Hearing Health Blog
Funding from the grant extends support of four projects at Mass Eye and Ear that aim to clarify the prevalence, nature, and functional consequences of hidden hearing loss in humans. The work promises to inform cellular-based diagnosis and development of future therapies.
Scientists at the National Institute on Deafness and Other Communication Disorders (NIDCD), part of the National Institutes of Health, and their collaborators analyzed data from 30,000 cells from mouse cochlea, the snail-shaped structure of the inner ear. The results provide insights into the genetic programs that drive the formation of cells important for detecting sounds. The study also sheds light specifically on the underlying cause of hearing loss linked to Ehlers-Danlos syndrome and Loeys-Dietz syndrome.
Debara L. Tucci, M.D., M.S., M.B.A., became the director of the National Institute on Deafness and Other Communication Disorders (NIDCD), part of the National Institutes of Health (NIH), on September 3, 2019. Dr. Tucci was funded twice by Hearing Health Foundation’s Emerging Research Grants (ERG) program in the 1990s.
In my role as CEO of Hearing Health Foundation (HHF), most of my time is spent liaising with the individuals who make our groundbreaking work possible from our New York City office. I was fortunate to recently step away from my typical routine to witness the excitement of hearing and balance science at the National Institutes of Health (NIH).
The need for the NIDCD was first championed by Geraldine Dietz Fox, a Philadelphia preschool teacher who, at 27, had developed a sensorineural hearing loss in her left ear from the mumps virus.
By the National Institute on Deafness and Other Communication Disorders (NIDCD)
Line of polarity reversal (LPR) and location of Emx2 within two inner ear structures. Arrows indicate hair bundle orientation. Source: eLife
Using animal models, scientists have demonstrated that a protein called Emx2 is critical to how specialized cells that are important for maintaining hearing and balance are positioned in the inner ear. Emx2 is a transcription factor, a type of protein that plays a role in how genes are regulated. Conducted by scientists at the National Institute on Deafness and Other Communication Disorders (NIDCD), part of the National Institutes of Health (NIH), the research offers new insight into how specialized sensory hair cells develop and function, providing opportunities for scientists to explore novel ways to treat hearing loss, balance disorders, and deafness. The results are published March 7, 2017, in eLife.
Our ability to hear and maintain balance relies on thousands of sensory hair cells in various parts of the inner ear. On top of these hair cells are clusters of tiny hair-like extensions called hair bundles. When triggered by sound, head movements, or other input, the hair bundles bend, opening channels that turn on the hair cells and create electrical signals to send information to the brain. These signals carry, for example, sound vibrations so the brain can tell us what we’ve heard or information about how our head is positioned or how it is moving, which the brain uses to help us maintain balance.
NIDCD researchers Doris Wu, Ph.D., chief of the Section on Sensory Cell Regeneration and Development and member of HHF’s Scientific Advisory Board, which provides oversight and guidance to our Hearing Restoration Project (HRP) consortium; Katie Kindt, Ph.D., acting chief of the Section on Sensory Cell Development and Function; and Tao Jiang, a doctoral student at the University of Maryland College Park, sought to describe how the hair cells and hair bundles in the inner ear are formed by exploring the role of Emx2, a protein known to be essential for the development of inner ear structures. They turned first to mice, which have been critical to helping scientists understand how intricate parts of the inner ear function in people.
Each hair bundle in the inner ear bends in only one direction to turn on the hair cell; when the bundle bends in the opposite direction, it is deactivated, or turned off, and the channels that sense vibrations close. Hair bundles in various sensory organs of the inner ear are oriented in a precise pattern. Scientists are just beginning to understand how the hair cells determine in which direction to point their hair bundles so that they perform their jobs.
