Hearing Research 166 (2002) 24^32
www.elsevier.com/locate/heares
Susceptibility to the ototoxic properties of toluene is species speci¢c
Rickie R. Davis a;e; , William J. Murphy a , John E. Snawder c , Cynthia A.F. Striley c ,
Donald Henderson f , Amir Khan b , Edward F. Krieg d
a
c
d
Hearing Loss Prevention Section, Engineering and Physical Hazards Branch, National Institute for Occupational Safety and Health,
4676 Columbia Parkway, Cincinnati, OH 45226, USA
b
Control Technology Section, Engineering and Physical Hazards Branch, National Institute for Occupational Safety and Health,
4676 Columbia Parkway, Cincinnati, OH 45226, USA
Biological Monitoring Laboratory Section, Biomonitoring and Health Assessment Branch, National Institute for Occupational Safety and Health,
4676 Columbia Parkway, Cincinnati, OH 45226, USA
Monitoring Research and Statistics Activity, Division of Applied Research and Technology, National Institute for Occupational Safety and Health,
4676 Columbia Parkway, Cincinnati, OH 45226, USA
e
Department of Biological Sciences, University of Cincinnati, Cincinnati, OH, USA
f
Hearing Research Laboratory, State University of New York, Bu¡alo, NY, USA
Received 23 July 2001; accepted 28 November 2001
Abstract
Toluene is the most widely used industrial solvent. It has been shown to be ototoxic in mice and rats, and to increase permanent
threshold shift in conjunction with exposure to noise. Chinchillas are widely used for studying noise effects on the cochlea. The
present study was initiated to study toluene and noise interaction in chinchillas. Thirty-three chinchillas were exposed to a 95 dBA
500 Hz octave band noise plus 2000 ppm toluene, 8 or 12 h per day for 10 days. Auditory function was estimated using the
auditory brainstem response (ABR) to tones between 500 Hz and 16 kHz. There was no effect on the ABR of toluene alone. Noise
alone produced a threshold shift. There was no interaction of noise and toluene on the ear. The present study suggests that
chinchillas are markedly less susceptible to the ototoxic effect of toluene than mice and rats. A working hypothesis as to the species
differences was that chinchilla liver was able to detoxify the toluene. Hepatic microsomes from chinchillas, rats and humans were
tested for their ability to convert toluene to the more water-soluble compound ^ benzyl alcohol. Chinchilla livers were found to
contain more of the P450 enzymes CYP2E1 and CYP2B than rats or humans. In addition, the data show that the P450 enzymes
are more active in chinchillas than in rats and humans. In conclusion, the results suggest that rats and mice are a more appropriate
model for human toluene ototoxicity. However, chinchillas may provide a valuable model for investigating how ototoxic agents
can be detoxified to less damaging compounds. = 2002 Elsevier Science B.V. All rights reserved.
Key words: Ototoxicity; Toluene; Hepatic microsome; CYP2E1; CYP2B; Chinchilla
1. Introduction
Toluene is a colorless liquid at room temperature
with the familiar odor of ‘airplane glue’. One of the
most commonly used industrial solvents in the world,
* Corresponding author. Tel.: +1 (513) 533-8142;
Fax: +1 (513) 533-8139.
E-mail address: rrd1@cdc.gov (R.R. Davis).
toluene is often abused by inhalation for its euphoric
high. It is not considered carcinogenic (Dorsey and Donohue, 1994). Toluene, being a gas at body temperature, is removed quickly from the tissues of animal or
human via the circulation.
Solvents have long been suspected to be ototoxic
agents. Human epidemiology studies have shown a
greater risk for hearing loss among workers exposed
to carbon disul¢de (Morata, 1989) and toluene (Morata
et al., 1997) than non-exposed workers. For a review of
the human literature see Franks and Morata (1996).
Animal studies in rats and mice have also shown that
0378-5955 / 02 / $ ^ see front matter = 2002 Elsevier Science B.V. All rights reserved.
PII: S 0 3 7 8 - 5 9 5 5 ( 0 2 ) 0 0 2 8 0 - 0
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
exposure to toluene alone leads to destruction of the
outer hair cells of the organ of Corti (Sullivan et al.,
1988; Johnson and Canlon, 1994; Li, 1992). These
changes lead to a reduction in the auditory brainstem
response (ABR). Exposure to toluene followed by exposure to noise interacted to increase the permanent
threshold shift over toluene alone in rats (Johnson et
al., 1990; Rebert et al., 1983). Campo et al. (1999)
detected toluene in the rat organ of Corti but were
not able to measure it. Lataye and Campo (1997) reported synergism between toluene and noise in the rat
ear.
