Clin Exp Otorhinolaryngol.  2024 Nov;17(4):282-291. 10.21053/ceo.2024.00068.

Video Head Impulse Test Coherence Predicts Vertigo Recovery in Sudden Sensorineural Hearing Loss With Vertigo

• Lin SC
• Lin MY
• Kang BH
• Lin YS
• Liu YH
• Yin CY
• Lin PS
• Lin CW

• KMID: 2561361
• DOI: http://doi.org/10.21053/ceo.2024.00068

Abstract

Objectives
. Our study aimed to explore the role of the potassium channel KCNK1 in head and neck squamous cell carcinoma, focusing on its impact on tumor growth, invasion, and metastasis. We also investigated the therapeutic potential of quinidine, a known KCNK1 inhibitor, in both in vitro cell lines and a zebrafish patient-derived xenograft (PDX) model.
Methods
. We established primary cell cultures from head and neck cancer tissues and employed the FaDu cell line for in vitro studies, modulating KCNK1 expression through overexpression and knockdown techniques. We evaluated cell migration, invasion, and proliferation. Additionally, we developed a zebrafish PDX model to assess the impact of quinidine on tumor growth and metastasis in vivo. RNA sequencing and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses were conducted to elucidate the molecular mechanisms underlying the role of KCNK1 in cancer progression.
Results
. Overexpression of KCNK1 in FaDu cells resulted in enhanced cell migration and invasion, whereas its knockdown diminished these processes. In the zebrafish PDX model, quinidine markedly inhibited tumor growth and metastasis, demonstrating a significant reduction in tumor volume and micrometastasis rates compared to the control groups. The molecular analyses indicated that KCNK1 plays a role in critical signaling pathways associated with tumor growth, such as the Ras and MAPK pathways.
Conclusion
. Our findings highlight the critical role of KCNK1 in promoting tumor growth and metastasis in head and neck cancer. The inhibitory effect of quinidine on tumor progression in the zebrafish PDX model highlights the therapeutic potential of targeting KCNK1. These results suggest that KCNK1 could serve as a valuable therapeutic target for head and neck cancer, warranting further investigation into treatments that target KCNK1.

Keyword

Sudden Sensorineural Hearing Loss; Vertigo; Video Head Impulse Test; Wavelet Coherence

Figure

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  Fig. 1. Video head impulse test results depicting vertigo recovery at the 2 weeks by (A) coherent frequency and (B) vestibulo-ocular reflex (VOR) gain. SCC, semicircular canal.

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  Fig. 2. Video head impulse test results depicting vertigo recovery after 2 months by (A) coherent frequency and (B) vestibulo-ocular reflex (VOR) gain. SCC, semicircular canal.

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  Fig. 3. (A) Illustration of the magnitude-squared wavelet coherence (MSWC) varying with changes in amplitude and frequency. (B-D) A patient with no recovery of vertigo after 2 weeks of treatment demonstrated normal vestibulo-ocular reflex (VOR) gain (1.13), several compensatory saccades, and an evidently lower coherent frequency (3.36 Hz) in the posterior semicircular canal (SCC). (A) MSWC diminished with inconsistent amplitudes or frequencies in paired signals. (B) Horizontal SCC: VOR gain=1.17 and coherent frequency=6.85 Hz. (C) Anterior SCC: VOR gain=1.47 and coherent frequency=8.38 Hz. (D) Posterior SCC: VOR gain=1.13 and coherent frequency=3.36 Hz.

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