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A Phenome-Wide Comorbidity Atlas of Age-Related Hearing Loss, Speech-in-Noise Deficits, and Tinnitus: Distinguishing Causal Signals from Correlation. 年龄相关性听力损失、噪音中言语缺陷和耳鸣的全现象共病图谱:从相关性中区分因果信号。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1007/s10162-025-01008-w
Ishan Sunilkumar Bhatt, Denise Tucker, Mitra Britton, Ashely Hoffa, Brandon J Pate, Raquel Dias, Juan Antonio Raygoza Garay
<p><strong>Purpose: </strong>The present study employed a data-driven and hypothesis-free approach to identify comorbidities associated with age-related hearing loss (ARHL), speech-in-noise (SIN) deficits, and tinnitus.</p><p><strong>Methods: </strong>The study performed phenome-wide co-occurrence association analyses using the UK Biobank cohort to identify comorbidities associated with ARHL (N = 429,318), SIN deficits (N = 437,155), tinnitus (N = 172,527), and tinnitus severity (N = 57,657). Medical health records were accessed to obtain ICD-10 codes, which were converted into phecodes reflecting a modern disease classification. The statistical analysis was conducted to identify comorbidities associated with ARHL, SIN deficits, tinnitus, and tinnitus severity while statistically controlling for age, sex, ethnicity, and genetic ethnicity. Phenotype risk scores (PheRS) for hearing conditions were calculated. A complementary phenome-wide genetic correlation analysis was conducted to identify genetic comorbidities associated with these conditions. We utilized the summary statistics of recent genome-wide association studies of ARHL (N = 723,266), SIN deficits (N = 443,482), tinnitus (N = 132,438), and tinnitus severity (N = 132,438). The results of the phenome-wide association analyses were subjected to enrichment analysis to identify trait categories involved in hearing conditions. A complementary phenome-wide latent causal variant (LCV) analysis was employed to obtain causal inference by distinguishing between horizontal pleiotropy and true causality.</p><p><strong>Results: </strong>The phenome-wide co-occurrence association analysis identified 383, 449, 283, and 216 medical conditions associated (FDR p < 0.05) with ARHL, SIN deficits, tinnitus, and tinnitus severity, respectively. Gastrointestinal conditions revealed significant enrichment across all traits. Respiratory, genitourinary, and sense organs showed significant enrichment with ARHL, SIN deficits, and tinnitus. SIN deficits and tinnitus severity showed significant enrichment with mental Health and neurological conditions. Elevated PheRS significantly increased the risk of expressing their respective phenotypes. A phenome-wide genetic correlation analysis identified 376, 254, 97, and 188 health traits associated with ARHL, SIN deficits, tinnitus, and tinnitus severity, respectively. Mental health and medical symptoms were significantly enriched for all hearing conditions in the genetic correlation analyses. The results of LCV analyses revealed widespread horizontal pleiotropy driving most genetic correlations. In contrast, only a few traits demonstrated a true causal relationship.</p><p><strong>Conclusion: </strong>This study mapped phenotypic and genotypic comorbidity profiles of ARHL, SIN deficits, tinnitus, and tinnitus severity. We observed a robust enrichment of gastrointestinal traits with all hearing conditions, suggesting a potential role of gut dysbiosis in their pathogenesis. The
目的:本研究采用数据驱动和无假设的方法来确定与年龄相关性听力损失(ARHL)、噪音语音(SIN)缺陷和耳鸣相关的合并症。方法:该研究使用UK Biobank队列进行全现象共现关联分析,以确定与ARHL (N = 429,318)、SIN缺陷(N = 437,155)、耳鸣(N = 172,527)和耳鸣严重程度(N = 57,657)相关的共病。查阅医疗保健记录以获得ICD-10代码,这些代码被转换成反映现代疾病分类的代码。进行统计分析以确定与ARHL、SIN缺陷、耳鸣和耳鸣严重程度相关的合并症,同时统计控制年龄、性别、种族和遗传种族。计算听力状况的表型风险评分(PheRS)。一项互补的全表型遗传相关性分析被用于确定与这些疾病相关的遗传合并症。我们利用了近期ARHL (N = 723,266)、SIN缺陷(N = 443,482)、耳鸣(N = 132,438)和耳鸣严重程度(N = 132,438)全基因组关联研究的汇总统计数据。全表型关联分析的结果进行了富集分析,以确定与听力状况有关的性状类别。采用互补全现象潜在因果变异(LCV)分析,通过区分水平多效性和真实因果关系来获得因果推断。结果:全现象共发生关联分析确定了383,449,283和216种与FDR相关的医疗状况。结论:本研究绘制了ARHL、SIN缺陷、耳鸣和耳鸣严重程度的表型和基因型共患病谱。我们观察到胃肠道特征在所有听力条件下都有明显的富集,这表明肠道生态失调在其发病机制中可能起作用。心理健康和听力状况之间的联系表明听觉和心理健康之间存在复杂的相互作用。遗传分析提供了令人信服的证据,表明大多数合并症是由共同的遗传结构驱动的,而不是真正的因果关系。
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引用次数: 0
On the Sharpness of Auditory Filters: Considering Subclinical Deficits Reveals Sharper Otoacoustic Emission Estimates of Frequency Selectivity in Humans. 关于听觉过滤器的清晰度:考虑亚临床缺陷揭示了人类频率选择性的更清晰耳声发射估计。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-11-26 DOI: 10.1007/s10162-025-01018-8
Sajana Aryal, Srikanta K Mishra

