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Quiñones PM, Pei M, Srivastava H, Cobo-Cuan A, Morán MA, Kim BJ, Walker CB, Serafino MJ, Macias-Escriva F, Wang J, Dewey JB, Applegate BE, McGinley MJ, Oghalai JS. The Medial Olivocochlear Efferent Pathway Potentiates Cochlear Amplification in Response to Hearing Loss. J Neurosci 2025; 45:e2103242025. [PMID: 39984203 PMCID: PMC11984096 DOI: 10.1523/jneurosci.2103-24.2025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2024] [Revised: 02/04/2025] [Accepted: 02/11/2025] [Indexed: 02/23/2025] Open
Abstract
The mammalian cochlea receives efferent feedback from the brain. Many functions for this feedback have been hypothesized, including on short timescales, such as mediating attentional states, and long timescales, such as buffering acoustic trauma. Testing these hypotheses has been impeded by an inability to make direct measurements of efferent effects in awake animals. Here, we assessed the role of the medial olivocochlear (MOC) efferent nerve fibers on cochlear amplification by measuring organ of Corti vibratory responses to sound in both sexes of awake and anesthetized mice. We studied long-term effects by genetically ablating the efferents and/or afferents. Cochlear amplification increased with deafferentation using VGLUT3-/- mice, but only when the efferents were intact, associated with increased activity within OHCs and supporting cells. Removing both the afferents and the efferents using VGLUT3-/- Alpha9-/- mice did not cause this effect. To test for short-term effects, we recorded sound-evoked vibrations while using pupillometry to measure neuromodulatory brain state. We found no state dependence of cochlear amplification or of the auditory brainstem response. However, state dependence was apparent in the downstream inferior colliculus. Thus, MOC efferents upregulate cochlear amplification chronically with hearing loss, but not acutely with brain state fluctuations. This pathway may partially compensate for hearing loss while mediating associated symptoms, such as tinnitus and hyperacusis.
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Affiliation(s)
- Patricia M Quiñones
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Michelle Pei
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Hemant Srivastava
- Department of Neuroscience, Baylor College of Medicine, Houston, Texas 77030
- Duncan Neurological Research Institute, Texas Children's Hospital, Texas 77030
| | - Ariadna Cobo-Cuan
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Marcela A Morán
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Bong Jik Kim
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
- Department of Otolaryngology - Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon 35015, Republic of Korea
| | - Clayton B Walker
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
- Department of Biomedical Engineering, Texas A&M University, College Station, Texas 77843
| | - Michael J Serafino
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Frank Macias-Escriva
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Juemei Wang
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - James B Dewey
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
| | - Brian E Applegate
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
- Department of Biomedical Engineering, University of Southern California, Los Angeles, California 90089
| | - Matthew J McGinley
- Department of Neuroscience, Baylor College of Medicine, Houston, Texas 77030
- Duncan Neurological Research Institute, Texas Children's Hospital, Texas 77030
| | - John S Oghalai
- Caruso Department of Otolaryngology - Head and Neck Surgery, University of Southern California, Los Angeles, California 90033
- Department of Biomedical Engineering, University of Southern California, Los Angeles, California 90089
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2
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Kuenzel T. Modulatory influences on time-coding neurons in the ventral cochlear nucleus. Hear Res 2019; 384:107824. [DOI: 10.1016/j.heares.2019.107824] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2019] [Revised: 09/10/2019] [Accepted: 10/14/2019] [Indexed: 02/07/2023]
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Gillet C, Goyer D, Kurth S, Griebel H, Kuenzel T. Cholinergic innervation of principal neurons in the cochlear nucleus of the Mongolian gerbil. J Comp Neurol 2018; 526:1647-1661. [DOI: 10.1002/cne.24433] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2017] [Revised: 02/16/2018] [Accepted: 02/25/2018] [Indexed: 01/30/2023]
Affiliation(s)
- Charlène Gillet
- Institute for Biology 2; RWTH Aachen University; Aachen D-52074 Germany
| | - David Goyer
