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Accumulation of highly-reactive oxygen species (hROS) in HCs is also found in cultured organ of Corti explants exposed to gentamicin (Choung et al., Mitochondria are a potent source of ROS and loss of mitochondrial integrity can lead to increased ROS production and release of ROS into the cytoplasm (Batandier et al., Excessive noise also leads to an increase in free Ca 2+ in cochlear HCs immediately post-noise (Fridberger et al., 2+ entry through ion channels, such as L-type Ca 2+ channels an P2X 2 ATP receptor subunit, and lead to further release of Ca 2+ from intracellular stores such as the ER and mitochondria (Orrenius et al., 2003)