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And when I asked him,
how did you go deaf?
He said, well, I got
sick with meningitis.
And I was so sick that my MD's
treated me with aminoglycosides
so that they would kill
the meningitis bacteria.
And he isn't sure whether it's
the meningitis or the side
effect of the aminoglycosides
that made him deaf.
But when you woke up, he
was cured, but he was deaf.
So in some cases you're not
sure which of these agents
caused the hearing loss.
So that's a pretty
complete list now.
Do we have any questions about
what things cause hearing loss?
And you might imagine
that, during our lifetime,
some of these things will be
understood in a better way.
It's clear why loud sound
causes hearing loss.
I mean the mechanical action.
These things are moving.
You could damage the
very sensitive apparatus,
like the stereocilia.
Drugs, aminoglycosides
bind to some
of the membrane
channels in hair cells.
And maybe a therapy for this
ototoxicity, this hearing loss
created by these
aminoglycosides,
could be to install some
competitive binder that
would occupy the binding
sites while you gave the drug
therapy.
We don't know at all what causes
the hearing loss with aging.
That's a very active
subject in today's research.
Genetic causes, same
way, usually these
are some sort of developmental
factor or protein
that's necessary for normal hair
cell development and it's lost,
in the case of recessive
genetic problem.
That's pretty clear
how that arises.
Meningitis, it's not clear how
those diseases kill hair cells,
but they certainly do.
But there's certainly
room to imagine