Preclinical and clinical otoprotective applications of cell-penetrating peptide D-JNKI-1 (AM-111)

Hear Res. 2018 Oct:368:86-91. doi: 10.1016/j.heares.2018.03.003. Epub 2018 Mar 7.

Abstract

There is a growing interest in the auditory community to develop novel prophylactic and therapeutic drugs to prevent permanent sensorineural hearing loss following acute cochlear injury. The jun-N-terminal protein kinase (JNK) pathway plays a crucial role in acute sensory hearing loss. Blocking the JNK pathway using the cell-penetrating peptide D-JNKI-1 (AM-111/brimapitide) has shown promise as both a prophylactic and therapeutic agent for acute cochlear injury. A number of pre-clinical and clinical studies have determined the impact of D-JNKI-1 on acute sensorineural hearing loss. Given the inner-ear selective therapeutic profile, local route of administration, and ability to diffuse across cellular membranes rapidly using both active and passive transport makes D-JNK-1 a promising oto-protective drug. In this review article, we discuss the application of D-JNKI-1 in various auditory disorders as well as its pharmacological properties and distribution in the cochlea.

Keywords: AM-111; Acute sensorineural hearing loss; Brimapitide; D-JNKI-1; JNK pathway; Noise trauma.

Publication types

  • Review

MeSH terms

  • Animals
  • Cell Membrane Permeability
  • Cell-Penetrating Peptides / administration & dosage*
  • Cochlea / drug effects*
  • Cochlea / enzymology
  • Cochlea / injuries
  • Cochlea / physiopathology
  • Cochlear Diseases / complications
  • Cochlear Diseases / drug therapy*
  • Cochlear Diseases / enzymology
  • Cochlear Diseases / physiopathology
  • Cytoprotection
  • Enzyme Inhibitors / administration & dosage*
  • Hearing / drug effects*
  • Hearing Loss, Sensorineural / enzymology
  • Hearing Loss, Sensorineural / etiology
  • Hearing Loss, Sensorineural / physiopathology
  • Hearing Loss, Sensorineural / prevention & control*
  • Humans
  • JNK Mitogen-Activated Protein Kinases / antagonists & inhibitors*
  • JNK Mitogen-Activated Protein Kinases / metabolism
  • Peptides / administration & dosage*
  • Prognosis
  • Risk Factors
  • Signal Transduction / drug effects

Substances

  • Cell-Penetrating Peptides
  • Enzyme Inhibitors
  • Peptides
  • JNK Mitogen-Activated Protein Kinases
  • D-JNKI-1