- Department of Otolaryngology - Head and Neck Surgery, University of Michigan; Kresge Hearing Research Institute; Ann Arbor Michigan 48109
| | - Stefanie Kurth
- Institute for Biology 2; RWTH Aachen University; Aachen D-52074 Germany
| | - Hannah Griebel
- Institute for Biology 2; RWTH Aachen University; Aachen D-52074 Germany
| | - Thomas Kuenzel
- Institute for Biology 2; RWTH Aachen University; Aachen D-52074 Germany
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Lykhmus O, Voytenko LP, Lips KS, Bergen I, Krasteva-Christ G, Vetter DE, Kummer W, Skok M. Nicotinic Acetylcholine Receptor α9 and α10 Subunits Are Expressed in the Brain of Mice. Front Cell Neurosci 2017; 11:282. [PMID: 28955208 PMCID: PMC5601054 DOI: 10.3389/fncel.2017.00282] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Accepted: 08/30/2017] [Indexed: 01/24/2023] Open
Abstract
The α9 and α10 nicotinic acetylcholine receptor (nAChR) subunits are likely to be the evolutionary precursors to the entire cys-loop superfamily of ligand-gated ion channels, which includes acetylcholine, GABA, glycine and serotonin ionotropic receptors. nAChRs containing α9 and α10 subunits are found in the inner ear, dorsal root ganglia and many non-excitable tissues, but their expression in the central nervous system has not been definitely demonstrated. Here we show the presence of both α9 and α10 nAChR subunits in the mouse brain by RT-PCR and immunochemical approaches with a range of nAChR subunit-selective antibodies, which selectivity was demonstrated in the brain preparations of α7−/−, α9−/− and α10−/− mice. The α9 and α10 RNA transcripts were found in medulla oblongata (MO), cerebellum, midbrain (MB), thalamus and putamen (TP), somatosensory cortex (SC), frontal cortex (FC) and hippocampus. High α9-selective signal in ELISA was observed in the FC, SC, MO, TP and hippocampus and α10-selective signal was the highest in MO and FC. The α9 and α10 proteins were found in the brain mitochondria, while their presence on the plasma membrane has not been definitely confirmed The α7-, α9- and α10-selective antibodies stained mainly neurons and hypertrophied astrocytes, but not microglia. The α9- and α10-positive cells formed ordered structures or zones in cerebellum and superior olive (SO) and were randomly distributed among α7-positive cells in the FC; they were found in CA1, CA3 and CA4, but not in CA2 region of the hippocampus. The α9 and α10 subunits were up-regulated in α7−/− mice and both α7 and α9 subunits were down-regulated in α10−/− mice. We conclude that α9 and α10 nAChR subunits are expressed in distinct neurons of the mouse brain and in the brain mitochondria and are compensatory up-regulated in the absence of α7 subunits.
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Affiliation(s)
- Olena Lykhmus
- Laboratory of Cell Receptors Immunology, Palladin Institute of Biochemistry (NAS Ukraine)Kiev, Ukraine
| | - Larysa P Voytenko
- Laboratory of Cell Receptors Immunology, Palladin Institute of Biochemistry (NAS Ukraine)Kiev, Ukraine
| | - Katrin S Lips
- Laboratory of Experimental Trauma Surgery, Justus-Liebig University GiessenGiessen, Germany
| | - Ivonne Bergen
- Laboratory of Experimental Trauma Surgery, Justus-Liebig University GiessenGiessen, Germany
| | | | - Douglas E Vetter
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical CenterJackson, MS, United States
| | - Wolfgang Kummer
- Institute for Anatomy and Cell Biology, Justus-Liebig University GiessenGiessen, Germany.,German Center for Lung Research (DZL)Giessen, Germany
| | - Maryna Skok
- Laboratory of Cell Receptors Immunology, Palladin Institute of Biochemistry (NAS Ukraine)Kiev, Ukraine
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Lauer AM. Minimal Effects of Age and Exposure to a Noisy Environment on Hearing in Alpha9 Nicotinic Receptor Knockout Mice. Front Neurosci 2017. [PMID: 28626386 PMCID: PMC5454393 DOI: 10.3389/fnins.2017.00304] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Studies have suggested a role of weakened medial olivocochlear (OC) efferent feedback in accelerated hearing loss and increased susceptibility to noise. The present study investigated the progression of hearing loss with age and exposure to a noisy environment in medial OC-deficient mice. Alpha9 nicotinic acetylcholine receptor knockout (α9KO) and wild types were screened for hearing loss using auditory brainstem responses. α9KO mice housed in a quiet environment did not show increased hearing loss compared to wild types in young adulthood and middle age. Challenging the medial OC system by housing in a noisy environment did not increase hearing loss in α9KO mice compared to wild types. ABR wave 1 amplitudes also did not show differences between α9KO mice and wild types. These data suggest that deficient medial OC feedback does not result in early onset of hearing loss.
