Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 34 Issue: 2

Is Gentamicin-Induced Ototoxicity Reversible with Delayed Administration of Nigella Sativa Oil? An Experimental Study

Bilge Tuna(Bursa City Training and Research Hospital Otorhinolaryngology Department)0000-0001-6890-133X
Gökhan Tüzemen(Bursa City Training and Research Hospital Otorhinolaryngology Department)0000-0001-9358-2019
Pages
—
Publication Date
2024-06-10
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The results suggest the delayed administration of NSO within a period of 30 days, whether earlier or later, to be able to effectively reverse the GM-induced ototoxic effects.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: Gentamicin (GM) is a potent antibiotic but is known to cause irreversible ototoxic effects.
📊
Key Findings & Data:All groups received intraperitoneal (i.p.) GM (120 mg/kg i.p.) for a duration of 10 days.
💡
Conclusion & Impact:Conclusion: The results suggest the delayed administration of NSO within a period of 30 days, whether earlier or later, to be able to effectively reverse the GM-induced ototoxic effects.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Gentamicin · nigella sativa oil · ototoxicity

Abstract

Objective: Gentamicin (GM) is a potent antibiotic but is known to cause irreversible ototoxic effects. Nigella sativa oil (NSO) can offer protective prophylaxis against ototoxicity when administered prior to GM treatment. This study aims to assess the impact of delayed NSO administration on GM-induced ototoxicity using the auditory brainstem response (ABR) test. Material and Methods: Adult male Sprague-Dawley rats were randomly divided into three groups, each consisting of six animals. All groups received intraperitoneal (i.p.) GM (120 mg/kg i.p.) for a duration of 10 days. The first two groups were given 0.3 ml/kg/day NSO for five days, while the third group received 0.9% saline for the same duration. Group 1 involves the early administration of NSO (NSOE) 10 days after starting GM, Group 2 involves the late administration of NSO (NSOL) 25 days after starting GM, and Group 3 is the saline (control) group. Hearing thresholds were recorded for both ears prior to treatment initiation and again 30 days after the start of treatment. Results: Two rats expired and were excluded from the study. A total of 64 ABR test results were obtained. No difference was found between the pre- and post-treatment ABR values in Groups 1 and 2. However, a significant increase in ABR thresholds was observed only in Group 3. A significant difference was found in post-treatment hearing thresholds (p<0.001) between Group 3 and the other two groups. Conclusion: The results suggest the delayed administration of NSO within a period of 30 days, whether earlier or later, to be able to effectively reverse the GM-induced ototoxic effects.

🔖

Cite This Article

Tuna, B., Tüzemen, G. (2024). Is Gentamicin-Induced Ototoxicity Reversible with Delayed Administration of Nigella Sativa Oil? An Experimental Study. The Turkish Journal of Ear Nose and Throat, Volume: 34 Issue: 2. https://doi.org/10.26650/Tr-ENT.2024.1426956

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (23)

