In mammals, the destruction of mature hair cells-(HCs) of the inner ear pro
duces balance disorders and irreversible deafness. Since both avian and mam
malian HCs were believed to be produced prior to birth, HC regeneration was
not thought to occur. However, during the last decade, research has indica
ted that vestibular HCs can-reappear after lesions of the neurosensory epit
helia, whereas cochlear HCs do not regenerate. Repair of the neurosensory e
pithelium is associated with division of epithelial Supporting cells, In vi
tro, this proliferation is stimulated by growth factors acting on tyrosine
kinase receptors, but the effect of each growth factor varies depending on
the maturation stage and on the species. New HCs may arise either from diff
erentiation of proliferating cells or from transdifferentiation of differen
tiated supporting cells, The differentiation process can affect two subsets
of HCs (type 1 and type 2 HC) which differ in their regenerating potential
, since one can become physiologically mature, while the other will display
immature physiological features.