Also, lets say one only has synaptopathy, but the HC itself is alive and kicking.
Firstly, is this even possible? Would´nt you think that when the synapses are retracting from the cell it would be of no use to the brain and die?
I wonder if activating the dormant progenitor cells, like FT is aiming to do, will deplete these cells. So in effect, you can only do this treatment once. If I remember correct I read that this is not expected to be the case.as I may be depleted of my dormant/progenitor cells already.
When animal data showed restored hearing (or partly restored hearing), that should be the case. In animals that is.But can we be sure they will generate a synaptic connection to the hearing-nerve? Has this been established?
With "hidden hearing loss" that could account for many problems. (Tinnitus, hard of hearing in noisy surroundings and perhaps even more), not all synapses disconnect from a hair cell. The first ones to go are the ones for higher sound levels. This does not show up in an audiogram. So these hair cells still work for lower sound levels. This is what I understand.Would´nt you think that when the synapses are retracting from the cell it would be of no use to the brain and die?
I have never really got this. I mean, which ever cause, you either get input reaching the brain, or you do not. Or will it cause less or weaker input? Thus not be shown obvious in an audiogram, Is that the idea?With "hidden hearing loss" that could account for many problems. (Tinnitus, hard of hearing in noisy surroundings and perhaps even more), not all synapses disconnect from a hair cell. The first ones to go are the ones for higher sound levels. This does not show up in an audiogram. So these hair cells still work for lower sound levels. This is what I understand.
Isolated damage to OHC, I do not think will be shown in an audiogram. The have i different approach to establish that, called "Otoacoustic Emission Test", I believe. This could only be done up to 4 kHz though, but I believe recently they have been able to extend it to 8kHz. I´m not sure if they can pin-point the severity of the damage though.Loss of outer hair cells is visible on an audiogram.
Thats probably true!So the inner hair cells are the last to "survive" the abuse
No, it doesn't deplete the supporting cells. Audion's trial will/does.I wonder if activating the dormant progenitor cells, like FT is aiming to do, will deplete these cells.
My man. Lets pray for effective and sooner drug in the market. FT CEO said that product will be available on market within 3-5yrs l.Don't tell me I have to be grateful to Trump for anything to do with Frequency Theraputics fixing our ears. I'm still knitting my 'pussy hat'.
That is my understanding.Or will it cause less or weaker input? Thus not be shown obvious in an audiogram, Is that the idea?
Probably a section of outer hair cells will. The outer hair cells provide an extra 40-60 dB sensitivity. So that is also what we can loose if outer hair cells get damaged.Isolated damage to OHC, I do not think will be shown in an audiogram
I have read that OHC is not as easy to regenerate, is there any scientific reason for this?
Also, lets say one only has synaptopathy, but the HC itself is alive and kicking.
Firstly, is this even possible? Would´nt you think that when the synapses are retracting from the cell it would be of no use to the brain and die? Can it be like with our teeth, when the nerves connected to it dies, the tooth would too? Maybe this is not the case anyway.
Can the synapses bee seen as a root, nourishing the associated HC? And when they retracts the HC will die as well?
Is it possible that FTX´s drug will pinpoint synaptopathy and replace it with a new HC or will the HC in it self have tobe dead and gone for it to program a new one?
Im sorry, I did not get any of that except for maybe the last sentence, which hopefully tells the gist of itThat is a great question, its one of the issues that is raised for regeneration, what remains after an injury? I have come across conflicting reports on this, where a cochlear or vestibular neuritis occurs it is possible that the offending pathogen does not actually cause irreversible damage, instead the swelling of the nerve crushes it against the bony structures deep inside the temporal bone, in vestibular neuritis it has been noted that the disorder for some reason almost always spares the inferior nerve branch, some speculate that the pathogen does actually get into both superior and inferior nerve branches but that because the inferior nerve has multiple vascular routes it can survive the assault whereas the larger nerve with a more limited pathway for oxygenated blood, does not. Space is tight in the inner ear and this anatomical feature may have a lot to do with why such injuries are so difficult for the body to deal with, when compared with say facial nerve palsy where full recovery is regularly seen in many subjects (see Mark Ruffalo's story). Last I heard (2014) the crowd at Maastricht were getting funding for this work as the disease processes are so poorly understood. Objective tests to reveal which exact parts of the ear are still functional and which are not are essential. If anyone knows details on the vascular structures underneath ohc's please do share your comments.