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Affiliation(s)
- Amanda M Lauer
- Department of Otolaryngology-HNS, Center for Hearing and Balance, Johns Hopkins University School of MedicineBaltimore, MD, United States
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Di Bonito M, Studer M. Cellular and Molecular Underpinnings of Neuronal Assembly in the Central Auditory System during Mouse Development. Front Neural Circuits 2017; 11:18. [PMID: 28469562 PMCID: PMC5395578 DOI: 10.3389/fncir.2017.00018] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2016] [Accepted: 03/01/2017] [Indexed: 11/13/2022] Open
Abstract
During development, the organization of the auditory system into distinct functional subcircuits depends on the spatially and temporally ordered sequence of neuronal specification, differentiation, migration and connectivity. Regional patterning along the antero-posterior axis and neuronal subtype specification along the dorso-ventral axis intersect to determine proper neuronal fate and assembly of rhombomere-specific auditory subcircuits. By taking advantage of the increasing number of transgenic mouse lines, recent studies have expanded the knowledge of developmental mechanisms involved in the formation and refinement of the auditory system. Here, we summarize several findings dealing with the molecular and cellular mechanisms that underlie the assembly of central auditory subcircuits during mouse development, focusing primarily on the rhombomeric and dorso-ventral origin of auditory nuclei and their associated molecular genetic pathways.
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Vetter DE. The mammalian olivocochlear system--a legacy of non-cerebellar research in the Mugnaini lab. THE CEREBELLUM 2016; 14:557-69. [PMID: 25592068 DOI: 10.1007/s12311-014-0637-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Although the major emphasis of Enrico Mugnaini's research has been on investigations of the cerebellum, a significant amount of work over a relatively short span of time was also done in his lab on a number of other brain systems. These centered on sensory systems. One of these extra-cerebellar systems that he embraced was the auditory system. Portions of the cochlear nucleus, the first synaptic relay station along the central auditory pathways, possess a cerebellar-like circuitry and neurochemistry, and this no doubt lured Enrico into the auditory field. As new tools became available to pursue neuroanatomical research in general, which included a novel antibody to glutamic acid decarboxylase (GAD), Enrico's lab soon branched out into investigating many other brain structures beyond the cerebellum, with an overall goal of producing a map illustrating GAD expression in the brain. In collaboration with long-term colleagues, one of these many non-cerebellar regions he took an interest in was an efferent pathway originating in the superior olive and projecting to the cochlea, the peripheral end organ for hearing. There was a need for a more complete neurochemical map of this olivocochlear efferent system, and armed with new antibodies and well-established tract tracing tools, together we set out to further explore this system. This short review describes the work done with Enrico on the olivocochlear system of rodents, and also continues the story beyond Enrico's lab to reveal how the work done in his lab fits into the larger scheme of current, ongoing research into the olivocochlear system.
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Affiliation(s)
- Douglas E Vetter
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, MS, 39216, USA.
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Saldaña E. All the way from the cortex: a review of auditory corticosubcollicular pathways. THE CEREBELLUM 2016; 14:584-96. [PMID: 26142291 DOI: 10.1007/s12311-015-0694-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Enrico Mugnaini has devoted part of his long and fruitful neuroscientific career to investigating the structural similarities between the cerebellar cortex and one of the first relay stations of the mammalian auditory pathway: the dorsal cochlear nucleus. The hypothesis of the cerebellar-like nature of the superficial layers of the dorsal cochlear nucleus received definitive support with the discovery and extensive characterization in his laboratory of unipolar brush cells, a neuron type unique to certain regions of the cerebellar cortex and to the granule cell domains of the cochlear nuclei. Paradoxically, a different line of research carried out in his laboratory revealed that, unlike the mammalian cerebellar cortex, the dorsal cochlear nucleus receives direct projections from the cerebral cortex, a fact that constitutes one of the main differences between the cerebellum and the dorsal cochlear nucleus. In an article published in 1995, Mugnaini's group described in detail the novel direct projections from the rat auditory neocortex to various subcollicular auditory centers, including the nucleus sagulum, the paralemniscal regions, the superior olivary complex, and the cochlear nuclei (Feliciano et al., Auditory Neuroscience 1995; 1:287-308). This review gives Enrico Mugnaini credit for his seminal contribution to the knowledge of auditory corticosubcollicular projections and summarizes how this growing field has evolved in the last 20 years.