  1. Unal OF, Ghoreishi SM, Atas A, Akyürek N, Akyol G, Gürsel B. Prevention of Gentamicin-induced ototoxicity by trimetazidine in animal model. Int J Pediatr Otorhinolaryngol 2005;69(2):193-9. google scholar
  2. Xie J, Talaska AE, Schacht J. New developments in aminoglycoside therapy and ototoxicity. Hear Res 2011;281(1-2):28-37. google scholar
  3. Edizer DT, Yiğit O, Çınar Z, Gül M, Kara E, Yiğitcan B, et al. Protective role of intratympanic nigella sativa oil against gentamicin-induced hearing loss. Int J Pediatr Otorhinolaryngol 2017;97:83-8. google scholar
  4. Wu WJ, Sha SH, McLaren JD, Kawamoto K, Raphael Y, Schacht J. Aminoglycoside ototoxicity in adult CBA, C57BL and BALB mice and the Sprague-Dawley rat. Hear Res 2001;158(1-2):165-78. google scholar
  5. Alsuhaibani AAM. Effect of Nigella sativa against cisplatin-induced nephrotoxicity in rats. Ital J Food Saf 2018;7(2):7242. google scholar
  6. Arslan S, Gelir E, Armutcu F, Coskun Ö, Gurel A, Sayan H, et al. The protective effect of thymoquinone on ethanol-induced acute gastric damage in the rats. Nutrit Res 2005;25(7):673-7. google scholar
  7. Kökten N, Eğilmez OK, Ekici AID, Kalcıoğlu MT, Tekin M, Yeşilada E. The effect of nigella sativa oil on prevention of myringosclerosis in a guinea pig model. Int J Pediatr Otorhinolaryngol 2016;88:52-7. google scholar
  8. Sagit M, Korkmaz F, Gürgen SG, Kaya M, Akçadağ A. The protective role of thymoquinone in the prevention of gentamicin ototoxicity. Am J of HN Surg 2014;35:603-9. google scholar
  9. Tuna B, Tüzemen G. Protective effects of nigella sativa oil against gentamicin-induced ototoxicity in rats: a dose-ranging study. Int J Pediatr Otorhinolaryngol 2023;164:111405. google scholar
  10. Tanoshima R, Khan A, Biala AK. Analyses of Adverse Drug Reactions Nationwide Active Surveillance Network: Canadian Pharmacogenomics Network for Drug Safety Database. J Clin Pharmacol 2019;59(3):356-63. google scholar
  11. Rajput K, Edwards L, Brock P, Abiodun A, Simpkin P, Al-Malky G. Ototoxicity-induced hearing loss and quality of life in survivors of pediatric cancer. Int J Pediatr Otorhinolaryngol, 2020;138:110401. google scholar
  12. Lanvers-Kaminsky C, Zehnhoff-Dinnesen AA, Parfitt R, Ciarimboli G. Drug-induced ototoxicity: Mechanisms, Pharmacogenetics, and protective strategies. Clin Pharmacol Ther 2017;101(4):491-500. google scholar
  13. Rizk HG, Lee JA, Liu YF, Endriukaitis L, Isaac JL, Bullington WM. Drug-Induced Ototoxicity: A Comprehensive Review and Reference Guide Bullington. Pharmacotherapy 2020;40(12):1265-75. google scholar
  14. Hamed SA. The auditory and vestibular toxicities induced by antiepileptic drugs. Expert Opinion on Drug Safety 2017;16(11):1281-94. google scholar
  15. Meyers RM. Ototoxic effects of gentamicin. Arch Otolaryngol 1970;92(2):160-2. google scholar
  16. Lesniak W, Pecoraro VL, Schacht J. Ternary complexes of gentamicin with iron and lipid catalyze formation of reactive oxygen species. Chem Res Toxicol 2005;18(2):357-64. google scholar
  17. Prezant TR, Agapian JV, Bohlman MC, Bu X, Oztas S, Qiu WQ, et al. Mitochondrial ribosomal RNA mutation associated with both antibiotic-induced and non-syndromic deafness. Nat Genet 1993;4(3):289-94. google scholar
  18. Ali BH, Blunden G. Pharmacological and toxicological properties of Nigella sativa. Phytother Res 2003;17(4):299-305. google scholar
  19. Burits M, Bucar F. Antioxidant activity of Nigella sativa essential oil. Phytother Res 2000;14(5):323-8. google scholar
  20. Kanter M, Coskun O, Uysal H. The antioxidative and antihistaminic effect of Nigella sativa and its major constituent, thymoquinone, on ethanol-induced gastric mucosal damage. Arch Toxicol 2006;80(4):217-7. google scholar
  21. Kooti W, Hasanzadeh-Noohi Z, Sharafi-Ahvazi N, Asadi-Samani M, Ashtary-Larky D. Phytochemistry, pharmacology, and therapeutic uses of black seed (Nigella sativa). Chin J Nat Med 2016;14(10):732-45. google scholar
  22. Jaswal A, Sharma M, Raghuvanshi S, Sharma S, Reshi MS, Uthra C, et al. Therapeutic Efficacy of Nigella Sativa Linn. against Antituberculosis Drug-Induced Hepatic Injury in Wistar Rats. J Environ Pathol Toxicol Oncol 2016;35(1):59-71. google scholar
  23. Hassana SS, Razzaquec A, Ahmad Z, Pazdernik V, Amin SN. Does post-treatment thymoquinone reverse high-dose, atorvastatin-induced hepatic oxidative injury in rats? Can J Physiol Pharmacol 2018;96(1):51-9. google scholar