Md. Seidman et al., THE PROTECTIVE EFFECTS OF ALLOPURINOL AND SUPEROXIDE-DISMUTASE ON NOISE-INDUCED COCHLEAR DAMAGE, Otolaryngology and head and neck surgery, 109(6), 1993, pp. 1052-1056
Several studies have demonstrated that noise exposure may result in lo
cal vasoconstriction of cochlear vessels. The subsequent decrease in c
ochlear blood flow may lead to hypoxia and predispose to the formation
of free oxygen radicals (FORs). If hypoxia occurs in response to nois
e exposure, then drugs that scavenge or block the formation of FORs sh
ould protect the cochlea from damage resulting from hypoxic or ischemi
c events as well as noise trauma. Rats were exposed to 60 hours of con
tinuous brood-band noise (90 dB SPL) and treated with superoxide dismu
tase-polyethylene glycol (SOD-PEG), allopurinol, or a control vehicle.
Exposure to noise resulted in significant threshold shifts at each fr
equency tested (3, 8, 12, and 18 kHz) as measured by tone burst-evoked
compound action potentials and cochlear microphonics recorded from th
e round window. Both of these thresholds in drug-treated animals were
attenuated compared with animals exposed to noise alone. These finding
s show that SOD-PEG and allopurinol may preserve cochlear sensitivity
associated with noise exposure. This suggests that noise-induced damag
e to the cochlea may be related to the activity of FORs.