Purpose: Frequency selectivity plays a crucial role in auditory perception, yet its precise characterization in humans remains debated. Most behavioral or physiologic estimates of frequency selectivity in humans have historically been obtained from individuals with clinically normal audiograms. However, emerging evidence suggests that even within this population, subclinical cochlear deficits may be prevalent, potentially skewing prior tuning estimates toward broader bandwidths. Here, we tested the hypothesis that human cochlear tuning is sharper when subclinical deficits, specifically hearing sensitivity above 8000 Hz, are considered.

Methods: Using stimulus frequency otoacoustic emission (SFOAE) delays, we obtained physiological estimates of cochlear tuning sharpness (QERB). We applied the Stockwell transform, optimized through in silico experiments, to accurately extract SFOAE delays in adults with normal audiograms (n = 37) while systematically accounting for hearing thresholds above 8000 Hz.

Results: Our findings demonstrate that controlling for subclinical deficits results in significantly sharper (higher) tuning estimates at 2000 and 2828 Hz among the tested frequencies. Additionally, applying a normative criterion for extended high-frequency hearing, we observed narrower equivalent rectangular bandwidths-approximately two times sharper-in individuals with better extended high-frequency sensitivity. The QERB estimates aligned closely with forward masking data in the literature, reinforcing the view that humans possess sharper cochlear tuning than common laboratory animals.

Conclusion: These findings highlight the influence of subclinical hearing deficits on cochlear tuning estimates and suggest that humans with optimal cochlear health may possess even sharper biological frequency selectivity than previously reported.

目的:频率选择性在听觉感知中起着至关重要的作用,但其在人类中的精确表征仍然存在争议。人类频率选择性的大多数行为或生理估计历来都是从临床听音图正常的个体中获得的。然而,新出现的证据表明,即使在这一人群中,亚临床耳蜗缺陷也可能普遍存在,这可能使先前的调谐估计偏向于更宽的带宽。在这里,我们测试了一个假设,即当考虑到亚临床缺陷,特别是听力灵敏度高于8000hz时,人类耳蜗调谐更清晰。方法:利用刺激频率耳声发射(SFOAE)延迟,获得耳蜗调谐锐度(QERB)的生理估计。我们应用经过计算机实验优化的Stockwell变换,在系统地考虑8000hz以上的听力阈值的情况下,准确地提取了具有正常听音图的成人(n = 37)的SFOAE延迟。结果:我们的研究结果表明,控制亚临床缺陷导致在测试频率中2000和2828 Hz的调谐估计显着更尖锐(更高)。此外,应用扩展高频听力的规范标准,我们观察到具有更好扩展高频灵敏度的个体的等效矩形带宽更窄-大约两倍。QERB估计与文献中的前向掩蔽数据密切一致,强化了人类比普通实验动物拥有更敏锐的耳蜗调谐的观点。结论:这些发现强调了亚临床听力缺陷对耳蜗调谐估计的影响,并表明具有最佳耳蜗健康的人可能比以前报道的具有更强的生物频率选择性。
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引用次数: 0
Enhanced 40 and 80 Hz Auditory Steady State Responses in Patients with Idiopathic Tinnitus. 特发性耳鸣患者的40和80 Hz听觉稳态反应增强。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1007/s10162-025-01014-y
Zahra Ghasemahmad, Saeid Mahmoudian, Daniel Gavazzi, Shohreh Jalaei, Saeid Farahani

Purpose: This study aimed to investigate changes in auditory processing using auditory steady state responses (ASSR) in patients with idiopathic tinnitus.

