The Medial Olivocochlear System Attenuates the Developmental Impact of Early Noise Exposure
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- Lauer, A.M. & May, B.J. JARO (2011) 12: 329. doi:10.1007/s10162-011-0262-7
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The early onset of peripheral deafness profoundly alters the functional maturation of the central auditory system. A prolonged exposure to an artificial acoustic environment has a similar disruptive influence. These observations establish the importance of normal patterns of sound-driven activity during the initial stages of auditory development. The present study was designed to address the role of cochlear gain control during these activity-dependent developmental processes. It was hypothesized that the regulation of auditory nerve activity by the medial olivocochlear system (MOCS) would preserve normal development when the immature auditory system was challenged by continuous background noise. To test this hypothesis, knock-out mice lacking MOCS feedback were reared in noisy or quiet environments and then evaluated with behavioral paradigms for auditory processing deficits. Relative to wild-type controls, noise-reared knock-out mice showed a decreased ability to process rapid acoustic events. Additional anatomical and physiological assessments linked these perceptual deficits to synaptic defects in the auditory brainstem that shared important features with human auditory neuropathy. Our findings offer a new perspective on the potentially damaging effects of environmental noise and how these risks are ameliorated by the protective role of MOCS feedback.
Keywordsactivity-dependent development olivocochlear feedback environmental noise nicotinic acetylcholine receptor temporal processing deficit auditory neuropathy
It is well established that the maturation of the central auditory system is shaped by sound-driven activity (for a review, see Sanes and Walsh 1998). These developmental processes can be disrupted by prolonged sound exposures that alter normal patterns of auditory activity (Sanes and Bao 2009). As a result, an individual who is exposed to environmental noise at a young age may manifest severe processing deficits as an adult (Tallal et al. 1998).
Animal studies suggest that the nature of an environmentally induced processing deficit is dictated by the physical properties of the sound exposure. For example, an early exposure to continuous white noise delays the emergence of adult tonotopic organization and frequency selectivity in auditory cortex (Chang and Merzenich 2003). An exposure to temporally modulated noise degrades stimulus entrainment (Zhou and Merzenich 2008; 2009). An exposure to repeating transients disrupts stimulus following responses and frequency selectivity in the inferior colliculus (Sanes and Constantine-Paton 1985a, b).
A chronic reduction in sound-evoked activity exerts equally pervasive effects on auditory development. A history of mild conductive loss can impede the refinement of higher-order cognitive processes, such as, speech recognition, auditory memory, and sound segregation (Gravel and Ruben 1996). Disordered patterns of speech and language development can be reversed by the timely initiation of aided auditory function in deaf children (Sininger et al. 1999; Shepherd et al. 2006). The underlying mechanisms for successful interventions remain poorly understood and are just beginning to be addressed by laboratory studies (Ryugo et al. 2005; Moore and Shannon 2009).
Given the wealth of knowledge on the importance of sound-driven activity during the development of the central auditory system, surprisingly little is known about how these processes are influenced by the efferent pathways that regulate the response of the auditory periphery to environmental noise. In particular, the medial olivocochlear system (MOCS; Wiederhold 1970; Warr and Guinan 1979) can adjust the gain of cochlear sensitivity by modulating the active electromotile properties of outer hair cells (OHCs). The resulting decrease in cochlear amplification protects the ear from the damaging effects of very loud sounds (Wiederhold 1970; Liberman 1991) and improves listening in background noise (Dewson and Efferent 1968; May and McQuone 1995). MOCS activation also stabilizes sound-evoked cochlear potentials (Maison et al. 1997) and may be almost constantly active in temporally varying environments (Maison et al. 2001).
The present study proposes another benefit for the MOCS regulation of sound-driven activity. By reducing the response of the auditory nerve to environmental noise, MOCS efferent feedback may protect the central auditory system during critical stages of activity-dependent development. To test this prediction, the effects of early noise exposures were characterized in knock-out mice that lack MOCS feedback (Vetter et al. 1999). Our findings suggest that MOCS feedback increased a developing animal’s resistance to the disruptive effects of environmental noise. When this system was compromised, the resulting deficits were manifested as an impairment of brainstem processing that shared many of the anatomical and physiological features of human auditory neuropathy.
