Review Article

Hair Cell Protection from Ototoxic Drugs

Table 1

Potential drug targets for treatment of AG and cisplatin ototoxicity.

CompoundOtotoxic drugMechanismMaterials and methodsReferences

ORC-13661AG and cisplatinBlock MET channelMouse cochlear cultures, in vitro zebrafish, in vitro[41]
Copper sulfateCisplatinCTR1 inhibitor, inhibit uptakeHEI-OC1 cells, in vitro
Mice, in vivo, i.t.
[31]
CimetidineCisplatinOCT blocker, inhibit uptakeMice, in vivo, i.p.[34]
Coenzyme Q10CisplatinAntioxidantRat, in vivo, oral administrations[55]
α-Lipoic acidAGAntioxidantGuinea pigs, in vivo, i.m.[56]
D-MethionineAGAntioxidantGuinea pigs, in vivo, i.p.[57]
ThioureaCisplatinAntioxidantGuinea pigs, in vivo, intracochlear perfusion by osmotic pump[58]
Vitamins B, C, and ECisplatinAntioxidantRat, in vivo, i.p.[59]
N-AcetylcysteineAGAntioxidantRat, in vivo, i.p.[60]
Hormone melatoninCisplatinAntioxidantRat, in vivo, i.p.[61]
siRNACisplatinInhibit TRPV1 or NOX3
Inhibit ROS generation and STAT1 activation
UB/OC-1 cells, in vitro
Rat, in vivo, i.t.
[62]
2,3-DihydroxybenzoateAGIron chelators
Compete with AG for iron binding
Guinea pigs, in vivo, i.p.[64]
AcetylsalicylateAGIron chelators, compete with AG for iron binding
Antioxidant
Guinea pigs, in vivo, oral administration[65]
EGCGCisplatinSTAT1 inhibitor
Antiapoptotic
Rat, in vivo, oral administrations[79]
Bay 11-7085CisplatinNF-κB inhibitors
Inhibit caspase-3 activation
HEI/OC1 cells, in vivo[78]
SN-50CisplatinNF-κB inhibitors
Inhibit caspase-3 activation
HEI/OC1 cells, in vivo[78]
z-VAD-FMKAGGeneral caspase inhibitorGuinea pigs, in vivo, intracochlear perfusion by osmotic pump[81]
z-LEHD-FMKAGCaspase-9 inhibitorGuinea pigs, in vivo, intracochlear perfusion by osmotic pump[81]
z-DEVD-fmkCisplatinCaspase-3 inhibitorGuinea pigs, in vivo, intracochlear perfusion by minipump[48]
z-LEHD-fmkCisplatinCaspase-9 inhibitorGuinea pigs, in vivo, intracochlear perfusion by minipump[48]
CEP-1347AGJNK inhibitorGuinea pigs, in vivo, s.c.[97]
CEP 11004AGJNK inhibitorChicken vestibular hair cell culture, in vitro[91]
Pifithrin-aCisplatinp53 inhibitor
Inhibit mitochondrial apoptotic pathway
Mouse cochlear culture, in vitro[100]

AG: aminoglycoside; MET: mechanoelectrical transducer; CTR1: Copper Transporter 1; OCT: organic cation transporter; siRNA: short interfering RNA; TRP: transient receptor potential; NOX3: NADPH-oxidase 3; ROS: reactive oxygen species; STAT1: transcription factor; EGCG: epigallocatechin gallate; JNK: c-jun NH2-terminal kinase; i.t.: intratympanic; i.p.: intraperitoneal; i.m.: intramuscular; s.c.: subcutaneous.