The experimental literature shows relatively large interspecies e¡ects. Campo et al. (1993) exposed groups
of guinea pigs to (1) 1000 ppm toluene via inhalation
for 2 weeks, or (2) to an 85 dB one-third octave band
noise for 8 days, or (3) to toluene plus noise, or (4) to
air alone (control). They were not able to demonstrate
an ototoxic e¡ect of toluene or an additive e¡ect of
toluene with noise. In a personal communication,
Brummett indicated that guinea pigs receiving chronic
intraperitoneal injections of toluene did not sustain a
reduction in cochlear microphonics. On the other hand,
Liu and Fechter (1997) showed in vitro that toluene at
100 WM disrupts intracellular calcium levels and cell
morphology in isolated outer hair cells of guinea pigs
showing that the guinea pig ear is not intrinsically insensitive to the e¡ects of toluene.
The present study was conducted to determine if
chinchillas would be a valid model for toluene ototoxicity. Because its audiogram more closely aligns with
the human (Fay, 1988) and the cochlea is easily harvested, the chinchilla has been used extensively for
noise-induced hearing loss experiments for over 30
years.
Previous studies with rats exposed the animals to
toluene and noise sequentially (Johnson et al., 1988,
1990) and reported a hearing loss that was greater
than addition of the two exposures. A simultaneous
exposure to noise and toluene was proposed since it
more closely mimics an occupational environmental exposure and stresses the cochlea with noise while toluene
is at its maximum concentration.
When little ototoxic e¡ect was seen in the chinchilla
to toluene in the ¢rst series of exposures in the present
study, a positive control experiment with rats was conducted, whose results are also reported here. A third
study was conducted to examine the mechanism that
protected the chinchilla hearing from the ototoxic effects of toluene. The chinchilla’s liver cytochrome P450
system was hypothesized to be more e¡ective than that
of the rat. The detoxifying properties of chinchilla and
rat liver microsomes were compared to human liver
microsomes. The results of the microsome experiments
are also reported here.
25
2. Materials and methods
2.1. Subjects
Chinchillas were adults born in the National Institute
for Occupational Safety and Health (NIOSH) colony.
They were fed Purina Chinchilla Chow. Surgical, test
and exposure procedures were approved by the State
University of New York (SUNY)-Bu¡alo Animal
Care and Use Committee under protocol COM05080N and by the NIOSH Animal Care and Use
Committee under protocol C73DAV. Every day, animals were weighed prior to the exposure. Each animal
was examined by experienced animal sta¡ prior to and
after each exposure session to detect any exposure-related signs. All procedures were conducted under the
supervision of a sta¡ veterinarian. SUNY-Bu¡alo and
NIOSH animal facilities were AAALAC accredited.
2.1.1. ABR test procedures
The initial set (¢rst exposure) of 22 chinchillas were
implanted at the SUNY-Bu¡alo Hearing Research Laboratories and pre-exposure ABRs were measured. The
adult chinchillas were monauralized via left cochlear
destruction and implanted with chronic electrodes in
the inferior colliculus and central sulcus region (Henderson et al., 1969). The animals were tested for auditory-evoked potentials and were then transported by
automobile to NIOSH Taft Laboratories in Cincinnati.
The SUNY-Bu¡alo procedure has previously been described by Bancroft et al. (1991). Brie£y, 10 ms (5 ms
rise/decay time) tone bursts (0.5, 1, 2, 4, 8 and 16 kHz)
with 100 ms interstimulus interval were presented in the
free ¢eld. Chinchillas were awake and restrained by a
collar. Potentials from the electrodes were ampli¢ed by
a Grass 511 ampli¢er and digitized by a Loughborough
DSP board. The ABR was collected and analyzed by
custom software running on a PC computer.
