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Targeted Allele Suppression Prevents Progressive Hearing Loss in the Mature Murine Model of Human TMC1 Deafness
Journal article   Open access   Peer reviewed

Targeted Allele Suppression Prevents Progressive Hearing Loss in the Mature Murine Model of Human TMC1 Deafness

Hidekane Yoshimura, Seiji B Shibata, Paul T Ranum, Hideaki Moteki and Richard J.H Smith
Molecular therapy, Vol.27(3), pp.681-690
03/06/2019
DOI: 10.1016/j.ymthe.2018.12.014
PMCID: PMC6403483
PMID: 30686588
url
https://doi.org/10.1016/j.ymthe.2018.12.014View
Published (Version of record) Open Access

Abstract

Hearing loss is the most common human sensory deficit. Its correction has been the goal of several gene-therapy based studies exploring a variety of interventions. Although these studies report varying degrees of success, all treatments have targeted developing inner ears in neonatal mice, a time point in the structural maturation of the cochlea prior to 26 weeks gestational age in humans. It is unclear whether cochlear gene therapy can salvage hearing in the mature organ of Corti. Herein, we report the first study to test gene therapy in an adult murine model of human deafness. Using a single intracochlear injection of an artificial microRNA carried in an AAV vector, we show that RNAi-mediated gene silencing can slow progression of hearing loss, improve inner hair cell survival, and prevent stereocilia bundle degeneration in the mature Beethoven mouse, a model of human TMC1 deafness. The ability to study gene therapy in mature murine ears constitutes a significant step toward its translation to human subjects. Smith and colleagues demonstrate the effect of cochlear gene therapy in an adult murine model of human TMC1 deafness and show that RNAi-mediated gene silencing slows progression of hearing loss, suggesting a significant step toward its application in human subjects.
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