Acute In Vitro and In Vivo Effects of Dexamethasone in the Vocal Folds: a Pilot Study

地塞米松对声带的急性体外和体内影响:一项初步研究

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作者:Gary Gartling, Ryosuke Nakamura, Lea Sayce, Zachary Zimmerman, Alysha Slater, Azure Wilson, Renjie Bing, Ryan C Branski, Bernard Rousseau

Conclusion

Dexamethasone increased atrogene expression in TA myoblasts, providing foundational insight into GC induced atrophic gene transcription. Repeated dexamethasone injections may be required to elicit atrophy in vivo. Level of evidence: NA Laryngoscope, 133:2264-2270, 2023.

Methods

TA myoblasts were isolated from a female Sprague-Dawley rat and treated with 1 μM dexamethasone for 24-h. In vivo, 15 New Zealand white rabbits were randomly assigned to three treatment groups: (1) bilateral intracordal injection of 40 μL dexamethasone (10 mg/ml; n = 5), (2) volume-matched saline (n = 5), and (3) untreated controls (n = 5). Larynges were harvested 7-days post-injection. Across in vivo and in vitro experimentation, MuRF-1 and Atrogin-1 mRNA expression were measured via RT-qPCR. TA muscle fiber cross-sectional area (CSA) and epithelial thickness were also quantified in vivo.

Results

Dexamethasone increased MuRF-1 gene expression in TA myoblasts. Dexamethasone injection, however, did not alter atrophy-associated gene expression, TA CSA, or epithelial thickness in vivo.

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