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Affiliation(s)
- Enrique Saldaña
- Neurohistology Laboratory, Neuroscience Institute of Castilla y León (INCyL), University of Salamanca, 37007, Salamanca, Spain. .,Department of Cell Biology and Pathology, Medical School, University of Salamanca, 37007, Salamanca, Spain. .,Institute of Biomedical Research of Salamanca (IBSAL), 37007, Salamanca, Spain.
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9
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Baashar A, Robertson D, Mulders WH. A novel method for selectively labelling olivocochlear collaterals in the rat. Hear Res 2015; 325:35-41. [DOI: 10.1016/j.heares.2015.02.011] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2014] [Revised: 02/23/2015] [Accepted: 02/25/2015] [Indexed: 10/23/2022]
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10
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Clause A, Kim G, Sonntag M, Weisz CJC, Vetter DE, Rűbsamen R, Kandler K. The precise temporal pattern of prehearing spontaneous activity is necessary for tonotopic map refinement. Neuron 2014; 82:822-35. [PMID: 24853941 DOI: 10.1016/j.neuron.2014.04.001] [Citation(s) in RCA: 159] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/24/2014] [Indexed: 10/25/2022]
Abstract
Patterned spontaneous activity is a hallmark of developing sensory systems. In the auditory system, rhythmic bursts of spontaneous activity are generated in cochlear hair cells and propagated along central auditory pathways. The role of these activity patterns in the development of central auditory circuits has remained speculative. Here we demonstrate that blocking efferent cholinergic neurotransmission to developing hair cells in mice that lack the α9 subunit of nicotinic acetylcholine receptors (α9 KO mice) altered the temporal fine structure of spontaneous activity without changing activity levels. KO mice showed a severe impairment in the functional and structural sharpening of an inhibitory tonotopic map, as evidenced by deficits in synaptic strengthening and silencing of connections and an absence in axonal pruning. These results provide evidence that the precise temporal pattern of spontaneous activity before hearing onset is crucial for the establishment of precise tonotopy, the major organizing principle of central auditory pathways.
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Affiliation(s)
- Amanda Clause
- Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA; Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA; Center for the Neural Basis of Cognition, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA
| | - Gunsoo Kim
- Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA; Center for the Neural Basis of Cognition, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
| | - Mandy Sonntag
- Faculty of Biosciences, Pharmacy and Psychology, University of Leipzig, 04103 Leipzig, Germany
| | - Catherine J C Weisz
- Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA
| | - Douglas E Vetter
- Department of Neurobiology and Anatomical Sciences, University of Mississippi Medical Center, Jackson, MS 39216, USA
| | - Rudolf Rűbsamen
- Faculty of Biosciences, Pharmacy and Psychology, University of Leipzig, 04103 Leipzig, Germany
| | - Karl Kandler
- Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA; Department of Neurobiology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA; Center for the Neural Basis of Cognition, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
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11
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Gómez-Nieto R, Sinex DG, Horta-Júnior JDAC, Castellano O, Herrero-Turrión JM, López DE. A fast cholinergic modulation of the primary acoustic startle circuit in rats. Brain Struct Funct 2013; 219:1555-73. [PMID: 23733175 DOI: 10.1007/s00429-013-0585-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2013] [Accepted: 05/16/2013] [Indexed: 11/30/2022]
Abstract
Cochlear root neurons (CRNs) are the first brainstem neurons which initiate and participate in the full expression of the acoustic startle reflex. Although it has been suggested that a cholinergic pathway from the ventral nucleus of the trapezoid body (VNTB) conveys auditory prepulses to the CRNs, the neuronal origin of the VNTB-CRNs projection and the role it may play in the cochlear root nucleus remain uncertain. To determine the VNTB neuronal type which projects to CRNs, we performed tract-tracing experiments combined with mechanical lesions, and morphometric analyses. Our results indicate that a subpopulation of non-olivocochlear neurons projects directly and bilaterally to CRNs via the trapezoid body. We also performed a gene expression analysis of muscarinic and nicotinic receptors which indicates that CRNs contain a cholinergic receptor profile sufficient to mediate the modulation of CRN responses. Consequently, we investigated the effects of auditory prepulses on the neuronal activity of CRNs using extracellular recordings in vivo. Our results show that CRN responses are strongly inhibited by auditory prepulses. Unlike other neurons of the cochlear nucleus, the CRNs exhibited inhibition that depended on parameters of the auditory prepulse such as intensity and interstimulus interval, showing their strongest inhibition at short interstimulus intervals. In sum, our study supports the idea that CRNs are involved in the auditory prepulse inhibition of the acoustic startle reflex, and confirms the existence of multiple cholinergic pathways that modulate the primary acoustic startle circuit.
