“…Multiple factors that increase SGN survival have been identified, including peptide neurotrophic factors such as neurotrophin-3 (NT-3) and brain derived neurotrophic factors (BDNF) (Staecker et al, 1996, Fritzsch et al, 1997, Mou et al, 1997, Roehm and Hansen, 2005 electrical activity also provides a strong survival stimulus both in vitro and in vivo. Depolarization, accomplished by raising extracellular K + ([K + ] o ), promotes SGN survival in vitro (Hegarty et al, 1997) while direct electrical stimulation via an implanted electrode may increase SGN survival after hair cell loss (Lousteau, 1987, Hartshorn et al, 1991, Leake et al, 1991, Mitchell et al, 1997, Leake et al, 1999, Shepherd et al, 2005. Survival responses due to membrane electrical activity require Ca 2+ influx through L-type voltage-gated calcium channels (VGCCs) (Hegarty et al, 1997, Mitchell et al, 1997 and subsequent activation of at least three separate calcium dependent protein kinases: cyclic AMP-dependent protein kinase (protein kinase A, PKA), and Ca 2+ /calmodulin-dependent kinases II and IV (CaMKII, CaMKIV) , Bok et al, 2007.…”