생명과학회지 (Journal of Life Science)

  • 제18권4호
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  • Pages.542-549
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  • 2008
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  • 1225-9918(pISSN)
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  • 2287-3406(eISSN)
한국생명과학회 (Korean Society of Life Science)
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시스플라틴에 의한 염증성 사이토카인의 청각유모세포 사멸 효과

The Effects of Pro-inflammatory Cytokines by Cisplatin on the Death of Sensory Hair Cells.

  • 이정한 (원광대학교 의과대학 미생물학교실 및 전정와우기관 연구센터) ;
  • 박찬희 (원광대학교 의과대학 미생물학교실 및 전정와우기관 연구센터) ;
  • 박래길 (원광대학교 의과대학 미생물학교실 및 전정와우기관 연구센터)
  • Lee, Jeong-Han (Department of Microbiology & Vestibulocochlear Research Center, Wonkwang University College of Medicine) ;
  • Park, Chan-Ny (Department of Microbiology & Vestibulocochlear Research Center, Wonkwang University College of Medicine) ;
  • Park, Rae-Kil (Department of Microbiology & Vestibulocochlear Research Center, Wonkwang University College of Medicine)
  • 발행 : 2008.04.30
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초록

Cisplatin은 임상적으로 다양한 종류의 종양 치료에 사용되는 중요한 항암제 중의 하나이다. 그러나 cisplatin은 이독성, 신장독성, 골수독성, 위장독성 및 말초신경독성 등의 심각한 부작용으로 인하여 사용이 제한적이다. Cisplatin에 의한 청각장애에서 organ of Corti 외측 유모세포(outer hair cells) 손상이 유발한다. Cisplatin에 의한 세포독성에 대한 연구가 진행 중이지만 pro-inflammatory cytokine과 관련된 청각세포사멸에 대한 연구는 미비하다. 이 연구에서 cisplatin은 청각세포주 HEI-OC1 세포와 렛트 cochlear explant에서 염증성 사이토카인인 $TNF-{\alpha}$, $IL-1{\beta}$ 및 IL-6의 유전자 발현과 분비를 현저히 증가시켰다. 이들 염증성 사이토카인은 organ of Corti 청각유모세포에 직접적인 세포독성을 나타내어 외측 및 내측 유모세포와 배열을 파괴하였다. 염증반응에서 중요한 $TNF-{\alpha}$를 cisplatin을 처리한 실험군에서 immunocytochemistry를 통하여 관찰 한 결과 organ of Corti에서의 발현이 현저히 증가됨을 관찰하였다. 염증성 사이토카인에 대한 중화항체를 처리하여 cisplatin에 의한 세포독성이 현저히 감소됨을 HEI-OC1 세포와 청각유모세포에서 확인하였다. 또한 GSH, NAC와 같은 항산화제를 처리하여 세포독성이 현저히 감소됨을 확인하였다. 이상의 결과는 cisplatin에 의한 청각유모세포의 죽음에서 $TNF-{\alpha}$, $IL-1{\beta}$ 및 IL-6와 같은 염증성 사이토카인이 병리 생리학적으로 중요한 역할을 하고 있음을 시사한다.

Cisplatin (cis-diamminedichloroplatinum II : CDDP) is the most widely used anticancer drug against a variety of human neoplasms. However, its clinical use is limited by the onset of severe side effects, including ototoxicity and nephrotoxicity. Even though a number of evidences in cytotoxic mechanism of cisplatin have been suggested, the role of pro-inflammatory cytokines in cisplatin cytotoxicity of auditory cells has not yet been demonstrated. Herein our data clearly demonstrated that cisplatin decreased the viability of HEI-OC1 auditory cells, which was inhibited by the addition of neutralizing $anti-TNF-{\alpha}$, $anti-IL-1{\beta}$ and anti-IL-6 antibodies. Consistently, Neutralization with antibodies against pro-inflammatory cytokines ameliorated the cell death and disarrangement of cochlea hair cell layers in the rat primary cochlear explants which were treated with cisplatin. Furthermore, exogeneous supplementation with free radical scavengers, including GSH and NAC, significantly prevented the cytotoxicity of cisplatin in the rat primary cochlea explants. We also observed that $TNF-{\alpha}$ was predominantly expressed in Deiters and Hensen's cells located in hair cell zone of cisplatin-treated cochlear explants. These findings suggest that pro-inflammatory cytokines, including $TNF-{\alpha}$, $IL-1{\beta}$ and IL-6, may play a pivotal role in the pathophysiology of hair cell damages caused by ototoxic drug cisplatin.

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