Another 11 chinchillas (second exposure) were implanted and tested at NIOSH. Chronic electrodes
were implanted as above, but subjects were not monoauralized. Upon recovery chinchillas were tested awake
and restrained (Snyder and Salvi, 1994). The contralateral pinna was cleaned with an alcohol swab and a
Grass0 gold earlobe cup electrode with conductive gel
was clipped onto the pinna and attached to the ground
input. Unless otherwise noted all ABR-related equipment was from Tucker-Davis Technologies (TDT,
Gainesville, FL, USA). Stimuli were generated by BioSig ABR (TDT) software. Tone bursts (5 ms rise/fall
time, Blackman windowed, alternate phase) at 0.5, 1, 2,
4, 8, and 16 kHz were played to the right ear through
an Etymotic Research ER-3 insert earphone. Attenuation was provided to the left ear by a second ER-3
earphone.
26
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
Fig. 1. Schematic diagram of the vapor generation system. The glass hypodermic syringe body provides a reservoir of toluene with a constant
pressure for the feed pump. This keeps the £ow of toluene constant into the chamber.
Electrophysiologic signals were ampli¢ed by a Grass
P511 biological ampli¢er and then sampled by an analog-to-digital converter. Up to 512 responses were averaged. The time window for the response was 20 ms.
Baseline pre-exposure thresholds were obtained three
separate times. Post-exposure measures were made on
days 1, 3, 7, 14 and 30 after the last exposure.
In addition, distortion product otoacoustic emissions
(DPOEs) were measured for each chinchilla. However,
the results of the DPOEs paralleled those of the ABRs
and will not be presented here.
2.1.2. Determination of exposure levels
Pilot studies were conducted for levels of 2000^
4000 ppm toluene to determine safe exposure levels.
Generally chinchillas survived exposure to 2250 and
2500 ppm but died of secondary e¡ects after a number
of days in the exposure. At the highest levels (3000 and
4000 ppm) neurotoxic e¡ects were observed: ataxia,
head leaning and other vestibular signs.
2.1.3. Procedures for toluene and noise exposures
During exposure each animal was observed at least
once every hour. Chinchillas had access to water
although animals were never observed drinking. The
placement within the chamber was rotated each day
to remove any e¡ects of non-homogeneous noise levels
and chemical concentrations although all measurements
showed noise to be O 1 dB and toluene concentrations
to be O 1% within the chamber.
2.2. Exposure facilities
Initially the studies were carried out in two 5 m3
inhalation chambers with toluene exposure and unexposed control animals run simultaneously (¢rst exposure). The studies were moved to a single 0.5 m3 chamber with ‘exposed’ and ‘control’ conditions handled
sequentially (second exposure and rat exposure).
The vapor system used two pumps (Fig. 1). One
pump (RP-BG25-1, Fluid Metering, Inc.) recirculated
toluene (Fisher0 Optima0 grade toluene, stock number
T291-4, assay v 99.8%) from the glass reservoir into a
5 ml glass syringe body, which was allowed to over£ow
into the reservoir. This provided a constant head pressure for the feed pump. The feed pump (RP-BP25-0,
Fluid Metering, Inc.) drew toluene o¡ the glass syringe
body and added toluene at a constant rate into a stream
of warm, ¢ltered air which further £owed through a
warm, 500 cm3 Green-Smith impinger (Fisher Scienti¢c,
Pittsburgh, PA, USA) ¢lled with glass beads. The impinger and glass beads provided adequate heat transfer
area and contact time between the dilution air and the
toluene to ensure total vaporization. Filtered air was
pushed through the glass impinger by a fan and the
resulting vapor-laden air was directed into the exposure
chamber. The exposure chamber was negatively pressurized with respect to the lab by an exhaust fan. The
exhaust air was treated by £ow through three stages of
charcoal ¢lters which scavenged the toluene. A Miran
1A infrared analyzer (Foxboro Analytical, Foxboro,
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
MA, USA) monitored the ¢nal exhaust air to detect
any charcoal ¢lter saturation and toluene breakthrough.
Chamber toluene concentration was constantly measured by a Miran 1A infrared analyzer located outside
the chamber. The analyzer was calibrated before each
daily run. Twice during the multi-day runs a chamber
air sample was taken through a sampling port. As a
secondary method of calibration, a heated, 1 liter glass
sampling bulb was ¢lled with chamber atmosphere and
the sample was assayed in a Hewlett-Packard 5890 gas
chromatograph with a £ame ionization detector. All
measurements indicated that we could maintain chamber toluene levels within O 1% of our target concentration.
The unexposed control animals were placed in the
chambers but toluene was not injected into the air£ow.
