“…However, from the time courses that we chose to evaluate in the present study, we cannot rule out that more immediate modifications may also be involved, such as those revealed for glutamate receptors (Levine et al, 1998;Arvanov et al, 2000;Balkowiec et al, 2000) as well as in some types of voltage-gated ion channels (Kafitz et al, 1999;Tucker and Fadool, 2002). Moreover, recent studies have shown that growth factors can alter the surface expression of both voltage-and ligand-gated ion channels via extranuclear, Akt-dependent signaling pathways (Blair et al, 1999;Brami-Cherrier et al, 2002;Wang et al, 2003;Ning et al, 2004;Chae et al, 2005). Cytoplasmic activation of signaling cascades has explicitly been demonstrated in spiral ganglion neurons to enhance their survival to depolarizing stimuli via cAMP activation of protein kinase A, possibly via the Akt effector (Bok et al, 2003); therefore, we may expect that similar mechanisms may also be in place to regulate channel surface expression in these cells.…”