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Neuroprotective Effect of Valproic Acid on Salicylate-Induced Tinnitus.

Abstract
High-dose salicylate induces temporary moderate hearing loss and the perception of a high-pitched tinnitus in humans and animals. Previous studies demonstrated that high doses of salicylate increase N-methyl-d-aspartate (NMDA) receptor levels, resulting in a rise in Ca2+ influx and induction of excitotoxicity. Glutamate excitotoxicity is associated with failure in the maintenance of calcium homeostasis, mitochondrial dysfunction, and production of reactive oxygen species (ROS). Valproic acid (VPA) is widely used for the management of bipolar disorder, epilepsy, and migraine headaches, and is known to regulate NMDA receptor activity. In this study, we examined the beneficial effects of VPA in a salicylate-induced tinnitus model in vitro and in vivo. Cells were pretreated with VPA followed by salicylate treatment. The expression levels of NMDA receptor subunit NR2B, phosphorylated cAMP response element-binding protein-an apoptosis marker, and intracellular levels of ROS were measured using several biochemical techniques. We observed increased expression of NR2B and its related genes TNFα and ARC, increased intracellular ROS levels, and induced expression of cleaved caspase-3. These salicylate-induced changes were attenuated in the neuronal cell line SH-SY5Y and rat cortical neurons after VPA pretreatment. Together, these results provide evidence of the beneficial effects of VPA in a salicylate-induced temporary hearing loss and tinnitus model.
AuthorsAnji Song, Gwang-Won Cho, Karthikeyan A Vijayakumar, Changjong Moon, Mary Jasmin Ang, Jahae Kim, Ilyong Park, Chul Ho Jang
JournalInternational journal of molecular sciences (Int J Mol Sci) Vol. 23 Issue 1 (Dec 21 2021) ISSN: 1422-0067 [Electronic] Switzerland
PMID35008469 (Publication Type: Journal Article)
Chemical References
  • Neuroprotective Agents
  • Reactive Oxygen Species
  • Receptors, N-Methyl-D-Aspartate
  • Salicylates
  • Glutamic Acid
  • Valproic Acid
Topics
  • Animals
  • Cell Line, Tumor
  • Glutamic Acid (metabolism)
  • Humans
  • Male
  • Neurons (drug effects, metabolism)
  • Neuroprotective Agents (pharmacology)
  • Rats
  • Rats, Sprague-Dawley
  • Reactive Oxygen Species (metabolism)
  • Receptors, N-Methyl-D-Aspartate (metabolism)
  • Salicylates (pharmacology)
  • Tinnitus (chemically induced, drug therapy, metabolism)
  • Valproic Acid (pharmacology)

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