Researchers report that age-related hearing loss is associated with a decrease of cholesterol in the inner ear.
First, the researchers measured the amount of CYP46A1 in inner ear OHCs because this enzyme helps break down and recycle cholesterol. As expected, they found more CYP46A1 in the inner ears of older mice than in younger mice, and consequently less cholesterol.
Next, they showed cause and effect by inducing hearing loss in young mice, as indicated by abnormal inner ear-cell output, by over-activating CYP46A1 with a drug. Finally, they tested whether increasing cholesterol in the brain could counter the drug. Since cholesterol itself cannot actually enter the brain from the blood, the researchers used plant-based cholesterol-like compounds called phytosterols which can. The young mice who got both the CYP46A1-activating drug and three weeks of dietary phytosterols displayed improved OHC function.
As phytosterols can be found in many over-the-counter supplements, they could be a convenient way to combat age-related hearing loss. However, directly testing their effects on hearing loss in older mouse models as well as in humans will be necessary before more definite conclusions can be made.
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