STRC h06 Hill Sensitivity Sweep 2026-04-23

Bounds analysis for the ⚠ CIRCULAR FIT Hill coupling (HILL_K=200, HILL_N=2, MAX_BOOST=3) flagged by STRC h06 Parameter Provenance Audit 2026-04-23. Answers: does Strategy A’s therapeutic claim survive Hill parameter uncertainty, or is it a point-fit artefact?

Spoiler: per-OHC claim survives (ROBUST); cochlea-mean claim fails architecturally — independent of Hill fit.

Method

Script: mrna_lnp_pkpd_hill_sensitivity.py. Fixed reference regimen (middle of prior sweep for clarity):

FixedValue
modificationm1psi (mRNA t½ = 12 h in OHC)
interval28 d
dose_intra1000 mol/OHC
horizon365 d
thresholdtx_trough ≥ 2.0 fold

Grid (5×5×5 = 125 points):

AxisValues
HILL_K50, 100, 200, 300, 500
HILL_N1, 1.5, 2, 3, 4
MAX_BOOST1.5, 2, 3, 4, 5

Per-OHC ODE integrated per point; cochlea_mean computed at 3 LNP efficiencies (0.8%, 5%, 20%) post-hoc via cochlea_mean = eff·tx + (1-eff)·1.

Results

Per-OHC robustness (transfected OHC only)

  • 60% of grid (75/125 points) reaches tx_trough ≥ 2.0
  • Verdict: ROBUST — claim “per-OHC therapeutic at moderate mRNA dose” survives Hill uncertainty over the tested parameter space.
  • Minimum MAX_BOOST for therapeutic, by (HILL_K, HILL_N): fails at HILL_K≥300 with HILL_N=1 (low cooperativity + weak affinity), but succeeds almost everywhere else at MAX_BOOST ≥ 3.

Cochlea-mean ceiling (population-level — what matters for hearing)

LNP targetingeffMax cochlea_mean over gridTheoretical ceiling at MB=5Therapeutic reached anywhere?
untargeted0.0081.032x1.032x❌ No
cochlear_tropic0.051.20x1.20x❌ No
OHC_targeted0.201.80x1.80x❌ No

Zero points in the 125-grid achieve cochlea-mean therapeutic (≥2x), at any LNP efficiency up to 20%.

The architectural identity

For any targeting efficiency eff and any Hill ceiling max_boost:

cochlea_mean ≤ eff · max_boost + (1 - eff)
            = 1 + eff · (max_boost - 1)

For cochlea_mean ≥ 2, need:

eff · (max_boost - 1) ≥ 1

Case-by-case at realistic max_boost:

max_boostMin eff for therapeutic
3 (base)0.50 (50% OHC transfection)
5 (optimistic)0.25 (25%)
10 (implausible)0.11 (11%)

Current best reported LNP cochlear efficiency: 0.8% (untargeted, Yeh/Gao-class). Cochlear-tropic LNPs: ~5% hypothetical. OHC-targeted ligand-LNPs: 20% aspirational. None of these cross the threshold at biologically plausible MAX_BOOST.

This is not a Hill-fit problem — it is an architectural ceiling imposed by the additive population formula with (1-eff) OHCs contributing fold=1 to the mean.

Implications

For #6 Strategy A monotherapy

  • Mechanism tier: 3 → 2. Splicing-boost mRNA therapy cannot reach cochlea-mean therapeutic under any Hill parameters at realistic LNP efficiencies. The circular-fit flag understates the problem; the fit is not even necessary — the ceiling holds regardless.
  • Tier: A → B. axes now min(2, 2, 2) = 2 = B. Aligns with axes. Was generous at A.

For #4 Strategy B (linear, no Hill)

Strategy B is NOT bounded by this identity because it has no ceiling on tx fold. At high enough mRNA dose, s_exog/s_WT can be driven arbitrarily high, which lifts cochlea_mean = s_endo_frac + eff·(s_exog/s_WT) past 2x at any eff > 0.

However: achieving s_exog/s_WT ≥ 40x at per-OHC level (required to cross cochlea-mean 2x at 5% LNP) demands very high mRNA dose per transfected OHC and is limited by translation saturation, LNP payload, and tolerability — not by Hill fit. Strategy B’s earlier “stack adds 0.12-0.92% cochlea-mean at realistic AAV” stands as a modest contribution; is NOT the monotherapy path.

For #4 + #6 Stack

The “stack” intuition (A + B combined) is weaker than it appears: at realistic LNP, A contributes ≤ 0.20x cochlea-mean increment (even at MAX_BOOST=5, OHC-targeted 20%). The stack is ≈ B alone with a small Hill bonus. This does not invalidate Strategy B’s own claim; it reframes the stack as “B + marginal A” rather than “synergistic A+B.”

What this DOES NOT say

  • Per-OHC correction (for the transfected 20% of OHCs at OHC-targeted LNP) is plausible. If hearing recovery can tolerate a 20% OHC subset being corrected at 3-5x, Strategy A might still help locally. But the population-mean metric — the relevant one for broadband hearing — cannot cross 2x.
  • Does NOT rule out Strategy A as an adjuvant to #3 Mini-STRC AAV (Mini-STRC already integrates genetically — adjuvant mRNA is a different architecture).
  • Does NOT invalidate the circular-fit flag — Hill fit is still circular; the bounds just show the circular fit is not the binding constraint.

Ranking delta

  • #6 mRNA Therapy: A → B. Mech 3 → 2. Deliv 2, Misha 2 unchanged. Architectural ceiling, not Hill-fit dependency.
  • #4 Strategy B: unchanged B. Stack claim reframed (“stack ≈ B + marginal A at realistic LNP”), not invalidated.

What could move it back up

  • LNP OHC-targeting above ~30-40% efficiency (not currently published; would need novel ligand-LNP chemistry or intracellular-delivery breakthrough).
  • Alternate amplification mechanism bypassing the additive (1-eff) penalty — e.g., paracrine factor that boosts untransfected OHCs. Speculative; no mechanism proposed.
  • Primary RBM24-titration lit in OHCs: would replace circular fit with measured Hill params. Does NOT resolve architectural ceiling. (Still worth retrieving for defensibility.)

Connections