All subjects were obtained from breeding facilities that are maintained within the laboratory. Knock-out mice with a homozygous null mutation of the α9 nicotinic acetylcholine receptor subunit (α9KO) were originally generated by Vetter et al. (1999). Our α9KO breeders were obtained from Jackson Labs (CBACaJ;129 S-Chrna9tm1Bedv/J, stock #005696), which used a mixed CBA/CaJ and 129 S6/SvEvTac background to avoid generalized hearing abnormalities in the original strain. Deletion of the α9 subunit eliminates MOCS-mediated suppression of sound-evoked cochlear potentials (Vetter et al. 1999), indicating functional “de-efferentation” of OHCs. Homozygous wild-type (WT) mice from the same background strain were used to evaluate the effects of sound exposures on subjects with a functional MOCS. A total of 34 α9KO mice and 31 WT mice were tested. Both male and female mice were used.
Mice were housed in the restricted-access (quiet) or heavy-traffic (noisy) vivaria from birth but were periodically removed from these rooms for behavioral and physiological evaluation. Testing paradigms were optimized for maximum efficiency and were typically completed in less than 1 h. Behavioral measures of temporal acuity were conducted at 4–5 weeks of age. Auditory brainstem response (ABR)-based measures of hearing thresholds were performed at 6–7 weeks of age. ABR-based measures of temporal acuity were performed at approximately 2 months of age. All procedures were approved by the Animal Care and Use Committee of Johns Hopkins University.
Environmental noise conditions
The restricted-access vivarium was a closer approximation of the natural rearing habitat of the mouse (Fig. 1B). This room had infrequent personnel traffic and static filter top cages, and was ventilated with conventional ceiling-mounted ducts. Ambient noise levels remained below 40 dB SPL with few investigator-generated transients. The spectra of the two variants of cage noise showed their largest differences at frequencies below 10 kHz (Fig. 1C). The rooms were similar in non-acoustic environmental factors such as size, light cycle, humidity, and temperature.
Behavioral measures of temporal acuity
Behavioral measures of temporal acuity were based on a variant of pre-pulse inhibition (PPI; Hoffman and Fleshler 1963). With conventional PPI procedures, acoustic startle reflexes (ASRs) are elicited by sudden bursts of high-level broadband noise. On some trials, the startle-eliciting stimulus is preceded by a low-level sound, which is designated the pre-pulse. PPI is indicated when the ASR shows a decrease in magnitude on trials with the pre-pulse relative to trials without the pre-pulse.
Because GIASR depends upon the ability of the auditory system to process two auditory events in rapid succession, the functional limits of temporal acuity are reflected in stimulus conditions that elicit significant inhibitory effects. Our behavioral measures exploited this relationship to explore the consequences of early sound exposure on the development of temporal processing. It was hypothesized that noise-reared mice would show deficits of temporal acuity by requiring longer lead times in the GIASR task.
Each GIASR test session consisted of a minimum of ten trial blocks, with each block containing two reference trials in which the noise remained on and seven gap trials in which the noise was turned off with lead times of 1, 2, 4, 6, 8, 10, or 15 ms. The order of presentation was randomized for the nine trials in each block. The timed interval between trials was varied at random between 5 and 15 s. After the inter-trial interval expired, the subject’s movements were monitored with a piezoelectric sensor on the holding cage. When the mouse remained still for a period of 5 s, a trial was presented.
During the trial period, the background noise was turned off with the appropriate lead time, or left on in the case of a baseline trial, and the startle-eliciting stimulus was presented. Coincident with the onset of the startle stimulus, the peak-to-peak amplitude of the mouse’s ASR was measured over a 100-ms interval. At the conclusion of the test session, relative measures of gap-inhibition were computed at each lead time from the ratio of the average ASR amplitude on gap versus reference trials.
