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Review
. 2024 Oct 8;13(10):802.
doi: 10.3390/biology13100802.

The Role of Pericytes in Inner Ear Disorders: A Comprehensive Review

Affiliations
Review

The Role of Pericytes in Inner Ear Disorders: A Comprehensive Review

Antonino Maniaci et al. Biology (Basel). .

Abstract

Inner ear disorders, including sensorineural hearing loss, Meniere's disease, and vestibular neuritis, are prevalent conditions that significantly impact the quality of life. Despite their high incidence, the underlying pathophysiology of these disorders remains elusive, and current treatment options are often inadequate. Emerging evidence suggests that pericytes, a type of vascular mural cell specialized to maintain the integrity and function of the microvasculature, may play a crucial role in the development and progression of inner ear disorders. The pericytes are present in the microvasculature of both the cochlea and the vestibular system, where they regulate blood flow, maintain the blood-labyrinth barrier, facilitate angiogenesis, and provide trophic support to neurons. Understanding their role in inner ear disorders may provide valuable insights into the pathophysiology of these conditions and lead to the development of novel diagnostic and therapeutic strategies, improving the standard of living. This comprehensive review aims to provide a detailed overview of the role of pericytes in inner ear disorders, highlighting the anatomy and physiology in the microvasculature, and analyzing the mechanisms that contribute to the development of the disorders. Furthermore, we explore the potential pericyte-targeted therapies, including antioxidant, anti-inflammatory, and angiogenic approaches, as well as gene therapy strategies.

Keywords: inner ear; pathophysiology; pericyte-target therapy; pericytes; sensorineural hearing loss.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Graphical representation of inner ear disorders and related conditions that significantly affect the quality of life, including the multifactorial etiology of inner ear disorders.
Figure 2
Figure 2
(a) Anatomy of the ear with vessel distribution and organization (Copilot image creator, Microsoft designer, Bing, www.bing.com, accessed on 1 September 2024). (b) Graphic showing pericytes and their main functions in the inner ear (BioRender: Scientific Image and Illustration Software, Toronto, Canada, www.biorender.com, accessed on 1 September 2024).
Figure 3
Figure 3
Pericyte molecular patterns and inner ear diseases.
Figure 4
Figure 4
Genetics and physiological mechanisms in the pericytes (BioRender: Scientific Image and Illustration Software, www.biorender.com, accessed on 1 September 2024).
Figure 5
Figure 5
Representation of pericyte dysfunction consequences and promising therapeutic strategies for inner ear disorders.
Figure 6
Figure 6
Schematic resume of the most commonly used animal model to study pericytes in inner ear disorders [22,44,55,247,255,259,262,265,267,269,270,279].

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Grants and funding

This research was partially funded by MUR—PRIN 2022 PNRR (Next Generation EU, componente M4C2, investimento 1.1.), grant number P202272FJC.

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