viernes, 5 de octubre de 2012

A dose–response analysis of the effects of L-baclofen on chronic tinnitus caused by acoustic trauma in rats


Abstract

Subjective tinnitus is a chronic neurological disorder in which phantom sounds are perceived.  


Drugs that increase GABAergic neurotransmission in the CNS are sometimes used as a treatment. 

One such drug is the GABAB receptor agonist L-baclofen. 

The aim of this study was to investigate the effects of L-baclofen on the psychophysical attributes of tinnitus in rats.

The effects of 1, 3 or 5 mg/kg L-baclofen (s.c.) on the psychophysical attributes of tinnitus were investigated using a conditioned lick suppression model, following acoustic trauma (a 16 kHz, 110 dB pure tone presented unilaterally for 1 h) in rats. 

In pre-drug testing, acoustic trauma resulted in a significant increase in the auditory brainstem-evoked response (ABR) threshold in the affected ear (P < 0.008) and a significant decrease in the suppression ratio (SR) compared to sham controls in response to the 20 kHz tones, but not the broadband noise or the 10 kHz tones (P < 0.002). 

The 3 and 5 mg/kg doses of L-baclofen significantly reversed the frequency-specific decrease in the SR in the acoustic trauma group, indicating that the drug reduced tinnitus.

Following washout from the 3 mg/kg dose, but not the 5 mg/kg dose, the significant decrease in the SR for the acoustic trauma group returned, suggesting a return of the tinnitus

These results suggest that L-baclofen should be reconsidered as a drug treatment for tinnitus.

This article is part of a Special Issue entitled ‘Post-Traumatic Stress Disorder’.





Highlights

► We tested whether the GABAB receptor agonist L-baclofen could reduce tinnitus
Tinnitus was induced in rats using acoustic trauma. 
► L-baclofen significantly reversed the frequency-specific tinnitus. ► L-baclofen may be useful as a treatment for tinnitus.

Abbreviations

  • SR, suppression ratio;
  • ABR, auditory brainstem evoked response;
  • SPL, sound pressure level;
  • BBN, broad band noise

Figures and tables from this article:
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Fig. 1. Examples of ABR recordings (A: pre-exposure and B: post-exposure recorded in response to a 20 kHz, 60 dB SPL tone) and ABR thresholds (C) for the ipsilateral and contralateral ears of acoustic trauma-exposed and sham control animals before and after exposure, as a function of intensity in dB SPL and frequency in kHz. Bars represent means +1 SE.
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Fig. 2. SRs for the acoustic trauma-exposed and sham control animals before any drug or vehicle administration, as a function of intensity in dB SPL and frequency in Hz: Broadband noise (BBN), 10 kHz and 20 kHz. Symbols represent means ±1 SE. In this and the following figures, 0 dB represents silence.
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Fig. 3. Summary of SRs for the acoustic trauma-exposed and sham control animals following different treatments, as a function of intensity in dB SPL at 20 kHz. Symbols represent means ±1 SE.
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Fig. 4. SRs for the acoustic trauma-exposed and sham control animals following the 3 mg/kg s.c. L-baclofen administration, as a function of intensity in dB SPL and frequency in Hz: Broadband noise (BBN), 10 kHz and 20 kHz. Symbols represent means ±1 SE.
Full-size image (51 K)
Fig. 5. SRs for the acoustic trauma-exposed and sham control animals following the 5 mg/kg s.c. L-baclofen administration, as a function of intensity in dB SPL and frequency in Hz: Broadband noise (BBN), 10 kHz and 20 kHz. Symbols represent means ±1 SE.

Authors
Corresponding author contact information
Corresponding author. Department of Pharmacology and Toxicology, School of Medical Sciences, University of Otago Medical School, P.O. Box 913, Dunedin, New Zealand. Tel.: +64 3 4795747; fax: +64 3 4799140.
1
These authors contributed equally to this work.

Fuente: 
Volume 62, Issue 2, February 2012, Pages 940–946
Post-Traumatic Stress Disorder

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