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August 22, 2026Current Opinion in Otolaryngology & Head & Neck Surgery

Advances towards biological hearing restoration by genetic reprogramming

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Authors

MMMelissa M. McGovernAGAndrew K. Groves

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Overview

Narrative review reveals incomplete conversion of supporting cells to functional hair cells during genetic reprogramming, highlighting the need to suppress supporting cell identity networks.

Key Points

  • Evaluate recent advances, limitations, and future requirements in genetic reprogramming and gene therapy strategies for biological hearing restoration.
  • Reviewed literature on gene therapy and biological regeneration approaches for sensorineural hearing loss in mammalian cochlear models.
  • Assessed experimental strategies combining cell-signaling pathway modulation with hair cell-specific transcription factor expression.
  • Modulating inner ear cell-signaling pathways alone is insufficient to regenerate sensory hair cells in the mammalian organ of Corti.
  • Delivering hair cell-specific transcription factors initiates partial hair cell identity but yields immature and nonfunctional hair cell-like cells.
  • Achieving complete conversion into functional hair cells requires simultaneously suppressing mature supporting cell gene networks and activating hair cell transcriptional programs.

Cite This Study

McGovern et al. (2026) studied this question.

synapsesocial.com/papers/6a895effca7ade938187d427https://doi.org/10.1097/moo.0000000000001148
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  1. 1Insights into the regulation of hearing regeneration2024 · 2 citations
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  4. 4Gene Therapy and Stem Cells in Cochlear Regeneration: A Comprehensive Review2025
  5. 5Reprogramming with <i>Atoh1</i>, <i>Gfi1</i>, and <i>Pou4f3</i> promotes hair cell regeneration in the adult organ of Corti2024 · 17 citations