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Affiliation(s)
- Ricardo Gómez-Nieto
- Neuroscience Institute of Castilla y León (INCyL), University of Salamanca, 37007, Salamanca, Spain
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Kraus KS, Ding D, Jiang H, Kermany MH, Mitra S, Salvi RJ. Up-regulation of GAP-43 in the chinchilla ventral cochlear nucleus after carboplatin-induced hearing loss: correlations with inner hair cell loss and outer hair cell loss. Hear Res 2013; 302:74-82. [PMID: 23707995 DOI: 10.1016/j.heares.2013.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2012] [Revised: 04/18/2013] [Accepted: 05/06/2013] [Indexed: 12/11/2022]
Abstract
Inner ear damage leads to nerve fiber growth and synaptogenesis in the ventral cochlear nucleus (VCN). In this study, we documented the relationship between hair cell loss patterns and synaptic plasticity in the chinchilla VCN using immunolabeling of the growth associated protein-43 (GAP-43), a protein associated with axon outgrowth and modification of presynaptic endings. Unilateral round window application of carboplatin caused hair cell degeneration in which inner hair cells (IHC) were more vulnerable than outer hair cells (OHC). One month after carboplatin treatment (0.5-5 mg/ml), we observed varying patterns of cochlear hair cell loss and GAP-43 expression in VCN. Both IHC loss and OHC loss were strongly correlated with increased GAP-43 immunolabeling in the ipsilateral VCN. We speculate that two factors might promote the expression of GAP-43 in the VCN; one is the loss of afferent input through IHC or the associated type I auditory nerve fibers. The other occurs when the medial olivocochlear efferent neurons lose their cochlear targets, the OHC, and may as compensation increase their synapse numbers in the VCN.
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Affiliation(s)
- K S Kraus
- Center for Hearing and Deafness, SUNY at Buffalo, 137 Cary Hall, 3435 Main Street, Buffalo, NY 14214, USA.
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Abstract
PURPOSE OF REVIEW This review covers topics relevant to olivocochlear-efferent anatomy and function for which there are new findings in papers from 2009 to early 2010. RECENT FINDINGS Work within the review period has increased our understanding of medial olivocochlear (MOC) mechanisms in outer hair cells, MOC-reflex tuning, MOC effects on distortion product otoacoustic emissions, the time course of MOC effects, MOC effects in psychophysical tests and on understanding speech, MOC effects in attention and learning, and lateral efferent function in binaural hearing. In addition, there are new insights into efferent molecular mechanisms and their effect on cochlear development. SUMMARY Techniques for measuring efferent effects using otoacoustic emissions are now well developed and have promise in clinical applications ranging from predicting which patients are susceptible to acoustic trauma to characterizing relationships between efferent activation and learning disabilities. To realize this promise, studies are needed in which these techniques are applied with high standards.
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Affiliation(s)
- John J Guinan
- Eaton Peabody Laboratories, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA 02114, USA.
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Current Opinion in Otolaryngology & Head and Neck Surgery. Current world literature. Curr Opin Otolaryngol Head Neck Surg 2010; 18:466-74. [PMID: 20827086 DOI: 10.1097/moo.0b013e32833f3865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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