Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway

Although previous studies continuously report an increased risk of hearing loss in diabetes patients, the impact of the disease on the inner ear remains unexplored. Herein, we examine the pathophysiology of diabetes-associated hearing impairment and cochlear synaptopathy in a mouse model of diabetes...

Full description

Bibliographic Details
Main Authors: Ah-Ra Lyu, Tae-Hwan Kim, Sun-Ae Shin, Eung-Hyub Kim, Yang Yu, Akanksha Gajbhiye, Hyuk-Chan Kwon, A Reum Je, Yang Hoon Huh, Min Jung Park, Yong-Ho Park
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/16/8807
_version_ 1797523607784521728
author Ah-Ra Lyu
Tae-Hwan Kim
Sun-Ae Shin
Eung-Hyub Kim
Yang Yu
Akanksha Gajbhiye
Hyuk-Chan Kwon
A Reum Je
Yang Hoon Huh
Min Jung Park
Yong-Ho Park
author_facet Ah-Ra Lyu
Tae-Hwan Kim
Sun-Ae Shin
Eung-Hyub Kim
Yang Yu
Akanksha Gajbhiye
Hyuk-Chan Kwon
A Reum Je
Yang Hoon Huh
Min Jung Park
Yong-Ho Park
author_sort Ah-Ra Lyu
collection DOAJ
description Although previous studies continuously report an increased risk of hearing loss in diabetes patients, the impact of the disease on the inner ear remains unexplored. Herein, we examine the pathophysiology of diabetes-associated hearing impairment and cochlear synaptopathy in a mouse model of diabetes. Male B6.BKS(D)-<i>Lepr</i><sup>db</sup>/J (db/db, diabetes) and heterozygote (db/+, control) mice were assigned into each experimental group (control vs. diabetes) based on the genotype and tested for hearing sensitivity every week from 6 weeks of age. Each cochlea was collected for histological and biological assays at 14 weeks of age. The diabetic mice exerted impaired hearing and a reduction in cochlear blood flow and C-terminal-binding protein 2 (CtBP2, a presynaptic ribbon marker) expression. Ultrastructural images revealed severely damaged mitochondria from diabetic cochlea accompanied by a reduction in Cytochrome c oxidase subunit 4 (COX4) and CR6-interacting factor 1 (CRIF1). The diabetic mice presented significantly decreased levels of platelet endothelial cell adhesion molecule (PECAM-1), B-cell lymphoma 2 (BCL-2), and procaspase-9, but not procaspase-8. Importantly, significant changes were not found in necroptotic programmed cell death markers (receptor-interacting serine/threonine-protein kinase 1, RIPK1; RIPK3; and mixed lineage kinase domain-like pseudokinase, MLKL) between the groups. Taken together, diabetic hearing loss is accompanied by synaptopathy, microangiopathy, damage to the mitochondrial structure/function, and activation of the intrinsic apoptosis pathway. Our results imply that mitochondrial dysfunction is deeply involved in diabetic hearing loss, and further suggests the potential benefits of therapeutic strategies targeting mitochondria.
first_indexed 2024-03-10T08:45:22Z
format Article
id doaj.art-f9e45ee6a22c4ad98d3f10e38b8e8815
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-10T08:45:22Z
publishDate 2021-08-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-f9e45ee6a22c4ad98d3f10e38b8e88152023-11-22T08:00:44ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-08-012216880710.3390/ijms22168807Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis PathwayAh-Ra Lyu0Tae-Hwan Kim1Sun-Ae Shin2Eung-Hyub Kim3Yang Yu4Akanksha Gajbhiye5Hyuk-Chan Kwon6A Reum Je7Yang Hoon Huh8Min Jung Park9Yong-Ho Park10Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon 35015, KoreaBiomedical Convergence Research Center, Chungnam National University Hospital, Daejeon 35015, KoreaBrain Research Institute, College of Medicine, Chungnam National University, Daejeon 35015, KoreaDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon 35015, KoreaDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon 35015, KoreaDepartment of Medical Science, College of Medicine, Chungnam National University, Daejeon 35015, KoreaDepartment of Medical Science, College of Medicine, Chungnam National University, Daejeon 35015, KoreaElectron Microscopy Research Center, Korea Basic Science Institute, Cheongju 28119, KoreaElectron