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  • Lack of this tiny molecule leads to deafness 

    sandco 5:14 pm on July 2, 2009 Permalink | Log in to leave a Comment
    Tags: Deafness, hair cells, , , non-congenital hearing loss

    Researchers have identified tiny molecules that may lead to big breakthroughs in the treatment of hearing loss and deafness. An international team, including researchers from Tel Aviv University in Israel and Purdue University, found that lack of these molecules causes abnormal development of the inner ear and leads to progressive hearing loss.

    Donna Fekete, the Purdue professor of biological sciences involved in the study, said this new information could provide promising leads to treat hearing loss.

    “The molecules we identified could be used as a molecular tool delivered directly into the ears of deaf people to induce regeneration of important sensory cells that would improve hearing,” she said. “The molecules also could potentially help people with balance disorders related to inner ear function such as Meniere’s disease.”

    The National Institutes of Health National Institute on Deafness and Other Communication Disorders, or NIDCD, reports that 36 million American adults have some degree of hearing loss.

    In many cases of non-congenital hearing loss, the cause is degeneration of specialized sensory cells in the inner ear, called hair cells. Hair cells convert sound waves into electrical impulses that can be interpreted by the brain. According to the NIDCD, excessive noise, certain medications, aging and disease can damage or destroy hair cells. Because humans are unable to replace lost hair cells, hearing declines as they are lost.

    The international research team identified microRNAs – tiny pieces of the genetic building block ribonucleic acid, or RNA – critical to the survival of hair cells. MicroRNAs regulate genes by selectively preventing certain genes from making proteins.

    Karen Avraham, the Tel Aviv University professor who led the study, said this research shows that a loss of certain microRNAs can cause deafness.

    “We found that hair cell microRNAs are regulators involved in the normal development and survival of cells in the inner ear and are necessary for proper hearing,” said Avraham, who is a professor in the Department of Human Molecular Genetics. “Until very recently, science only knew that mutation in protein-coding genes caused deafness. We went a layer deeper and discovered that the loss of microRNAs leads to deafness as well.”

    In recent separate studies conducted in Spain and the United Kingdom, mutations in a single microRNA were reported to cause deafness in humans and mice, showing the importance of microRNAs in the inner ear and the link to human hearing loss, Avraham said.

    Earlier research had shown microRNAs to be involved in ear development, but this study is the first to remove the microRNAs at the time when hair cells are just beginning to form, Fekete said. A paper detailing the work was published in the April 14 issue of the Proceedings of the National Academy of Sciences.

    In addition to Avraham and Fekete, co-authors of the paper include assistant research scientist Takunori Satoh and research assistant Deborah J. Biesemeier from Purdue; Lilach Friedman, Amiel Dror, Eyal Mor, Tamar Tenne, Ginat Toren and Noam Shomron from Tel Aviv University; and Eran Hornstein from The Weizmann Institute of Science in Rehovot, Israel.

    The first microRNA was discovered in 1993, and the field has taken off within the last eight years, Fekete said.

    “In a sense it is a whole new way of looking at gene regulation that we didn’t know much about 10 years ago,” she said. “Now people all over the world from different fields are trying to figure out the roles microRNAs play and how they can be used to improve human health.”

    Fekete and the Purdue team examined several microRNAs in zebrafish to determine what role each played.

    “There are hundreds of microRNAs, and the question is which ones are doing what in terms of keeping hair cells alive and developing properly,” Fekete said. “In this paper, we identified two microRNAs that, when removed, reduced the number of hair cells developed.”

    The missing microRNAs also each caused abnormal development of larger organs of the ear. One prevented development of the semicircular canals involved in balance, and the other prevented development of an organ called an ear-stone that is needed to sense movement, Fekete said.

    Additional unpublished work by Satoh and Purdue graduate student Haiqiong Li in Fekete’s lab expands the list of microRNAs that regulate hair cell numbers to seven, Fekete said.

    Her team next plans to investigate other microRNAs thought to be involved in hair cell development and to look into whether overexpression of these molecules could lead to regeneration of these sensory cells from so-called supporting cells. In earlier research, Fekete showed that hair cells and supporting cells have the same biological origin.

    “Research has shown that in other animals supporting cells can give rise to hair cells, so the real challenge is to determine why this doesn’t happen in mammals,” Fekete said. “One thought is that microRNAs might be able to turn off supporting cell genes and make them more susceptible to becoming hair cells, effectively getting them to switch fates.”

    Fekete said this research is a good example of the importance of studying animal models.

    “The genes that regulate hair cell development and differentiation are very similar between zebrafish and humans,” Fekete said. “Animal models, even simple ones, can provide incredibly important data that ultimately can impact human health and disease.”

