We previously reported that long-term exposure to glutamate (Glu) induced d
eath of cochlear outer hair cells (OHCs). However. the mechanisms of OHC de
ath induced by Glu were unclear. In the central nervous system, Glu is know
n to interfere with a cystine-Glu antiporter, leading to a decrease in cyst
ine uptake and reducing the intracellular glutathione level. We therefore i
nvestigated the effect of cystine supplementation on degeneration of OHCs c
aused by long-term exposure to Glu. Supplementation of cystine significantl
y decreased the number of dying OHCs. These findings suggest that a cystine
-Glu interaction may be involved in the mechanism of OHC degeneration cause
d by Glu.