Methods: 19 tinnitus patients (7 females) and 24 control subjects (9 females) without tinnitus were examined with multiple ASSRs. Three modulation frequencies of 20, 40, and 80 HZ were tested, and the steady state responses were compared between tinnitus and control group. Further, the thresholds in ipsi- and contralateral side to ear with tinnitus were compared.

Results: Our findings showed no significant difference in ASSR thresholds in ipsi- and contralateral side in tinnitus patients. However, we observed enhanced ASSRs at 40 and 80 Hz modulations in patients with idiopathic tinnitus compared to no-tinnitus control subjects.

Conclusion: The results of this study suggest possible sensory deficits along higher order auditory regions in patients with idiopathic tinnitus. Further, our data indicates a bilateral involvement of auditory pathway in these regions in patients with lateralized tinnitus.

目的:本研究旨在利用听觉稳态反应(ASSR)研究特发性耳鸣患者听觉加工的变化。方法:对19例耳鸣患者(女性7例)和24例无耳鸣的对照组(女性9例)进行多项assr检测。测试20、40、80 HZ三个调制频率,比较耳鸣组和对照组的稳态响应。进一步,比较耳鸣的单侧和对侧耳鸣阈值。结果:我们的研究结果显示耳鸣患者单侧和对侧的ASSR阈值无显著差异。然而,我们观察到特发性耳鸣患者与非耳鸣对照组相比,在40和80 Hz调制下的ASSRs增强。结论:本研究结果提示特发性耳鸣患者在高阶听觉区可能存在感觉缺陷。此外,我们的数据表明,侧耳耳鸣患者的这些区域的双侧听觉通路受累。
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引用次数: 0
Insights Into Stria Vascular Function, Stria Immunity, and Age-Related Hearing Loss. 斑纹血管功能、斑纹免疫和年龄相关性听力损失的研究。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-09-27 DOI: 10.1007/s10162-025-01010-2
Xiaorui Shi

The microvasculature plays a crucial role in maintaining auditory health by delivering essential nutrients such as glucose, ions, growth factors, and hormones, while also facilitating the elimination of metabolic waste. Simultaneously, the innate immune system acts as a protective barrier against cochlear damage caused by infections, toxic substances, and foreign agents. The normal functioning of these two systems creates an appropriate microenvironment that supports the health of sensory hair cells and spiral ganglion neurons. Disruptions in blood flow or inappropriate activation of the immune response can result in cochlear hypoxia and inflammation, both of which are linked to various auditory disorders. Understanding the characteristics and functions of these two systems could offer valuable insights into their distinct roles, potentially leading to the development of new treatments for hearing disorders associated with their dysfunction. This review covers the cellular characteristics and functions of both the vascular network and the innate immune cells within the stria vascularis, with a particular focus on how changes in both systems contribute to age-related hearing loss (ARHL), a common sensory deficit affecting the elderly population.

微血管在维持听觉健康方面起着至关重要的作用,它通过输送葡萄糖、离子、生长因子和激素等必需营养素,同时也促进代谢废物的消除。同时,先天免疫系统作为一个保护屏障,防止耳蜗受到感染、有毒物质和外来物质的损害。这两个系统的正常功能创造了一个适当的微环境,支持感觉毛细胞和螺旋神经节神经元的健康。血流中断或免疫反应的不适当激活可导致耳蜗缺氧和炎症,这两种情况都与各种听觉障碍有关。了解这两个系统的特征和功能可以为了解它们的不同作用提供有价值的见解,可能导致与它们功能障碍相关的听力障碍的新治疗方法的发展。这篇综述涵盖了血管纹内血管网络和先天免疫细胞的细胞特征和功能,特别关注这两个系统的变化如何导致年龄相关性听力损失(ARHL),这是一种影响老年人的常见感觉缺陷。
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引用次数: 0
The Effects of Broadband Elicitor Duration on Transient-Evoked Otoacoustic Emissions and a Psychoacoustic Measure of Gain Reduction. 宽频带激发器持续时间对瞬态耳声发射的影响及增益降低的心理声学测量。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-11-25 DOI: 10.1007/s10162-025-01011-1
William B Salloom, Hari Bharadwaj, Elizabeth A Strickland

