Blocking Notch pathway leads to new route to hair cell regeneration to restore hearing

IMAGE:This is Zheng-Yi Chen, Ph.D., of the Eaton-Peabody Laboratories at Mass. Eye and Ear and an Associate Professor of Otology and Laryngology at Harvard Medical School. view more

Credit: Eric Antoniou

Boston (Dec. 22, 2014) - Sensory hair cell loss is the major cause of hearing loss and balance disorders. The postnatal mammalian inner ear harbors progenitor cells which have the potential for hair cell regeneration and hearing recovery, but the mechanisms that control their proliferation and hair cell regeneration are yet to be determined. Now scientists from the Eaton-Peabody Laboratories at Massachusetts Eye and Ear/Harvard Medical School and Fudan University, Shanghai, China, have shown that blocking the Notch pathway, known to control the elaborate hair cell distribution in the inner ear, plays an essential role that determines cochlear progenitor cell proliferation capacity. Their research was published today in PNAS Early Edition.

"A high level of Notch activity prevents progenitor cell division and hair cell regeneration in the postnatal inner ear," said Zheng-Yi Chen, Ph.D., of the Eaton-Peabody Laboratories at Mass. Eye and Ear and an Associate Professor of Otology and Laryngology at Harvard Medical School. "We learned something new about this mechanism. It is known that inhibition of Notch activity can convert inner ear supporting cells to hair cells. In this paper, we have shown that Notch inhibition also promotes cell division. Under the condition, the inner ear progenitor cells re-enter cell division to regenerate hair cells in postnatal cochlea. This study thus provides a new route to block Notch activity to increase progenitor cell population by cell division, and to regenerate new hair cells. Our work could have potential in leading to developing new strategies to achieve hair cell regeneration for hearing restoration."

The researchers show that Notch inhibition initiates proliferation of supporting cells that give rise to new hair cells in postnatal mouse cochlea in vivo and in vitro. Through lineage tracing, they identified that a majority of the proliferating supporting cells and cell division-generated hair cells induced by Notch inhibition are originated from the Wnt-responsive leucine-rich repeat-containing G protein coupled receptor 5 (Lgr5+) progenitor cells. They demonstrated that Notch inhibition removes the brakes on the canonical Wnt signaling and promotes Lgr5+ progenitor cells to mitotically generate new hair cells.

"Our study reveals a new function of Notch signaling in limiting proliferation and regeneration potential of postnatal cochlear progenitor cells, and provides a new route to regenerate HCs from progenitor cells by interrupting the interaction between the Notch and Wnt pathways," Dr. Chen said.

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In addition to Dr. Chen, authors include Wenyan Li, Jingfang Wu, Jianming Yang, Shan Sun, Renjie Chai and Huawei Li.

This work was supported by grants from 973 Program (Grants 2011CB504506, 2015CB965000), the National Natural Science Foundation of China (Grants 81230019, 81400463, 81470687, 81470692, 81371094), the Construction Program (Grant 12DZ2251700), the Major Program (Grant 11441901000), a Frederick & Ines Yeatts Hair Cell Regeneration Grant, and the David-Shulsky Foundation, the Bertarelli Foundation, and NIH (Grant R01 DC06908).

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Blocking Notch pathway leads to new route to hair cell regeneration to restore hearing

Connellsville student spends weekend with future medical leaders

A Connellsville Area High School senior recently spent a weekend in Washington, D.C., attending the Congress of Future Medical Leaders.

Jordan Hosfelt, 18, of Bullskin attended the honors-only program for high school students who want to become physicians or go into medical research fields.

According to the National Academy of Future Physicians, the purpose of this event is to honor, inspire, motivate and direct the top students in the country who aspire to be physicians or medical scientists, to stay true to their dream and, after the event, to provide a path, plan and resources to help them reach their goal.

This is a crucial time in America when we need more doctors and medical scientists who are even better prepared for a future that is changing exponentially, said Richard Rossi, executive director, National Academy of Future Physicians and Medical Scientists. Focused, bright and determined students like Jordan Hosfelt are our future and he deserves all the mentoring and guidance we can give him.

Hosfelt was nominated by Dr. Connie Mariano, the medical director of the National Academy of Future

Physicians and Medical Scientists to represent Pennsylvania based on his academic achievement, leadership potential and determination to serve humanity in the field of medicine.

It felt great to receive some recognition for all of the hours that I've put into my studies, Hosfelt said.

During the three-day congress, Hosfelt joined students from across the country to hear Nobel

Laureates and National Medal of Science Winners talk about leading medical research. Participants were also given advice from Ivy League and top medical school deans on what is to be expected in medical school. They witnessed stories told by patients who are living medical miracles and received inspiration from fellow teen medical science prodigies. They also learned about cutting-edge advances and the future in medicine and medical technology.

While at the congress, I listened to many prestigious speakers, watched a live surgery from a Chicago hospital via Skype as well as a documentary, and mingled with some brilliant young minds from all across the country, Hosfelt said. The most enjoyable part of the conference was meeting so many other high school students that shade my drive and are just as passionate about medicine as I am. It's something I could never experience at my high school.

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