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Updated: Feb 13, 2026

Modified Experimental Conditions for Noise-Induced Hearing Loss in Mice and Assessment of Hearing Function and Outer Hair Cell Damage
Published on: February 10, 2023
CDK2 inhibitors as candidate therapeutics for cisplatin- and noise-induced hearing loss
Tal Teitz1, Jie Fang1, Asli N Goktug2
1Department of Developmental Neurobiology, St. Jude Children's Research Hospital, Memphis, TN.
Abstract:
Hearing loss caused by aging, noise, cisplatin toxicity, or other insults affects 360 million people worldwide, but there are no Food and Drug Administration-approved drugs to prevent or treat it. We screened 4,385 small molecules in a cochlear cell line and identified 10 compounds that protected against cisplatin toxicity in mouse cochlear explants. Among them, kenpaullone, an inhibitor of multiple kinases, including cyclin-dependent kinase 2 (CDK2), protected zebrafish lateral-line neuromasts from cisplatin toxicity and, when delivered locally, protected adult mice and rats against cisplatin- and noise-induced hearing loss. CDK2-deficient mice displayed enhanced resistance to cisplatin toxicity in cochlear explants and to cisplatin- and noise-induced hearing loss in vivo. Mechanistically, we showed that kenpaullone directly inhibits CDK2 kinase activity and reduces cisplatin-induced mitochondrial production of reactive oxygen species, thereby enhancing cell survival. Our experiments have revealed the proapoptotic function of CDK2 in postmitotic cochlear cells and have identified promising therapeutics for preventing hearing loss.
Insights
Scientists identified kenpaullone, a drug inhibiting cyclin-dependent kinase 2 (CDK2), as a potential treatment for hearing loss. This compound protected against cisplatin and noise-induced damage in animal models, offering hope for preventing hearing impairment.
Area of Science:
- Oto-pharmacology
- Molecular Biology
- Neuroscience
Background:
- Hearing loss affects 360 million globally due to aging, noise, and toxins.
- Current treatments lack FDA-approved drugs for prevention or reversal.
Purpose of the Study:
- To screen small molecules for protective effects against ototoxicity.
- To identify novel therapeutic targets for preventing hearing loss.
Main Methods:
- Screened 4,385 small molecules in cochlear cell lines.
- Tested protective compounds in mouse cochlear explants and zebrafish.
- Evaluated kenpaullone in cisplatin- and noise-induced hearing loss models in mice and rats.
- Investigated the role of cyclin-dependent kinase 2 (CDK2) using knockout mice.
Main Results:
- Identified 10 compounds protecting against cisplatin toxicity.
- Kenpaullone demonstrated protection in zebrafish, mice, and rats against cisplatin and noise.
- CDK2-deficient mice showed increased resistance to ototoxicity.
- Kenpaullone inhibited CDK2, reduced reactive oxygen species, and enhanced cell survival.
Conclusions:
- Kenpaullone is a promising therapeutic candidate for preventing hearing loss.
- CDK2 plays a proapoptotic role in postmitotic cochlear cells.
- Targeting CDK2 may offer a novel strategy for hearing loss treatment.
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