Electrophysiological measures of brainstem processing
Previous studies of the effects of early noise exposures on mice describe a neuropathic condition in which hearing thresholds remain normal, but temporal synchrony is degraded (Kujawa and Liberman 2009). To investigate similar effects in noise-reared α9KO mice, ABRs were recorded from the four treatment groups. The evoked responses were expected to confirm normal hearing sensitivity by showing equivalent waveform magnitudes at threshold sound levels. The quality of synchronization was inferred from the magnitude and latency of responses at suprathreshold sound levels. Quiet-reared WT mice served as normal controls for all response measures.
Mice were anesthetized during ABR recordings with intraperitoneal injections of 125 mg/kg ketamine and 12.5 mg/kg xylazine in 14.25% ethyl alcohol. Core body temperature was maintained with a regulated heating pad at 37 ± 1°C. Differential recordings were made with subdermal platinum needle electrodes placed behind the left pinna (inverting), at the dorsal midline of the skull (non-inverting), and in the left hind leg (ground). Averaged ABR waveforms were obtained by presenting clicks or pure tones (5-ms duration, 0.5 ms rise/fall times) at a rate of 10 stimuli/s (Fig. 2B). Responses were amplified, filtered from 300–3,000 Hz, digitized, and averaged over 300 repetitions. The ABR signal magnitude was calculated from the averaged peak-to-peak voltage in a 5-ms time window beginning 1 ms after stimulus onset. The electrical noise level was calculated from the peak-to-peak voltage in a 5-ms window beginning 20 ms after stimulus offset. Threshold was calculated as the stimulus level that produced a peak-to-peak response that was two standard deviations above electrical noise. This value was interpolated from the input–output function relating ABR magnitude to stimulus level.
Electrophysiological measures of temporal acuity
Conventional ABR procedures are designed to optimize response magnitude by reducing stimulus refractory effects. Short-duration stimuli (an instantaneous click or 5-ms tone) are presented at a slow rate (10 stimuli/s) to allow recovery between stimuli. To investigate the importance of the recovery period in a manner that more closely approximated the temporal challenge of the GIASR paradigm, our ABR-based measures of temporal acuity increased the duration of tonal stimuli to 20 ms and shortened the inter-stimulus interval between successive stimuli (Fig. 2C). A similar manipulation of ABR presentation rate has been used to explore temporal processing deficits in human listeners (Krizman et al. 2010).
The high-temporal-demand ABRs were recorded in response to tone bursts that were fixed in frequency (8 kHz), duration (20 ms, 0.5-ms rise/fall times), and level (80 dB SPL) but varied in inter-stimulus interval (ISI). The silent period between successive tone bursts was matched to the lead time conditions of the GIASR experiments (1, 2, 4, 6, 8, 10, or 15 ms).
The effects of ISI on the ABR waveform were characterized in terms of the amplitudes of wave 1 (peak-to-peak voltage difference between P1 and N1) and wave 2 (difference between P2 and N2), and the interpeak latency difference between P1 and P2.
The hypothesized developmental risk of early sound exposure was evaluated by comparing hearing sensitivity and temporal acuity in groups of mice that were reared in either the heavy-traffic vivarium (noise) or the restricted-access vivarium (quiet). The ability of the MOCS to ameliorate the noise exposure was investigated by comparing the magnitude of environmentally induced deficits in α9KO mice to WT controls.
Effect of rearing environment on GIASR
The most striking feature of functions from quiet-reared α9KO mice (Fig. 3B) was the potentiated startle response at a lead time of 1 ms. This exaggeration of the startle response has been previously described in older C57BL/6 J mice (Ison et al. 2007). Because the effect came at a later age relative to the age-related loss of cochlear hair cells, it has been attributed to a reorganization of the central afferent pathways that follows the disruption of peripheral inputs. Inhibitory effects were similar to those of WT mice at longer lead times.
Noise-reared α9KO mice (Fig. 3C) showed more enhancement than quiet-reared WT mice at the shortest lead times. The asymptote of their lead time function also indicated less maximum inhibition at long gap intervals. In comparison to the other treatment groups, noise-reared α9KO mice displayed the greatest inter-subject variability.
