1. [The cochlear implant. Molecular arguments favouring early implantation].
- Author
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Jung C and Illing RB
- Subjects
- Animals, Auditory Pathways metabolism, Cochlear Implantation methods, Gene Expression Regulation, Developmental, Hearing Loss rehabilitation, Molecular Biology methods, Rats, Aging metabolism, Cochlear Implants, GAP-43 Protein metabolism, Hearing Loss metabolism, Inferior Colliculi metabolism, Neuronal Plasticity
- Abstract
Background: An important factor in the clinical outcome of cochlear implantation is the age of the patient. Compared to older patients, children with congenital deafness have a better outcome when the implantation is made before the age of 2 years. The cause may lie in the molecular biology of the brain, which changes during postnatal maturation., Methods: Protein probes were obtained from tissue of the rat inferior colliculus at different ages. The probes were analyzed using 2-dimensional SDS electrophoresis., Results: The expression of GAP-43, a protein expressed by neurons during axonal outgrowth and synaptogenesis, and the total number of the protein species showed a significant reduction during ontogenesis. This shows that while neurons gradually assume their specific function, they downregulate GAP-43 and the molecular complexity decreases., Conclusions: Due to a lack of neuronal pluripotency at later developmental stages, the flexibility to adapt to the afferent activation provided by a cochlear implant is increasingly limited.
- Published
- 2004
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