Department of Otolaryngology, Cochlear Implant and Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida.
Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida.
J Am Acad Audiol. 2021 Nov;32(10):636-645. doi: 10.1055/s-0041-1728677. Epub 2021 May 25.
Sensorineural hearing loss (SNHL) is a significant cause of morbidity worldwide and currently has no curative treatment. Technological advancements in stem cell therapy have led to numerous studies that examine the generation of otic sensory cells from progenitors to restore inner ear function. Recently, organoids have emerged as a promising technique to further advance the process of creating functional replacement cells after irreversible hearing loss. Organoids are the three-dimensional generation of stem cells in culture to model the tissue organization and cellular components of the inner ear. Organoids have emerged as a promising technique to create functioning cochlear structures in vitro and may provide crucial information for the utilization of stem cells to restore SNHL.
The purpose of this review is to discuss the recent advancements in stem cell-based regenerative therapy for SNHL.
Recent studies have improved our understanding about the developmental pathways involved in the generation of hair cells and spiral ganglion neurons. However, significant challenges remain in elucidating the molecular interactions and interplay required for stem cells to differentiate and function as otic sensory cells. A few of the challenges encountered with traditional stem cell therapy may be addressed with organoids.
Stem cell-based regenerative therapy holds a great potential for developing novel treatment modalities for SNHL. Further advancements are needed in addressing the challenges associated with stem cell-based regenerative therapy and promote their translation from bench to bedside.
感音神经性听力损失(SNHL)是全球发病率较高的重要原因,目前尚无有效的治疗方法。干细胞治疗技术的进步促使许多研究从祖细胞中生成耳感觉细胞,以恢复内耳功能。最近,类器官的出现为进一步推进不可逆性听力损失后功能性替代细胞的生成过程提供了有希望的技术。类器官是在培养中生成的三维干细胞,以模拟内耳的组织结构和细胞成分。类器官是体外生成功能性耳蜗结构的有前途的技术,可能为利用干细胞恢复 SNHL 提供关键信息。
本综述旨在讨论基于干细胞的 SNHL 再生治疗的最新进展。
最近的研究提高了我们对毛细胞和螺旋神经节神经元生成中涉及的发育途径的理解。然而,在阐明干细胞分化并作为耳感觉细胞发挥功能所需的分子相互作用和相互作用方面仍存在重大挑战。传统干细胞疗法遇到的一些挑战可以通过类器官来解决。
基于干细胞的再生治疗为 SNHL 开发新的治疗方法提供了巨大的潜力。需要进一步解决与基于干细胞的再生治疗相关的挑战,并促进其从实验室到临床的转化。