Purpose: Measures of the human medial olivocochlear reflex (MOCR) typically rely on long duration (> 100 ms) or continuously presented broadband elicitors. MOCR gain reduction measured by otoacoustic emissions (OAE) exhibits multiple time constants, including in the hundreds of milliseconds, when elicited by broadband noise. Psychoacoustic studies of gain reduction have largely adopted these elicitor characteristics, but less is known about how broadband elicitor duration affects auditory perception. Additionally, the literature on the relationship between psychoacoustic and OAE measures of gain reduction has yielded mixed results, which is counterintuitive if both measures reflect the same mechanism. In this study, the effects of ipsilateral broadband elicitor duration were evaluated using forward masking psychoacoustic and transient-evoked OAE (TEOAE) paradigms in individuals with normal hearing (N = 19; m = 7, f = 12).

Methods: Ipsilateral pink broadband noise was used as the elicitor in both experiments, presented at 50 dB SPL (50-800 ms) for the psychoacoustic measures and 50 dB FPL (50-400 ms) for the TEOAE measures. Gain reduction was quantified as the change in signal threshold (2 kHz) and the change in TEOAE level (1/3rd-octave band centered at 2 kHz) with and without the presence of the elicitor.

Results: The average time constants for psychoacoustic and TEOAE gain reduction were similarly short (< 100 ms), with near-maximal effects observed for elicitor durations of 200 ms. However, individual comparisons of TEOAE and psychoacoustic gain reduction revealed mixed results. Potential factors contributing to this discrepancy are discussed.

Conclusion: The human MOCR reduces cochlear gain on relatively short time scales (< 100 ms) with ipsilateral broadband elicitors.

目的:测量人内侧耳蜗反射(MOCR)通常依赖于长时间(bbb100 ms)或连续呈现的宽带激发子。通过耳声发射(OAE)测量的MOCR增益降低显示出多个时间常数,包括数百毫秒,当由宽带噪声引起时。增益降低的心理声学研究在很大程度上采用了这些激发子特征,但对宽带激发子持续时间如何影响听觉感知的了解较少。此外,关于增益减少的心理声学和OAE测量之间关系的文献得出了不同的结果,如果这两种测量反映了相同的机制,这是违反直觉的。本研究采用前向掩蔽心理声学和瞬态诱发声发射(TEOAE)范式对听力正常个体的同侧宽带激发子持续时间的影响进行了评估(N = 19; m = 7, f = 12)。方法:两种实验均采用同侧粉红宽带噪声作为激发子,心理声学测量采用50 dB SPL (50-800 ms), TEOAE测量采用50 dB FPL (50-400 ms)。增益降低被量化为信号阈值(2 kHz)的变化和TEOAE电平(1/3倍频带以2 kHz为中心)的变化。结果:心理声学和TEOAE增益降低的平均时间常数相似(结论:人类MOCR在相对较短的时间尺度上降低耳蜗增益)。
{"title":"The Effects of Broadband Elicitor Duration on Transient-Evoked Otoacoustic Emissions and a Psychoacoustic Measure of Gain Reduction.","authors":"William B Salloom, Hari Bharadwaj, Elizabeth A Strickland","doi":"10.1007/s10162-025-01011-1","DOIUrl":"10.1007/s10162-025-01011-1","url":null,"abstract":"<p><strong>Purpose: </strong>Measures of the human medial olivocochlear reflex (MOCR) typically rely on long duration (> 100 ms) or continuously presented broadband elicitors. MOCR gain reduction measured by otoacoustic emissions (OAE) exhibits multiple time constants, including in the hundreds of milliseconds, when elicited by broadband noise. Psychoacoustic studies of gain reduction have largely adopted these elicitor characteristics, but less is known about how broadband elicitor duration affects auditory perception. Additionally, the literature on the relationship between psychoacoustic and OAE measures of gain reduction has yielded mixed results, which is counterintuitive if both measures reflect the same mechanism. In this study, the effects of ipsilateral broadband elicitor duration were evaluated using forward masking psychoacoustic and transient-evoked OAE (TEOAE) paradigms in individuals with normal hearing (N = 19; m = 7, f = 12).</p><p><strong>Methods: </strong>Ipsilateral pink broadband noise was used as the elicitor in both experiments, presented at 50 dB SPL (50-800 ms) for the psychoacoustic measures and 50 dB FPL (50-400 ms) for the TEOAE measures. Gain reduction was quantified as the change in signal threshold (2 kHz) and the change in TEOAE level (1/3rd-octave band centered at 2 kHz) with and without the presence of the elicitor.</p><p><strong>Results: </strong>The average time constants for psychoacoustic and TEOAE gain reduction were similarly short (< 100 ms), with near-maximal effects observed for elicitor durations of 200 ms. However, individual comparisons of TEOAE and psychoacoustic gain reduction revealed mixed results. Potential factors contributing to this discrepancy are discussed.</p><p><strong>Conclusion: </strong>The human MOCR reduces cochlear gain on relatively short time scales (< 100 ms) with ipsilateral broadband elicitors.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"671-697"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12698501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal Vibrations in the Organ of Corti are Limited to Its Core. Corti风琴的纵向振动仅限于其核心。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-11-18 DOI: 10.1007/s10162-025-01017-9
Sebastiaan W F Meenderink, Marcel van der Heijden, Wei Dong

