Frontiers in Neuroscience,
Journal Year:
2023,
Volume and Issue:
17
Published: Jan. 23, 2023
The
electrical
cochlear
implant
(eCI)
partially
restores
hearing
in
individuals
affected
by
profound
impairment
(HI)
or
deafness.
However,
the
limited
resolution
of
sound
frequency
coding
with
eCIs
limits
daily
situations
such
as
group
conversations.
Current
research
promises
future
improvements
restoration
which
may
involve
gene
therapy
and
optical
stimulation
auditory
nerve,
using
optogenetics.
Prior
to
potential
clinical
translation
these
technologies,
it
is
critical
that
patients
are
engaged
order
align
agendas
technological
advancements
their
needs.Here,
we
performed
a
survey
study
impaired,
an
eCI
means
rehabilitation.
We
distributed
questionnaire
180
adult
from
University
Medical
Center
Göttingen's
Department
Otolaryngology
who
were
actively
for
6
months
more
during
time
period.
Questions
revolved
around
needs,
willingness
accept
hypothetical
risks
drawbacks
associated
CI
(oCI).Eighty-one
participants
responded
questionnaire;
68%
greater
than
60
years
age
26%
had
bilateral
eCIs.
Participants
expressed
need
improving
performance
beyond
experienced
current
eCI.
Primarily,
they
desired
improved
speech
comprehension
background
noise,
ability
appreciate
music,
natural
impression.
They
engaging
new
technologies
restoration.
Notably,
least
concerned
about
hypothetically
receiving
necessary
oCI
implant;
but
reluctance
yet
be
evaluated
human
trial.This
work
provides
preliminary
step
development
technology
has
address
limitations
Science Translational Medicine,
Journal Year:
2020,
Volume and Issue:
12(553)
Published: July 22, 2020
When
hearing
fails,
electrical
cochlear
implants
(eCIs)
provide
the
brain
with
auditory
information.
One
important
bottleneck
of
CIs
is
poor
spectral
selectivity
that
results
from
wide
current
spread
each
electrode
contacts.
Optical
(oCIs)
promise
to
make
better
use
tonotopic
order
spiral
ganglion
neurons
(SGNs)
inside
cochlea
by
spatially
confined
stimulation.
Here,
we
established
multichannel
oCIs
based
on
light-emitting
diode
(LED)
arrays
and
used
them
for
optical
stimulation
channelrhodopsin
(ChR)-expressing
SGNs
in
rodents.
Power-efficient
blue
LED
chips
were
integrated
onto
microfabricated
15-μm-thin
polyimide-based
carriers
comprising
interconnecting
lines
address
individual
LEDs
a
stationary
or
mobile
driver
circuitry.
We
extensively
characterized
optoelectronic,
thermal,
mechanical
properties
demonstrated
stability
over
weeks
vitro.
then
implanted
into
ChR-expressing
rats
gerbils,
optogenetic
SGN
electrophysiological
behavioral
experiments.
Improved
was
directly
recordings
midbrain.
Long-term
experiments
deafened
nontreated
control
animals
specificity
Behavioral
studies
carrying
wireless
oCI
sound
processor
revealed
percepts.
This
study
demonstrates
restoration
improved
an
LED-based
system.
Frontiers in Molecular Neuroscience,
Journal Year:
2021,
Volume and Issue:
13
Published: Jan. 7, 2021
Hearing
impairment
is
the
most
common
sensory
disorder
in
humans.
So
far,
rehabilitation
of
profoundly
deaf
subjects
relies
on
direct
stimulation
auditory
nerve
through
cochlear
implants.
However,
some
forms
genetic
hearing
impairment,
organ
Corti
structurally
intact
and
therapeutic
replacement
mutated
gene
could
potentially
restore
near
natural
hearing.
In
case
defects
otoferlin
(
OTOF
),
such
therapy
hindered
by
size
coding
sequence
(~6
kb)
exceeding
cargo
capacity
(<5
preferred
viral
vector,
adeno-associated
virus
(AAV).
Recently,
a
dual-AAV
approach
was
used
to
partially
knock-out
Otof-
KO)
mice.
Here,
we
employed
vitro
vivo
approaches
assess
gene-therapeutic
potential
naturally-occurring
newly-developed
synthetic
AAVs
overloaded
with
full-length
Otof
sequence.
Upon
early
postnatal
injection
into
cochlea
KO
mice,
drove
specific
expression
~30%
all
IHCs,
as
demonstrated
immunofluorescence
labeling
polymerase
chain
reaction.