Microscopy Research Center, Korea Basic Science Institute, Cheongju 28119, KoreaDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon 35015, KoreaDepartment of Otolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon 35015, KoreaAlthough previous studies continuously report an increased risk of hearing loss in diabetes patients, the impact of the disease on the inner ear remains unexplored. Herein, we examine the pathophysiology of diabetes-associated hearing impairment and cochlear synaptopathy in a mouse model of diabetes. Male B6.BKS(D)-<i>Lepr</i><sup>db</sup>/J (db/db, diabetes) and heterozygote (db/+, control) mice were assigned into each experimental group (control vs. diabetes) based on the genotype and tested for hearing sensitivity every week from 6 weeks of age. Each cochlea was collected for histological and biological assays at 14 weeks of age. The diabetic mice exerted impaired hearing and a reduction in cochlear blood flow and C-terminal-binding protein 2 (CtBP2, a presynaptic ribbon marker) expression. Ultrastructural images revealed severely damaged mitochondria from diabetic cochlea accompanied by a reduction in Cytochrome c oxidase subunit 4 (COX4) and CR6-interacting factor 1 (CRIF1). The diabetic mice presented significantly decreased levels of platelet endothelial cell adhesion molecule (PECAM-1), B-cell lymphoma 2 (BCL-2), and procaspase-9, but not procaspase-8. Importantly, significant changes were not found in necroptotic programmed cell death markers (receptor-interacting serine/threonine-protein kinase 1, RIPK1; RIPK3; and mixed lineage kinase domain-like pseudokinase, MLKL) between the groups. Taken together, diabetic hearing loss is accompanied by synaptopathy, microangiopathy, damage to the mitochondrial structure/function, and activation of the intrinsic apoptosis pathway. Our results imply that mitochondrial dysfunction is deeply involved in diabetic hearing loss, and further suggests the potential benefits of therapeutic strategies targeting mitochondria.https://www.mdpi.com/1422-0067/22/16/8807cochlear mitochondriamicroangiopathysynaptopathysensory lossapoptosisnecroptosis
spellingShingle Ah-Ra Lyu
Tae-Hwan Kim
Sun-Ae Shin
Eung-Hyub Kim
Yang Yu
Akanksha Gajbhiye
Hyuk-Chan Kwon
A Reum Je
Yang Hoon Huh
Min Jung Park
Yong-Ho Park
Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway
International Journal of Molecular Sciences
cochlear mitochondria
microangiopathy
synaptopathy
sensory loss
apoptosis
necroptosis
title Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway
title_full Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway
title_fullStr Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway
title_full_unstemmed Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway
title_short Hearing Impairment in a Mouse Model of Diabetes Is Associated with Mitochondrial Dysfunction, Synaptopathy, and Activation of the Intrinsic Apoptosis Pathway
title_sort hearing impairment in a mouse model of diabetes is associated with mitochondrial dysfunction synaptopathy and activation of the intrinsic apoptosis pathway
topic cochlear mitochondria
microangiopathy
synaptopathy
sensory loss
apoptosis
necroptosis
url https://www.mdpi.com/1422-0067/22/16/8807
work_keys_str_mv AT ahralyu hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT taehwankim hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT sunaeshin hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT eunghyubkim hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT yangyu hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT akankshagajbhiye hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT hyukchankwon hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT areumje hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT yanghoonhuh hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT minjungpark hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway
AT yonghopark hearingimpairmentinamousemodelofdiabetesisassociatedwithmitochondrialdysfunctionsynaptopathyandactivationoftheintrinsicapoptosispathway