Evidence map›Paper›PMID 40985296›Full record

ReviewAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2025

Treating Hearing Loss: From Cochlear Implantation to Gene Therapy.

Fan-Gang Zeng, Jieyu Qi, Chen-Chi Wu, Yilai Shu, Renjie Chai

Abstract readReview
In one paragraph

Review in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Treating Hearing Loss: From Cochlear Implantation to Gene Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
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

5 authors.

Fan-Gang ZengCenter for Hearing Research, Departments of Anatomy and Neurobiology, Biomedical Engineering, Cognitive Sciences, Otolaryngology-Head and Neck Surgery, University of California Irvine, Irvine, CA, 92697, USA.ORCID https://orcid.org/0000-0002-4325-2780
Jieyu QiDepartment of Radiology, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Advanced Technology Research Institute, School of Life Science, Beijing Institute of Technology, Beijing, 100081, China.
Chen-Chi WuDepartment of Otolaryngology-Head and Neck Surgery, National Taiwan University College of Medicine, Taipei, 100233, Taiwan.
Yilai ShuENT Institute and Otorhinolaryngology Department of Eye & ENT Hospital, Fudan University, Shanghai, 200031, China.
Renjie ChaiDepartment of Radiology, Zhuhai People's Hospital, The Affiliated Hospital of Beijing Institute of Technology, Advanced Technology Research Institute, School of Life Science, Beijing Institute of Technology, Beijing, 100081, China.

Funding

Beijing Natural Science Foundation 7252089Guangdong Academy of Medical Sciences YKY-KF202201Jiangsu Provincial Scientific Research Center of Applied Mathematics BK20233002Jiangsu Provincial Scientific Research Center of Applied Mathematics under BK20233002National Key R&D Program of China 2020YFA0112503National Key R&D Program of China 2020YFA0113600National Key R&D Program of China 2021YFA1101300National Key R&D Program of China 2021YFA1101800National Natural Science Foundation of China 82030029National Natural Science Foundation of China 82330033National Natural Science Foundation of China 82371162National Natural Science Foundation of China 92149304National Natural Science Foundation of China 92468302National Natural Science Foundation of China U23A200440Natural Science Foundation of Jiangsu Province BK20232007Shandong Province Outstanding Youth Science Foundation ZR2024YQ049Shenzhen Science and Technology Program grant JCYJ20240813161801003STI2030-Major Projects 2022ZD0205400Taishan Scholar Foundation of Shandong Province tsqn202408320
6 · The paper itself

Abstract

Gene therapy has recently restored natural audibility in humans with OTOF-gene mutations. This biological restoration of hearing is different from cochlear implantation (CI) that produces artificial hearing via electric stimulation of the auditory nerve. In three published trials, 21 DFNB9 patients show 244 grade I/II adverse events (AEs), 2 grade III AEs and no serious AEs. The average gene therapy effect is substantial (52.4-dB improvement from baseline complete deafness), rapid (0.74-month time constant), and stable over the initial six months. However, individual outcomes vary from restored normal audibility (≤20 dB HL) to severe hearing loss (≥80 dB HL). Here critical knowledge gaps in gene therapy are identified such as understanding the individual variability, assessing temporal processing, and comparing efficacy with cochlear implantation. It is predicted that gene therapy will include patients with less than complete hearing loss and target other monogenic forms of congenital deafness. Advanced technologies in minimally invasive drug delivery and gene editing will further increase the safety, efficacy and applicability of gene therapy for hearing loss. Cochlear implantation likely remains the standard intervention for severe-to-profound hearing loss, but gene therapy will emerge as a viable alternative in treating monogenic forms of deafness.

Indexed as

Cochlear ImplantationGenetic TherapyHearing LossHumansauditory neuropathycochlear implantationDFNB9gene therapyhereditary hearing lossOtof

Identifiers

PMID40985296
PMCPMC12591109

What OpenQuestion holds

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LicenceCC BY
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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.