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
EMBO Molecular Medicine,
Journal Year:
2021,
Volume and Issue:
13(6)
Published: May 7, 2021
Optogenetic
stimulation
of
spiral
ganglion
neurons
(SGNs)
in
the
ear
provides
a
future
alternative
to
electrical
used
current
cochlear
implants.
Here,
we
employed
fast
and
very
variants
red-light-activated
channelrhodopsin
(ChR)
Chrimson
(f-Chrimson
vf-Chrimson)
study
their
utility
for
optogenetic
SGNs
mice.
The
light
requirements
were
higher
vf-Chrimson
than
f-Chrimson,
even
when
optimizing
membrane
expression
by
adding
potassium
channel
trafficking
sequences.
time
intensity
coding
single
putative
compared
with
acoustic
clicks.
enabled
fire
at
near-physiological
rates
good
temporal
precision
up
250
Hz
stimulation.
dynamic
range
SGN
spike
rate
upon
was
narrower
clicks
but
larger
reported
timing,
on
other
hand,
more
comparable
In
conclusion,
f-Chrimson
are
promising
candidates
auditory
research
Proceedings of the National Academy of Sciences,
Journal Year:
2021,
Volume and Issue:
118(18)
Published: April 26, 2021
The
cochlea
of
our
auditory
system
is
an
intricate
structure
deeply
embedded
in
the
temporal
bone.
Compared
with
other
sensory
organs
such
as
eye,
has
remained
poorly
accessible
for
investigation,
example,
by
imaging.
This
limitation
also
concerns
further
development
technology
restoring
hearing
case
cochlear
dysfunction,
which
requires
quantitative
information
on
spatial
dimensions
and
sensorineural
status
cochlea.
Here,
we
employed
X-ray
phase-contrast
tomography
light-sheet
fluorescence
microscopy
their
combination
multiscale
multimodal
imaging
morphology
species
that
serve
established
animal
models
research.
We
provide
a
systematic
reference
morphological
parameters
relevant
implant
rodent
nonhuman
primate
models.
simulate
spread
light
from
emitters
optical
implants
within
reconstructed
cochlea,
indicates
spatially
narrow
optogenetic
excitation
spiral
ganglion
neurons.
Molecular Therapy — Methods & Clinical Development,
Journal Year:
2022,
Volume and Issue:
25, P. 111 - 123
Published: March 8, 2022
During
inherited
retinal
degenerations
(IRDs),
vision
is
lost
due
to
photoreceptor
cell
death;
however,
a
range
of
optogenetic
tools
have
been
shown
restore
light
responses
in
animal
models.
Restored
response
characteristics
vary
between
and
the
neuronal
population
which
they
are
delivered:
interplay
these
complex,
but
targeting
upstream
neurons
(such
as
bipolar
cells)
may
provide
functional
benefit
by
retaining
intraretinal
signal
processing.
In
this
study,
our
aim
was
compare
two
tools:
mammalian
melanopsin
(hOPN4)
microbial
red-shifted
channelrhodopsin
(ReaChR)
expressed
within
subpopulations
surviving
cells
degenerate
retina.
Intravitreal
adeno-associated
viral
vectors
mouse
models
utilising
Cre/lox
system
restricted
expression
populations
dominated
or
ganglion
compared
with
non-targeted
delivery
using
chicken
beta
actin
(CBA)
promoter.
summary,
we
found
bipolar-targeted
produced
faster
kinetics
flatter
intensity-response
relationships
retinal-ganglion-cell-targeted
hOPN4.
Hence,
both
origins
show
advantages
when
targeted
cells.
This
demonstrates
advantage
bipolar-cell-targeted
optogenetics
for
restoration
IRDs.
We
therefore
developed
bipolar-cell-specific
gene
employing
compressed
promoter
potential
clinical
translation.
Human Gene Therapy,
Journal Year:
2023,
Volume and Issue:
34(17-18), P. 808 - 820
Published: Aug. 29, 2023
Inherited
forms
of
blindness
and
deafness
are
highly
prevalent
severe
conditions
that
significantly
impact
the
lives
millions
people
worldwide.
The
lack
therapeutic
options
for
these
poses
a
major
socioeconomic
burden.
Over
last
decades,
gene
therapy
has
proven
to
be
life
changing
treatment
hereditary
acquired
diseases,
extensive
preclinical
investigation
in
animal
models
both
retinal
inner
ear
disorders
highlighted
promising
translational
opportunities
too.
