg R., Hailey D. W., Rubel E. W., Raible D. W. (2014). ER–mitochondrial calcium flow underlies vulnerability of mechanosensory hair cells to damage. J. Neurosci. 34 9703–9719. 10.1523/JNEUROSCI.0281-14.2014
- Esterberg R., Linbo T., Pickett S. B., Wu P., Ou H. C., Rubel E. W., et al. (2016). Mitochondrial calcium uptake underlies ROS generation during aminoglycoside-induced hair cell death. J. Clin. Invest. 126 3556–3566. 10.1172/JCI84939
- FDA-NIH Biomarker Working Group (2016). BEST (Biomarkers, Endpoints, and other Tools) Resource. Silver Spring, MD: Food and Drug Administration.
- Fettiplace R. (2009). Defining features of the hair cell mechanoelectrical transducer channel. Pflugers Arch. 458 1115–1123. 10.1007/s00424-009-0683-x
- Forge A., Schacht J. (2000). Aminoglycoside antibiotics. Audiol. Neurootol. 5 3–22. 10.1159/000013861
- UpToDate (2021). Furosemide: Drug Information. Available online at: [accessed November 22, 2021].
- Guo X., Nzerue C. (2002). How to prevent, recognize, and treat drug-induced nephrotoxicity. Cleve. Clin. J. Med. 69 289–290, 293,–294, 296–297 passim. 10.3949/ccjm.69.4.289
- Hailey D. W., Esterberg R., Linbo T. H., Rubel E. W., Raible D. W. (2017). Fluorescent aminoglycosides reveal intracellular trafficking routes in mechanosensory hair cells. J. Clin. Invest. 127 472–486. 10.1172/JCI85052
- Hashino E., Shero M., Salvi R. J. (1997). Lysosomal targeting and accumulation of aminoglycoside antibiotics in sensory hair cells. Brain Res. 777 75–85. 10.1016/S0006-8993(97)00977-3
- Hatala R., Dinh T., Cook D. J. (1996). Once-daily aminoglycoside dosing in immunocompetent adults. Ann. Intern. Med. 124 717–725. 10.7326/0003-4819-124-8-199604150-00003
- He D. Z., Evans B. N., Dallos P. (1994). First appearance and development of electromotility in neonatal gerbil outer hair cells. Hear. Res. 78 77–90. 10.1016/0378-5955(94)90046-9
- Hiel H., Erre J.-P., Aurousseau C., Bouali R., Dulon D., Aran J.-M. (1993). Gentamicin uptake by cochlear hair cells precedes hearing impairment during chronic treatment. Audiology 32 78–87. 10.3109/00206099309072930
- Hirose K., Hockenbery D. M., Rubel E. W. (1997). Reactive oxygen species in chick hair cells after gentamicin exposure in vitro. Hear. Res. 104 1–14. 10.1016/S0378-5955(96)00169-4
- Horvath L., Bächinger D., Honegger T., Bodmer D., Monge Naldi A. (2019). Functional and morphological analysis of different aminoglycoside treatment regimens inducing hearing loss in mice. Exp. Ther. Med. 18 1123–1130. 10.3892/etm.2019.7687
- Huth M. E., Ricci A. J., Cheng A. G. (2011). Mechanisms of aminoglycoside ototoxicity and targets of hair cell protection. Int. J. Otolaryngol. 2011:e937861. 10.1155/2011/937861
- Huxel C., Raja A., Ollivierre-Lawrence M. D. (eds). (2021). “Loop diuretics,” in StatPearls (Treasure Island, FL: StatPearls Publishing; ).
