“…Support cells in the mammalian organ of Corti are highly specialized in contrast to support cells in non-mammalian auditory epithelia, and it is possible that as a consequence of their specialization, they have lost the ability to divide or transdifferentiate following hair cell loss. It has been hypothesized that support cell proliferative ability is lost because of the absence of certain mitogenic receptors and signaling pathways, the expression of cell cycle inhibitors such as p27 Kip1 , the lack of expression of cell cycle-positive regulators such as cyclin D1, the expression of additional inhibitory signaling pathways, and/or changes in the actin cytoskeleton (e.g., White et al, 2006; Burns et al, 2008; Laine et al, 2010; McCullar et al, 2010; Oesterle et al, 2011; Liu et al, 2012c). It has been shown that pluripotent stem cells, present in regenerating organs such as intestine and skin, appear to be absent in the mature cochlea.…”