Recordings
brainstem
responses
behavioral
assay
partial
restoration
Together,
our
results
suggest
that
DFNB9—using
single
AAV
vector—is
indeed
feasible,
reducing
complexity
transfer
compared
approaches.
Progress in Retinal and Eye Research,
Journal Year:
2022,
Volume and Issue:
91, P. 101089 - 101089
Published: June 10, 2022
Degenerative
retinal
disorders
are
a
diverse
family
of
diseases
commonly
leading
to
irreversible
photoreceptor
death,
while
leaving
the
inner
retina
relatively
intact.
Over
recent
years,
innovative
gene
replacement
therapies
aiming
halt
progression
certain
inherited
have
made
their
way
into
clinics.
By
rendering
surviving
neurons
light
sensitive
optogenetic
therapy
now
offers
feasible
treatment
option
that
can
restore
lost
vision,
even
in
late
disease
stages
and
widely
independent
underlying
cause
degeneration.
Since
proof-of-concept
almost
fifteen
years
ago,
this
field
has
rapidly
evolved
detailed
first
report
on
treated
patient
recently
been
published.
In
article,
we
provide
review
approaches
for
vision
restoration.
We
discuss
currently
available
tools
relative
advantages
disadvantages.
Possible
cellular
targets
will
be
discussed
address
question
how
remodelling
may
affect
choice
target
what
extent
it
limit
outcomes
Finally,
analyse
evidence
against
tool
mediated
toxicity
challenges
associated
with
clinical
translation
promising
therapeutic
concept.
Neurophotonics,
Journal Year:
2022,
Volume and Issue:
9(S1)
Published: April 27, 2022
Neurophotonics
was
launched
in
2014
coinciding
with
the
launch
of
BRAIN
Initiative
focused
on
development
technologies
for
advancement
neuroscience.
For
last
seven
years,
Neurophotonics'
agenda
has
been
well
aligned
this
focus
neurotechnologies
featuring
new
optical
methods
and
tools
applicable
to
brain
studies.
While
2.0
is
pivoting
towards
applications
these
novel
quest
understand
brain,
article
we
review
an
extensive
diverse
toolkit
explore
function
that
have
emerged
from
related
large-scale
efforts
measurement
manipulation
structure
function.
Here,
neurophotonic
mostly
animal
A
companion
article,
scheduled
appear
later
year,
will
cover
diffuse
imaging
noninvasive
human
each
domain,
outline
current
state-of-the-art
respective
technologies,
identify
areas
where
innovation
needed
provide
outlook
future
directions.
Journal of Clinical Investigation,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 15, 2024
Usher
syndrome
type
1F
(USH1F),
resulting
from
mutations
in
the
protocadherin-15
(PCDH15)
gene,
is
characterized
by
congenital
lack
of
hearing
and
balance,
progressive
blindness
form
retinitis
pigmentosa.
In
this
study,
we
explore
an
approach
for
USH1F
gene
therapy,
exceeding
single
AAV
packaging
limit
employing
a
dual
adeno-associated
virus
(AAV)
strategy
to
deliver
full-length
PCDH15
coding
sequence.
We
demonstrate
efficacy
mouse
models,
effectively
restoring
balance
these
mice.
Importantly,
our
also
proves
successful
expressing
protein
clinically
relevant
retinal
including
human
organoids
non-human
primate
retina,
showing
efficient
targeting
photoreceptors
proper
expression
calyceal
processes.
This
research
represents
major
step
toward
advancing
therapy
multiple
challenges
hearing,
vision
impairment.
Communications Biology,
Journal Year:
2022,
Volume and Issue:
5(1)
Published: Oct. 20, 2022
Abstract
Optogenetic
gene
therapies
to
restore
vision
are
in
clinical
trials.
Whilst
current
approaches
target
the
ganglion
cells,
output
neurons
of
retina,
new
molecular
tools
enable
efficient
targeting
first
order
retinal
interneurons,
bipolar
with
potential
a
higher
quality
vision.
Here
we
investigate
signaling
and
behavioral
blind
mice
treated
cell
targeted
optogenetic
therapies.
All
tested
tools,
including
medium-wave
opsin,
Opto-mGluR6,
two
melanopsin
based
chimeras
restored
visual
acuity
contrast
sensitivity.
The
best
performing
opsin
was
melanopsin-mGluR6
chimera,
which
some
cases
acuities
sensitivities
that
match
wild-type
animals.
Light
responses
from
cells
were
robust
diverse
receptive-field
types,
inferring
elaborate
inner
signaling.
Our
results
highlight
optogenetics
recover
high-level
human
patients
end-stage
degenerations.