Vestibular neuritis is the syndrome of acute onset, prolonged vertigo of peripheral origin. Vestibular neuritis is hypothesized to be the result of infection of the vestibular ganglion neurons (VGN) with a neurotrophic virus;and herpes simplex virus-1 (HSV-1) has been identified as a likely etiologic agent. We propose to study the role of HSV-I in vestibular neuritis by developing a murine cell culture system of HSV-1 infection and latency. Using HSV-1 virus with a green fluorescent protein (GFP) fusion to the US11 protein, we have infected dissociated VGNs harvested from postnatal rats, prevented this infection with acyclovir, and established a quiescent viral infection. In cultured cervical sympathetic ganglia, nerve growth factor (NGF) is necessary for maintenance of the latent state, and withdrawal of NGF from cell culture media results in loss of latency and a lytic infection. In VGNs, NGF and its high affinity receptor, TrkA, are not expressed. Therefore, we hypothesize that withdrawal of other neurotrophins (either brain-derived neurotrophic factor (BDNF) or neurotrophin-3 (NT3), whose Trk receptors are expressed in VGNs) leads to viral reactivation, and that these effects are independent from the neurotrophins'prosurvival effects. In latently infected VGNs, we have shown that application of K252a, a generalized Trk inhibitor, triggers viral reactivation, and we propose to further study this phenomenon and its intracellular efforts. This study will improve our understanding of the basic processes involved in HSV-1 mediated infections of VGNs, and provide future therapeutic targets for limiting acute infection. Further studies in this system will examine the effects of transactivation of Trk receptors on latency. Trk receptors are known to be transact!vated by other compounds which activate them on a slower time course than neurotrophins. Identification of these compounds could provide less toxic substitutes for neurotrophins, which could be taken systemically by patients at the onset of vestibular neuritis, thereby limiting the severity and duration of the acute syndrome.

Public Health Relevance

Vestibular neuritis is thought to result from the infection of the nerves of the peripheral balance sytem with herpes simplex 1. This study will examine the role of neural growth factors in preventing active herpes simplex 1 virus replication in the nerves of the balance system, with the goal of understanding this process and finding drugs that perform similar functions to limit active viral infection.

National Institute of Health (NIH)
National Institute on Deafness and Other Communication Disorders (NIDCD)
Clinical Investigator Award (CIA) (K08)
Project #
Application #
Study Section
Communication Disorders Review Committee (CDRC)
Program Officer
Sklare, Dan
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
New York University
Schools of Medicine
New York
United States
Zip Code
Nayak, Shruti; He, Lifan; Roehm, Pamela Carol (2015) Superior Versus Inferior Vestibular Neuritis: Are There Intrinsic Differences in Infection, Reactivation, or Production of Infectious Particles Between the Vestibular Ganglia? Otol Neurotol 36:1266-74
Zuniga, Steven; Khurana, Jasvir S; Roehm, Pamela C (2015) Eccrine Poroma of the External Auditory Canal. Otol Neurotol 36:e142-3
Turner, Meghan T; Nayak, Shruti; Kuhn, Maggie et al. (2014) The effects of dexamethasone and acyclovir on a cell culture model of delayed facial palsy. Otol Neurotol 35:712-8
Cohen, Brandon E; Durstenfeld, Anne; Roehm, Pamela C (2014) Viral causes of hearing loss: a review for hearing health professionals. Trends Hear 18:
Durstenfeld, Anne L; Aneja, Amandeep; Liu, Jeffrey et al. (2014) Facial nerve invasion by basal cell carcinoma. Otol Neurotol 35:e121-2
Hagiwara, Mari; Roland Jr, J Thomas; Wu, Xin et al. (2014) Identification of endolymphatic hydrops in Ménière's disease utilizing delayed postcontrast 3D FLAIR and fused 3D FLAIR and CISS color maps. Otol Neurotol 35:e337-42
Fritz, Mark A; Roehm, Pamela C; Bannan, Michael A et al. (2014) Extracellular and intracellular melanin in inflammatory middle ear disease. Laryngoscope 124:E241-4
Pollack, Aron; Cohen, Brandon E; Hagiwara, Mari et al. (2013) Idiopathic pachymeningitis presenting with progressive sensorineural hearing loss, tinnitus and confusion. Otol Neurotol 34:e47-8
Gupta, Sachin; Mends, Francine; Hagiwara, Mari et al. (2013) Imaging the facial nerve: a contemporary review. Radiol Res Pract 2013:248039
Hagiwara, Mari; Shaikh, Jamil A; Fang, Yixin et al. (2012) Prevalence of radiographic semicircular canal dehiscence in very young children: an evaluation using high-resolution computed tomography of the temporal bones. Pediatr Radiol 42:1456-64

Showing the most recent 10 out of 23 publications