- Huy P. T. B., Bernard P., Schacht J. (1986). Kinetics of gentamicin uptake and release in the rat. Comparison of inner ear tissues and fluids with other organs. J. Clin. Invest. 77 1492–1500. 10.1172/JCI112463
- Imamura S., Adams J. C. (2003). Distribution of gentamicin in the guinea pig inner ear after local or systemic application. J. Assoc. Res. Otolaryngol. 4 176–195. 10.1007/s10162-002-2036-8
- Jeng J., Ceriani F., Hendry A., Johnson S. L., Yen P., Simmons D. D., et al. (2020). Hair cell maturation is differentially regulated along the tonotopic axis of the mammalian cochlea. J. Physiol. 598 151–170. 10.1113/JP279012
- Jiang H., Sha S.-H., Forge A., Schacht J. (2006). Caspase-independent pathways of hair cell death induced by kanamycin in vivo. Cell Death Differ. 13 20–30. 10.1038/sj.cdd.4401706
- Jiang M., Karasawa T., Steyger P. S. (2017). Aminoglycoside-induced cochleotoxicity: a review. Front. Cell. Neurosci. 11:308. 10.3389/fncel.2017.00308
- Kalinec G. M., Webster P., Lim D. J., Kalinec F. (2003). A cochlear cell line as an in vitro system for drug ototoxicity screening. Audiol. Neurootol. 8 177–189. 10.1159/000071059
- Kenyon E. J., Kirkwood N. K., Kitcher S. R., Goodyear R. J., Derudas M., Cantillon D. M., et al. (2021). Identification of a series of hair-cell MET channel blockers that protect against aminoglycoside-induced ototoxicity. JCI Insight 6:e145704. 10.1172/jci.insight.145704
- Kim J., Ricci A. J. (2022). In vivo real-time imaging reveals megalin as the aminoglycoside gentamicin transporter into cochlea whose inhibition is otoprotective. Proc. Natl. Acad. Sci. U.S.A. 119:e2117946119. 10.1073/pnas.2117946119
- Kirkwood N. K., O’Reilly M., Derudas M., Kenyon E. J., Huckvale R., van Netten S. M., et al. (2017). d-Tubocurarine and berbamine: alkaloids that are permeant blockers of the hair cell’s mechano-electrical transducer channel and protect from aminoglycoside toxicity. Front. Cell. Neurosci. 11:262. 10.3389/fncel.2017.00262
- Kitahara T., Li H.-S., Balaban C. D. (2005). Changes in transient receptor potential cation channel superfamily V (TRPV) mRNA expression in the mouse inner ear ganglia after kanamycin challenge. Hear. Res. 201 132–144. 10.1016/j.heares.2004.09.007
- Kitcher S. R., Kirkwood N. K., Camci E. D., Wu P., Gibson R. M., Redila V. A., et al. (2019). ORC-13661 protects sensory hair cells from aminoglycoside and cisplatin ototoxicity. JCI Insight 4:e126764. 10.1172/jci.insight.126764
- Kros C. J., Ruppersberg J. P., Rüsch A. (1998). Expression of a potassium current in inner hair cells during development of hearing in mice. Nature 394 281–284. 10.1038/28401
- Kruger M., Boney R., Ordoobadi A. J., Sommers T. F., Trapani J. G., Coffin A. B. (2016). Natural bizbenzoquinoline derivatives protect zebrafish lateral line sensory hair cells from aminoglycoside toxicity. Front. Cell. Neurosci. 10:83. 10.3389/fncel.2016.00083
- Lee S. H., Ju H. M., Choi J. S., Ahn Y., Lee S., Seo Y. J. (2018). Circulating serum miRNA-205 as a diagnostic biomarker for ototoxicity in mice treated with aminoglycoside antibiotics. Int. J. Mol. Sci. 19:2836. 10.3390/ijms19092836
- Lim D. J. (1986). Effects of noise and ototoxic drugs at the cellular level in the cochlea: a review. Am. J. Otolaryngol. 7 73–99. 10.1016/S0196-0709(86)80037-0
- Liu J., Kachelmeier A., Dai C., Li H., Steyger P. S. (2015). Uptake of fluorescent gentamicin by peripheral vestibular cells after systemic administration. PLoS One 10:e0120612. 10.1371/journal.pone.0120612
- Lopez-Novoa J. M., Quiros Y., Vicente L., Morales A. I., Lopez-Hernandez F. J. (2011). New insights into the mechanism of aminoglycoside nephrotoxicity: an integrative point of view. Kidney Int. 79 33–45. 10.1038/ki.2010.337
- Makabe A., Kawashima Y., Sakamaki Y., Maruyama A., Fujikawa T., Ito T., et al. (2020). Systemic fluorescent gentamicin enters neonatal mouse hair cells predominantly through sensory mechanoelectrical transduction channels. J. Assoc. Res. Otolaryngol. 21 137–149. 10.1007/s10162-020-00746-3
- Marche P., Koutouzov S., Girard A. (1983). Impairment of membrane phosphoinositide metabolism by aminoglycoside antibiotics: streptomycin, amikacin, kanamycin, dibekacin, gentamicin and neomycin. J. Pharmacol. Exp. Ther. 227 415–420.
