Glutamate excitotoxicity is implicated in both the genesis of neural injury
and noise-induced hearing loss (NIHL). Acoustic overstimulation may result
in excessive synaptic glutamate, resulting in excessive binding to post-sy
naptic receptors and the initiation of a destructive cascade of cellular ev
ents, thus leading to neuronal degeneration and NIHL. The purpose of this s
tudy was to determine whether this apparent excitotoxicity can be attenuate
d by kynurenic acid (KYNA), a broad-spectrum glutamate receptor antagonist,
and protect against noise-induced temporary threshold shifts (TTS). Guinea
pigs were randomly assigned to three separate groups. Baseline compound ac
tion potentials (CAP) thresholds and cochlear microphonics (CM) were record
ed. Group I was treated with physiologic saline as a vehicle control applie
d to the round window membrane that was followed by 110 dB SPL wide-band no
ise for 90 min. Group II received 5 mM KYNA followed by noise exposure, and
group III received 5 mM KYNA alone without noise exposure. Post-drug and n
oise levels of CAP thresholds and CM were then obtained. Noise exposure in
the control group caused a significant temporary threshold shift (TTS) of 3
0-40 dB across the frequencies tested (from 3 kHz to 18 kHz). Animals that
received 5 mM KYNA prior to noise exposure (group II) showed statistically
significant protection against noise-induced damage and demonstrated a mini
mal TTS ranging between 5 and 10 dB at the same frequencies. Animals in gro
up III receiving KYNA without noise exposure showed no change in thresholds
. Additionally, cochlear microphonics showed no considerable difference in
threshold shifts when controls were compared to KYNA-treated animals. These
re suits show that antagonizing glutamate receptors can attenuate noise-in
duced TTS, suggesting that glutamate excitotoxicity may play a role in acou
stic trauma.