MK-801, a glutamate receptor blocker, has been reported to protect aga
inst hypoxic-ischemic neuronal degeneration. The purpose of this study
was to investigate the protective effects of MK-801 on cochlear impai
rment induced by carbon monoxide (CO) in the guinea pig and whether th
e protection reflected systemic or local effects. Glutamate has been p
roposed to be the neurotransmitter at the inner hair cell/type I spira
l ganglion cell synapse. CO (35 ml/kg ip) elevated the compound action
potential threshold at high frequencies (16-40 Id-It) 30 min after tr
eatment. In the group pretreated with 1 mg/kg MK-801 ip there was no s
ignificant elevation of compound action potential threshold 30 min aft
er CO exposure, suggesting that MK-801 provided some protection at thi
s dosage. In the group pretreated with 0.1 mg/kg MK-801 there was prot
ection against cochlear dysfunction 15 min after CO injection, but sig
nificant elevation of compound action potential threshold occurred 30
and 60 min after CO exposure. Data also indicated that 1 mM MK-801 app
lied topically on the round window membrane provided protective effect
s against CO hypoxia from 15 up to 60 min. This experiment suggests th
at cochlear impairment induced by CO hypoxia may result from excess ex
tracellular concentrations of glutamate. (C) 1995 Academic Press, Inc.