AUTHOR=Seist Richard, Tong Mingjie, Landegger Lukas D., Vasilijic Sasa, Hyakusoku Hiroshi, Katsumi Sachiyo, McKenna Charles E., Edge Albert S. B., Stankovic Konstantina M. TITLE=Regeneration of Cochlear Synapses by Systemic Administration of a Bisphosphonate JOURNAL=Frontiers in Molecular Neuroscience VOLUME=13 YEAR=2020 URL=https://www.frontiersin.org/articles/10.3389/fnmol.2020.00087 DOI=10.3389/fnmol.2020.00087 ISSN=1662-5099 ABSTRACT=Sensorineural hearing loss (SNHL) caused by noise exposure and attendant loss of glutamatergic synapses between cochlear spiral ganglion neurons (SGNs) and hair cells is the most common sensory deficit worldwide. We show here that systemic administration of a bisphosphonate to mice 24 h after synaptopathic noise exposure regenerated synapses between inner hair cells and SGNs and restored cochlear function. We further demonstrate that this effect is mediated by inhibition of the mevalonate pathway. These results are highly significant because they suggest that bisphosphonates could reverse cochlear synaptopathy for the treatment of SNHL.