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  Vol. 126 No. 10, October 2000 TABLE OF CONTENTS
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Notch Signaling and the Emergence of Auditory Hair Cells

Justin Weir, MD; Marcelo N. Rivolta, MD, PhD; Matthew C. Holley, PhD

Arch Otolaryngol Head Neck Surg. 2000;126:1244-1248.

Objective  Recent insights into the mechanisms that determine a hair cell's fate have emerged from studies on invertebrate sensory organs and the avian inner ear. These mechanisms have important implications for our understanding of the possible therapeutic management of sensorineural deafness. This article reviews the current state of our knowledge regarding mammalian auditory hair cell fate specification.

Design  Data were obtained from the MEDLINE database and data presented at the Molecular Biology of Hearing and Deafness Meeting (Bethesda, Md, October 1998). Articles reporting information about cell fate specification and Notch and its ligands were selected.

Main Outcome Measures  Data pertaining to cell fate mechanisms, Notch and its ligands, and application to hearing were extracted.

Results  The Notch/ligand mechanism is responsible for the specification of the hair cell phenotype.

Conclusions  Major progress has been made in understanding this fundamental process, and its application to hair cell determination is only now being realized. Possible applications could involve the "switching" of supporting cells to hair cells, thus replenishing those hair cells damaged in sensorineural hearing loss.


From the University Ear, Nose, and Throat Department, Southmead Hospital (Dr Weir), and the Physiology Department, University of Bristol (Drs Rivolta and Holley), Bristol, England.



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