lol No, that's Stefan Effenberg you are looking at! I was born in Ireland and lived in Europe for a while. I worked in the legal sector until I suffered an ear injury in 2011, the workload was too much so I work in I.T. now. I just spend a lot of time reading papers and cold calling labs is all, I get an enormous satisfaction from making them feel uncomfortable, its important to use the gifts life gives you! Free international calls thanks Virgin Media! Now no more talking about myself! Back to the thread!Where are you from Jeff, you look Danish? Are you from a medical background?
Amazing in another 4 year where will we be. At a better place then now. Thanks you for this!Interesting to note how far they've come in 4 years.
http://journals.lww.com/thehearingj...l___Taking_Hair_Cell_Regeneration_Up_a.2.aspx
I have a hearing test soon but pretty sure I have no loss, the last one I had the guy said my hearing was good nothing was picked up. Are all tests between 250Hz - 8 kHz they said that was a full hearing assessment?
May I ask, are you concerned that removing the support cells will essentially render you ineligible for future cell therapy treatments as in burning your bridges so to speak? I remember you mentioned this as a concern for cgf166 and I must admit I had not given this careful consideration.No, it doesn't deplete the supporting cells. Audion's trial will/does.
Also,on a somewhat unrelated topic,today is the first time in my life that I sat down with three seperate newspapers and all three had a story about Stemcell treatments or Stemcell research.
I just found that weird?Irish newspapers usually consist of fashion/gangland murder/murder/more murder/politics/hospital waiting times/even more murder/rapist priests/rapist priests who murdered somebody/showbiz/drug hauls/a cow that has gone missing/missing cow has been found/missing cow turns to murder/gossip and of course,crosswords.
To see them talking about something as alien as Stemcell research did admittedly put a smile on my face.
That is actually a pretty likely comparison. I keep thinking people will be lined up for a cure to hearing loss -- that the demand will be overwhelming. But maybe not. Not everyone with vision loss opts to have laser eye surgery; it's quite possible that not everyone with hearing loss would opt to get it corrected, especially if the loss is mild.
Of course, I still think the demand will be high from people with severe hearing loss like me.
My concern isn't with eligibility for future trials (though I suppose that is a concern). Instead, I am worried about the (as far as I know) unknown consequences of losing supporting cells. They are surely there for a purpose, and I don't think we know what happens if they are depleted.May I ask, are you concerned that removing the support cells will essentially render you ineligible for future cell therapy treatments as in burning your bridges so to speak? I remember you mentioned this as a concern for cgf166 and I must admit I had not given this careful consideration.
I think the amount to which it affects them determines whether they prefer contacts, glasses or lasik. Money is a factor, too, but I know quite a few people who could easily afford it but do not care to have laser eye surgery because they're content with glasses or contacts.Everyone who could afford it would get it if it affects them. People dont get LASIK b/c they get contact lenses. They dont just walk around blind.
They are surely there for a purpose [...]
Is there any reason Frequency won't have the same issues recruiting people as the GENVEC trial has had? I was never clear why GENVEC had such stringent subject requirements.
I second acufenero's opinion. Additionally, don't ask me to post the data (it is buried here somewhere in a thread) the preclinical data results regarding simply the volume of inner ear hair cell regeneration by Frequency blows away Genvec's approach. And the chap from Kansas that we know of didn't see much improvement (maybe a little improvement in his balance). Oh, and they put you under anesthesia and drill a hole on in your head.I believe the procedure is their biggest issue. They open a fucking hole through your skull to deliver the drug. Frequency's method is a standard, simple intratympanic injection and the trial is expected to have less restrictive inclusion criteria.
Or then there are even people who have tinnitus and hearing loss yet never bothered with a hearing aid, but have habituated so much that they likely would not seek a treatme
Yep.... know a few people who wouldn't bother seeking treatment for tinnitus because they just don't care about it. I don't know ho
Tinnitus is pain. Physical and psychological.