- Marcotti W., Johnson S. L., Holley M. C., Kros C. J. (2003). Developmental changes in the expression of potassium currents of embryonic, neonatal and mature mouse inner hair cells. J. Physiol. 548 383–400. 10.1113/jphysiol.2002.034801
- Marcotti W., Kros C. J. (1999). Developmental expression of the potassium current IK, n contributes to maturation of mouse outer hair cells. J. Physiol. 520 653–660. 10.1111/j.1469-7793.1999.00653.x
- Marcotti W., Netten S. M. V., Kros C. J. (2005). The aminoglycoside antibiotic dihydrostreptomycin rapidly enters mouse outer hair cells through the mechano -electrical transducer channels. J. Physiol. 567 505–521. 10.1113/jphysiol.2005.085951
- Mingeot-Leclercq M.-P., Tulkens P. M. (1999). Aminoglycosides: nephrotoxicity. Antimicrob. Agents Chemother. 43 1003–1012.
- Munckhof W. J., Grayson M. L., Turnidge J. D. (1996). A meta-analysis of studies on the safety and efficacy of aminoglycosides given either once daily or as divided doses. J. Antimicrob. Chemother. 37 645–663. 10.1093/jac/37.4.645
- Nakai Y., Chang K. C., Ohashi K., Morisaki N. (1983). Ototoxic effect of an aminoglycoside drug on an immature inner ear. Acta Otolaryngol. Suppl. 393 1–5. 10.3109/00016488309129570
- Naples J., Cox R., Bonaiuto G., Parham K. (2018). Prestin as an otologic biomarker of cisplatin ototoxicity in a guinea pig model. Otolaryngol. Head Neck Surg. 158 541–546. 10.1177/0194599817742093
- O’Sullivan M. E., Song Y., Greenhouse R., Lin R., Perez A., Atkinson P. J., et al. (2020). Dissociating antibacterial from ototoxic effects of gentamicin C-subtypes. Proc. Natl. Acad. Sci. U.S.A. 117 32423–32432. 10.1073/pnas.2013065117
- Owens K. N., Santos F., Roberts B., Linbo T., Coffin A. B., Knisely A. J., et al. (2008). Identification of genetic and chemical modulators of zebrafish mechanosensory hair cell death. PLoS Genet. 4:e1000020. 10.1371/journal.pgen.1000020
- Pickett S. B., Raible D. W. (2019). Water waves to sound waves: using zebrafish to explore hair cell biology. J. Assoc. Res. Otolaryngol. 20 1–19. 10.1007/s10162-018-00711-1
- Pickles J. (1998). An Introduction to the Physiology of Hearing, 4th Edn. Leiden: Brill.
