Exosomes derived from mouse inner ear stem cells attenuate gentamicin-induced ototoxicity in vitro through the

Ruosha Lai1, Cuiyun Cai1, Weijing Wu1

  • 1Department of Otolaryngology and Head and Neck Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Insights

Inner ear stem cell-derived exosomes (IESCs-ex) protect against gentamicin-induced ototoxicity. These exosomes, particularly those enriched with miR-182-5p, reduce oxidative stress and apoptosis in cochlear hair cells.

Area of Science:

  • Ototoxicity Research
  • Stem Cell Biology
  • Exosome Therapeutics

Background:

  • Gentamicin causes cochlear hair cell damage via oxidative stress and apoptosis.
  • Inner ear stem cells (IESCs) show potential for ototoxicity attenuation.
  • The role of IESCs-derived exosomes (IESCs-ex) in this protective effect remains unclear.

Purpose of the Study:

  • To investigate if IESCs-ex can protect cochlear hair cells from gentamicin-induced ototoxicity.
  • To elucidate the underlying molecular mechanisms, focusing on miR-182-5p and the FOXO3 pathway.

Main Methods:

  • Established a gentamicin-induced ototoxicity model using HEI-OC1 cells.
  • Treated ototoxic cells with exosomes derived from normal or miR-182-5p-manipulated IESCs.
  • Assessed cell viability (MTT assay) and oxidative stress markers (MDA, SOD, CAT, GPx).
  • Quantified miR-182-5p, FOXO3, Bcl-2, and Bax expression levels.

Main Results:

  • IESCs-ex significantly improved HEI-OC1 cell viability and alleviated gentamicin-induced oxidative stress.
  • IESCs-ex treatment led to increased miR-182-5p and decreased FOXO3 expression.
  • Exosomes from miR-182-5p-enriched IESCs further enhanced protective effects, modulating apoptosis-related proteins (Bcl-2, Bax).

Conclusions:

  • IESCs-ex effectively attenuate gentamicin-induced ototoxicity in cochlear hair cells.
  • The protective mechanism involves the miR-182-5p/FOXO3 signaling axis.
  • IESCs-ex represent a promising therapeutic strategy for preventing hearing loss caused by ototoxic drugs.

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