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                <text>Early physiological and cellular indicators of cisplatin-induced ototoxicity.</text>
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                <text>Journal of the Association for Research in Otolaryngology : JARO</text>
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                <text>cisplatin; hair cells; ototoxicity; Schwann cell; spiral ganglion neuron</text>
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                <text>Chen Y; Bielefeld EC; Mellott JG; Wang W; Mafi Amir M; Yamoah EN; Bao J</text>
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                <text>Cisplatin chemotherapy often causes permanent hearing loss, which leads to a multifaceted decrease in quality of life. Identification of early cisplatin-induced  cochlear damage would greatly improve clinical diagnosis and provide potential drug  targets to prevent cisplatin's ototoxicity. With improved functional and  immunocytochemical assays, a recent seminal discovery revealed that synaptic loss  between inner hair cells and spiral ganglion neurons is a major form of early  cochlear damage induced by noise exposure or aging. This breakthrough discovery  prompted the current study to determine early functional, cellular, and molecular  changes for cisplatin-induced hearing loss, in part to determine if synapse injury  is caused by cisplatin exposure. Cisplatin was delivered in one to three treatment  cycles to both male and female mice. After the cisplatin treatment of three cycles,  threshold shift was observed across frequencies tested like previous studies. After  the treatment of two cycles, beside loss of outer hair cells and an increase in  high-frequency hearing thresholds, a significant latency delay of auditory brainstem  response wave 1 was observed, including at a frequency region where there were no  changes in hearing thresholds. The wave 1 latency delay was detected as early  cisplatin-induced ototoxicity after only one cycle of treatment, in which no  significant threshold shift was found. In the same mice, mitochondrial loss in the  base of the cochlea and declining mitochondrial morphometric health were observed.  Thus, we have identified early spiral ganglion-associated functional and cellular  changes after cisplatin treatment that precede significant threshold shift.</text>
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