Purpose: The goal of this research was to determine where in the organ of Corti (ooC) sound-induced, longitudinal vibrations occur, and how they depend on the health of the cochlea.

Methods: Sound-evoked vibrations of the ooC in the cochlea's middle turn of adult anesthetized gerbils were measured using optical coherence tomography (OCT). Vibratory responses, evoked with acoustic tone complexes, were recorded at multiple, closely spaced (20 μm), tonotopic locations which changed the "viewing angle" of the vertical OCT beam re. the longitudinal motion. After spatial alignment of the responses, within-ooC regions exhibiting sound-induced longitudinal motion were identified from a conspicuous 180° phase flip.

Results: Longitudinal motion was restricted to the outer hair cells (OHC), Deiters' cells and the tunnel of Corti (i.e., the ooC's "core"). They were frequency and level-independent but did depend on the ear's metabolic state; after death, they disappeared.

Conclusion: There can be little doubt about the presence of longitudinal motions within the cochlea. Their disappearance postmortem and spatially restricted occurrence suggest these longitudinal vibrations arise from active processes within the OHC. Whether this involves cycle-by-cycle feedback or some other, as-of-yet undetermined, mechanism remains to be resolved.

目的:本研究的目的是确定在Corti器官(ooC)中声音诱导的纵向振动发生的位置,以及它们如何依赖于耳蜗的健康。方法:采用光学相干断层扫描(OCT)测量麻醉成年沙鼠耳蜗中匝ooC的声诱发振动。在多个紧密间隔(20 μm)的声压位位置记录了声压复合物引起的振动响应,这改变了垂直OCT光束的“视角”,即纵向运动。在对响应进行空间比对后,从明显的180°相位翻转中确定了ooc内表现出声音诱导的纵向运动的区域。结果:纵向运动局限于外毛细胞(OHC)、deiter细胞和Corti通道(即ooC的“核心”)。它们与频率和水平无关,但确实取决于耳朵的代谢状态;他们死后就消失了。结论:耳蜗内存在纵向运动是毫无疑问的。它们在死后消失,在空间上受到限制,表明这些纵向振动是由热海底的活跃过程引起的。这是否涉及循环反馈或其他一些尚未确定的机制仍有待解决。
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引用次数: 0
Magnetic Targeting of AAV Gene Therapy for Inner Ear Following Systemic Delivery: Preliminary Findings and Transduction Pattern in Rat Cochlea. AAV基因在内耳的磁靶向治疗:初步发现和大鼠耳蜗的转导模式。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-10-01 Epub Date: 2025-09-08 DOI: 10.1007/s10162-025-01009-9
Zannatul Ferdous, Trung N Le, Zhifen Zhang, Yumai Situ

Purpose: Delivery of therapeutics to the inner ear is complicated by their inaccessible location and the presence of the blood-labyrinth barrier that restricts most blood-borne compounds from entering the inner ear. This study addresses the challenge of optimal delivery in treating inner ear disease, focusing on magnetic targeting gene therapy using adeno-associated virus (AAV).

