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Updated: May 14, 2026

Cochlear Surface Preparation in the Adult Mouse
Published on: November 6, 2019
The mitochondrion: a perpetrator of acquired hearing loss
Erik C Böttger1, Jochen Schacht
1Institut für Medizinische Mikrobiologie, Universität Zürich, Zürich, Switzerland.
Abstract:
Age, drugs, and noise are major causes of acquired hearing loss. The involvement of reactive oxygen species (ROS) in hair cell death has long been discussed, but there is considerably less information available as to the mechanisms underlying ROS formation. Most cellular ROS arise in mitochondria and this review will evaluate evidence for mitochondrial pathology in general and dysfunction of the mitochondrial respiratory chain in particular in acquired hearing loss. We will discuss evidence that different pathways can lead to the generation of ROS and that oxidative stress might not necessarily be causal to all three pathologies. Finally, we will detail recent advances in exploiting knowledge of aminoglycoside-mitochondria interactions for the development of non-ototoxic antibacterials. This article is part of a Special Issue entitled "Annual Reviews 2013".
Insights
Mitochondria dysfunction and reactive oxygen species (ROS) contribute to acquired hearing loss. Understanding these mechanisms may lead to non-ototoxic antibacterials.
Area of Science:
- Oto-science
- Cellular Biology
- Biochemistry
Background:
- Acquired hearing loss stems from aging, drugs, and noise.
- Reactive oxygen species (ROS) are implicated in hair cell death, but ROS formation mechanisms are unclear.
- Mitochondria are primary sites of cellular ROS production.
Purpose of the Study:
- To review evidence linking mitochondrial pathology and respiratory chain dysfunction to acquired hearing loss.
- To explore diverse pathways of ROS generation and their causal role in acquired hearing loss.
- To discuss advances in developing non-ototoxic antibacterials based on aminoglycoside-mitochondria interactions.
Main Methods:
- Literature review focusing on mitochondrial dysfunction in acquired hearing loss.
- Analysis of evidence for ROS generation pathways.
- Examination of aminoglycoside-mitochondria interactions for therapeutic development.
Main Results:
- Mitochondrial pathology and respiratory chain dysfunction are evident in acquired hearing loss.
- Multiple pathways can generate ROS, and oxidative stress is not always causal.
- Aminoglycoside-mitochondria interactions offer a basis for novel antibacterial strategies.
Conclusions:
- Mitochondrial dysfunction is a key factor in acquired hearing loss.
- Further research into ROS pathways is needed to clarify causality.
- Targeting aminoglycoside-mitochondria interactions holds promise for developing safer antibiotics.
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