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. 2022 May 24;16:867453. doi: 10.3389/fnins.2022.867453

TABLE 2.

General pharmacotherapy, gene therapy, and cell therapy treatment strategies for SNHL.

Therapy Types of SNHL targeted Therapeutic cargoes Common delivery vehicles Common delivery routes
Pharmacotherapy
administration of corticosteroids and otoprotectants
Non-genetic Small molecule Hydrogel
nanocarriers
adjuvants
Systemic, intra-tympanic, intracochlear, intralabyrinthine, cochlear implant, microfluidic device
Gene therapy
Transgene delivery
introduce foreign genetic material to replenish wild-type copies of the deafness-causing gene
Genetic DNA plasmid Viral vectors Intracochlear, intralabyrinthine
Gene silencing
suppress the expression of the mutant allele at transcriptional or translational level
Genetic DNA plasmid
siRNA, miRNA
Viral vectors
non-viral nanocarriers
Intracochlear, intralabyrinthine
Gene editing
permanently edit the deafness-causing gene in host DNA genome
Genetic DNA plasmid
nucleotides, protein
Viral vectors
non-viral nanocarriers
Intracochlear, intralabyrinthine
Gene delivery for cell regeneration
induce hair cell or SGN regeneration from endogenous tissue
Non-genetic DNA plasmid
nucleotides, protein
Viral vectors
non-viral nanocarriers
Intracochlear, intralabyrinthine
Cell therapy
transplantation of exogenous cells to restore auditory function or manage AIED
Non-genetic Cell n/a Systemic, intracochlear, intralabyrinthine