Polymer-Based Nanoparticles for Inner Ear Targeted Trans Differentiation Gene Therapy

ChemMedChem. 2024 Sep 2;19(17):e202400038. doi: 10.1002/cmdc.202400038. Epub 2024 Jul 17.

Abstract

Hearing loss is a significant disability that often goes under recognised, largely due to poor identification, prevention, and treatment. Steps are being made to amend these pitfalls in the investigation of hearing loss, however, the development of a cure to reverse advanced forms remains distant. This review details some current advances in the treatment of hearing loss, with a particular focus on genetic-based nanotechnology and how it may provide a useful avenue for further research. This review presents a broad background on the pathophysiology of hearing loss and some current interventions. We also highlight some potential genes that may be useful in the amelioration of hearing loss. Pathways of cellular differentiation from stem or supporting cell to functional hair cell are covered in detail, as this mechanism represents a key means of regenerating these cell types. Overall, we believe that polymer-based nanotechnology coupled with novel excipients represents a useful area of further research in the treatment of hearing loss, although further studies in this area are required.

Keywords: Bile Acid; Gene-Delivery; Hearing-Loss; Inner Ear; Nanotechnology; Polymers; Stem-cells.

Publication types

  • Review

MeSH terms

  • Animals
  • Cell Differentiation* / drug effects
  • Ear, Inner / drug effects
  • Ear, Inner / metabolism
  • Genetic Therapy*
  • Hearing Loss* / drug therapy
  • Humans
  • Nanoparticles* / chemistry
  • Polymers* / chemistry
  • Polymers* / pharmacology

Substances

  • Polymers