2.3. Noise
Noise levels in the chamber were monitored with a
Bru«el and KjRr 4165 1/2Q microphone and a Bru«el and
KjRr 2636 measuring ampli¢er. Calibrations of the
noise monitoring system were performed before and
after the exposure day using a Bru«el and KjRr pistonphone. The background noise levels were less than 60
dBA.
A 500 Hz octave band noise stimulus was created
with a 1382 General Radio random noise generator
and a 3323 Krohn-Hite ¢lter. The signal was attenuated
with Wavetek 5080 manual attenuators and ampli¢ed
by a Stewart PA1400 power ampli¢er. Two Radio
Shack Optimus 1 speakers were mounted in the inhala-
27
tion chamber in such a manner as to produce a di¡use
sound ¢eld within the volume in which the chinchillas
were placed for exposure. Homogeneity of the noise
exposure spectra and energy was assessed with a Stanford Research Systems SR780 dual channel FFT analyzer prior to the exposures. The amplitude of the noise
was increased until the level in the chambers reached
97.5 dB SPL A-weighted on the noise monitoring system. A-weighting was used because it ¢ltered out the
low-frequency fan vibration which was transduced by
the microphone.
2.4. Exposures
Chinchillas were divided into six groups. The ¢rst
four groups (¢rst exposure) were run simultaneously,
the second two groups (second exposure) were run later
(see Fig. 2). All groups were exposed for 10 sequential
days. Group 1 was exposed to 8 h of toluene at 2000
ppm and no noise other than background. Group 2 was
exposed to 8 h of noise but no toluene. Group 3 was
exposed to 8 h of noise and 8 h of toluene. Finally, a
control group (group 4) was exposed to only background noise and clean air by being placed in the exposure chamber for 8 h.
Not seeing a toluene e¡ect after the ¢rst exposure, an
attempt was made to increase the toluene dose. Pilot
studies showed that increasing the concentration of
toluene would not be a viable option for increasing
dose, so a longer exposure to toluene was initiated.
The noise exposure was kept constant so results could
be compared with the earlier exposures. The second set
of exposures were 12 h of toluene for 10 sequential days
Fig. 2. Schematic diagram of the timing of the 8 (top) and 12 h (bottom) exposures. Black bar indicates the time when toluene was present in
the chamber. Open bar indicates when noise was present. Group 1 received an 8 h toluene exposure with no noise. Group 2 received an 8 h
noise exposure with no toluene. Group 3 was exposed to both 8 h of noise and 8 h of toluene. Group 4 was exposed to neither noise nor toluene but placed in the exposure chamber. Group 5 was exposed to 12 h of toluene and 8 h of noise. Group 6 was exposed to 12 h of toluene
alone. No noise was present during the 8 h rat exposures.
28
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
(see Fig. 2). Group 5 was exposed to toluene for 12 h
and noise for 8 h, with the noise beginning 2 h after the
start and ending 2 h before the end of the toluene exposure. Group 6 was exposed to 12 h of toluene with
only background noise present.
2.5. Rat positive control experiment
Six adult rats of the Sprague^Dawley strain were exposed to toluene at 2000 ppm for 5 days at 8 h per day
by inhalation. The exposure was similar to the chinchilla exposures in the smaller chamber. Noise was limited
to background noise (less than 60 dB). The pre-exposure ABR threshold for each rat served as its own control. Rats were tested before exposure and 30 days after
exposure at 8, 16 and 32 kHz and with a 0.01 ms click.
The ABR was evoked and averaged by an Intelligent
Hearing System ABR unit (North Miami, FL, USA)
controlled by a laptop computer. Rats were anesthetized with an i.m. injection of a mix of ketamine (22
mg/kg) and Rompum (1.1 mg/kg). An auditory stimulus
was delivered by headphones (AKG-K340) and presented binaurally via plastic funnels. Grass0 stainless
steel needle electrodes were inserted subcutaneously at
the vertex (active), ventrolateral to the left ear (inverting) and the dorsum (ground). A Grass 511 preampli¢er
ampli¢ed the biological signal 25 000^100 000U before
presentation to the ABR unit for analysis and display.
The signal was averaged for 512 sweeps or until a reproducible waveform could be seen. Auditory threshold
was determined by the lowest stimulus intensity where
at least two peaks of the ABR waveform could be visually detected. Individual hearing loss was quanti¢ed
based upon the threshold shift between pre- and postexposure ABR thresholds.