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    Article adapted by MD Only from original press release.
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    Contact: Elizabeth K. Gardner
    Purdue University

     
  • New way to prevent hearing loss 

    sandco 3:12 pm on July 2, 2009 Permalink | Log in to leave a Comment
    Tags: , , noise-induced hearing loss, salicylate, Temporary noise-induced hearing loss, Vitamin E, Vitamin supplement, Vitamins

    Vitamin supplements can prevent hearing loss in laboratory animals, according to two new studies, bringing investigators one step closer to the development of a pill that could stave off noise-induced and perhaps even age-related hearing loss in humans.

    The findings will be reported Wednesday at the Association for Research in Otolaryngology’s annual conference in Baltimore by senior author Colleen Le Prell, Ph.D., a researcher at the University of Florida.

    The supplements used in the research studies are composed of antioxidants — beta carotene and vitamins C and E — and the mineral magnesium. When administered prior to exposure to loud noise, the supplements prevented both temporary and permanent hearing loss in test animals.

    “What is appealing about this vitamin ‘cocktail’ is that previous studies in humans, including those demonstrating successful use of these supplements in protecting eye health, have shown that supplements of these particular vitamins are safe for long-term use,” said Le Prell, an associate professor in the UF College of Public Health and Health Professions’ department of communicative disorders.

    About 26 million Americans have noise-induced hearing loss, according to the National Institute on Deafness and Other Communication Disorders, the agency that funded the studies.

    In the first study, UF, University of Michigan and OtoMedicine scientists gave guinea pigs the vitamin supplements prior to a four-hour exposure to noise at 110 decibels, similar to levels reached at a loud concert. Researchers assessed the animals’ hearing by measuring sound-evoked neural activity and found that the treatment successfully prevented temporary hearing loss in the animals.

    In humans, temporary noise-induced hearing loss, often accompanied by ringing in the ears, typically goes away after a few hours or days as the cells in the inner ear heal. Because repeated temporary hearing loss can lead to permanent hearing loss, the scientists speculate that prevention of temporary changes may ultimately prevent permanent changes.

    In the second, related study in mice, UF, Washington University in St. Louis and OtoMedicine researchers showed that the supplements prevented permanent noise-induced hearing loss that occurs after a single loud sound exposure. The researchers found that the supplements prevented cell loss in an inner ear structure called the lateral wall, which is linked to age-related hearing loss, leading the scientists to believe these micronutrients may protect the ear against age-related changes in hearing.

    “I am very encouraged by these results that we may be able to find a way to diminish permanent threshold shift with noise exposure,” said Debara Tucci, M.D., an associate professor of surgery in the otolaryngology division at Duke University Medical Center. “I look forward to hearing Dr. Le Prell’s work and reviewing her data.”

    The research builds on previous studies that demonstrated hearing loss is not just caused by intense vibrations produced by loud noises that tear the delicate structures of the inner ear, as once thought, said Josef Miller, Ph.D., who has studied the mechanisms of hearing impairment for more than 20 years and is a frequent collaborator of Le Prell’s. Researchers now know noise-induced hearing loss is largely caused by the production of free radicals, which destroy healthy inner ear cells.

    “The free radicals literally punch holes in the membrane of the cells,” said Miller, the Townsend professor of communicative disorders at the University of Michigan.

    Miller is the co-founder of OtoMedicine, a University of Michigan spinoff company that has patented AuraQuell, the vitamin supplement formula used in the studies.

    The antioxidant vitamins prevent hearing damage by “scavenging” the free radicals. Magnesium, which is not a traditional antioxidant, is added to the supplement mix to preserve blood flow to the inner ear and aid in healing.

    Antioxidant supplements can also provide “post-noise rescue,” Le Prell said. A previous study by Le Prell and Miller showed that antioxidants can protect hearing days after exposure to loud noise.

    “We found that the antioxidant combination of vitamin E and salicylate — the active agent in aspirin —effectively prevented cell death and permanent noise-induced hearing loss even when treatments were delayed up to three days after noise insult,” she said.

    The researchers are collaborating on National Institutes of Health-funded clinical trials of the vitamin supplements in college students at UF who wear MP3 music players, and noise-exposed military troops and factory workers in Sweden and Spain.

    If the trials show that the vitamins are as effective in preventing noise-induced hearing loss in humans as they have been in animals, Le Prell and Miller envision an easy-to-use supplement that could come in the form of a pill for people headed to a rock concert, a daily supplement for factory workers or a nutritional bar included in soldiers’ rations.

    “Ear protection, such as ear plugs, is always the best practice for the prevention of noise-induced hearing loss, but in those populations who don’t or can’t wear hearing protection, for people in which mechanical devices just aren’t enough, and for people who may experience unexpected noise insult, these supplements could provide an opportunity for additional protection,” Le Prell said.

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    Article adapted by MD Only from original press release.
    ———————————–
    Contact: Jill Pease
    University of Florida

     
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