Stem cell therapy for sensorineural hearing loss: A narrative review

Authors

  • Santosh K. Swain Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20261375

Keywords:

Sensorineural hearing loss, Stem cell therapy, Neural stem cells, Cochlea

Abstract

Transplanting neural stem cells has drawn a lot of interest as a novel therapeutic approach for replacing specific cells that have been harmed by disorders like neurodegenerative diseases. Neural stem cell transplantation has a significant therapeutic impact on cell activation and regeneration as well as the restoration of damaged neurons in many organs. As stem cell research advances, stem cell therapy will become more important in treating inner ear diseases including sensorineural hearing loss. The invasive surgical procedure may result in severe hearing loss because of the unique structure of the cochlea. Therefore, several methods are chosen for neural stem cell implantation depending on the conditions and goals of the treatment. The methods for stimulating endogenous and exogenous stem cell differentiation in the inner ear are discussed in this review article. Although stem cell therapy still has many drawbacks, its potential to treat hearing loss has been widely acknowledged. This review attempts to provide a thorough overview of stem cell therapy for sensorineural hearing loss (SNHL), the difficulties encountered, and possible future prospects in this field by combining recent research and innovation.

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References

Swain SK. Mumps-associated Sensorineural Hearing Loss: A Review. Matrix Science Pharma. 2025;9(3):59-63. DOI: https://doi.org/10.4103/mtsp.mtsp_13_25_1

Gregory GE, Munro KJ, Couper KN, Pathmanaban ON, Brough D. The NLRP3 inflammasome as a target for sensorineural hearing loss. Clin Immunol. 2023;249:109287. DOI: https://doi.org/10.1016/j.clim.2023.109287

Swain SK. Age related hearing loss and cognitive impairment–A current perspective. Int J Res Med Sci. 2021;9(1):317-21.

Swain SK. Hybrid cochlear implant: A scoping review. Int J Otorhinolaryngol Head Neck Surg. 2025;11(1):95-100. DOI: https://doi.org/10.18203/issn.2454-5929.ijohns20250127

Smith-Cortinez N, Tan AK, Stokroos RJ, Versnel H, Straatman LV. Regeneration of hair cells from endogenous otic progenitors in the adult mammalian cochlea: Understanding its origins and future directions. Int J Mol Sci. 2023;24(9):7840. DOI: https://doi.org/10.3390/ijms24097840

Lin FR, Niparko JK, Ferrucci L. Hearing loss prevalence in the United States. Arch Intern Med. 2011;171(20):1851-2. DOI: https://doi.org/10.1001/archinternmed.2011.506

Tordrup D, Smith R, Kamenov K, Bertram MY, Green N, Chadha S; WHO HEAR group. Global return on investment and cost-effectiveness of WHO’s HEAR interventions for hearing loss: a modelling study. Lancet Glob Health. 2022;10:52-62. DOI: https://doi.org/10.1016/S2214-109X(21)00447-2

Swain SK. Age related hearing loss and cognitive impairment–A current perspective. Int J Res Med Sci. 2021;9(1):317-21. DOI: https://doi.org/10.18203/2320-6012.ijrms20205863

Swain SK, Sahu MC, Choudhury J. Sudden sensorineural hearing loss in children: Our experiences in tertiary care teaching hospital of eastern India. Pediatria Polska-Polish J Paediatr. 2018;93(2):127-31. DOI: https://doi.org/10.5114/polp.2018.74773

Swain SK. Gene therapy for hearing loss: a review. Apollo Med. 2025;22(2):153-9. DOI: https://doi.org/10.1177/09760016241286276

Moser T, Starr A. Auditory neuropathy–neural and synaptic mechanisms. Nat Rev Neurol. 2016;12:135-49. DOI: https://doi.org/10.1038/nrneurol.2016.10

Waqas M, Gao S, Ali MK, Ma Y, Li W. Inner Ear Hair Cell Protection in Mammals against the Noise‐Induced Cochlear Damage. Neural Plasticity. 2018;2018(1):3170801. DOI: https://doi.org/10.1155/2018/3170801

