Safety of transtympanic application of probiotics in a chinchilla animal model

Abstract Background Chronic suppurative otitis media can be recalcitrant and difficult to treat, particularly with the increasing occurrence of antibiotic resistance. Lactobacillus plantarum is a probiotic that has been shown to decrease S. aureus and P. aeruginosa growth in wounds, making it a good...

Full description

Bibliographic Details
Main Authors: Carol Nhan, Aren Bezdjian, Shyamali Saha, Satya Prakash, Lily H. P. Nguyen, Sam J. Daniel
Format: Article
Language:English
Published: BMC 2017-11-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-017-0242-y
_version_ 1797967390699421696
author Carol Nhan
Aren Bezdjian
Shyamali Saha
Satya Prakash
Lily H. P. Nguyen
Sam J. Daniel
author_facet Carol Nhan
Aren Bezdjian
Shyamali Saha
Satya Prakash
Lily H. P. Nguyen
Sam J. Daniel
author_sort Carol Nhan
collection DOAJ
description Abstract Background Chronic suppurative otitis media can be recalcitrant and difficult to treat, particularly with the increasing occurrence of antibiotic resistance. Lactobacillus plantarum is a probiotic that has been shown to decrease S. aureus and P. aeruginosa growth in wounds, making it a good candidate for the treatment of chronic suppurative otitis media. However, before it can be applied in the ear, its ototoxicity potential must be evaluated. Methods A prospective controlled trial was conducted in a chinchilla animal model at the Animal care research facilities of the Montreal Children’s Hospital Research Institute to determine whether Lactobacillus plantarum is ototoxic when applied transtympanically. Ten chinchillas each had one ear randomly assigned to receive 109 CFU/mL of Lactobacillus plantarum solution, while the contralateral ear received saline. Auditory brainstem responses were measured bilaterally at 8, 20, 25 kHz before, at 7–10 days after application, and at 28 days after application of probiotic or saline. Facial nerve and vestibular function were assessed clinically. Results There were no statistically significant differences in hearing thresholds between control and experimental ears at 28 days after application. A difference of 11 dB was noted in the 25 kHz range at day 7–10, but resolved by day 28. No animals receiving probiotics developed vestibular nerve dysfunction. There was no histologic evidence of auditory hair cell damaged evidenced by scanning electron microscopy. Conclusion Our study suggests that a single application of Lactobacillus plantarum at 109 CFU/mL does not cause ototoxicity in a chinchilla animal model. These preliminary safety evaluations and the pathogen inhibitory effects of L. plantarum demonstrated by previous studies present this probiotic as a candidate of interest for further investigation.
first_indexed 2024-04-11T02:29:23Z
format Article
id doaj.art-a47eaef0a3f84f82bb137534a03ff9b9
institution Directory Open Access Journal
issn 1916-0216
language English
last_indexed 2024-04-11T02:29:23Z
publishDate 2017-11-01
publisher BMC
record_format Article
series Journal of Otolaryngology - Head and Neck Surgery
spelling doaj.art-a47eaef0a3f84f82bb137534a03ff9b92023-01-02T21:42:29ZengBMCJournal of Otolaryngology - Head and Neck Surgery1916-02162017-11-014611610.1186/s40463-017-0242-ySafety of transtympanic application of probiotics in a chinchilla animal modelCarol Nhan0Aren Bezdjian1Shyamali Saha2Satya Prakash3Lily H. P. Nguyen4Sam J. Daniel5Department of Otolaryngology – Head & Neck Surgery and McGill Auditory Sciences Laboratory, The Montréal Children’s Hospital, McGill UniversityDepartment of Experimental Surgery and McGill Auditory Sciences Laboratory, The Montréal Children’s Hospital, McGill UniversityDepartments of Biomedical Engineering, Physiology, and Artificial Cells and Organs Research Center, Biomedical Technology and Cell Therapy Research Laboratory, McGill UniversityDepartments of Biomedical Engineering, Physiology, and Artificial Cells and Organs Research Center, Biomedical Technology and Cell Therapy Research Laboratory, McGill UniversityDepartment of Otolaryngology – Head & Neck Surgery and Center for Medical Education, McGill UniversityDepartment of Otolaryngology – Head & Neck Surgery and McGill Auditory Sciences Laboratory, The Montréal Children’s Hospital, McGill UniversityAbstract Background Chronic suppurative otitis media can be recalcitrant and difficult to treat, particularly with the increasing occurrence of antibiotic resistance. Lactobacillus plantarum is a probiotic that has been shown to decrease S. aureus and P. aeruginosa growth in wounds, making it a good candidate for the treatment of chronic suppurative otitis media. However, before it can be applied in the ear, its ototoxicity potential must be evaluated. Methods A prospective controlled trial was conducted in a chinchilla animal model at the Animal care research facilities of the Montreal Children’s Hospital Research Institute to determine whether Lactobacillus plantarum is ototoxic when applied transtympanically. Ten chinchillas each had one ear randomly assigned to receive 109 CFU/mL of Lactobacillus plantarum solution, while the contralateral ear received saline. Auditory brainstem responses were measured bilaterally at 8, 20, 25 kHz before, at 7–10 days after application, and at 28 days after application of probiotic or saline. Facial nerve and vestibular function were assessed clinically. Results There were no statistically significant differences in hearing thresholds between control and experimental ears at 28 days after application. A difference of 11 dB was noted in the 25 kHz range at day 7–10, but resolved by day 28. No animals receiving probiotics developed vestibular nerve dysfunction. There was no histologic evidence of auditory hair cell damaged evidenced by scanning electron microscopy. Conclusion Our study suggests that a single application of Lactobacillus plantarum at 109 CFU/mL does not cause ototoxicity in a chinchilla animal model. These preliminary safety evaluations and the pathogen inhibitory effects of L. plantarum demonstrated by previous studies present this probiotic as a candidate of interest for further investigation.http://link.springer.com/article/10.1186/s40463-017-0242-yProbioticOtitisOtotoxicityTranstympanicChinchilla
spellingShingle Carol Nhan
Aren Bezdjian
Shyamali Saha
Satya Prakash
Lily H. P. Nguyen
Sam J. Daniel
Safety of transtympanic application of probiotics in a chinchilla animal model
Journal of Otolaryngology - Head and Neck Surgery
Probiotic
Otitis
Ototoxicity
Transtympanic
Chinchilla
title Safety of transtympanic application of probiotics in a chinchilla animal model
title_full Safety of transtympanic application of probiotics in a chinchilla animal model
title_fullStr Safety of transtympanic application of probiotics in a chinchilla animal model
title_full_unstemmed Safety of transtympanic application of probiotics in a chinchilla animal model
title_short Safety of transtympanic application of probiotics in a chinchilla animal model
title_sort safety of transtympanic application of probiotics in a chinchilla animal model
topic Probiotic
Otitis
Ototoxicity
Transtympanic
Chinchilla
url http://link.springer.com/article/10.1186/s40463-017-0242-y
work_keys_str_mv AT carolnhan safetyoftranstympanicapplicationofprobioticsinachinchillaanimalmodel
AT arenbezdjian safetyoftranstympanicapplicationofprobioticsinachinchillaanimalmodel
AT shyamalisaha safetyoftranstympanicapplicationofprobioticsinachinchillaanimalmodel
AT satyaprakash safetyoftranstympanicapplicationofprobioticsinachinchillaanimalmodel
AT lilyhpnguyen safetyoftranstympanicapplicationofprobioticsinachinchillaanimalmodel
AT samjdaniel safetyoftranstympanicapplicationofprobioticsinachinchillaanimalmodel