This
led
dozens
clinical
trials
investigating
efficiency
therapy-based
approaches,
with
some
products
successfully
reaching
phase
III
development
or
even
market
authorization.
However,
challenges
remain
use
therapy,
which
related
features
delivery
vehicles
currently
available
characteristics
targeted.
Therefore,
further
developments
platforms'
design,
including
exploitation
novel
technologies
such
as
genome
editing,
RNA-targeted
therapies,
optogenetics,
actively
ongoing,
driving
field
forward.
In
this
study,
we
review
ongoing
applications
achievements
inherited
well
being
pursued
overcome
current
limitations.
Frontiers in Bioscience-Landmark,
Journal Year:
2024,
Volume and Issue:
29(7)
Published: July 4, 2024
Background:
Retinal
pigment
epithelial
(RPE)
cells
have
a
pivotal
function
in
preserving
the
equilibrium
of
retina
and
moderating
immunological
interaction
between
choroid
retina.
This
study
primarily
focuses
on
delineating
protective
effect
offered
by
Kaempferol
(Kae)
against
RPE
cell
damage.
Methods:
Bioinformatics
analysis
was
performed
GSE30719
dataset
to
identify
hub
genes
associated
with
RPE.
Subsequently,
we
analyzed
impact
Kae
apoptosis,
viability,
inflammatory
response
through
experiments,
explored
Kae.
Results:
Based
dataset,
nine
(ISG15,
IFIT1,
IFIT3,
STAT1,
OASL,
RSAD2,
IRF7,
MX2,
MX1)
were
identified,
all
which
highly
expressed
case
group.
could
boost
proliferative
activity
caused
lipopolysaccharide
(LPS),
as
well
reduce
apoptosis
generation
factors
(tumor
necrosis
factor
receptor
(TNFR),
interleukin-1beta
(IL-1β))
cytokines
(IL-1,
IL-6,
IL-12).
STAT1
shown
inhibit
proliferation,
promote
secrete
IL-1/IL-6/IL-12
LPS-induced
cells.
Moreover,
IRF7
found
interact
cells,
maintain
levels
deubiquitination.
In
addition,
also
that
injury
mediated
STAT1/IRF7
axis.
Conclusion:
provided
evidence
protects
via
regulating
signaling
pathways,
indicating
its
potential
therapeutic
relevance
diagnosis
management
retinal
disorders
linked
Mammalian Genome,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 22, 2025
Gene
therapy
offers
significant
promise
for
treating
inner
ear
disorders,
but
its
clinical
translation
requires
robust
preclinical
validation,
often
reliant
on
animal
models.
This
review
examines
the
role
of
these
models
in
advancing
gene
therapeutics
inherited
focusing
successes,
challenges,
and
treatment
solutions.
By
providing
a
precise
understanding
disease
mechanisms,
offer
versatile
platform
that
is
essential
assessing
validating
therapies.
Successful
supplementation
editing
have
shown
potential
restoring
hearing
balance
functions
preventing
their
decline.
However,
challenges
such
as
limitations
delivery
methods,
surgical
access,
immune
responses,
discrepancies
manifestation
between
humans
hinder
translation.
Current
efforts
are
dedicated
to
developing
innovative
strategies
aimed
at
enhancing
efficiency
delivery,
overcoming
physical
barriers
blood-labyrinth
barrier,
improving
target
specificity,
maximizing
therapeutic
efficacy
while
minimizing
adverse
responses.
Diverse
strategies,
along
with
evolving
technologies,
hold
outcomes
using
relevant
The
future
will
hinge
personalized
therapies
team
science
fueling
interdisciplinary
collaborations
among
researchers,
clinicians,
companies,
regulatory
agencies
expedite
from
bench
bedside
unlock
immense
precision
medicine
ear.
Frontiers in Genome Editing,
Journal Year:
2021,
Volume and Issue:
3
Published: Oct. 28, 2021
Blindness
and
deafness
are
the
most
frequent
sensory
disorders
in
humans.
Whatever
their
cause
—
genetic,
environmental,
or
due
to
toxic
agents,
aging
deterioration
of
these
senses
is
often
linked
irreversible
damage
light-sensing
photoreceptor
cells
(blindness)
and/or
mechanosensitive
hair
(deafness).
