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Hair Cell Regeneration Update

Editor: Hair cell regeneration and the related stem cell research offer what is probably the best hope for hearing restoration in the next few years. A reader who follows these developments just sent me four stories, each of which discusses promising medical discoveries. Two of the stories are late-breaking news and two are from earlier this summer. Here are a couple of paragraphs from each story and a link to the full article.

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Article 1: New Inner Ear Stem Cells Discovered - http://tinyurl.com/mag6

BOSTON, Sept. 3 (AScribe Newswire) -- Hearing loss and vestibular disorders often have debilitating effects on affected individuals, ranging in severity from modest difficulty with speech comprehension to profound deafness, tinnitus or dizziness. Hearing loss is the most prevalent chronic disease of the elderly, affecting more than one third of people over 65 years of age. In most cases, hearing loss is caused by degeneration of the inner ear's sensory receptor cells or "hair cells."

A research team led by Stefan Heller, Ph.D., a principal investigator at the Massachusetts Eye and Ear Infirmary's Eaton-Peabody Laboratory and assistant professor, Department of Otology and Laryngology, Harvard Medical School, has discovered a new population of stem cells that reside in the inner ear of adult mice. Huawei Li, Ph.D., a postdoctoral associate of the laboratory, found that these cells give rise to new hair cells in the culture dish, as well as after transplantation into embryonic inner ears of laboratory animals. The combination of these two discoveries could eventually lead to new hope for some people who suffer from hearing loss.

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Article 2: Chicken Embryo Research Tunes Into Inner Ear - http://www.sciencedaily.com/releases/2003/09/030903074509.htm

WEST LAFAYETTE, Ind. - Purdue University biologists have learned how to control the development of stem cells in the inner ears of embryonic chickens, a discovery which could potentially improve the ability to treat human diseases that cause deafness and vertigo.

By introducing new genes into the cell nuclei, researchers instructed the embryonic cells to develop into different adult cells than they would have ordinarily. Instead of forming the tiny hairs that the inner ear uses to detect sound waves, the stem cells matured into tissue with different kind of hairs - the sort used to keep balance. This ability to guide the choice of cell types could expand researchers' knowledge of the inner ear and its disorders.

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Article 3: Gene therapy grows new auditory hair cells in mammals -
http://www.eurekalert.org/pub_releases/2003-05/uomh-gtg052703.php

ANN ARBOR, MI - University of Michigan scientists have used gene therapy to grow new auditory hair cells in adult guinea pigs - a discovery that could lead to new treatments for human deafness and age-related hearing loss.

Healthy hair cells are vital to the ability to hear, but aging, infection, certain medications and exposure to loud noises can damage or destroy hair cells causing sensorineural hearing loss - a condition affecting over 30 million Americans. Since the discovery, in the late 1980s, that birds can spontaneously regenerate damaged hair cells, scientists have been trying to find a way to induce the replacement of lost hair cells in mammals.

U-M scientists have now accomplished this goal by inserting a gene called Math1 into non-sensory epithelial cells lining the inner ear. Results from the study will be published in the June 1 issue of the Journal of Neuroscience.

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Article 4: GenVec Announces Early Research Efforts for Inner Ear Disorders -
http://www.corporate-ir.net/ireye/ir_site.zhtml?ticker=GNVC
&script=410&layout=-6&item_id=418882

GAITHERSBURG, Md., Jun 4, 2003 /PRNewswire-FirstCall via COMTEX/ -- GenVec, Inc. (Nasdaq: GNVC), a biopharmaceutical company, today announced promising early data on its research into possible treatments for hearing loss and balance disorders. Proof-of-principle studies conducted at Dr. Yehoash Raphael's laboratory at the University of Michigan using the atonal homolog, MATH-1, and GenVec's proprietary technology showed the generation of new hair cells in mature mammalian inner ears, which could have the potential for treating hearing loss. GenVec also has a research collaboration with Dr. Hinrich Staecker at the University of Maryland, which is focused on balance disorders.

The human ear is responsible for hearing and balance. There are many different medical conditions that result in hearing loss and problems with balance. The most common reason is the absence of functional hair cells in the inner ear. A hair cell has tiny "hair like" projections that contain receptors that receive signals of sound and motion. These signals are transmitted through nerves to the brain and help a person hear and maintain balance. Regeneration of new hair cells offers a possible new approach in the treatment of hearing loss and balance dysfunction.