PMID- 17416474 OWN - NLM STAT- MEDLINE DCOM- 20070703 LR - 20220129 IS - 0378-5955 (Print) IS - 1878-5891 (Electronic) IS - 0378-5955 (Linking) VI - 228 IP - 1-2 DP - 2007 Jun TI - Cochlear implants and ex vivo BDNF gene therapy protect spiral ganglion neurons. PG - 180-7 AB - Spiral ganglion neurons often degenerate in the deaf ear, compromising the function of cochlear implants. Cochlear implant function can be improved by good preservation of the spiral ganglion neurons, which are the target of electrical stimulation by the implant. Brain derived neurotrophic factor (BDNF) has previously been shown to enhance spiral ganglion survival in experimentally deafened ears. Providing enhanced levels of BDNF in human ears may be accomplished by one of several different methods. The goal of these experiments was to test a modified design of the cochlear implant electrode that includes a coating of fibroblast cells transduced by a viral vector with a BDNF gene insert. To accomplish this type of ex vivo gene transfer, we transduced guinea pig fibroblasts with an adenovirus with a BDNF gene cassette insert, and determined that these cells secreted BDNF. We then attached BDNF-secreting cells to the cochlear implant electrode via an agarose gel, and implanted the electrode in the scala tympani. We determined that the BDNF expressing electrodes were able to preserve significantly more spiral ganglion neurons in the basal turns of the cochlea after 48 days of implantation when compared to control electrodes. This protective effect decreased in the higher cochlear turns. The data demonstrate the feasibility of combining cochlear implant therapy with ex vivo gene transfer for enhancing spiral ganglion neuron survival. FAU - Rejali, Darius AU - Rejali D AD - Kresge Hearing Research Institute, University of Michigan Medical School, Ann Arbor, Michigan, USA, and University Hospitals Warwickshire and Coventry NHS Trust, Coventry CV2 2DX, UK. FAU - Lee, Valerie A AU - Lee VA FAU - Abrashkin, Karen A AU - Abrashkin KA FAU - Humayun, Nousheen AU - Humayun N FAU - Swiderski, Donald L AU - Swiderski DL FAU - Raphael, Yehoash AU - Raphael Y LA - eng GR - 8-P41-EB-2030/EB/NIBIB NIH HHS/United States GR - P30-DC05188/DC/NIDCD NIH HHS/United States GR - P30 DC005188/DC/NIDCD NIH HHS/United States GR - R01 DC001634-14/DC/NIDCD NIH HHS/United States GR - G12/ACT_/RNID/United Kingdom GR - DC007634/DC/NIDCD NIH HHS/United States GR - R01 DC005401-03/DC/NIDCD NIH HHS/United States GR - P41 EB002030/EB/NIBIB NIH HHS/United States GR - R01 DC001634/DC/NIDCD NIH HHS/United States GR - R01 DC005401/DC/NIDCD NIH HHS/United States GR - R01 DC007634/DC/NIDCD NIH HHS/United States GR - R55 DC007634/DC/NIDCD NIH HHS/United States GR - P30 DC005188-07/DC/NIDCD NIH HHS/United States GR - DC05401/DC/NIDCD NIH HHS/United States GR - R01 DC007634-04/DC/NIDCD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20070307 PL - Netherlands TA - Hear Res JT - Hearing research JID - 7900445 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 59-01-8 (Kanamycin) RN - 9012-36-6 (Sepharose) RN - M5DP350VZV (Ethacrynic Acid) SB - IM MH - Adenoviridae/genetics MH - Animals MH - Brain-Derived Neurotrophic Factor/*biosynthesis/genetics MH - Cell Survival MH - Cells, Cultured MH - *Cochlear Implantation MH - *Cochlear Implants MH - Deafness/chemically induced/genetics/metabolism/pathology/surgery/*therapy MH - Disease Models, Animal MH - Ethacrynic Acid MH - Feasibility Studies MH - Fibroblasts/metabolism MH - Genetic Therapy/*instrumentation/methods MH - Genetic Vectors MH - Guinea Pigs MH - Kanamycin MH - Nerve Degeneration/chemically induced/genetics/metabolism/pathology/*prevention & control MH - Neurons/metabolism MH - Prosthesis Design MH - Sepharose/metabolism MH - Spiral Ganglion/*metabolism/pathology MH - *Transduction, Genetic PMC - PMC2692458 MID - NIHMS23844 EDAT- 2007/04/10 09:00 MHDA- 2007/07/04 09:00 PMCR- 2009/06/08 CRDT- 2007/04/10 09:00 PHST- 2006/05/30 00:00 [received] PHST- 2007/02/21 00:00 [revised] PHST- 2007/02/21 00:00 [accepted] PHST- 2007/04/10 09:00 [pubmed] PHST- 2007/07/04 09:00 [medline] PHST- 2007/04/10 09:00 [entrez] PHST- 2009/06/08 00:00 [pmc-release] AID - S0378-5955(07)00063-9 [pii] AID - 10.1016/j.heares.2007.02.010 [doi] PST - ppublish SO - Hear Res. 2007 Jun;228(1-2):180-7. doi: 10.1016/j.heares.2007.02.010. Epub 2007 Mar 7.