Evidence map›Paper›PMID 32029702›Full record

ArticleCell death & disease2020

Deficiency of the ER-stress-regulator MANF triggers progressive outer hair cell death and hearing loss.

Anni Herranen, Kuu Ikäheimo, Tuuli Lankinen, Emmi Pakarinen, Bernd Fritzsch, Mart Saarma, Maria Lindahl, Ulla Pirvola

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cell death & disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Presbycusis: Pathology, Signal Pathways, and Therapeutic Strategy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  6. Article
  7. Emerging role of IRE1α in vascular diseases.Journal of cell communication and signaling · 2024
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Early Steps towards Hearing: Placodes and Sensory Development.International journal of molecular sciences · 2023
    Review
  14. Review
  15. ISL1 is necessary for auditory neuron development and contributes toward tonotopic organization.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. CDNF and MANF regulate ER stress in a tissue-specific manner.Cellular and molecular life sciences : CMLS · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Anni HerranenMolecular and Integrative Biosciences Research Programme, University of Helsinki, 00014, Helsinki, Finland.
Kuu IkäheimoMolecular and Integrative Biosciences Research Programme, University of Helsinki, 00014, Helsinki, Finland.
Tuuli LankinenMolecular and Integrative Biosciences Research Programme, University of Helsinki, 00014, Helsinki, Finland.
Emmi PakarinenInstitute of Biotechnology, HILIFE Unit, University of Helsinki, 00014, Helsinki, Finland.
Bernd FritzschDepartment of Biology, CLAS, University of Iowa, Iowa City, IA, 52242-1324, USA.ORCID http://orcid.org/0000-0002-4882-8398
Mart SaarmaInstitute of Biotechnology, HILIFE Unit, University of Helsinki, 00014, Helsinki, Finland.ORCID http://orcid.org/0000-0001-5543-7160
Maria LindahlInstitute of Biotechnology, HILIFE Unit, University of Helsinki, 00014, Helsinki, Finland.
Ulla PirvolaMolecular and Integrative Biosciences Research Programme, University of Helsinki, 00014, Helsinki, Finland. ulla.pirvola@helsinki.fi.ORCID http://orcid.org/0000-0001-5285-4225
University of Helsinki · FIUniversity of Iowa · US

Funding

TGF-BETA FAMILY REGULATION OF EPITHELIAL MORPHOGENESISR01GM060501 · NIGMS · UNIVERSITY OF NEVADA LAS VEGAS · PI RAFTERY, LAUREL A · 2000 to 2012
$4.5M
NIGMS NIH HHS R01 GM060501
6 · The paper itself

Abstract

The non-conventional neurotrophic factor mesencephalic astrocyte-derived neurotrophic factor (MANF) is an endoplasmic reticulum (ER)-resident protein that promotes ER homeostasis. MANF has a cytoprotective function, shown in the central nervous system neurons and pancreatic beta cells. Here, we report that MANF is expressed in the hair cells and neurons and in selected non-sensory cells of the cochlea and that Manf inactivation triggers upregulation of the ER chaperones in these cells. However, Manf inactivation resulted in the death of only outer hair cells (OHCs), the cells responsible for sound amplification in the cochlea. All OHCs were formed in Manf-inactivated mice, but progressive OHC death started soon after the onset of hearing function. The robust OHC loss was accompanied by strongly elevated hearing thresholds. Conditional Manf inactivation demonstrated that MANF has a local function in the cochlea. Immunostainings revealed the upregulation of CHOP, the pro-apoptotic component of the unfolded protein response (UPR), in Manf-inactivated OHCs, linking the UPR to the loss of these cells. The phenotype of Manf-inactivated OHCs was distinctly dependent on the mouse strain, such that the strains characterized by early-onset age-related hearing loss (C57BL/6J and CD-1) were affected. These results suggest that Manf deficiency becomes detrimental when accompanied by gene mutations that predispose to hearing loss, by intensifying ER dyshomeostasis. Together, MANF is the first growth factor shown to antagonize ER stress-mediated OHC death. MANF might serve as a therapeutic candidate for protection against hearing loss induced by the ER-machinery-targeting stressors.

Indexed as

Endoplasmic Reticulum StressHearingAnimalsAuditory ThresholdCell DeathCochleaEvoked Potentials, Auditory, Brain StemHair Cells, Auditory, OuterHearing LossMice, Inbred C57BLMice, KnockoutNerve Growth FactorsSpecies SpecificityMANF protein, mouseNerve Growth Factors

Identifiers

PMID32029702
PMCPMC7005028
OpenAlexW3005292467

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.