The design and screening of drugs to prevent acquired sensorineural hearing loss

Debashree Mukherjea1, Leonard P Rybak, Kelly E Sheehan

  • 1Southern Illinois University, School of Medicine, Department of Surgery , P.O. Box 19653, Springfield, IL 62794-9653 , USA.

Abstract

Insights

New drug therapies show promise in preventing hearing loss caused by cisplatin chemotherapy, antibiotics, and noise exposure. Future strategies focus on targeted delivery to protect the inner ear without compromising medical treatments.

Area of Science:

  • Ototoxicity and Hearing Loss Prevention
  • Pharmacological Interventions for Hearing Protection

Background:

  • Sensorineural hearing loss is a widespread issue, significantly impacting patients undergoing cisplatin chemotherapy and those treated with aminoglycoside antibiotics.
  • Noise-induced hearing loss is also prevalent, with limited effectiveness of traditional ear protection methods.
  • Developing preventative drug therapies for hearing loss would greatly benefit public health.

Purpose of the Study:

  • This review examines research on protective agents against hearing loss induced by cisplatin, aminoglycoside antibiotics, and noise.
  • It evaluates the efficacy of these agents in animal models and their ongoing clinical trial applications.

Main Methods:

  • Review of scientific literature on protective agents for cisplatin-induced ototoxicity.
  • Analysis of research on agents preventing aminoglycoside antibiotic-induced hearing loss.
  • Examination of studies on preventing noise-induced hearing loss.
  • Assessment of animal study data and ongoing clinical trial results.

Main Results:

  • Significant research findings on protective agents against cisplatin, aminoglycoside, and noise-induced hearing loss are discussed.
  • Efficacy of these agents in animal studies is presented.
  • Application and progress of these protective agents in ongoing clinical trials are detailed.

Conclusions:

  • Future strategies for preventing sensorineural hearing loss from cisplatin, aminoglycosides, and noise are highlighted.
  • Numerous agents are emerging as potential preventatives for drug- and noise-induced hearing loss.
  • Novel drug delivery systems aim to target the inner ear, minimizing side effects and interference with primary treatments.

Related Concept Videos

Structure-Activity Relationships and Drug Design01:28

Structure-Activity Relationships and Drug Design

Drug design is a dynamic field that involves discovering and developing new medications based on specific biological targets. This process heavily relies on structure-activity relationships (SAR) and quantitative structure-activity relationships (QSAR) to guide the design and optimization of efficient drugs.
SAR studies the intricate relationship between a drug's chemical structure and biological activity. It focuses on understanding how modifications to a drug's structure can influence its...
Pharmacovigilance01:19

Pharmacovigilance

Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Hearing01:31

Hearing

When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
Drug Discovery: Overview01:26

Drug Discovery: Overview

Drug discovery is a multifaceted process involving extensive screening, testing, and optimization of lead compounds to identify potential new drugs for therapeutic use. It combines several approaches, including screening large numbers of natural products, chemical modification of known active molecules, identification of new drug targets, and rational design based on biological mechanisms and drug-receptor structure. These approaches are carried out in both academic research laboratories and...