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Cross-sectional screening for inflammation in tinnitus with near-normal hearing 对听力接近正常的耳鸣患者进行炎症横断面筛查
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-23 DOI: 10.1016/j.heares.2024.109124
Tinnitus is the perception of sound without an external stimulus. Recently, inflammation has been implicated in the pathophysiology of tinnitus. In tinnitus animal models, cytokine levels are increased throughout the whole auditory pathway, and microglia and astrocytes are activated. However, only a few human studies on inflammation in tinnitus were conducted, which generally did not account for confounders such as hearing loss, anxiety and depression. The current study therefore aimed to evaluate the association between inflammation and tinnitus specifically in participants with (near-)normal hearing and without signs of anxiety or depression.
In this cross-sectional study, fifty tinnitus participants and fifty healthy controls completed a tinnitus questionnaire and underwent audiometric testing. Complete blood count measures were determined in blood plasma, as well as cytokine concentrations by using the enzyme-linked immunosorbent assay (ELISA) technique.
Platelet count and cytokine concentrations of IL-10 and IFN-γ were lower in participants with tinnitus compared to controls, and male sex, lower MCV, lower platelet count, and lower IL-10 and IFN-γ concentrations were significant predictors of tinnitus presence.
The current study shows that inflammatory parameters are altered in tinnitus patients after exclusion of important confounders such as hearing loss, anxiety, depression, and inflammatory diseases.
耳鸣是在没有外部刺激的情况下对声音的感知。最近,炎症被认为与耳鸣的病理生理学有关。在耳鸣动物模型中,整个听觉通路的细胞因子水平升高,小胶质细胞和星形胶质细胞被激活。然而,关于耳鸣中炎症的人类研究为数不多,而且通常没有考虑听力损失、焦虑和抑郁等混杂因素。在这项横断面研究中,50 名耳鸣患者和 50 名健康对照者填写了耳鸣问卷,并接受了听力测试。与对照组相比,耳鸣患者的血小板计数、IL-10 和 IFN-γ 的细胞因子浓度较低,而男性性别、较低的 MCV、较低的血小板计数、较低的 IL-10 和 IFN-γ 浓度是耳鸣发生的重要预测因素。本研究表明,在排除听力损失、焦虑、抑郁和炎症性疾病等重要混杂因素后,耳鸣患者的炎症参数会发生改变。
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引用次数: 0
Frequency dependence and harmonic distortion of stapes displacement and intracochlear pressure in response to very high level sounds 镫骨位移和耳蜗内压对极高音量声音反应的频率依赖性和谐波失真
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-20 DOI: 10.1016/j.heares.2024.109121
Previous reports have suggested that intracochlear pressures (PIC) measured at the base of the cochlea increase directly proportionally with stapes displacement (DStap) in response to moderately high (<130 dB SPL) level sounds. Consistent with this assumption, we have reported that for low frequency sounds (<1 kHz), stapes displacement and intracochlear pressures increase linearly with sound pressure level (SPL) for moderately high levels (<130 dB SPL), but saturate at higher exposure levels (>130 dB SPL). However, the magnitudes of each response were found to be frequency dependent, thus the relationship between DStap and PIC may vary at higher frequencies or higher levels.
In order to further examine this frequency and level dependence, measurements of DStap and PIC were made in cadaveric human temporal bones prepared with a mastoidectomy and extended facial recess to expose the ossicular chain. PIC was measured in scala vestibuli (PSV) and scala tympani (PST) simultaneously with SPL in the external auditory canal (PEAC) and laser Doppler vibrometry (LDV) measurements of stapes velocity (VStap). Consistent with prior reports, DStap and PSV increased proportionally with sound pressure level in the ear canal up to a frequency-dependent saturation point, above which both DStap and PSV showed a distinct deviation from proportionality with PEAC, suggesting that their relationship may remain constant at these high frequencies. Likewise, while the asymptotic value, and SPL at which saturation occurred were frequency dependent in both DStap and PSV, the reduction in gain with increasing SPL above this level was constant above this level at all frequencies, and the magnitude of responses at harmonics of the driving frequency increased with increasing level, consistent with harmonic distortion via peak clipping. Importantly, this nonlinear distortion shifts the energy arriving at the inner ear to higher frequencies than are present in incident stimulus, thus exposing the high frequency sensitive components of the auditory system to more noise than would be expected from measurement of that stimulus on its own. Overall, responses suggest that the cochlear representation of very high-level air conducted stimuli is limited by nonlinearities in the middle ear, and that this peak limiting leads to increased high frequency cochlear exposures than are present in the driving stimulus.
以前的报告表明,在中高声压级(130 dB SPL)的声音下,耳蜗底部测得的蜗内压(PIC)与镫骨位移(DStap)成正比增加。与这一假设相一致的是,我们的报告显示,对于低频声音(1 kHz),镫骨位移和耳蜗内压在中等高声压级(130 dB SPL)时随声压级(SPL)呈线性增加,但在较高暴露声压级(130 dB SPL)时达到饱和。为了进一步研究这种频率和电平依赖性,我们在进行乳突切除术和扩大面部凹陷以暴露听骨链的尸体颞骨中测量了 DStap 和 PIC。在前庭(PSV)和鼓室(PST)测量 PIC 的同时,还测量了外耳道(PEAC)的声压级和镫骨速度(VStap)的激光多普勒测振仪(LDV)。与之前的报告一致,DStap 和 PSV 随耳道内声压级成比例增加,直到与频率相关的饱和点。同样,虽然 DStap 和 PSV 的渐近值和发生饱和的声压级都与频率有关,但在所有频率上,随着声压级的增加,增益随声压级的增加而降低,在驱动频率的谐波处的响应幅度随声压级的增加而增加,这与通过峰值削波产生的谐波失真一致。重要的是,这种非线性失真将到达内耳的能量转移到比入射刺激更高的频率上,从而使听觉系统的高频敏感元件受到比单独测量该刺激所预期的更多噪声的影响。总之,这些反应表明,耳蜗对极高频率空气传导刺激的表征受到中耳非线性的限制,这种峰值限制导致耳蜗暴露的高频率高于驱动刺激。
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引用次数: 0
Auditory changes in awake guinea pigs exposed to overcompressed music 清醒豚鼠在过度压缩音乐下的听觉变化
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-18 DOI: 10.1016/j.heares.2024.109120
Exposure to loud sound during leisure time is identified as a significant risk factor for hearing by health authorities worldwide. The current standard that defines unsafe exposure rests on the equal-energy hypothesis, according to which the maximum recommended exposure is a tradeoff between level and daily exposure duration, a satisfactory recipe except for strongly non-Gaussian intense sounds such as gunshots. Nowadays, sound broadcast by music and videoconference streaming services makes extensive use of numerical dynamic range compression. By filling in millisecond-long valleys in the signal to prevent competing noise from masking, it pulls sound-level statistics away from a Gaussian distribution, the framework where the equal-energy hypothesis emerged.
Auditory effects of a single 4 hour exposure to the same music were compared in two samples of guinea pigs exposed either to its original or overcompressed version played at the same average level of 102 dBA allowed by French regulations. Apart from a temporary shift of otoacoustic emissions at the lowest two frequencies 2 and 3 kHz, music exposure had no detectable cochlear effect, as monitored at 1, 2 and 7 days post-exposure. Conversely, middle-ear muscle strength behaved differentially as the group exposed to original music had fully recovered one day after exposure whereas the group exposed to overcompressed music remained stuck to about 50% of baseline even after 7 days. Subsamples were then re-exposed to the same music as the first time and sacrificed for density measurements of inner-hair-cell synapses. No difference in synaptic density was found compared to unexposed controls with either type of music.
The present results show that the same music piece, harmless when played in its original version, induces a protracted deficit of one auditory neural pathway when overcompressed at the same level. The induced disorder does not seem to involve inner-hair cell synapses.
全世界的卫生机构都认为,在闲暇时间暴露于巨大的声音是影响听力的一个重要风险因素。定义不安全暴露的现行标准基于等能量假说,根据该假说,建议的最大暴露量是音量和每日暴露时间之间的权衡,这是一个令人满意的方法,但枪声等强烈的非高斯强音除外。如今,音乐和视频会议流媒体服务播放的声音广泛使用数字动态范围压缩。通过填充信号中长达毫秒的波谷以防止竞争噪声的掩盖,它使声级统计偏离了高斯分布,而高斯分布正是等能量假说产生的框架。在法国法规允许的 102 dBA 平均声级下,对两组豚鼠进行了听觉效果比较,比较结果显示,豚鼠在 4 小时内接触相同音乐时,要么接触原版音乐,要么接触过度压缩版音乐。除了在最低的两个频率(2 和 3 千赫)上的耳声发射出现暂时性偏移外,在暴露后 1 天、2 天和 7 天的监测中,音乐暴露对耳蜗没有任何可检测到的影响。与此相反,中耳肌肉强度的表现却不同,暴露于原始音乐的一组在暴露一天后已完全恢复,而暴露于过度压缩音乐的一组即使在 7 天后仍停留在基线的 50%左右。然后,将样本重新暴露于与第一次相同的音乐中,并牺牲样本进行内毛细胞突触密度测定。与未接触音乐的对照组相比,两种音乐的突触密度均无差异。目前的研究结果表明,同一首音乐在播放原始版本时是无害的,但当过度压缩到同一水平时,会诱发一条听觉神经通路的长期障碍。所诱发的障碍似乎与内毛细胞突触无关。
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引用次数: 0
Effects of ipsilateral, contralateral, and bilateral noise precursors on psychoacoustical tuning curves in humans 同侧、对侧和双侧噪声前兆对人类心理声学调谐曲线的影响
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-08 DOI: 10.1016/j.heares.2024.109111