2.6. Liver microsome testing
Five toluene-naive adult chinchillas were killed with
an overdose of sodium pentobarbital. After removal of
cochleas for another study, livers were removed and
prepared for cryogenic storage. Toluene metabolism
was measured only in three of those chinchilla livers
but protein content was measured in all ¢ve livers.
Two pools of three toluene-naive Sprague^Dawley rat
liver samples were obtained from a previous experiment. Ten frozen human liver samples were obtained
from a commercial supplier (International Institute for
the Advancement of Medicine, Exton, PA, USA). These
samples were normal tissue^resected during transplantation. All tissues were collected, resected, rinsed in
phosphate-bu¡ered saline (PBS) and snap-frozen in liquid nitrogen, stored at 380‡C until microsomes were
made (same method, bu¡ers, etc.). Microsomes were
diluted in identical bu¡ers and again snap-frozen until
use. Incubations (chinchilla, rat and humans) were done
at the same time, using the same bu¡ers, chemicals, etc.
2.6.1. Chemicals
All chemicals were at least reagent grade and were
obtained from Sigma (St. Louis, MO, USA) or Aldrich
(Milwaukee, WI, USA) unless otherwise noted. Glucose-6-phosphate and NADPþ were obtained from
Boehringer-Mannhein (Indianapolis, IN, USA), and ketoconazole was purchased from Janssen Biotech (Olen,
Belgium).
2.6.2. Microsome preparation and metabolism of toluene
Chinchilla, rat and human microsomes were prepared
via the method of Guengerich (1989). Microsomal protein content was determined by the BCA method with
bovine serum albumin as a standard. Toluene metabolism was assessed as previously reported by Nakajima
et al. (1993). Brie£y, 200 Wg of microsomal protein was
incubated for 5 min in 0.1 mM Tris bu¡er containing
5 mM MgCl2 and 1^10 mM toluene. All reactions were
initiated by the addition of an NADPH-regenerating
system (in 0.1 M potassium phosphate bu¡er containing 14 mmol glucose-6-phosphate, 0.66 mmol NADPþ ,
and 3 U glucose-6-phosphate dehydrogenase) and were
quenched after 30 min by the addition of 0.2 ml cold
acetonitrile. Benzyl alcohol formed from toluene was
measured by reverse-phase high-performance liquid
chromatography under the following conditions : column C18, mobile phase was 70/30 water/acetonitrile
(pH 3) at a £ow rate of 0.2 ml/min. Under these conditions benzyl alcohol had a retention time of 21.7 min.
The area under the curve of peaks was measured and
the amount of benzyl alcohol formed was estimated by
comparison with a standard curve of benzyl alcohol.
Values were represented as nmol benzyl alcohol/min/
mg protein.
2.6.3. Quanti¢cation of CYP proteins
The quanti¢cation of CYP proteins via enzymelinked immunosorbent assay (ELISA) was conducted
as previously described (Snawder and Lipscomb,
2000). Duplicate samples of microsomal protein were
analyzed for CYP1A, CYP2B and CYP2E1 content.
The CYP content for each CYP form was expressed
as pmol CYP/mg microsomal protein.
2.6.4. Determination of individual P450 forms in
chinchilla, rat and human liver samples
Contents of speci¢c P450 forms were estimated by a
direct ELISA. Brie£y, 0.5 Wg of microsomal protein/
well was plated onto microtiter plates (carbonate^bicarbonate bu¡er, pH 9.0) along with microsomes containing a known quantity of the P450 form (between 1 and
1000 fmol cytochrome P450/50 Wl, Gentest) of interest
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
29
Fig. 3. Chinchilla threshold shifts 30 days post-exposure. Note the very little shift in chinchilla groups exposed only to toluene. Major shifts occurred in the chinchilla groups exposed to noise alone or in combination with toluene. There was no increased shift with noise plus toluene.
for a standard curve. Plates were incubated overnight at
4‡C and the plating solution was removed the following
morning. One hundred Wl of 50% fetal bovine serum
(FBS) in PBS was added as a blocking agent and plates
were incubated for 1 h at 37‡C. The blocking agent was
removed and plates were washed three times (10% FBS,
TBS-Tween) and were incubated at 37‡C for 1 h with
primary antibody (anti-CYP1A, CYP2B, CYP2C and
CYP2E1, Gentest). Primary antibody was removed
and plates were washed and then incubated for 1 h
with 200 Wl/well of anti-goat^alkaline phosphate conjugate. The secondary antibody was removed and plates
were washed and 150 Wl of K-Gold pre-mixed ELISA
phosphatase substrate (ELISA Technologies, Lexington, KY, USA) was added to each well. After 30 min
the plate was read at 405 nm. Absorbance of sample
containing wells was compared to a standard curve.