Cumpata AJ, Labusca L, Radulescu LM. Stem cell-based therapies for auditory hair cell regeneration in the treatment of hearing loss. Tissue Engineering Part B: Reviews. 2024;30(1):15-28. DOI: https://doi.org/10.1089/ten.teb.2023.0084

Swain SK. Cochlear deformities and its implication in cochlear implantation: a review. Int J Res Med Sci. 2022;10(10):2339-45. DOI: https://doi.org/10.18203/2320-6012.ijrms20222547

Wang Z, Yan Y, Chen W, Tan Z, Yan Q, Chen Q, et al. Preparation and characterization of neural stem cell-loaded conductive hydrogel cochlear implant electrode coatings. Biomaterials Adv. 2025;167:214109. DOI: https://doi.org/10.1016/j.bioadv.2024.214109

Fang Q, Wei Y, Zhang Y, Cao W, Yan L, Kong M, et al. Stem cells as potential therapeutics for hearing loss. Front Neurosci. 2023;17:1259889. DOI: https://doi.org/10.3389/fnins.2023.1259889

Swain SK. Long-term Mobile Phone Use and its Impact on Hearing Loss: A Scoping Review. Matrix Science Medica. 2025;9(3):67-70. DOI: https://doi.org/10.4103/mtsm.mtsm_3_25

Coleman B, Fallon JB, Gillespie LN, de Silva MG, Shepherd RK. Auditory hair cell explant co-cultures promote the differentiation of stem cells into bipolar neurons. Exp Cell Res. 2007;313(2):232. DOI: https://doi.org/10.1016/j.yexcr.2006.10.010

Nichols J, Smith A. Pluripotency in the embryo and in culture. Cold Spring Harb Perspect Biol. 2012;4(8):8128. DOI: https://doi.org/10.1101/cshperspect.a008128

Vats A, Tolley NS, Bishop AE, Polak JM. Embryonic stem cells and tissue engineering delivering stem cells to the clinic. J R Soc Med. 2005;98:346-50. DOI: https://doi.org/10.1177/014107680509800804

Munsie MJ, Michalska AE, O’Brien CM, Trounson AO, Pera MF, Mountford PS. Isolation of pluripotent embryonic stem cells from reprogrammed adult mouse somatic cell nuclei. Curr Biol. 2000;10(16):989-92. DOI: https://doi.org/10.1016/S0960-9822(00)00648-5

Cheng X, Zhong J, Zhang J, Cui C, Jiang L, Liu YW, et al. Gene therapy vs cochlear implantation in restoring hearing function and speech perception for individuals with congenital deafness. JAMA Neurol. 2025;82(9):941-51. DOI: https://doi.org/10.1001/jamaneurol.2025.2053

Swain SK. Current criteria for selecting cochlear implant in deaf patients: A review. Int J Adv Med. 2022;9:50-5. DOI: https://doi.org/10.18203/2349-3933.ijam20214881

Swain SK. Intracochlear electrode insertion of cochlear implant: a scoping review. Int J Otorhinolaryngol Head Neck Surg. 2025;11(3):335-41. DOI: https://doi.org/10.18203/issn.2454-5929.ijohns20251527

Vieira MS, Santos AK, Vasconcellos R, Goulart VA, Parreira RC, Kihara AH, et al. Neural stem cell differentiation into mature neurons: mechanisms of regulation and biotechnological applications. Biotechnol Adv. 2018;36(7):1946-70. DOI: https://doi.org/10.1016/j.biotechadv.2018.08.002

Trounson A, McDonald C. Stem cell therapies in clinical trials: progress and challenges. Cell Stem Cell. 2015;17:11-22. DOI: https://doi.org/10.1016/j.stem.2015.06.007

Choi KA, Hong S. Induced neural stem cells as a means of treatment in Huntington’s disease. Expert Opin Biol Ther. 2017;17(10):1333-43.