Quiet-reared WT mice displayed GIASR at all lead times. Noise-reared WT mice and quiet-reared α9KO mice showed slightly less GIASR, but tended to display generalized inhibitory responses at lead times as short as 2 ms. Strong inhibitory effects did not develop in noise-reared α9KO mice until lead times reached 4 ms.
Regardless of rearing environment, some α9KO mice in both treatment groups produced normal lead time functions, while others exhibited strong facilitation and diminished inhibition. The proportion of mice with abnormal functions and the magnitude of their temporal deficits increased with noise exposure, and the noise effect was compounded in mice with compromised MOCS feedback.
The statistical significance of the treatment effect was evaluated by performing a one-way analysis of variance (ANOVA) on the rank scores of the distributions in Figure 4A (non-parametric Kruskal–Wallis Test, implemented as kruskalwallis function in MATLAB). Post hoc comparisons were conducted to determine which groups differed significantly from quiet-reared WT mice at each lead time. The 95% confidence intervals (CIs) for the rank scores of each distribution are shown in Figure 4B (ANOVA with Bonferroni adjustments for multiple comparisons, implemented as multcompare function in MATLAB). Results for quiet-reared WT mice are shaded in each panel. CIs that fall to the right of the shaded region represent a statistically significant decrease in inhibition relative to the WT controls (P < 0.05).
There were no significant group differences between WT mice that were reared in the heavy-traffic and restricted-access vivaria. A significant difference was noted for quiet-reared α9KO at the shortest lead time (1 ms). The startle magnitudes of quiet-reared α9KO mice also were consistently less inhibited than those of WT controls at the 2-ms lead time, although the comparison failed to reach statistical significance. Noise-reared α9KO mice displayed significant decreases in GIASR at lead times of 1, 2, 10, and 15 ms. Decreases in inhibition were not statistically significant at lead times of 4, 6, and 8 ms, but the highest rank positions (i.e., least inhibited startle responses) were produced by noise-reared α9KO mice.
The analysis in Figures 3 and 4 highlights a weakness of the group-wise statistical comparisons. Relative to the tight distributions of quiet-reared WT mice, mice in the remaining treatment groups produced lead time functions that ranged from the best performance of normal controls to severely abnormal responses. The number of affected individuals and the most extreme abnormalities were associated with noise-reared α9KO mice, but even this treatment produced some mice with normal responses.
Effect of rearing environment on ABR thresholds
The statistical significance of threshold differences between treatment groups was evaluated by performing a one-way ANOVA on the rank scores of the threshold distributions (Kruskal–Wallis test), followed by post hoc comparisons with Bonferroni corrections. The resulting 95% CIs are shown in Figure 5B. As indicated by the overlapping CIs, none of the group-wise comparisons attained statistical significance. Nevertheless, it is clear that noise-reared α9KO mice tended to occupy the highest ranks of thresholds at both 8 and 16 kHz.
Linear regressions (implemented in MATLAB using the regress function) found statistically significant correlations (P < 0.05) between relative ASR and 8-kHz thresholds at lead times of 1 and 2 ms. As previously noted (Ison et al. 2007), these results suggest that the exaggerated ASR at short lead times is a manifestation of a hyperacusis-like phenomenon in mice with hearing loss. Despite the statistical significance of this relationship, affected mice in the present study showed modest threshold shifts (∼10 dB) relative to quiet-reared WT mice. The loss of GIASR at longer lead times was not correlated with threshold.
Effects of rearing environment on stimulus recovery
The observation of decreased temporal resolution in the GIASR task implies that noise-reared α9KO mice exhibit a diminished ability to encode a rapid series of stimulus presentations. Because the conventional ABR threshold paradigm was designed to minimize the refractory effects of one stimulus presentation on the next, additional ABR measures were performed to challenge stimulus recovery with longer stimulus durations (20-ms tone bursts) and shorter ISIs (1–15 ms).
