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Protective Effect of Mesenchymal Stem Cell-Derived Extracellular Vesicles on Inner Ear Sensorineural Cells Affected
Maria Perde-Schrepler1,2, Ioana Brie2, Mihai Cenariu3
1Department of Otoryhinolaryngology, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Medicina (Kaunas, Lithuania)
|June 27, 2025
Summary
Mesenchymal stem cell-derived extracellular vesicles (EVs) protect inner ear cells from drug-induced damage. These EVs reduce oxidative stress and promote cell survival, offering potential therapeutic benefits for sensorineural hearing loss.
Area of Science:
- Regenerative Medicine
- Ototoxicity Research
- Cell Biology
Background:
- Mesenchymal stem cell-derived extracellular vesicles (EVs) show therapeutic potential for diseases, including sensorineural hearing loss (SNHL).
- EVs can stimulate tissue regeneration, mirroring the effects of their parent cells.
- Investigating EV protective effects against ototoxic drug damage in inner ear cells is crucial.
Purpose of the Study:
- To isolate and characterize extracellular vesicles (EVs) from mesenchymal stem cells (MSCs).
- To evaluate the protective capacity of MSC-derived EVs against cisplatin-induced damage in cultured inner ear cells (HEI-OC1).
- To assess the impact of EVs on cell viability, reactive oxygen species (ROS) production, and apoptosis.
Main Methods:
- Isolation and characterization of MSC-derived EVs using nanoparticle tracking analysis, TEM, BCA assay, and Dot Blot.
- Treatment of HEI-OC1 cells with EVs, alone or followed by cisplatin exposure.
- Assessment of EV uptake, ROS levels, cell viability (Alamar Blue), and apoptosis (Annexin V/PI staining).
Main Results:
- Isolated EVs exhibited characteristic morphology and size (mean 184.4 nm).
- EVs were successfully internalized by HEI-OC1 cells.
- EVs significantly reduced ROS production, enhanced cell viability, and modulated apoptosis in cisplatin-treated cells.
Conclusions:
- Mesenchymal stem cell-derived extracellular vesicles (EVs) demonstrate significant protective effects against cisplatin-induced ototoxicity in vitro.
- EVs mitigate cellular damage by reducing oxidative stress and promoting cell survival.
- These findings support the potential of MSC-derived EVs as a therapeutic strategy for sensorineural hearing loss.