Zhu Q, Lu P. Stem cell transplantation for amyotrophic lateral sclerosis. Adv Exp Med Biol. 2020;1266:71-97. DOI: https://doi.org/10.1007/978-981-15-4370-8_6

Liu Q, Chen P, Wang J. Molecular mechanisms and potentials for differentiating inner ear stem cells into sensory hair cells. Develop Biol. 2014;390(2):93-101. DOI: https://doi.org/10.1016/j.ydbio.2014.03.010

Liao M, Zhou X, Wei H, Qi Y, Feng P, Gao X, et al. Neural stem cell-loaded biohybrid hydrogel improves cochlear implants by electrode-neural coupling and neural regeneration. Theranostics. 2026;16(2):936. DOI: https://doi.org/10.7150/thno.120515

Waqas M, Us-Salam I, Bibi Z, Wang Y, Li H, Zhu Z, et al. Stem Cell‐Based Therapeutic Approaches to Restore Sensorineural Hearing Loss in Mammals. Neural Plasticity. 2020;2020(1):8829660. DOI: https://doi.org/10.1155/2020/8829660

Kelleci K, Golebetmaz E. Regenerative therapy approaches and encountered problems in sensorineural hearing loss. Curr Stem Cell Res Ther. 2023;18(2):186-201. DOI: https://doi.org/10.2174/1574888X17666220429121714

Lang H, Schulte BA, Goddard JC, Hedrick M, Schulte JB, Wei L, et al. Transplantation of mouse embryonic stem cells into the cochlea of an auditory-neuropathy animal model: effects of timing after injury. J Assoc Res Otolaryngol. 2008;9(2):225-40. DOI: https://doi.org/10.1007/s10162-008-0119-x

Zhu H, Chen J, Guan L, Xiong S, Jiang H. The transplantation of induced pluripotent stem cells into the cochleae of mature mice. Int J Clin Exp Pathol. 2018;11(9):4423.

Liu R, Zhao L, Cong T, Yang S. Research and development of stem cell therapy for deafness. Chin J Otol. 2016;14:6-9.

Zhang PZ, He Y, Jiang XW, Chen FQ, Chen Y, Shi L, et al. Stem cell transplantation via the cochlear lateral wall for replacement of degenerated spiral ganglion neurons. Hearing Res. 2013;298:1-9. DOI: https://doi.org/10.1016/j.heares.2013.01.022

Beurg M, Fettiplace R, Nam JH, Ricci AJ. Localization of inner hair cell mechanotransducer channels using high-speed calcium imaging. Nat Neurosci. 2009;12(5):553-8. DOI: https://doi.org/10.1038/nn.2295

Park YH. Stem Cell Therapy for Sensorineural Hearing Loss, Still Alive? J Audiol Otol. 2015;19(2):63-7. DOI: https://doi.org/10.7874/jao.2015.19.2.63

Boddy SL, Romero-Guevara R, Ji AR, Unger C, Corns L, Marcotti W, et al. Generation of otic lineages from integration-free human-induced pluripotent stem cells reprogrammed by mRNAs. Stem Cells Int. 2020;2020:3692937. DOI: https://doi.org/10.1155/2020/3692937

Zine A, Messat Y, Fritzsch B. A human induced pluripotent stem cell-based modular platform to challenge sensorineural hearing loss. Stem Cells. 2021;39:697-706. DOI: https://doi.org/10.1002/stem.3346

Swain SK. Three-dimensional (3D) Printing in Otorhinolaryngology, Head and Neck Surgery: A Review. Indian J Health Sci Biomed Res KLEU. 2025;18(2):3. DOI: https://doi.org/10.71355/2542-6222.1047

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Published

2026-04-29

How to Cite

Swain, S. K. (2026). Stem cell therapy for sensorineural hearing loss: A narrative review. International Journal of Research in Medical Sciences, 14(5), 2204–2209. https://doi.org/10.18203/2320-6012.ijrms20261375

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Section

Review Articles