“…Because miRNA play a critical role in cell gene expression, miRNA activity has been increasingly recognized as a critical component to many disease states making them a promising biomarker 5,23 . Interestingly, miRNA profiles have shown unique expression patterns to different diseases states, from heart failure 24 to individual cancers 7 (colon 25–27 , ovarian 28 , and clear cell carcinoma 29 ), neurodegenerative diseases 4 , different cell types 30 , and play an integral role embryonic development 8 . Pertinent to hearing loss, miRNA have shown to be a promising biomarker and diagnostic marker for otherwise difficult to diagnose neurodegenerative diseases such as Alzheimer’s and Parkinsons 4,5,31 .…”