- Portmann M., Darrouzet J., Coste C. (1974). Distribution within the cochlea of dihydrostreptomycin injected into the circulation. An autoradiographic and electron microscopic study. Arch. Otolaryngol. 100 473–475. 10.1001/archotol.1974.00780040487014
- Prieve B. A., Yanz J. L. (1984). Age-dependent changes in susceptibility to ototoxic hearing loss. Acta Otolaryngol. 98 428–438. 10.3109/00016488409107584
- Priuska E. M., Schacht J. (1995). Formation of free radicals by gentamicin and iron and evidence for an iron/gentamicin complex. Biochem. Pharmacol. 50 1749–1752. 10.1016/0006-2952(95)02160-4
- Qian X., He Z., Wang Y., Chen B., Hetrick A., Dai C., et al. (2021). Hair cell uptake of gentamicin in the developing mouse utricle. J. Cell. Physiol. 236 5235–5252. 10.1002/jcp.30228
- Qian Y., Guan M.-X. (2009). Interaction of aminoglycosides with human mitochondrial 12S rRNA carrying the deafness-associated mutation. Antimicrob. Agents Chemother. 53 4612–4618. 10.1128/AAC.00965-08
- Richardson G. P., Russell I. J. (1991). Cochlear cultures as a model system for studying aminoglycoside induced ototoxicity. Hear. Res. 53 293–311. 10.1016/0378-5955(91)90062-e
- Rizzi M. D., Hirose K. (2007). Aminoglycoside ototoxicity. Curr. Opin. Otolaryngol. Head Neck Surg. 15 352–357. 10.1097/MOO.0b013e3282ef772d
- Rubel E. W. (1978). “Ontogeny of structure and function in the vertebrate auditory system,” in Development of Sensory Systems Handbook of Sensory Physiology, eds Bate C. M., Carr V. M. C. M., Graziadei P. P. C., Hirsch H. V. B., Hughes A., Ingle D., et al. (Berlin: Springer; ), 135–237. 10.1007/978-3-642-66880-7_5
- Rubel E. W., Fay R. R. (2012). Development of the Auditory System. Berlin: Springer Science & Business Media.
- Rybak L. P. (1993). Ototoxicity of Loop Diuretics#. Otolaryngol. Clin. North Am. 26 829–844. 10.1016/S0030-6665(20)30770-2
- Rybak L. P., Talaska A. E., Schacht J. (2008). “Drug-induced hearing loss,” in Auditory Trauma, Protection, and Repair Springer Handbook of Auditory Research, eds Schacht J., Popper A. N., Fay R. R. (Boston, MA: Springer; ), 219–256. 10.1007/978-0-387-72561-1_8
- Rybak M. J., Abate B. J., Kang S. L., Ruffing M. J., Lerner S. A., Drusano G. L. (1999). Prospective evaluation of the effect of an aminoglycoside dosing regimen on rates of observed nephrotoxicity and ototoxicity. Antimicrob. Agents Chemother. 43 1549–1555. 10.1128/AAC.43.7.1549
- Schmitz C., Hilpert J., Jacobsen C., Boensch C., Christensen E. I., Luft F. C., et al. (2002). Megalin deficiency offers protection from renal aminoglycoside accumulation *. J. Biol. Chem. 277 618–622. 10.1074/jbc.M109959200
- Seyhan A. A. (2019). Lost in translation: the valley of death across preclinical and clinical divide – identification of problems and overcoming obstacles. Transl. Med. Commun. 4:18. 10.1186/s41231-019-0050-7
- Silverblatt F. J., Kuehn C. (1979). Autoradiography of gentamicin uptake by the rat proximal tubule cell. Kidney Int. 15 335–345. 10.1038/ki.1979.45
- Taylor R. R., Nevill G., Forge A. (2008). Rapid hair cell loss: a mouse model for cochlear lesions. J. Assoc. Res. Otolaryngol. 9 44–64. 10.1007/s10162-007-0105-8
- Van Boeckel T. P., Gandra S., Ashok A., Caudron Q., Grenfell B. T., Levin S. A., et al. (2014). Global antibiotic consumption 2000 to 2010: an analysis of national pharmaceutical sales data. Lancet Infect. Dis. 14 742–750. 10.1016/S1473-3099(14)70780-7
- Vu A. A., Nadaraja G. S., Huth M. E., Luk L., Kim J., Chai R., et al. (2013). Integrity and regeneration of mechanotransduction machinery regulate aminoglycoside entry and sensory cell death. PLoS One 8:e54794. 10.1371/journal.pone.0054794
- Wang Q., Steyger P. S. (2009). Trafficking of systemic fluorescent gentamicin into the cochlea and hair cells. J. Assoc. Res. Otolaryngol. 10 205–219. 10.1007/s10162-009-0160-4
- Wu W.-J., Sha S.-H., McLaren J. D., Kawamoto K., Raphael Y., Schacht J. (2001). Aminoglycoside ototoxicity in adult CBA, C57BL and BALB mice and the Sprague–Dawley rat. Hear. Res. 158 165–178. 10.1016/S0378-5955(01)00303-3
Source: PubMed