In the parts of the inner ear where hair cells and their hair bundles convert sound vibrations into signals to the brain, the hair bundles are oriented in the same direction. The same is true for hair bundles involved in some aspects of balance, known as angular acceleration. But for hair cells involved in linear acceleration—or how the head senses the direction of forward and backward movement—the hair bundles divide into two regions that are oriented in opposite directions, which scientists call reversed polarity. The hair bundles face either toward or away from each other, depending on whether they are in the utricle or the saccule, two of the inner ear structures involved in balance. In mammals, the dividing line at which the hair bundles are oriented in opposite directions is called the line of polarity reversal (LPR).
Using gene expression analysis and loss- and gain-of-function analyses in mice that either lacked Emx2 or possessed extra amounts of the protein, the scientists found that Emx2 is expressed on only one side of the LPR. In addition, they discovered that Emx2 reversed hair bundle polarity by 180 degrees, thereby orienting hair bundles in the Emx2 region in opposite directions from hair bundles on the other side of the LPR. When the Emx2 was missing, the hair bundles in the same location were positioned to face the same direction.
Looking to other animals to see if Emx2 played the same role, they found that Emx2 reversed hair bundle orientation in the zebrafish neuromast, the organ where hair cells with reversed polarity that are sensitive to water movement reside.
These results suggest that Emx2 plays a key role in establishing the structural basis of hair bundle polarity and establishing the LPR. If Emx2 is found to function similarly in humans, as expected, the findings could help advance therapies for hearing loss and balance disorders. They could also advance research into understanding the mechanisms underlying sensory hair cell development within organs other than the inner ear.
This work was supported within the intramural laboratories of the NIDCD (ZIA DC000021 and ZIA DC000085).
Doris Wu Ph.D. is member of HHF’s Scientific Advisory Board, which provides oversight and guidance to our Hearing Restoration Project (HRP) consortium This article was repurpsed with permission from the National Institute on Deafness and Other Communication Disorders.
By Nadine Dehgan, Elizabeth Keithley, Ph.D., and Peter Barr-Gillespie, Ph.D.
Hearing Health Foundation (HHF) is deeply concerned to learn the Trump administration has proposed an 18% cut to the budget for the National Institutes of Health (NIH).
Such a cut would be devastating for all medical research - including hearing research. As an advocate for the millions of Americans who have hearing loss we are especially troubled.
A drastic decrease to the funding of hearing research would disrupt the efforts of the many hearing researchers who dedicate their lives to finding cures and treatments for hearing loss, tinnitus and balance disorders.
HHF and the NIH are partners in funding research. HHF’s two research programs—the Emerging Research Grants and the Hearing Restoration Project—both rely on NIH support. HHF's funding alone cannot support these labs.
Private funding of hearing research is dwarfed by NIH support, and these proposed cuts could harm the research program of each and every hearing research lab, including those supported by the HHF.
As people with hearing loss, parents of those with hearing loss, children of those with hearing loss and as the leadership of the Hearing Health Foundation we ask your support. Financial support is always needed and welcome - but in this case we are specifically asking for you to contact your representatives to let them know that you oppose cuts to the NIH (and in fact support increases to the NIH’s budget).
If you are passionate about funding the research that will lead to cures for hearing loss and balance disorders, now is the time to act.
Please join us in contacting your Senators and House Representative's offices today.
With our sincere thanks,
Nadine Dehgan | CEO of HHF
Elizabeth Keithley | Chair of the Board
Peter Barr-Gillespie | HRP Scientific Director
By Nadine Dehgan
Nadine Dehgan, HHF's CEO
This August, I had the pleasure of visiting the National Institutes of Health (NIH) and attended a laboratory tour hosted by the National Institute on Deafness and Other Communication Disorders (NIDCD), which is one of the 27 Institutes and Centers that makes up the NIH. Organized by the Friends of the Congressional Hearing Health Caucus (FCHHC) and in the company of a select group of individuals including Congressional staff members, other hearing organizations, and NIH staff, we first met in the Porter Neuroscience Research Center in Bethesda, Maryland. The research center’s name honors former U.S. House of Representative member John Edward Porter, a huge supporter of biomedical research. He was largely responsible for leading the charge to double the NIH budget from 2003-2011. Rep. Porter was also the vice chairman of the Foundation for the NIH, and still holds many other public service roles.