Cochlear tuning and hence auditory frequency selectivity are thought to change in noisy environments by activation of the medial olivocochlear reflex (MOCR). In humans, auditory frequency selectivity is often assessed using psychoacoustical tuning curves (PTCs), a plot of the level required for pure-tone maskers to just mask a fixed-level pure-tone probe as a function of masker frequency. Sometimes, however, the stimuli used to measure a PTC are long enough that they can activate the MOCR by themselves and thus affect the PTC. Here, PTCs for probe frequencies of 500 Hz and 4 kHz were measured in forward masking using short maskers (30 ms) and probes (10 ms) to minimize the activation of the MOCR by the maskers or the probes. PTCs were also measured in the presence of long (300 ms) ipsilateral, contralateral, and bilateral broadband noise precursors to investigate the effect of the ipsilateral, contralateral, and bilateral MOCR on PTC tuning. Four listeners with normal hearing participated in the experiments. At 500 Hz, ipsilateral and bilateral precursors sharpened the PTCs by decreasing the thresholds for maskers with frequencies at or near the probe frequency with minimal effects on thresholds for maskers remote in frequency from the probe. At 4 kHz, by contrast, ipsilateral and bilateral precursors barely affected thresholds for maskers near the probe frequency but broadened PTCs by reducing thresholds for maskers far from the probe. Contralateral precursors barely affected PTCs. An existing computational model was used to interpret the results. The model suggested that despite the apparent differences, the pattern of results is consistent with the ipsilateral and bilateral MOCR inhibiting the cochlear gain similarly at the two probe frequencies and more strongly than the contralateral MOCR.

