Adele Moatti, Ph.D.

Assistant Professor, Department of Otolaryngology

Current Research

Our ability to hear shapes our daily experiences, connecting us to the world and enriching our sensory perception. The profound impact of hearing loss extends beyond mere auditory impairment, affecting cognitive health, self-identity, and confidence to thrive in one's environment. Recent research efforts have intensified, focusing on preventive and restorative treatment methods to address this pervasive public health issue focusing specifically on the hair cells of the cochlea. The imminent revolution in hearing loss treatment holds great promise, providing a long-awaited disruption to the therapeutic landscape. However, alongside drug formulation, is the development of an appropriate drug delivery system. Determining the most effective and safe means of transporting medication while prioritizing patient comfort is a significant challenge. Unlike conventional delivery methods for flu shots or cough syrup, inner ear drug delivery demands a nuanced approach.

The primary challenge for systemic delivery to the inner ear is achieving a therapeutic dose across the blood-labyrinth barrier without causing systemic side effects. Local administration routes, such as intratympanic and intracochlear methods, present alternatives that bypass blood-labyrinth barrier issues encountered with systemic administration. However, these local methods come with drawbacks, including temporary or permanent hearing loss or low efficiency.

Our lab addresses the significant challenges inherent in developing effective inner ear substance delivery systems. One key hurdle involves not knowing the exact drug formulation for which the delivery system is being designed, affecting drug bioavailability and biodistribution. Another obstacle lies in translating promising findings from preclinical studies, conducted on animal models, into applicable solutions for human patients. Synergistic collaborations between hearing healthcare professionals and scientists, along with technological innovations such as 3D imaging and nanotechnology, would pave the way for transformative advancements in inner ear drug delivery systems.

Education & Training
  • NC State University