The Use of Nanoparticles in Otoprotection

The inner ear can be insulted by various noxious stimuli, including drugs (cisplatin and aminoglycosides) and over-acoustic stimulation. These stimuli damage the hair cells giving rise to progressive hearing loss. Systemic drugs have attempted protection from ototoxicity. Most of these drugs poorly...

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Main Authors: Maurizio Barbara, Valerio Margani, Edoardo Covelli, Chiara Filippi, Luigi Volpini, Ola M. El-Borady, Maged El-Kemary, Saad Elzayat, Haitham H. Elfarargy
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Neurology
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Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2022.912647/full
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author Maurizio Barbara
Valerio Margani
Edoardo Covelli
Chiara Filippi
Luigi Volpini
Ola M. El-Borady
Maged El-Kemary
Saad Elzayat
Haitham H. Elfarargy
author_facet Maurizio Barbara
Valerio Margani
Edoardo Covelli
Chiara Filippi
Luigi Volpini
Ola M. El-Borady
Maged El-Kemary
Saad Elzayat
Haitham H. Elfarargy
author_sort Maurizio Barbara
collection DOAJ
description The inner ear can be insulted by various noxious stimuli, including drugs (cisplatin and aminoglycosides) and over-acoustic stimulation. These stimuli damage the hair cells giving rise to progressive hearing loss. Systemic drugs have attempted protection from ototoxicity. Most of these drugs poorly reach the inner ear with consequent ineffective action on hearing. The reason for these failures resides in the poor inner ear blood supply, the presence of the blood-labyrinthine barrier, and the low permeability of the round window membrane (RWM). This article presents a review of the use of nanoparticles (NPs) in otoprotection. NPs were recently used in many fields of medicine because of their ability to deliver drugs to the target organs or cells. The studies included in the review regarded the biocompatibility of the used NPs by in vitro and in vivo experiments. In most studies, NPs proved safe without a significant decrease in cell viability or signs of ototoxicity. Many nano-techniques were used to improve the drugs' kinetics and efficiency. These techniques included encapsulation, polymerization, surface functionalization, and enhanced drug release. In such a way, it improved drug transmission through the RWM with increased and prolonged intra-cochlear drug concentrations. In all studies, the fabricated drug-NPs effectively preserved the hair cells and the functioning hearing from exposure to different ototoxic stimuli, simulating the actual clinical circumstances. Most of these studies regarded cisplatin ototoxicity due to the wide use of this drug in clinical oncology. Dexamethasone (DEX) and antioxidants represent the most used drugs in most studies. These drugs effectively prevented apoptosis and reactive oxygen species (ROS) production caused by ototoxic stimuli. These various successful experiments confirmed the biocompatibility of different NPs and made it successfully to human clinical trials.
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spelling doaj.art-d50e4f08c2f447aa93572e2b820472242022-12-22T03:40:39ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-06-011310.3389/fneur.2022.912647912647The Use of Nanoparticles in OtoprotectionMaurizio Barbara0Valerio Margani1Edoardo Covelli2Chiara Filippi3Luigi Volpini4Ola M. El-Borady5Maged El-Kemary6Saad Elzayat7Haitham H. Elfarargy8Department of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, ItalyDepartment of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, ItalyDepartment of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, ItalyDepartment of Neuroscience, Mental Health and Sensory Organs, Faculty of Medicine and Psychology, Sapienza University, Rome, ItalyOtolaryngology Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, United KingdomInstitute of Nanoscience and Nanotechnology, Kafrelsheikh University, Kafr El-Shaikh, EgyptInstitute of Nanoscience and Nanotechnology, Kafrelsheikh University, Kafr El-Shaikh, EgyptOtolaryngology Department, Faculty of Medicine, Kafrelsheikh University, Kafr El-Shaikh, EgyptOtolaryngology Department, Faculty of Medicine, Kafrelsheikh University, Kafr El-Shaikh, EgyptThe inner ear can be insulted by various noxious stimuli, including drugs (cisplatin and aminoglycosides) and over-acoustic stimulation. These stimuli damage the hair cells giving rise to progressive hearing loss. Systemic drugs have attempted protection from ototoxicity. Most of these drugs poorly reach the inner ear with consequent ineffective action on hearing. The reason for these failures resides in the poor inner ear blood supply, the presence of the blood-labyrinthine barrier, and the low permeability of the round window membrane (RWM). This article presents a review of the use of nanoparticles (NPs) in otoprotection. NPs were recently used in many fields of medicine because of their ability to deliver drugs to the target organs or cells. The studies included in the review regarded the biocompatibility of the used NPs by in vitro and in vivo experiments. In most studies, NPs proved safe without a significant decrease in cell viability or signs of ototoxicity. Many nano-techniques were used to improve the drugs' kinetics and efficiency. These techniques included encapsulation, polymerization, surface functionalization, and enhanced drug release. In such a way, it improved drug transmission through the RWM with increased and prolonged intra-cochlear drug concentrations. In all studies, the fabricated drug-NPs effectively preserved the hair cells and the functioning hearing from exposure to different ototoxic stimuli, simulating the actual clinical circumstances. Most of these studies regarded cisplatin ototoxicity due to the wide use of this drug in clinical oncology. Dexamethasone (DEX) and antioxidants represent the most used drugs in most studies. These drugs effectively prevented apoptosis and reactive oxygen species (ROS) production caused by ototoxic stimuli. These various successful experiments confirmed the biocompatibility of different NPs and made it successfully to human clinical trials.https://www.frontiersin.org/articles/10.3389/fneur.2022.912647/fullnanoparticlesotoprotectioninner earcisplatindexamethasone
spellingShingle Maurizio Barbara
Valerio Margani
Edoardo Covelli
Chiara Filippi
Luigi Volpini
Ola M. El-Borady
Maged El-Kemary
Saad Elzayat
Haitham H. Elfarargy
The Use of Nanoparticles in Otoprotection
Frontiers in Neurology
nanoparticles
otoprotection
inner ear
cisplatin
dexamethasone
title The Use of Nanoparticles in Otoprotection
title_full The Use of Nanoparticles in Otoprotection
title_fullStr The Use of Nanoparticles in Otoprotection
title_full_unstemmed The Use of Nanoparticles in Otoprotection
title_short The Use of Nanoparticles in Otoprotection
title_sort use of nanoparticles in otoprotection
topic nanoparticles
otoprotection
inner ear
cisplatin
dexamethasone
url https://www.frontiersin.org/articles/10.3389/fneur.2022.912647/full
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