人们认为耳蜗调谐以及听觉频率选择性在嘈杂环境中会通过激活内侧耳蜗反射(MOCR)而发生变化。在人类中,通常使用心理声学调谐曲线(PTCs)来评估听觉频率选择性,该曲线是纯音掩蔽者掩蔽一个固定电平的纯音探头所需的电平与掩蔽者频率的函数关系图。然而,有时用于测量 PTC 的刺激物足够长,以至于它们本身就能激活 MOCR,从而影响 PTC。在此,我们使用短掩蔽器(30 毫秒)和探针(10 毫秒)在前向掩蔽中测量了探针频率为 500 赫兹和 4 千赫兹的 PTC,以尽量减少掩蔽器或探针对 MOCR 的激活。此外,还在同侧、对侧和双侧宽带噪声前兆较长(300 毫秒)的情况下测量了 PTC,以研究同侧、对侧和双侧 MOCR 对 PTC 调谐的影响。四名听力正常的听者参加了实验。在 500 Hz 时,同侧和双侧前驱体通过降低频率处于或接近探针频率的掩蔽物的阈值来锐化 PTC,而对频率远离探针的掩蔽物的阈值影响很小。相比之下,在 4 kHz 频率时,同侧和双侧前体几乎不影响探针频率附近的掩蔽者的阈值,但通过降低远离探针的掩蔽者的阈值而扩大了 PTC。对侧前体几乎不影响 PTC。现有的计算模型被用来解释这些结果。该模型表明,尽管存在明显差异,但结果模式与同侧和双侧 MOCR 在两个探头频率上抑制耳蜗增益的效果相似,且比对侧 MOCR 的抑制效果更强相一致。
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引用次数: 0
The effect of acoustically enriched environment on structure and function of the developing auditory system 丰富的声学环境对发育中听觉系统结构和功能的影响
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-05 DOI: 10.1016/j.heares.2024.109110

