Perumal Venkatesan, Ravula Arun Reddy, Shao Ningning, Chandra Namas
Center for Injury Biomechanics, Materials, and Medicine, Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, NJ, 07102, USA.
J Otol. 2023 Jan;18(1):38-48. doi: 10.1016/j.joto.2022.09.002. Epub 2022 Oct 4.
Blast injuries are common among the military service members and veterans. One of the devastating effects of blast wave induced TBI is either temporary or permanent hearing loss. Treating hearing loss using minocycline is restricted by optimal drug concentration, route of administration, and its half-life. Therefore, therapeutic approach using novel therapeutic delivery method is in great need. Among the different delivery methods, nanotechnology-based drug delivery is desirable, which can achieve longer systemic circulation, pass through some biological barriers and specifically targets desired sites. The current study aimed to examine therapeutic effect of minocycline and its nanoparticle formulation in moderate blast induced hearing loss rat model through central auditory system. The I.v. administered nanoparticle at reduced dose and frequency than regularly administered toxic dose. After moderate blast exposure, rats had hearing impairment as determined by ABR at 7- and 30-days post exposure. In chronic condition, free minocycline also showed the significant reduction in ABR threshold. In central auditory system, it is found in this study that minocycline nanoparticles ameliorate excitation in inferior colliculus; and astrocytes and microglia activation after the blast exposure is reduced by minocycline nanoparticles administration. The study demonstrated that in moderate blast induced hearing loss, minocycline and its nanoparticle formulation exhibited the optimal therapeutic effect on the recovery of the ABR impairment and a protective effect through central auditory system. In conclusion, targeted and non-targeted nanoparticle formulation have therapeutic effect on blast induced hearing loss.
爆炸伤在军人和退伍军人中很常见。爆炸波导致的创伤性脑损伤的一个毁灭性影响是暂时或永久性听力丧失。使用米诺环素治疗听力丧失受到最佳药物浓度、给药途径及其半衰期的限制。因此,迫切需要采用新型治疗递送方法的治疗途径。在不同的递送方法中,基于纳米技术的药物递送是理想的,它可以实现更长的全身循环,穿过一些生物屏障并特异性靶向所需部位。本研究旨在通过中枢听觉系统检查米诺环素及其纳米颗粒制剂对中度爆炸诱导的听力丧失大鼠模型的治疗效果。静脉注射纳米颗粒的剂量和频率低于常规给予的有毒剂量。在中度爆炸暴露后,通过暴露后7天和30天的听性脑干反应(ABR)测定,大鼠出现听力障碍。在慢性情况下,游离米诺环素也显示ABR阈值显著降低。在中枢听觉系统中,本研究发现米诺环素纳米颗粒改善了下丘的兴奋;米诺环素纳米颗粒给药减少了爆炸暴露后星形胶质细胞和小胶质细胞的激活。该研究表明,在中度爆炸诱导的听力丧失中,米诺环素及其纳米颗粒制剂对ABR损伤的恢复表现出最佳治疗效果,并通过中枢听觉系统起到保护作用。总之,靶向和非靶向纳米颗粒制剂对爆炸诱导的听力丧失具有治疗作用。