Inner Ear Hair Cell Regeneration — Maybe We Can Know More

Discussion in 'Research News' started by Hopeful, Sep 6, 2013.

    1. crd3

      crd3 Member

      Tinnitus Since:
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      It means that hearing loss is the target of their research as opposed to tinnitus. If the tinnitus is linked to hearing loss, however, it stands to reason that tinnitus will also be significantly alleviated or possibly cured. Many people whose hearing improves due to hearing aids or stem cell treatments experience reduction of tinnitus.

      I just want to know how they’re going to differentiate synapse damage from hair cell damage; seems like it could be an important distinction.
       
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    2. Flamingo1

      Flamingo1 Member Benefactor

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      I meant that they were very vague in their response. How are they planning to treat progressive hearing loss and what do they classify as progressive hearing loss? Old age?
       
    3. Joeymeatballs
      Curious

      Joeymeatballs Member Benefactor

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      From what I was just told earlier in this thread, I'm pretty sure FX is hoping that they're regrowth of hair cells will also repair the synapses. However, I agree that the imaging system needs updating. I haven't been able to seem to get an answer to this question: Say the FX trials go well, and it helps people with tinnitus, what happens to the people who THINK they have damaged hair cells but don't actually? Is there a way for FX to count how many hair cells a person has/ if they are damaged? I assume they do but I am pretty ignorant on all of this, still trying to learn more
       
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    4. Aaron123

      Aaron123 Member

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      No.
       
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    5. crd3

      crd3 Member

      Tinnitus Since:
      2016
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      I hope that it means any hearing loss that’s not sudden. Really hope so.
       
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    6. Joeymeatballs
      Curious

      Joeymeatballs Member Benefactor

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      Are there just too many? Because they were able to count the cells of mice, right?
       
    7. Aaron123

      Aaron123 Member

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      The experiment with the mice was done in the lab in a dish, not in living mice.
       
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    8. Flamingo1

      Flamingo1 Member Benefactor

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      If Rescue Hearing has published papers, they may provide some clues.
       
    9. Flamingo1

      Flamingo1 Member Benefactor

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      I believe Decibel mentioned that imaging the inner ear is one of the things they are working on.
       
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    10. Reinier
      Not amused

      Reinier Member Podcast Patron Benefactor

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      What I understand is that it means that there is a tiny bit of natural regeneration happening. So absence of induction is absence of inducing the progenitor cells with a "jumpstart".
      This is only what I read into it. I could be completely wrong.

      I did a Duckduckgo search (-;
      3500 inner and 12000 outer hair-cells. In this research paper I read 3000 for the mouse and 15000 for us humans.

      What I read is that the FT molecules will "just" start the process of generating new hair cells (the positive disposition :)) and will do nothing for lost fibres on other still existing hair cells.
      I believe Aaron123 also mentioned this earlier.
       
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    11. Canadaman

      Canadaman Member

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      These numbers are per-ear, by the way. You have double that if you count both ears.

      Still, it's a remarkably small number of cells!
       
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    12. Berik

      Berik Member Benefactor

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      I'm a bit lost about the number of cells of the mouse cochlear? Trying to understand how effective the treatment might be.
       
    13. Aaron123

      Aaron123 Member

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      I have no idea why you are worried about this. It has nothing to do with how effective an eventual treatment may be. The numbers quoted from the paper are from a lab experiment.
       
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    14. Contrast
      No Mood

      Contrast Member Benefactor Hall of Fame

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      So is Decible-tx is focusing on repairing the nerve and synapse related issue for already existing hair cells?
      Is anyone working on it?
       
    15. Reinier
      Not amused

      Reinier Member Podcast Patron Benefactor

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      I believe Decibel is doing research on synapse repair or generating new synapses on existing hair-cells.
      But not only Decibel. I see that Otonomy is also researching.
      http://investors.otonomy.com/phoenix.zhtml?c=234082&p=irol-newsArticle_Print&ID=2325672
      "Otonomy has initiated nonclinical testing and manufacturing for OTO-413 to support an Investigational New Drug (IND) Application, with a Phase 1/2 clinical trial expected to begin in hearing loss patients in the first half of 2019."
       
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    16. Berik

      Berik Member Benefactor

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      I'm not worried, I want to understand.

      Edit: Aaron, you're an irritating person.
       
      Last edited: Jan 12, 2018
    17. Autumnly
      Wishful

      Autumnly Member Benefactor Hall of Fame

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      Affichem with their drug candidate AF-243 and the Hough Ear Institute are also working on that.
       
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    18. Jiri
      No Mood

      Jiri Member Benefactor

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      Just thought I'd add an interesting article on hair cell regeneration and hearing loss: https://report.nih.gov/nihfactsheets/viewfactsheet.aspx?csid=94

      That is a very good question. Anyone has any idea what type of an imaging device could dermine the type and an extent of damage in the middle and inner ear? Apart from a fMRI and electron microscope?
       
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    19. Aaron123

      Aaron123 Member

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      There is no way to "see" the damage to the inner ear at the moment. A number of labs are working on it, but it isn't clear when something like that will be available. Neither fMRI nor electron microscope are useful.
       
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    20. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

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      The latest achievements I know in this domain is through optical coherence tomography (OCT).
       
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    21. Flamingo1

      Flamingo1 Member Benefactor

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      Why can't an fMRI or electron microscope image the inner ear?
       
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    22. Flamingo1

      Flamingo1 Member Benefactor

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    23. Aaron123

      Aaron123 Member

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      fMRI measures brain activity through changes in blood flow. That is not going to provide information about specific damage in the inner ear. Electron microscope doesn't work for an inner ear encased in bone.

      There is currently no way to get cellular level imaging that would show, for example, hair cells in a living human (or as far as I know, mouse, rat, etc). Thus, there is no way to look at hair cell loss vs synaptic loss vs other damage at the present time.
       
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    24. Jiri
      No Mood

      Jiri Member Benefactor

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      That is a GREAT and a very useful piece of information. I'll ask my doctor about it.
      Exactly. Now is the year 2018 which hopefully means that after 5 years they may have been able to progress with their research a lot further.
       
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    25. Jiri
      No Mood

      Jiri Member Benefactor

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    26. Aaron123

      Aaron123 Member

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    27. jdjd09

      jdjd09 Member

      Hi Aaron123. I saw someone earlier said something negative about you and I wants to say I disagree with them very much and think you are extremely helpful and informative in this thread and discussion. I appreciate you taking the time you take to continue to share what you know on this topic.

      In an unrelated topic to the first paragraph, I just wish there was a timeline out there when they think a hearing loss cure would be most likely coming out. Just some treatment that returns most hearing to patients on some level. Has anyone heard any new timelines coming out recently?
       
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    28. acufenero
      Starving

      acufenero Member

      Tinnitus Since:
      August 2014
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      Daily Mail is running a piece on hair cell regeneration:

      Could this new jab mean the end of hearing aids? Experimental treatment injected into the ear could restore hearing by growing new 'hair' cells

      What puzzles me is the first trial they are referring to:
      Is it Audion's phase 1/2? We haven't heard from them in a while.
       
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    29. Mortzcent
      Artistic

      Mortzcent Member

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      Isnt that about phase 1 Frequency trial?
       
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    30. acufenero
      Starving

      acufenero Member

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      Nope, Frequency's phase 1 took place in Australia as it is remarked in the piece.
       
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