It has long been known that environmental conditions, particularly during development, affect morphological and functional properties of the brain including sensory systems; manipulating the environment thus represents a viable way to explore experience-dependent plasticity of the brain as well as of sensory systems. In this review, we summarize our experience with the effects of acoustically enriched environment (AEE) consisting of spectrally and temporally modulated complex sounds applied during first weeks of the postnatal development in rats and compare it with the related knowledge from the literature. Compared to controls, rats exposed to AEE showed in neurons of several parts of the auditory system differences in the dendritic length and in number of spines and spine density. The AEE exposure permanently influenced neuronal representation of the sound frequency and intensity resulting in lower excitatory thresholds, increased frequency selectivity and steeper rate-intensity functions. These changes were present both in the neurons of the inferior colliculus and the auditory cortex (AC). In addition, the AEE changed the responsiveness of AC neurons to frequency modulated, and also to a lesser extent, amplitude-modulated stimuli. Rearing rat pups in AEE leads to an increased reliability of acoustical responses of AC neurons, affecting both the rate and the temporal codes. At the level of individual spikes, the discharge patterns of individual neurons show a higher degree of similarity across stimulus repetitions. Behaviorally, rearing pups in AEE resulted in an improvement in the frequency resolution and gap detection ability under conditions with a worsened stimulus clarity. Altogether, the results of experiments show that the exposure to AEE during the critical developmental period influences the frequency and temporal processing in the auditory system, and these changes persist until adulthood. The results may serve for interpretation of the effects of the application of enriched acoustical environment in human neonatal medicine, especially in the case of care for preterm born children.

众所周知,环境条件(尤其是在发育过程中)会影响大脑(包括感觉系统)的形态和功能特性;因此,操纵环境是探索大脑和感觉系统依赖经验的可塑性的一种可行方法。在这篇综述中,我们总结了在大鼠出生后最初几周内使用由频谱和时间调制的复杂声音组成的声学富集环境(AEE)所产生的影响,并将其与文献中的相关知识进行了比较。与对照组相比,暴露于 AEE 的大鼠听觉系统多个部位的神经元在树突长度、棘突数量和棘突密度方面存在差异。暴露于 AEE 会永久性地影响神经元对声音频率和强度的表征,导致兴奋阈值降低、频率选择性增加以及速率-强度函数变陡。这些变化同时出现在下丘和听觉皮层(AC)的神经元中。此外,AEE还改变了AC神经元对频率调制刺激的反应能力,其次是对振幅调制刺激的反应能力。在 AEE 中饲养幼鼠会提高交流神经元声学反应的可靠性,同时影响速率和时间编码。在单个尖峰水平上,单个神经元的放电模式在刺激重复中显示出更高程度的相似性。从行为上看,在刺激清晰度变差的条件下,用 AEE 饲养幼崽可提高频率分辨率和间隙检测能力。总之,实验结果表明,在发育的关键时期接触 AEE 会影响听觉系统的频率和时间处理,这些变化会一直持续到成年。这些结果可用于解释在人类新生儿医学中应用丰富声学环境的影响,尤其是在早产儿护理中。
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引用次数: 0
Two new mouse alleles of Ocm and Slc26a5 两种新的小鼠等位基因 Ocm 和 Slc26a5。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.heares.2024.109109