Values were expressed as pmol P450 form/mg protein.
were essentially the same (data not shown). Fig. 3
shows the threshold shift results of all of the post-exposure chinchilla groups 30 days after the ¢nal exposure. Note, as expected, that the unexposed control
group (squares) had about zero threshold shift across
the audiogram. The striking feature about Fig. 3 is the
mid-frequency division of the groups exposed to the 500
Hz octave band of noise (triangle, diamond and plus)
from groups exposed to toluene alone (inverted triangle
and circle). The noise exposures produced a 12 dB permanent threshold shift at 2.0 and 4.0 kHz. Analysis of
2.6.5. Statistical analysis
Data were evaluated by Student’s t-test and analysis
of variance with post-hoc evaluation of di¡erences by
Student^Newman^Keuls test (P 6 0.05). The tests were
performed using SAS0 (SAS Institute, Cary, NC, USA)
or Sigmastat0 (Jandel Scienti¢c, San Rafael, CA,
USA).
3. Results
Pre-exposure ABR thresholds in all chinchilla groups
Fig. 4. Toluene-alone exposures produced large threshold shifts in
rats. A 5 day, 8 h per day exposure resulted in the above threshold
shifts.
30
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
variance did not detect any signi¢cant main e¡ect due
to toluene alone or an interaction of toluene with noise.
The 12 h toluene exposures show a slight elevation at
16.0 kHz when exposed only to toluene, but when exposed to 12 h of toluene and 8 h of noise, the highfrequency loss disappeared and only the low-frequency
noise e¡ect was present.
Fig. 4 shows permanent threshold shift for rats exposed to 2000 ppm for only 5 days at 8 h per day.
These data stand in stark contrast to the chinchilla
data. The shorter rat exposures to toluene led to extensive threshold shifts of 20 and 15 dB at 16.0 and 32.0
kHz. Two conclusions can be drawn: rats were much
more sensitive to the ototoxic e¡ects of toluene than
chinchillas and the exposure environment was adequate
to produce ototoxic e¡ects. The cumulative rat exposures were less than half of those of the chinchillas (5
versus 10 days) yet the threshold shifts produced were
considerably larger.
The two species di¡er markedly in their response to
toluene. Several hypotheses could explain the observed
results. One hypothesis is that the two species metabolize and detoxify toluene at di¡erent rates. The most
important site of detoxi¢cation in the body is the liver.
To appraise the di¡erences between the two tolueneexposed species and humans, liver microsomes were
tested in vitro. Microsomes, derived from liver cells,
are membrane-bound, cell-free spheres containing the
P450 enzymes. The P450 enzymes convert toluene to
less lipid-soluble and more water-soluble chemical
forms, which are easier to eliminate via the kidney.
The CYP2E1 enzyme converts toluene to benzyl alcohol (Fig. 5). The CYP1A2/1 enzymes convert toluene to
Fig. 5. Metabolism of toluene. The P450 enzymes CYP2E1 and
CYP2B convert 70^90% of the toluene into benzyl alcohol. Benzyl
alcohol is further transformed to benzaldehyde then benzoic acid
and ¢nally to hippuric acid, which is removed in the urine. Less
than 1% of the toluene is converted to o- or p-cresol which is further conjugated with sulfate, glucuronide, glutathione or cysteine before removal in the urine (adapted from Dorsey and Donohue,
1994).
Fig. 6. Di¡erences in P450 enzyme levels between the di¡erent species show that chinchillas have more enzyme present.
o-cresol. The CYP2B* enzymes operate at higher toluene concentrations. The ELISA analysis found that
chinchillas had higher levels of the liver cytochrome
enzymes CYP2E1 and CYP2B than either rats or humans. CYP1A levels were similar in chinchilla and rat
while human samples show great variation across individuals (Fig. 6).
Chinchilla microsomes were found to possess the
greatest metabolic activity for conversion of toluene
to benzyl alcohol (Table 1). Formation of benzyl alcohol by rat microsomes was less than half that measured
in chinchilla; human microsomes showed great individual variation in benzyl alcohol formation ^ levels varied
four-fold between the sample with the highest activity
compared to the sample with the lowest activity. Di¡erences in activity for the two human samples may be due
to enzyme induction by life exposure to various chemicals.