The statistical significance of the effect of ISI on the four treatment groups was evaluated by performing a two-way ANOVA on prominent morphological features of the ABR waveform (non-parametric Friedman test, implemented in MATLAB as the friedman function). The relationship between ISI and the median magnitude of wave 1 is plotted in Figure 8C. Error bars indicate the inter-quartile range of responses from the eight mice in each treatment group. A statistical analysis of these data indicated that wave magnitude was significantly influenced by treatment group (P < 0.01), but not ISI. Post host comparisons attributed the difference between groups to a significant decrease in wave 1 for quiet-reared and noise-reared α9KO mice relative to quiet-reared WT mice (P < 0.05). The smaller decrease for noise-reared WT mice did not attain statistical significance.
The statistical distributions of interpeak latencies (P1 to P2) are compared in Figure 8D. Once again, a two-way ANOVA found a significant effect of treatment group (P < 0.01). In this case, post hoc comparisons linked the effect to the isolated increase in the interpeak latency of noise-reared α9KO mice relative to quiet-reared WT mice (P < 0.05).
The effect of ISI on the magnitude of wave 2 are summarized in Figure 8E. As previously noted for wave 1, a two-way ANOVA indicated a significant effect of treatment group that was associated with a significant decrease in wave 2 magnitude among both groups of α9KO mice.
The major finding of the present study was the potentially detrimental effect of early noise exposure on the temporal acuity of adult mice. The behavioral and physiological correlates of disordered temporal processing were independent of hearing loss and were induced by noise levels that did not produce overt acoustic trauma. A small percentage of noise-reared WT mice developed the abnormal phenotype, but environmental risk factors were significantly increased in α9KO mice with a compromised MOCS. These results suggest that efferent-mediated adjustments of sound-driven activity may play an important role in the developmental processes that shape sound coding in the central auditory pathways.
The protective role of the MOCS
The MOCS protects the cochlea during intense sound exposure (Rajan 1988; Liberman 1991). Detractors of this interpretation have suggested that unnaturally loud sound exposures have little relevance as biological determinants (Kirk and Smith 2003).
The MOCS enhances the perception of auditory signals in background noise (Dewson 1968; May and McQuone 1995). The general importance of this feedback is constrained by the limited dynamic range of the noise-reduction effect (Winslow and Sachs 1987).
The MOCS initiates activity in the developing auditory nerve that shapes adult sensitivity and frequency selectivity (Walsh et al. 1998). Lesioned kittens do exhibit auditory nerve fibers with high thresholds and broad tuning when they reach adulthood, but these developmental abnormalities have not been replicated with non-surgical approaches. For example, the α9KO mice in the present study lack MOCS feedback from birth but show normal peripheral function as adults (Vetter et al. 1999).
Our present findings may reconcile these seemingly disparate viewpoints. In the context of our paradigm, which incorporates aspects of each major functional interpretation, the potentially damaging effects of environmental noise extend beyond acoustic trauma to include the disruption of auditory development. While acoustic damage typically involves a brief exposure to an unnaturally loud sound, developmental impairments can be induced by a prolonged exposure to commonly encountered sound levels. Presumably, the reduction of sustained noise-driven activity by the MOCS provides sufficient protection to ameliorate this risk.
The ability of the MOCS to enhance auditory signals in background noise also appears advantageous from the perspective of activity-dependent developmental processes. By reducing random patterns of noise-driven activity, the feedback system preserves the response of the auditory nerve to the dynamic information-bearing elements of acoustic signals. These coherent firing patterns may be crucial for the refinement of the synaptic circuitry of the central auditory pathways.
The strength of MOCS protection presumably is dictated by the physical characteristics of the environmental challenge (Liberman and Brown 1986). The acoustic reflex is most effectively driven by binaural sounds of longer duration. High-frequency neurons achieve their highest discharge rates when stimulated with broadband noise. Individual neurons are tuned in frequency and innervate a matching frequency region of the cochlea. Based on these properties, it is likely that sustained noise levels in the heavy-traffic vivarium would evoke a strong efferent response in WT mice. The resulting hyperpolarization of cochlear OHCs would inhibit responses to the background noise that elicited the efferent feedback, as well as any coincident transients. Consequently, the present experimental manipulations do not distinguish which of these acoustic features constituted the greater environmental risk for MOCS-compromised mice.