The genes Ocm (encoding oncomodulin) and Slc26a5 (encoding prestin) are expressed strongly in outer hair cells and both are involved in deafness in mice. However, it is not clear if they influence the expression of each other. In this study, we characterise the auditory phenotype resulting from two new mouse alleles, Ocmtm1e and Slc26a5tm1Cre. Each mutation leads to absence of detectable mRNA transcribed from the mutant allele, but there was no evidence that oncomodulin regulates expression of prestin or vice versa. The two mutants show distinctive patterns of auditory dysfunction. Ocmtm1e homozygotes have normal auditory brainstem response thresholds at 4 weeks old followed by progressive hearing loss starting at high frequencies, while heterozygotes show largely normal thresholds until 6 months of age, when signs of worse thresholds are detected. In contrast, Slc26a5tm1Cre homozygotes have stable but raised thresholds across all frequencies tested, 3 to 42 kHz, at least from 4 to 8 weeks old, while heterozygotes have raised thresholds at high frequencies. Distortion product otoacoustic emissions and cochlear microphonics show deficits similar to auditory brainstem responses in both mutants, suggesting that the origin of hearing impairment is in the outer hair cells. Endocochlear potentials are normal in the two mutants. Scanning electron microscopy revealed normal development of hair cells in Ocmtm1e homozygotes but scattered outer hair cell loss even at 4 weeks old when thresholds appeared normal, indicating that there is not a direct relationship between numbers of outer hair cells present and auditory thresholds.

Ocm(编码oncomodulin)和Slc26a5(编码prestin)基因在外毛细胞中强烈表达,两者都与小鼠耳聋有关。然而,目前还不清楚它们是否会影响彼此的表达。在这项研究中,我们描述了两种新的小鼠等位基因 Ocmtm1e 和 Slc26a5tm1Cre 所导致的听觉表型。每种突变都会导致从突变等位基因转录的 mRNA 缺失,但没有证据表明 oncomodulin 可调节 prestin 的表达,反之亦然。这两种突变体表现出不同的听觉功能障碍模式。Ocmtm1e同源突变体在4周大时听觉脑干反应阈值正常,随后从高频开始出现渐进性听力损失,而杂合突变体在6个月大时听觉脑干反应阈值基本正常,此时会发现听觉脑干反应阈值有恶化的迹象。与此相反,Slc26a5tm1Cre同基因杂合子至少在4至8周大时,在3至42千赫的所有频率测试中,阈值都稳定但升高,而杂合子在高频时阈值升高。在这两种突变体中,畸变产物耳声发射和耳蜗微音显示出与听觉脑干反应相似的缺陷,这表明听力损伤的根源在于外毛细胞。两个突变体的耳蜗内电位正常。扫描电子显微镜显示,Ocmtm1e同源突变体的毛细胞发育正常,但即使在阈值看起来正常的4周大时,也有零星的外毛细胞缺失,这表明外毛细胞的数量与听觉阈值之间没有直接关系。
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引用次数: 0
Associations between the medial olivocochlear reflex, middle-ear muscle reflex, and sentence-in-noise recognition using steady and pulsed noise elicitors 使用稳定和脉冲噪声诱发器识别内侧耳蜗反射、中耳肌肉反射和噪声句子之间的联系
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-29 DOI: 10.1016/j.heares.2024.109108

The middle-ear muscle reflex (MEMR) and medial olivocochlear reflex (MOCR) modify peripheral auditory function, which may reduce masking and improve speech-in-noise (SIN) recognition. Previous work and our pilot data suggest that the two reflexes respond differently to static versus dynamic noise elicitors. However, little is known about how the two reflexes work in tandem to contribute to SIN recognition. We hypothesized that SIN recognition would be significantly correlated with the strength of the MEMR and with the strength of the MOCR. Additionally, we hypothesized that SIN recognition would be best when both reflexes were activated. A total of 43 healthy, normal-hearing adults met the inclusion/exclusion criteria (35 females, age range: 19–29 years). MEMR strength was assessed using wideband absorbance. MOCR strength was assessed using transient-evoked otoacoustic emissions. SIN recognition was assessed using a modified version of the QuickSIN. All measurements were made with and without two types of contralateral noise elicitors (steady and pulsed) at two levels (50 and 65 dB SPL). Steady noise was used to primarily elicit the MOCR and pulsed noise was used to elicit both reflexes. Two baseline conditions without a contralateral elicitor were also obtained. Results revealed differences in how the MEMR and MOCR responded to elicitor type and level. Contrary to hypotheses, SIN recognition was not significantly improved in the presence of any contralateral elicitors relative to the baseline conditions. Additionally, there were no significant correlations between MEMR strength and SIN recognition, or between MOCR strength and SIN recognition. MEMR and MOCR strength were significantly correlated for pulsed noise elicitors but not steady noise elicitors. Results suggest no association between SIN recognition and the MEMR or MOCR, at least as measured and analyzed in this study. SIN recognition may have been influenced by factors not accounted for in this study, such as contextual cues, warranting further study.

