Tohoku J. Exp. Med., 2009, 219(3)

Invited Review for the 90th Anniversary

Cisplatin Ototoxicity and Protection: Clinical and Experimental Studies

LEONARD P RYBAK,1,2 DEBASHREE MUKHERJEA,1,2 SARVESH JAJOO2 and VICKRAM RAMKUMAR2

1Department of Surgery, Southern Illinois University School of Medicine, Springfield, IL, USA
2Department of Pharmacology, Southern Illinois University School of Medicine, Springfield, IL, USA

Cisplatin is a chemotherapeutic agent that is widely used to treat a variety of malignant tumors. Serious dose-limiting side effects like ototoxicity, nephrotoxicity and neurotoxicity occur with the use of this agent. This review summarizes recent important clinical and experimental investigations of cisplatin ototoxicity. It also discusses the utility of protective agents employed in patients and in experimental animals. The future strategies for limiting cisplatin ototoxicity will need to avoid interference with the therapeutic effect of cisplatin in order to enhance the quality of life of patients receiving this important anti-tumor agent.

keywords —— ototoxicity; cisplatin; cochlea; protection; mechanisms.

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Tohoku J. Exp. Med., 2009, 219, 177-186

Correspodence: Leonard P Rybak , Department of Surgery, Division of Otolaryngology, Southern Illinois University School of Medicine, 747 North. Rutledge Street, Fifth Floor, P.O. Box 19649, Springfield, IL, U.S.A.

e-mail: lrybak@siumed.edu