Methods: The investigation explores three AAV serotypes (AAV2 Quad Mut, AAV2 pANC80L65, and AAV9 PHP.eB) delivered systemically, tagged with a brain-derived nerve growth factor (BDNF) transgene and GFP reporter protein, and captured with superparamagnetic nanoparticles. External magnets target AAV delivery to the Left ear of both male and female Long Evans rats. After 2 weeks, we evaluated tropism and transduction in both cochleae and assessed distribution in other major organs (heart, lung, liver, kidney, spleen, and brain) using immunohistochemistry, real-time polymerase chain reaction, and enzyme-linked immunosorbent assays. Six animals were used for each experimental group.

Results: Immunofluorescence analysis demonstrated the qualitative distribution of AAVs in sensory cells and spiral ganglion neurons (SGN) in both ears. A significant increase in BDNF gene expression in the targeted left ear of rats administered AAV2 Quad Mut was observed. A single dose of magnetic targeting of AAV2 Quad Mut effectively transduced SGN and enhanced BDNF expression, leading to the restoration of ouabain-induced SGN loss and hearing loss (HL).

Conclusion: These findings indicate the potential of magnetic targeting to direct gene therapy following systemic delivery, paving the way for future applications in the treatment of HL.

目的:内耳治疗药物的递送是复杂的,因为它们难以到达的位置和血液迷宫屏障的存在限制了大多数血源性化合物进入内耳。本研究解决了治疗内耳疾病的最佳递送挑战,重点研究了使用腺相关病毒(AAV)的磁靶向基因治疗。方法:对AAV2 Quad Mut、AAV2 pANC80L65、AAV9 PHP三种AAV血清型进行调查。eB)系统递送,用脑源性神经生长因子(BDNF)转基因和GFP报告蛋白标记,并用超顺磁性纳米颗粒捕获。外部磁铁将AAV输送到雄性和雌性朗埃文斯大鼠的左耳。2周后,我们使用免疫组织化学、实时聚合酶链反应和酶联免疫吸附试验评估了耳蜗的趋向性和转导,并评估了其他主要器官(心、肺、肝、肾、脾和脑)的分布。每组6只。结果:免疫荧光分析证实了aav在双耳感觉细胞和螺旋神经节神经元(SGN)中的定性分布。观察到AAV2 Quad Mut给药大鼠的靶左耳BDNF基因表达显著增加。单剂量的AAV2 Quad Mut磁靶向有效地转导SGN并增强BDNF的表达,导致瓦贝因诱导的SGN损失和听力损失(HL)的恢复。结论:这些发现表明磁性靶向在系统性给药后指导基因治疗的潜力,为未来在HL治疗中的应用铺平了道路。
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引用次数: 0
Comparison of Inner Ear Volume Between Humans and Sheep Using MRI. 人类和绵羊内耳容量的MRI比较。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-10-01 Epub Date: 2025-07-18 DOI: 10.1007/s10162-025-01002-2
Fabrice Micaletti, Victoire Simier, Damien Fouan, Jean-Philippe Cottier, J John Galvin, Jean-Michel Escoffre, David Bakhos

Purpose: In preclinical research, animals are used to perform clinical experiments. The use of large animals with human-like anatomies and structural size appears to be essential. For auditory function research, we needed to identify an animal model whose dimensions are close to those of the human inner ear for future research. In the present study, we investigated measurements of the human and sheep inner ear using 3 T Magnetic Resonance Imaging (MRI) to evaluate the suitability of a sheep model for studying the inner ear.

Methods: Inner ears were compared between 8 ears from 4 normal humans (women) and 8 ears from 4 normal sheep (female). Cranial MRI of both species' cochleae were acquired and analyzed, with specific measurements for key anatomical features, including the cochlea length and width, the length and width of the inner auditory canal, the number of spiral turns of the cochlea and the cochlea volume. The size ratios between sheep and human cochlear structures were calculated and compared.