Efforts
increasingly
focused
on
preventing
disease
progression
by
correcting
replacing
blindness
deafness-causal
pathogenic
alleles.
In
recent
years,
gene
replacement
therapies
for
rare
monogenic
retina
have
given
positive
results,
leading
marketing
first
therapy
product
a
form
childhood
hereditary
blindness.
Promising
with
partial
restoration
auditory
function,
also
been
reported
preclinical
models
human
deafness.
Silencing
approaches,
including
antisense
oligonucleotides,
adeno-associated
virus
(AAV)–mediated
microRNA
delivery,
genome-editing
approaches
applied
various
genetic
forms
The
discovery
new
DNA-
RNA-based
CRISPR/Cas
nucleases,
generations
base,
prime,
RNA
editors
offers
possibilities
directly
repairing
point
mutations
therapeutically
restoring
function.
Thanks
easy
access
immune-privilege
status
self-contained
compartments,
eye
ear
continue
be
at
forefront
developing
diseases.
Here,
we
review
ongoing
applications
achievements
this
class
emerging
therapeutics
organs
vision
hearing,
highlighting
challenges
ahead
solutions
overcome
successful
therapeutic
application
vivo
.
Frontiers in Molecular Neuroscience,
Journal Year:
2021,
Volume and Issue:
14
Published: March 11, 2021
Optogenetic
stimulation
of
type
I
spiral
ganglion
neurons
(SGNs)
promises
an
alternative
to
the
electrical
by
current
cochlear
implants
(CIs)
for
improved
hearing
restoration
future
optical
CIs
(oCIs).
Most
efforts
in
using
optogenetic
cochlea
so
far
used
early
postnatal
injection
viral
vectors
carrying
blue-light
activated
channelrhodopsins
(ChRs)
into
mice.
However,
preparing
clinical
translation
oCI
requires
(i)
reliable
and
safe
transduction
mature
SGNs
further
species
(ii)
use
long-wavelength
light
avoid
phototoxicity.
Here,
we
employed
a
fast
variant
red-light
channelrhodopsin
Chrimson
(f-Chrimson)
different
AAV
variants
implement
SGN
Mongolian
gerbils.
We
compared
(p8)
adult
(>8
weeks)
administration,
employing
protocols
AAV-PHP.B
AAV2/6
cochlea.
Success
manipulation
was
analyzed
optically
evoked
auditory
brainstem
response
(oABR)
immunohistochemistry
mid-modiolar
cryosections
In
order
most
efficiently
evaluate
immunohistochemical
results
semi-automatic
procedure
identify
transduced
cells
confocal
images
developed.
Our
indicate
that
rate
is
significantly
lower
administration
injection.
upon
largely
independent
chosen
vector
approach.
The
higher
transduction,
were
oABR
thresholds
larger
amplitudes.
highlight
need
optimize
virus
efficient
successful
SGN-targeting
gene
therapy
oCI.
Frontiers in Molecular Neuroscience,
Journal Year:
2021,
Volume and Issue:
14
Published: Aug. 19, 2021
Clinical
management
of
auditory
synaptopathies
like
other
genetic
hearing
disorders
is
currently
limited
to
the
use
aids
or
cochlear
implants.
However,
future
gene
therapy
promises
restoration
in
selected
forms
monogenic
impairment,
which
morphology
preserved
over
a
time
window
that
enables
intervention.
This
includes
non-syndromic
autosomal
recessive
impairment
DFNB93,
caused
by
defects
CABP2
gene.
Calcium-binding
protein
2
(CaBP2)
potent
modulator
inner
hair
cell
(IHC)
voltage-gated
calcium
channels
Ca
V
1.3.
Based
on
disease
modeling
Cabp2
–/–
mice,
DFNB93
has
been
ascribed
enhanced
steady-state
inactivation
IHC
1.3
channels,
effectively
limiting
their
availability
trigger
synaptic
transmission.
This,
however,
does
not
seem
interfere
with
development
and
cause
early
degeneration
cells
synapses.
Here,
we
studied
potential
therapeutic
approach
for
treatment
DFNB93.
We
used
AAV2/1
AAV-PHP.eB
viral
vectors
deliver
coding
sequence
into
IHCs
postnatal
mice
assessed
level
function
hearing.
Combining
vitro
vivo
approaches,
observed
high
transduction
efficiency,
resulting
improved
mice.
These
preclinical
results
prove
feasibility
therapy.