Impaired temporal processing was expressed in order of increasing prevalence by noise-reared WT mice, quiet-reared α9KO mice, and noise-reared α9KO mice. In the case of WT mice, within-group variability may be explained by an individualized genetic susceptibility to environmental risk factors. Prior anatomical studies have noted large variations in MOCS fiber counts between individuals of the same species (Warr 1992). Functional measures of the strength of olivocochlear feedback, such as the contralateral suppression of distortion product otoacoustic emissions (DPOAEs), also vary greatly between individuals and are correlated with auditory performance in background noise (Giraud et al. 1997; May et al. 2004; but also see Wagner et al. 2008). These results suggest that some WT mice developed temporal processing deficits when reared in background noise because they had naturally weak MOCS protection. This predisposition was amplified by the targeted genetic disruption of cholinergic signaling in the α9KO treatment groups. Noise susceptibility increased to the extent that a number of knock-out mice developed temporal processing deficits even when reared under quiet conditions. As anticipated, the highest percentage of deficits was observed among noise-reared α9KO mice. A particularly intriguing finding for mice with this combined risk was that some individuals resisted the detrimental effects of the noise exposure. The source of this unexplained protection may be resolved by rearing mice in controlled environments that allow precise parametric manipulations of putative risk factors.
Alterations of synaptic transmission in the auditory nerve and ventral cochlear nucleus
Our electrophysiological results suggest that impaired performance in the GIASR task may be linked to deficits in synaptic transmission between the auditory nerve and VCN. Relative to responses of WT mice, α9KO mice showed statistically significant decreases in the magnitude of ABR waves 1 and 2. The onset of wave 2 also was significantly delayed in noise-reared α9KO mice. These deficits were most apparent when the rate of stimulus presentations was accelerated to increase adaptation effects.
Because wave 1 of the ABR reflects synchronized activity in the auditory nerve, the observed decrease in wave 1 magnitude suggests dys-synchronization, a condition that is broadly classified as auditory neuropathy. Previous studies have shown that a similar neuropathic condition can be induced by acutely exposing 4–8 week old mice to loud levels of noise (Kujawa and Liberman 2006). Although our induction methods differed from those used by Kujawa and Liberman, both paradigms produced a loss of synchrony that persisted at an adult age and was independent of noise-induced hearing loss.
Because direct histological assessments of the cochlea are not possible during the clinical diagnosis of auditory neuropathy, the condition has been defined by non-invasive physiological measures. The loss of auditory nerve synchrony is indicated by a missing or abnormal ABR. As previously noted (Fig. 8B), noise-reared α9KO mice exhibit disorganized ABR waveforms when the gap interval between stimulus presentations is reduced in time. Cortical potentials show a similar dependence on inter-stimulus intervals in patients with auditory neuropathy (Michalewski et al. 2005). The functional integrity of OHCs is established by the presence of DPOAEs or cochlear microphonics. The existence of normal DPOAEs in noise-reared α9KO mice (Fig. 9B) verified an additional clinical marker of the neuropathic condition.
The loss of SGNs is not sufficient to induce the physiological correlates of auditory neuropathy. When inner hair cells and SGNs are damaged with the ototoxic agent carboplatin, ABR measures continue to display synchronized waveforms (El-Badry and McFadden 2009). Because this chemical lesion was made in adult animals, its failure to induce a neuropathic condition suggests that the peripheral insult may be introduced prior to the maturation of auditory nerve inputs to the brainstem.