Results: Overall cochlear dimensions of the sheep were approximately 2/3 that of human cochleae across most measurements, except for the internal auditory canal. The internal auditory canal of the sheep was 1/3 of the size of that in humans. The number of spiral turns in the cochlea was equivalent between the two species.

Conclusion: Given the proportionally similar dimensions to humans, the sheep cochlea appears to be a promising model for inner ear research, specifically to develop pathological models, to study the pathophysiological mechanisms of inner ear diseases, and/or to improve treatment with implantable prostheses.

目的:在临床前研究中,利用动物进行临床实验。使用与人类相似的解剖结构和结构尺寸的大型动物似乎是必不可少的。对于听觉功能的研究,我们需要确定一个尺寸接近人类内耳的动物模型,以便未来的研究。在本研究中,我们使用3t磁共振成像(MRI)对人和羊的内耳进行了测量,以评估羊模型用于研究内耳的适用性。方法:对4例正常人(女性)8耳和4例正常羊(女性)8耳进行内耳比较。获取并分析了两种耳蜗的颅脑MRI,并对关键解剖特征进行了具体测量,包括耳蜗的长度和宽度,内耳道的长度和宽度,耳蜗的螺旋转数和耳蜗体积。计算并比较羊耳蜗与人耳蜗结构的大小比。结果:羊的整体耳蜗尺寸在大多数测量中大约是人类耳蜗的2/3,除了内耳道。绵羊的内耳道只有人类的1/3大小。两种动物耳蜗的螺旋旋转次数是相等的。结论:绵羊耳蜗与人类的尺寸比例相似,是内耳研究的理想模型,特别是建立病理模型,研究内耳疾病的病理生理机制,和/或改进植入式假体的治疗。
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引用次数: 0
Chronic Auditory-Nerve Implant Enhances Brainstem Phase Locking to Electric Pulse Trains. 慢性听神经植入增强脑干对电脉冲序列的相锁定。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-10-01 Epub Date: 2025-08-14 DOI: 10.1007/s10162-025-01003-1
John C Middlebrooks, Matthew L Richardson, Robert P Carlyon, Harrison W Lin

Purpose: Present-day cochlear implants (CIs) can deliver usable speech reception in quiet surroundings. Most CI users, however, show impaired sensitivity to temporal fine structure, which hampers their use of pitch contours and spatial cues to segregate competing talkers. In previous short-term animal studies, we used intraneural (IN) electrodes to stimulate pathways originating from various cochlear turns. Neurons in the inferior colliculus synchronized to apical stimulation at higher rates than to stimulation of the middle-to-basal pathways that are stimulated primarily by today's CIs. Here, we use non-invasive recordings to test the safety and efficacy of up to 6 months of IN implantation and stimulation in cats.

Methods: Deafened cats (ten female, two male) were implanted with IN and/or conventional CI electrodes. The IN electrodes were single activated-iridium shanks that targeted apical-turn fibers. Scalp recordings were made from sedated animals at 2-3-week intervals. Auditory brainstem responses to single electrical pulses (eABR) tracked sensitivity and growth of responses. Frequency following responses to electrical pulse trains (eFFR) assessed brainstem temporal transmission at varying pulse rates.

Results: Thresholds for eABR were lower for IN than for CI stimulation, dynamic ranges were wider, and (by inference) spread of activation was more restricted. The eFFR evaluated at latencies comparable to those of inferior-colliculus spikes synchronized at maximum pulse rates averaging > 360 pulses/s for IN compared to ~ 240 pulses/s for CI stimulation. The eABR thresholds and eFFR cutoff rates were stable out to 6 months after implantation.

Conclusions: The results demonstrate the safety and efficacy of chronic IN stimulation in an animal model. In a future clinical device, an IN electrode could augment cochlear-implant performance by enhancing temporal acuity, thereby improving speech reception amid competing sounds.