James Battey, Jr., M.D., Ph.D., the NIDCD Director, reviewed NIDCD operations and showed how the research funding supports seven mission areas in hearing, balance, taste, smell, voice, speech, and language. He also mentioned the recently released National Academy of Sciences (NAS) Hearing Health Care Consensus Report (whose recommendations HHF supports). Dr. Battey was warm and approachable and accompanied the visitors throughout the tour answering questions.
Andrew Griffith, M.D., Ph.D., the NIDCD Scientific Director and Chief of the Molecular Biology and Genetics Section, provided us with a detailed explanation of the NIDCD’s intramural research program. “Intramural” refers to the internal research conducted on the NIH campus and usually is only 10% of an Institute’s entire budget. Dr. Griffith underscored the benefits of this unique funding environment that allows the investigators to conduct both long-term and high-risk, high-reward science that would otherwise be difficult to undertake in academia and private industry.
The NIDCD is one of ten neuroscience Institutes with labs housed in the newly constructed Porter Neuroscience Building. Prior to the building’s construction, these labs were spread across eight separate locations. Now, the labs are organized by scientific research topic to allow researchers to share resources and allow for easy collaboration. Research includes basic and clinical neuroscience research, including investigating Parkinson’s and Alzheimer’s. (See the detailed listof topic areas that comprise more than 800 scientists in 85 labs.)
The facilities are bright, state-of-the-art, and energy efficient. It is the most energy-efficient science lab in the entire world! It uses solar panels, geothermal wells, and has a special chilled beam air-conditioning system that requires a fraction of energy regular systems use. At 50,000 sq. ft, it is also one of the largest research buildings in the world dedicated to studying the brain.
Doris Wu, Ph.D.(Slide images from Bissonnette & Fekete, 1996; Morsli et al, 1998)
The tour took us to the labs of Doris Wu, Ph.D., Chief of the Sensory Cell Regeneration and Development Section, who discussed her studies of the development of the inner ear in mice and chickens, in particular her work to identify the molecular processes involved. Dr. Wu is also a member of HHF’s Scientific Advisory Board, which provides oversight and guidance to our Hearing Restoration Project (HRP) consortium of researchers.
She paint-filled an embryonic mouse inner ear and let us view it. I put on a pair of gloves and saw how tiny it was in the petri dish (less than 2mm in length) and then what it looked like magnified. As the day went on, I grew more and more impressed with the technical aspects of scientific hearing research.
In Dr. Griffith's lab, he discussed how his team helps those with genetic hearing loss. By identifying specific genes that are mutated in families, in certain cases, he can develop personalized therapies to address the cause of the hearing loss and prevent it. Dr. Griffith also discussed exciting research from another NIDCD lab that is using CRISPR/Cas9 genome editing technology to create and test therapies. This amazing editing tool has been touted as being faster, cheaper, and more accurate than previous gene editing technologies; HRP researcher John Brigande, Ph.D., is also using it in his current HRP project.
It was a super impressive tour—the scientists and administration are all friendly, smart, and most importantly dedicated to advancing hearing science. It’s so refreshing to meet so many people who are committed to the advancement of humankind and to uncovering discoveries that will lead to improvements in the quality of life and health of so many.
HHF is very happy to partner with the NIDCD and its research goals, which Dr. Battey wrote about in the Summer 2016 issue of Hearing Health magazine. We are also very proud the majority of early-career scientists we support through our Emerging Research Grants program go on to earn additional funding from the NIH, underscoring the importance of the innovative research both our institutions believe is worthy.