中耳肌肉反射(MEMR)和内侧耳蜗反射(MOCR)可改变外周听觉功能,从而减少掩蔽并提高噪声语音(SIN)识别能力。以前的工作和我们的试验数据表明,这两种反射对静态和动态噪声诱导剂的反应不同。然而,人们对这两种反射如何协同作用以促进 SIN 识别却知之甚少。我们假设 SIN 识别与 MEMR 强度和 MOCR 强度显著相关。此外,我们还假设当这两种反射都被激活时,SIN 识别效果最佳。共有 43 名健康、听力正常的成年人符合纳入/排除标准(35 名女性,年龄范围:19-29 岁)。MEMR 强度使用宽带吸光度进行评估。MOCR 强度使用瞬态诱发耳声发射进行评估。SIN 识别率使用 QuickSIN 的改进版进行评估。所有测量均在两种水平(50 和 65 dB SPL)的两种对侧噪声诱发器(稳定噪声和脉冲噪声)下进行。稳定噪声主要用于诱发 MOCR,脉冲噪声则用于诱发两种反射。此外,还获得了两个没有对侧激发器的基线条件。结果显示,MEMR 和 MOCR 对激发器类型和水平的反应存在差异。与假设相反,与基线条件相比,在存在任何对侧诱发因素的情况下,SIN 识别能力并没有明显提高。此外,MEMR 强度与 SIN 识别率之间或 MOCR 强度与 SIN 识别率之间没有明显的相关性。MEMR 和 MOCR 强度与脉冲噪声诱导物显著相关,但与稳定噪声诱导物不相关。结果表明,至少在本研究的测量和分析中,SIN 识别与 MEMR 或 MOCR 之间没有关联。SIN 识别可能受到本研究未考虑的因素(如上下文线索)的影响,值得进一步研究。
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引用次数: 0
Physiological properties of auditory neurons responding to omission deviants in the anesthetized rat 麻醉大鼠听觉神经元对遗漏偏差做出反应的生理特性
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-28 DOI: 10.1016/j.heares.2024.109107

Summary

The detection of novel, low probability events in the environment is critical for survival. To perform this vital task, our brain is continuously building and updating a model of the outside world; an extensively studied phenomenon commonly referred to as predictive coding. Predictive coding posits that the brain is continuously extracting regularities from the environment to generate predictions. These predictions are then used to supress neuronal responses to redundant information, filtering those inputs, which then automatically enhances the remaining, unexpected inputs.

We have recently described the ability of auditory neurons to generate predictions about expected sensory inputs by detecting their absence in an oddball paradigm using omitted tones as deviants. Here, we studied the responses of individual neurons to omitted tones by presenting individual sequences of repetitive pure tones, using both random and periodic omissions, presented at both fast and slow rates in the inferior colliculus and auditory cortex neurons of anesthetized rats. Our goal was to determine whether feature-specific dependence of these predictions exists. Results showed that omitted tones could be detected at both high (8 Hz) and slow repetition rates (2 Hz), with detection being more robust at the non-lemniscal auditory pathway.

