“…After acoustic trauma (continuous exposure or impulse noise), c-Jun N-terminal kinase (JNK), one of the mitogen-activated protein kinases (MAPKs) pathway, is activated in outer hair cells through intracellular Ca 2+ activation leading to outer hair cell death (Zine and van de Water, 2004;Murai et al, 2008;Meltser et al, 2009). Accordingly, AM-111, a cell-permeable peptide that selectively blocks JNK/MAPK-mediated apoptosis of stress-injured hair cells and neurons in the cochlea, protects from noise-induced hearing loss (Pirvola et al, 2000;Wang et al, 2003;Matsui et al, 2004;Zine and van de Water, 2004;Kirkegaard et al, 2006;Barkdull et al, 2007;Eshraghi et al, 2007;Shim et al, 2009), see Fig.…”