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Updated: Jan 7, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Preliminary Evaluation of an Injectable Therapeutic for Cisplatin Ototoxicity Using Neuronal SH-SY5Y Cells
Michelle Hong1, Katherine Kedeshian1, Larry Hoffman1
1Los Angeles Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA.
N-acetylcysteine (NAC) shows promise in protecting spiral ganglion neurons from cisplatin ototoxicity. Researchers developed microparticle drug delivery systems to provide sustained NAC release, a crucial step toward mitigating chemotherapy
Area of Science:
- Neuroscience
- Biomedical Engineering
- Pharmacology
Background:
- Cisplatin chemotherapy can cause ototoxicity by damaging inner ear neurons.
- There is a need for models to screen otoprotective drugs and develop localized treatments.
- Microparticle drug delivery offers sustained therapeutic release for managing side effects.
Purpose of the Study:
- To screen potential therapeutics for cisplatin-induced ototoxicity using a neuronal cell model.
- To develop and characterize N-acetylcysteine (NAC)-loaded microparticles for sustained drug delivery.
- To evaluate the potential of NAC and microparticle formulations in preventing cisplatin ototoxicity.
Main Methods:
- SH-SY5y human neuroblastoma cells modeled spiral ganglion neurons and were treated with cisplatin and potential therapeutics.
- Cell viability was assessed using CCK-8 assays after treatment with cisplatin and N-acetylcysteine (NAC).
- NAC was encapsulated into poly(lactic-co-glycolic acid) (PLGA) microparticles with varying ratios, and elution profiles were analyzed.
Main Results:
- N-acetylcysteine (NAC) significantly improved cell viability when administered before cisplatin exposure.
- The 75:25 lactide-glycolide (L:G) ratio microparticles released more NAC compared to 50:50 L:G microparticles.
- Elution studies confirmed detectable NAC release from microparticles for up to 6 days.
Conclusions:
- N-acetylcysteine (NAC) demonstrates potential as a therapeutic agent against cisplatin ototoxicity in a neuronal cell model.
- PLGA microparticles successfully encapsulated NAC, providing sustained release, a promising strategy for otoprotection.
- This study presents a method for screening therapeutics and a framework for developing local drug-eluting treatments for cisplatin-induced ototoxicity.
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