检测环境中的新颖、低概率事件对于生存至关重要。为了完成这项重要任务,我们的大脑不断建立和更新外部世界的模型;这种被广泛研究的现象通常被称为预测编码。预测编码认为,大脑不断从环境中提取规律性的东西,从而产生预测。然后,这些预测被用来抑制神经元对冗余信息的反应,过滤这些输入,然后自动增强剩余的、意外的输入。我们最近描述了听觉神经元通过检测预期感官输入的缺失来产生预测的能力。在这里,我们通过在麻醉大鼠的下丘和听觉皮层神经元中呈现重复纯音的单个序列来研究单个神经元对省略音调的反应,这些省略音调既有随机省略,也有周期性省略。我们的目标是确定这些预测是否存在特异性依赖。结果表明,在高重复率(8 Hz)和低重复率(2 Hz)条件下都能检测到省略的音调,非耳廓听觉通路的检测能力更强。
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引用次数: 0
Ototoxicity-related changes in GABA immunolabeling within the rat inferior colliculus 大鼠下丘中与耳毒性相关的 GABA 免疫标记变化
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-21 DOI: 10.1016/j.heares.2024.109106

Several studies suggest that hearing loss results in changes in the balance between inhibition and excitation in the inferior colliculus (IC). The IC is an integral nucleus within the auditory brainstem. The majority of ascending pathways from the lateral lemniscus (LL), superior olivary complex (SOC), and cochlear nucleus (CN) synapse in the IC before projecting to the thalamus and cortex. Many of these ascending projections provide inhibitory innervation to neurons within the IC. However, the nature and the distribution of this inhibitory input have only been partially elucidated in the rat. The inhibitory neurotransmitter, gamma aminobutyric acid (GABA), from the ventral nucleus of the lateral lemniscus (VNLL), provides the primary inhibitory input to the IC of the rat with GABA from other lemniscal and SOC nuclei providing lesser, but prominent innervation.

There is evidence that hearing related conditions can result in dysfunction of IC neurons. These changes may be mediated in part by changes in GABA inputs to IC neurons. We have previously used gene micro-arrays in a study of deafness-related changes in gene expression in the IC and found significant changes in GAD as well as the GABA transporters and GABA receptors (Holt 2005). This is consistent with reports of age and trauma related changes in GABA (Bledsoe et al., 1995; Mossop et al., 2000; Salvi et al., 2000). Ototoxic lesions of the cochlea produced a permanent threshold shift. The number, intensity, and density of GABA positive axon terminals in the IC were compared in normal hearing and deafened rats. While the number of GABA immunolabeled puncta was only minimally different between groups, the intensity of labeling was significantly reduced. The ultrastructural localization and distribution of labeling was also examined. In deafened animals, the number of immuno gold particles was reduced by 78 % in axodendritic and 82 % in axosomatic GABAergic puncta. The affected puncta were primarily associated with small IC neurons. These results suggest that reduced inhibition to IC neurons contribute to the increased neuronal excitability observed in the IC following noise or drug induced hearing loss. Whether these deafness diminished inhibitory inputs originate from intrinsic or extrinsic CNIC sources awaits further study.

多项研究表明,听力损失会导致下丘(IC)抑制和兴奋之间的平衡发生变化。下丘脑(IC)是听觉脑干中一个完整的核团。来自外侧半月板(LL)、上橄榄复合体(SOC)和耳蜗核(CN)的大部分上升通路在投射到丘脑和大脑皮层之前都会在 IC 中发生突触。这些上升投射中有许多为 IC 内的神经元提供抑制性神经支配。然而,这种抑制性输入的性质和分布在大鼠身上仅得到部分阐明。抑制性神经递质γ-氨基丁酸(GABA)来自大鼠外侧半月板腹侧核(VNLL),是大鼠 IC 的主要抑制性输入,而来自其他半月板和 SOC 核的 GABA 则提供较少但重要的神经支配。有证据表明,与听力相关的疾病会导致 IC 神经元功能障碍,这些变化可能部分是由 IC 神经元 GABA 输入的变化介导的。我们曾使用基因微阵列研究耳聋相关的 IC 基因表达变化,发现 GAD 以及 GABA 转运体和 GABA 受体发生了显著变化(Holt,2005 年)。这与 GABA 的年龄和创伤相关变化的报告一致(Bledsoe 等人,1995 年;Mossop 等人,2000 年;Salvi 等人,2000 年)。耳蜗的耳毒性损伤会产生永久性的阈值偏移。我们比较了听力正常大鼠和耳聋大鼠 IC 中 GABA 阳性轴突末梢的数量、强度和密度。虽然各组间GABA免疫标记点的数量差异很小,但标记强度却显著降低。我们还检测了标记的超微结构定位和分布。在耳聋动物中,免疫金颗粒的数量在轴突GABA能点中减少了78%,在轴突GABA能点中减少了82%。受影响的点主要与小 IC 神经元有关。这些结果表明,噪声或药物诱导听力损失后,IC 神经元的抑制作用降低,导致 IC 神经元兴奋性增加。至于这些耳聋抑制性输入的减少是源于内在还是外在的 CNIC,还有待进一步研究。
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引用次数: 0
The Audible Contrast Threshold (ACT) test: A clinical spectro-temporal modulation detection test 听觉对比阈值(ACT)测试:一种临床频谱时相调制检测试验。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-08-16 DOI: 10.1016/j.heares.2024.109103