Congressional staff and hearing advocates at FCHHC’s 2016 NIDCD tour
By New Mexico State University NewsCenter
Srikanta Mishra, an assistant professor in the New Mexico State University College of Education’s Department of Special Education and Communication Disorders, and 2014 Emerging Research Grantee, recently received a prestigious research grant to study hearing mechanisms in children.
The R03 grant from the National Institute on Deafness and Other Communication Disorders of the National Institutes of Health is the college’s first NIH grant, which is known to be highly competitive and supports outstanding research. It provides a total amount of $438,000 for three years.
Mishra said the grant signifies the research capacity of the Department of Special Education and Communication Disorders, and showcases the cutting-edge hearing health research conducted at NMSU.
The project will investigate auditory mechanisms in children, particularly how the descending hearing pathway works in children.
“The descending efferent neural pathway runs from the brain to the inner ear. The results of this project will help us understand the role of the efferent system in auditory perception during childhood development,” Mishra said. “The knowledge gained from this project can be applied to develop tools to identify children at risk for auditory deficits and guide intervention efforts for children with listening problems.”
Mishra called the grant “one of the major the pinnacles of my academic career thus far. This will also expose NMSU students from minority and underprivileged backgrounds to high-quality health research.”
Robert Wood, interim academic head of the Department of Special Education and Communication Disorders, called Mishra’s research “critical” to both NMSU and audiology in general.
“First, and most importantly, his work has the potential to advance the field of audiology, which is why the National Institutes for Health is funding the work,” Wood said. “In addition to that, this funded project is really the first of its kind here at NMSU, and this will put the Department of Special Education and Communication Disorders as well as the College of Education on the map with federal funding agencies and in the field of audiology. This is a very big deal for us and for NMSU.”
Mishra earned his doctorate in audiology from the University of Southampton, England. He completed his postdoctoral fellowship at the House Ear Institute in Los Angeles. Mishra holds a clinical competence certificate in audiology from the American Speech Language & Hearing Association and is a Fellow of the American Academy of Audiology. He also maintains a license as an audiologist in New Mexico.
In the past, Mishra has also received funding from the Hearing Health Foundation to support his research in otoacoustic emissions and pediatric audiology. Mishra serves on review panel for several scientific journals in audiology and hearing sciences and also serves on a NIH study section. For his editorial contributions, he received the 2013 Journal of the American Academy of Audiology Editor’s Award.
We need your help supporting innovative hearing and balance science through our Emerging Research Grants program. Please make a contribution today.
By ConsumerAffairs
According to the National Institutes of Health, about 3 of every 1,000 children are born with a detectable level of hearing loss, and around 30 million Americans over age 12 have disabling hearing loss. However, only about 20% of the people who could benefit from hearing aids use one.
By themselves, those statistics are unsettling. However, compared to the fact that 75% of U.S. adults use some sort of vision correction, they highlight the stark differences in how society treats hearing loss versus a similar disability like vision loss.
According to the Better Hearing Institute, 68% of people with hearing loss cite finances as the main reason for not using hearing aids.
While glasses have been adopted as must-have fashion accessories for NBA players and presidential hopefuls alike, hearing aids are still lacking in aesthetic options.
Don't count on your favorite hotel or restaurant offering a pair of complimentary hearing aids if you leave yours at home.
Untreated hearing loss is proven to affect children's attention and comprehension in classroom lectures, and adults with untreated hearing loss lose as much as $30,000 in salary and wages annually.
Kids with hearing loss struggle in social situations, and their difficulty interacting or following along in conversation is often mistaken for aloofness.
The say communication is the key to any good relationship, but communication can be challenging for hearing impared individuals, especially in a relationship with a person with normal hearing.
According to the World Health Organization, 360 million people worldwide are hearing disabled. Hearing loss is a major public health issue, the third most common after arthritis and heart disease. Yet because we can’t see hearing loss, only its effects, many mistake it as aloofness, confusion, or personality changes. To learn more about how hearing aids can help with hearing loss, and to find the one that’s right for you, check out ConsumerAffairs' Hearing Aids guide.
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