Speci¢c P450 levels in microsome samples were correlated with toluene biotransformation. Samples containing high amounts of CYP2E1 displayed the strongest correlation with alcohol as a product of toluene
metabolism (r = 0.973). Among other forms examined,
only CYP2B displayed a consistent correlation between
Table 1
Rate of toluene conversion per mg of protein
Species
Benzyl alcohol (nmol/min/mg protein)
Chinchilla
Rat
Human
5.90 O 1.45*
2.12 O 0.11
1.72 O 1.75
*P 6 0.05. Chinchilla liver microsomes can convert toluene almost
three times faster than rat or human microsomes.
R.R. Davis et al. / Hearing Research 166 (2002) 24^32
protein content and benzyl alcohol formed from toluene
metabolism (r = 0.936).
4. Discussion
Exposure to toluene in the present study produced no
measurable ototoxicity in chinchillas while noise e¡ects
were detected. In contrast, rats showed a signi¢cant
permanent threshold shift to toluene exposure. Negative
results are always di⁄cult to justify. The positive results
of the rat experiment would argue that our procedures
and exposure chambers were capable of producing toluene ototoxicity. Thus, di¡erences between species must
be considered to explain the di¡erences in susceptibility.
Unlike aminoglycoside antibiotics or other classical
ototoxins, solvent e¡ects seem to be species speci¢c.
In particular, rat and mouse ears appear to be extremely sensitive to solvents while chinchillas and guinea pigs do not. This di¡erence in susceptibility seems to
be explained by apparent di¡erences in liver enzyme
activity between chinchillas and guinea pigs and between rats and mice. Human livers appear to have
greater variability in the ability to biotransform toluene
than any of the experimental animals but appear to be
less able to metabolize toluene than chinchillas. Such
variability in biotransformation may explain the di¡erences seen in human populations between people more
susceptible and less susceptible to toluene ototoxicity.
Based on these data one would speculate that humans
su¡ering from liver damage, e.g. cirrhosis, would be
much more sensitive to the ototoxic e¡ects of toluene.
Humans receiving drugs which inhibit liver enzymes
would be expected to be more susceptible to toluene
ototoxicity. On the other hand, individuals who are
able to build P450 enzyme levels without compromising
the liver may be less susceptible to the ototoxic e¡ect of
toluene.
Metabolic variation among humans has been investigated as a risk-modifying factor for CYP2E1 substrates including toluene, chloroform and trichloroethylene (Allen et al., 1996; Pierce et al., 1996; Snawder and
Lipscomb, 2000). Often, human individual variance in
xenobiotic metabolism mediates di¡erences in susceptibility to injury (Nebert and Roe, 2001). Depending on
the cytochrome P450 form, metabolic activity can be
in£uenced by genetics, lifestyle, overall health of the
individual and environmental factors (de la Maza et
al., 2000; Roe et al., 1999).
The hypothesis that the liver modulates ototoxicity
could be further tested by utilizing liver enzyme inhibitors in chinchillas and liver enzyme inducers in rats to
demonstrate a change in susceptibility to toluene ototoxicity. If the liver function of chinchillas could be
chronically impaired, exposure to toluene may produce
31
an ototoxic e¡ect. Induction of enzymes may produce
protection in rats.
These results indicate that chinchillas are not an ideal
species to study direct toluene e¡ects on the ear. However, they may be an interesting model for examining
the more complex environment in which ototoxins operate. Clearly, the ear is not the only target for these
agents.
Acknowledgements
Our thanks to Dr. Derek Dunn, former Director of
the Division of Behavioral and Biomedical Science, for
his support during the early part of this project. Dr.
Thais Morata (Visiting Scientist), Je¡ McLarin (Physical Tech), Dawn Ramsey (Chemist) and Dr. Alex
Teass (Chemist) provided helpful support. The ILS,
Inc., animal crew kept the animals safe and healthy.
Yun-Hua Shen, at SUNY-Bu¡alo, provided chinchilla
ABR and DPOE testing during the experiment. Thanks
also to Mike Cheever and Dr. Lawrence Erway from
the University of Cincinnati for help in ABR testing of
the rats. Early reports of these data were presented as
posters at the Association for Research in Otolaryngology (Davis et al., 1996; Davis and Snawder, 2000).
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