Over the last decade, multiple studies have shown that hearing-impaired listeners’ speech-in-noise reception ability, measured with audibility compensation, is closely associated with performance in spectro-temporal modulation (STM) detection tests. STM tests thus have the potential to provide highly relevant beyond-the-audiogram information in the clinic, but the available STM tests have not been optimized for clinical use in terms of test duration, required equipment, and procedural standardization. The present study introduces a quick-and-simple clinically viable STM test, named the Audible Contrast Threshold (ACT™) test. First, an experimenter-controlled STM measurement paradigm was developed, in which the patient is presented bilaterally with a continuous audibility-corrected noise via headphones and asked to press a pushbutton whenever they hear an STM target sound in the noise. The patient's threshold is established using a Hughson-Westlake tracking procedure with a three-out-of-five criterion and then refined by post-processing the collected data using a logistic function. Different stimulation paradigms were tested in 28 hearing-impaired participants and compared to data previously measured in the same participants with an established STM test paradigm. The best stimulation paradigm showed excellent test-retest reliability and good agreement with the established laboratory version. Second, the best stimulation paradigm with 1-second noise “waves” (windowed noise) was chosen, further optimized with respect to step size and logistic-function fitting, and tested in a population of 25 young normal-hearing participants using various types of transducers to obtain normative data. Based on these normative data, the “normalized Contrast Level” (in dB nCL) scale was defined, where 0 ± 4 dB nCL corresponds to normal performance and elevated dB nCL values indicate the degree of audible contrast loss. Overall, the results of the present study suggest that the ACT test may be considered a reliable, quick-and-simple (and thus clinically viable) test of STM sensitivity. The ACT can be measured directly after the audiogram using the same set up, adding only a few minutes to the process.

在过去的十年中,多项研究表明,通过可听度补偿测量的听障听者的噪声语言接收能力与频谱-时相调制(STM)检测测试的表现密切相关。因此,STM 测试有可能在临床上提供高度相关的听力图以外的信息,但现有的 STM 测试在测试时间、所需设备和程序标准化等方面都没有针对临床应用进行优化。本研究引入了一种快速简便、临床可行的 STM 测试,命名为听觉对比阈值(ACT™)测试。首先,研究人员开发了一种由实验者控制的 STM 测量范式,即通过耳机向患者双侧呈现连续的可听度校正噪声,并要求患者在听到噪声中的 STM 目标声音时按下按钮。患者的阈值是通过休森-韦斯特莱克跟踪程序和五分之三的标准来确定的,然后通过使用逻辑函数对收集到的数据进行后处理来完善阈值。在 28 名听力受损的参与者中测试了不同的刺激范式,并与之前在同一参与者中使用既定 STM 测试范式测得的数据进行了比较。结果表明,最佳刺激范式具有极佳的重复测试可靠性,并且与实验室版本的测试结果十分吻合。其次,我们选择了带有 1 秒钟噪声 "波"(窗口噪声)的最佳刺激范式,并在步长和对数函数拟合方面进行了进一步优化,还在 25 名年轻的正常听力参与者中使用不同类型的传感器进行了测试,以获得标准数据。在这些标准数据的基础上,定义了 "归一化对比度"(以 dB nCL 为单位)量表,其中 0 ± 4 dB nCL 相当于正常表现,而升高的 dB nCL 值则表示听觉对比度损失的程度。总之,本研究的结果表明,ACT 测试可被视为一种可靠、快速、简单(因此在临床上可行)的 STM 灵敏度测试。ACT 可在听力图之后直接测量,使用相同的设置,只需增加几分钟的时间。
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引用次数: 0
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Hearing Research
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