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Hair cell (HC) loss, frequently induced by ototoxic agents such as gentamicin, leads to irreversible hearing loss. Because of the restricted regenerative capabilities of the mammalian inner ear, the exploration of therapeutic strategies to restore damaged HCs is critically needed. Recombinant human Neuritin (rhNeuritin), a neurotrophic factor with established roles in promoting cell survival and regeneration across various systems, presents itself as a promising therapeutic candidate for HC repair.

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Vertigo is a common symptom of various diseases that affects a large number of people worldwide. Current leading treatments for intractable peripheral vertigo are to intratympanically inject ototoxic drugs such as gentamicin to attenuate the semicircular canal function but inevitably cause hearing injury. Photodynamic therapy (PDT) is a noninvasive therapeutic approach by precisely targeting the diseased tissue.

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Gentamicin is a bactericidal aminoglycoside antibiotic that broadly targets Gram-negative microbes. Both human and animal studies have shown that administration of gentamicin is ototoxic by several routes of administration and results in sensorineural hearing loss due to damaged hair cell at the base of the cochlea. However, gentamicin is also administered intranasally to treat sinusitis in humans, but no animal studies have examined ototoxicity of gentamicin administered via this route.

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Article Synopsis
  • Mechanosensory hair cells in the inner ear and lateral line of vertebrates are highly vulnerable to damage, leading to hearing and balance issues, particularly from toxic agents like aminoglycoside antibiotics and certain cancer drugs.
  • Exposure to neomycin causes rapid hair cell death within an hour, while gentamicin results in delayed death, which can take up to 24 hours.
  • The study identifies two different cellular mechanisms for hair cell death: acute death involves mitochondrial calcium changes and can be treated with certain antioxidants, while delayed death relates to lysosomal issues and may be mitigated by modifying endolysosomal function.
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