Cristina L. Garcia
MD Student with Scholarly Concentration in Clinical Research / Neuroscience, Behavior, and Cognition, expected graduation Spring 2028
All Publications
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Dexamethasone-eluting cochlear implants reduce inflammation and foreign body response in human and murine cochleae
SCIENTIFIC REPORTS
2025; 15 (1): 30615
Abstract
The inflammatory foreign body response (FBR) following cochlear implantation (CI) can negatively impact CI outcomes, including increased electrode impedances. This study aims to investigate the long-term efficacy of dexamethasone-eluting cochlear implant and locally delivered dexamethasone, a potent anti-inflammatory glucocorticoid, on the intracochlear FBR and electrical impedance post-implantation in a murine model. Preliminary impedance data in humans are also provided as a complement to the murine data to illustrate generalizability and reinforce implications related to clinical application. The left ears of CX3CR1+/GFP Thy1+/YFP (macrophage-neuron dual reporter) mice were implanted with dexamethasone-eluting cochlear implants (Dex-CI) or standard implant (Standard-CI) while the right ear served as unoperated control. Another group of dual reporter mice was implanted with a standard CI electrode array followed by injection of dexamethasone in the middle ear to mimic current clinical practice (Dex-local). Mouse implants were electrically stimulated with serial measurements of electrical impedance. Human subjects were implanted with either standard or Dex-CI followed by serial impedance measurements. Dex-CI reduced electrical impedance in the murine model and human subjects and inflammatory FBR in the murine model for an extended period. Dex-local in the murine model is ineffective for long-term reduction of FBR and electrode impedance. Our data suggests that dexamethasone-eluting arrays are more effective than the current clinical practice of locally applied dexamethasone in reducing FBR and electrical impedance.
View details for DOI 10.1038/s41598-025-10739-y
View details for Web of Science ID 001555094800039
View details for PubMedID 40836064
View details for PubMedCentralID PMC12368128
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Protocol for supervised automation of cell counting in confocal microscopic mice cochlear imaging datasets using macro in Imaris
STAR PROTOCOLS
2025; 6 (2): 103815
Abstract
Analyzing confocal microscopic data using Imaris is time-consuming and prone to human error. We present a supervised automation protocol to reduce manual input for cell and spot counting in confocal images of mouse cochlear sections. The protocol includes installing Imaris; preparing confocal images for Imaris; applying the image recognition tool in Macro Scheduler to create surfaces, masks, and spots; and using batch processing to analyze groups of images efficiently. This approach improves accuracy, reproducibility, and customization for research needs.
View details for DOI 10.1016/j.xpro.2025.103815
View details for Web of Science ID 001493918600002
View details for PubMedID 40381200
View details for PubMedCentralID PMC12145762