Koo · Proceedings of the National Academy of Sciences of the United States of America 2023 · Animal genetic fate-mapping study · n=?

Follistatin regulates the specification of the apical cochlea responsible for low-frequency hearing in mammals.

Cited 15 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Preclinical animal genetic and developmental study

PubMed 36577057 · doi:10.1073/pnas.2213099120 · record verified 2026-08-26

What was done

Using mouse genetics and in vivo fate-mapping analysis in embryonic mice, researchers investigated the developmental roles of follistatin (FST) and sonic hedgehog (SHH) signaling in establishing cochlear regional identity and tonotopy.

What was found

The abstract reports no numerical data or effect sizes. Qualitatively, follistatin (FST) was found to be required for the maintenance of apical cochlear identity and apical cell expansion, but dispensable for initial induction. SHH was required for both induction and maintenance. Loss of either FST or SHH caused a shortened cochlea lacking the apical domain, loss of apex-specific molecular and anatomical features, and low-frequency hearing loss.

Why it matters

This work identifies FST as an essential developmental regulator of apical cochlear domain formation, establishing how early regional patterning underpins low-frequency hearing in mammals.

Limits

Animal study with no direct human data. The abstract provides no sample sizes, numerical auditory thresholds, or statistical values.

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