Statistically significant abnormalities in the magnitude and latency of ABR wave 2 also were observed in α9KO mice. The deficits were magnified by early noise exposures. Later waves of the ABR are produced when discrete populations of central auditory neurons respond with differing latency to the volley of sound-evoked activity that is delivered by the auditory nerve. Wave 2 is dominated by the synchronous activity of VCN globular bushy cells (GBCs: Henry 1979; Melcher and Kiang 1996). GBCs receive endbulb synapses from the auditory nerve (Fekete et al. 1984; Rouiller et al. 1986; Redd et al. 2000; Spirou et al. 2005) and respond to sound with short latency and high temporal precision (Joris and Smith 2008).
The effects of acoustic environment on the synaptic development of the VCN have not been described, but the debilitating effects of reduced auditory input are well established (reviewed by Gravel and Ruben 1996; Moore and King 2004; Shepherd et al. 2006). Much of this work has focused on the abnormal ultrastructural features of endbulbs in congenitally deaf animals (Ryugo et al. 1996; Ryugo et al. 1997; Redd et al. 2000; Lee et al. 2003). Subsequent functional assessments have confirmed irregular transmission characteristics (Oleskevich and Walmsley 2002; Oleskevich et al. 2004; Wang and Manis 2005, 2006).
The synaptic zones also contained an unusual mitochondrion-associated adherens complex (Tolbert and Morest 1982; Spirou et al. 2005). Because this organelle is uniquely associated with large, temporally secure synapses in the auditory brainstem, it is thought to promote vesicle formation, calcium regulation, and synapse stabilization during the rapid transmission of auditory events (Rowland et al. 2000; Spirou et al. 2005). The vesicular chain in this example is poorly organized and is marked by one aberrantly large vesicle (Fig. 10B). Such irregularities would presumably compromise vesicle recycling and therefore may contribute to unusual ABR responses at rapid rates of stimulation.
Hearing impaired listeners often manifest auditory neuropathy as a difficulty understanding speech (Zeng et al. 1999), or in the case of young children, as a delayed acquisition of speech (Berlin et al. 2010). Given the dynamic acoustic properties of speech, it is not surprising that this complex perceptual behavior would be compromised by the type of functional deficits that are evident in the auditory nerve and cochlear nucleus of noise-reared α9KO mice. To simulate the rapid changes in communication sounds, our behavioral paradigm characterized this loss of synchrony in terms of the degraded discrimination of brief silent intervals (gaps). Although clinical descriptions of auditory neuropathy have largely focused on poor speech comprehension, human patients show the same elevation of gap detection thresholds that was demonstrated by α9KO mice (Yalcinkaya et al. 2009).
The increased refinement of newborn screening procedures indicates that auditory neuropathy is unexpectedly prevalent, particularly among young children with hearing loss (Dowley et al. 2009). Commonly cited risk factors include bilirubin toxicity (Shapiro 2003), low birth weight (Xoinis et al. 2007), and ototoxic exposure (Dowley et al. 2009). Because these medical conditions are often associated with long-term hospitalization in a relatively loud neonatal intensive care unit (NICU) (Benini et al. 1996), many of these children have experienced the type of early noise exposure that was an important environmental risk factor in α9KO mice. The incidence of auditory neuropathy increases dramatically when neonatal screening procedures are limited to individuals who have experienced extended NICU treatment (Berg et al. 2005).
An important function of the MOCS may be to regulate the sound-evoked activity that is essential for the postnatal development of synaptic processing in the auditory nerve and cochlear nucleus. Without this mechanism for controlling cochlear sensitivity, the developing auditory system of α9KO mice is vulnerable to environmental noise levels that are relatively harmless to WT mice. When the strength of MOCS feedback is estimated by measuring the contralateral suppression of transient evoked otoacoustic emissions, children with auditory neuropathy display weak or non-existent suppression effects. These observations support the basic findings of our current experimental approach. The induction of auditory neuropathy is strongly influenced by age, environment, and individual susceptibility.
This work was supported by NIH grants DC009353, DC000023, and DC005211. We thank Stephanie Saylor and Anna Chambers for assistance with data collection. We also thank Hakim Hiel, Paul Fuchs, Katanyu Pongstaporn, and David Ryugo for valuable discussions and assistance.