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Related Concept Videos

Gene Therapy00:59

Gene Therapy

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Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
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Related Experiment Video

Updated: Dec 25, 2025

Surgical Method for Virally Mediated Gene Delivery to the Mouse Inner Ear through the Round Window Membrane
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Adeno-associated virus gene replacement for recessive inner ear dysfunction: Progress and challenges.

Charles Askew1, Wade W Chien2

  • 1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Hearing Research
|April 6, 2020
PubMed
Summary

Gene replacement therapy offers a promising new treatment for hereditary hearing loss, using viral vectors to deliver corrective genes. This approach shows potential for improving auditory function and is nearing human clinical trials.

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Area of Science:

  • Otolaryngology
  • Genetics
  • Molecular Biology

Background:

  • Hereditary hearing loss affects approximately 3 in 1000 children under 4 in the US.
  • Current treatments like cochlear implants are limited; no targeted drug therapies exist.
  • Gene replacement therapy is a potential therapeutic strategy for hereditary hearing loss.

Purpose of the Study:

  • To review the current status of adeno-associated virus (AAV) gene replacement therapy for recessive hereditary hearing loss.
  • To discuss challenges and opportunities in translating this therapy for patients.

Main Methods:

  • Focuses on gene replacement using viral vectors (specifically AAV) to deliver functional cDNA.
  • Reviews proof-of-concept studies in mouse models and discusses human clinical trial readiness.
  • Examines the biological basis of defective genes and therapeutic strategy design.

Main Results:

  • Gene replacement has shown success in improving auditory function in animal models.
  • The effectiveness depends on the specific gene's biology and timely intervention before sensory structure degeneration.
  • Therapeutic windows may vary, with post-lingual onset genes offering longer treatment opportunities.

Conclusions:

  • Adeno-associated virus (AAV) gene replacement therapy is a promising approach for hereditary hearing loss.
  • Successful translation requires addressing gene delivery challenges and identifying optimal therapeutic windows.
  • Future research into post-lingual onset genes could expand treatment possibilities.