目的:目前的人工耳蜗可以在安静的环境中提供可用的语音接收。然而,大多数CI使用者对时间精细结构的敏感性受损,这阻碍了他们使用音高轮廓和空间线索来区分竞争的说话者。在之前的短期动物研究中,我们使用神经内(In)电极刺激来自不同耳蜗转的通路。下丘神经元对顶端刺激的同步率高于对中至基底通路的同步率,后者主要由今天的CIs刺激。在这里,我们使用非侵入性记录来测试长达6个月的猫体内植入和刺激的安全性和有效性。方法:耳聋猫(雌性10只,雄性2只)植入IN和/或常规CI电极。IN电极是单一激活的铱柄,目标是尖转纤维。每隔2-3周对镇静动物进行头皮记录。听觉脑干对单电脉冲的反应(eABR)跟踪反应的敏感性和增长。频率跟踪反应的电脉冲序列(eFFR)评估脑干颞传递在不同的脉冲率。结果:与CI刺激相比,IN刺激的eABR阈值更低,动态范围更宽,并且(由此推断)激活的传播更受限制。eFFR评估的潜伏期与IN刺激的最大脉冲速率同步下的下丘峰值相当,IN刺激平均为360脉冲/秒,而CI刺激为240脉冲/秒。eABR阈值和eFFR截止率在植入后6个月保持稳定。结论:在动物模型上证明了慢性脑内素刺激的安全性和有效性。在未来的临床设备中,In电极可以通过提高颞叶敏锐度来增强耳蜗植入物的性能,从而改善竞争声音中的语音接收。
{"title":"Chronic Auditory-Nerve Implant Enhances Brainstem Phase Locking to Electric Pulse Trains.","authors":"John C Middlebrooks, Matthew L Richardson, Robert P Carlyon, Harrison W Lin","doi":"10.1007/s10162-025-01003-1","DOIUrl":"10.1007/s10162-025-01003-1","url":null,"abstract":"<p><strong>Purpose: </strong>Present-day cochlear implants (CIs) can deliver usable speech reception in quiet surroundings. Most CI users, however, show impaired sensitivity to temporal fine structure, which hampers their use of pitch contours and spatial cues to segregate competing talkers. In previous short-term animal studies, we used intraneural (IN) electrodes to stimulate pathways originating from various cochlear turns. Neurons in the inferior colliculus synchronized to apical stimulation at higher rates than to stimulation of the middle-to-basal pathways that are stimulated primarily by today's CIs. Here, we use non-invasive recordings to test the safety and efficacy of up to 6 months of IN implantation and stimulation in cats.</p><p><strong>Methods: </strong>Deafened cats (ten female, two male) were implanted with IN and/or conventional CI electrodes. The IN electrodes were single activated-iridium shanks that targeted apical-turn fibers. Scalp recordings were made from sedated animals at 2-3-week intervals. Auditory brainstem responses to single electrical pulses (eABR) tracked sensitivity and growth of responses. Frequency following responses to electrical pulse trains (eFFR) assessed brainstem temporal transmission at varying pulse rates.</p><p><strong>Results: </strong>Thresholds for eABR were lower for IN than for CI stimulation, dynamic ranges were wider, and (by inference) spread of activation was more restricted. The eFFR evaluated at latencies comparable to those of inferior-colliculus spikes synchronized at maximum pulse rates averaging > 360 pulses/s for IN compared to ~ 240 pulses/s for CI stimulation. The eABR thresholds and eFFR cutoff rates were stable out to 6 months after implantation.</p><p><strong>Conclusions: </strong>The results demonstrate the safety and efficacy of chronic IN stimulation in an animal model. In a future clinical device, an IN electrode could augment cochlear-implant performance by enhancing temporal acuity, thereby improving speech reception amid competing sounds.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"601-620"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12528637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144857137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An Integrated System for Comprehensive Mouse Peripheral Vestibular Function Evaluation Based on Vestibulo-ocular Reflex. 基于前庭-眼反射的小鼠外周前庭功能综合评价集成系统。
IF 2.3 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-10-01 Epub Date: 2025-08-29 DOI: 10.1007/s10162-025-01007-x
Tong Zhao, Shijie Xiao, Wenda Liu, Jinhao Zhong, Binxian Sun, Fangyi Chen

Purpose: In the fields of both vestibular and auditory research, reliable vestibular function tests are essential. However, unlike the auditory function tests, which use standard Auditory Brainstem Response (ABR) equipment, there is no equivalent widely adopted apparatus for vestibular tests. Vestibulo-ocular reflexes (VORs) are the compensatory ocular reflexes that ensure stable vision during head motion. VORs are widely used in clinics to diagnose vestibular deficits. In the research, VORs have been used by various groups to evaluate the mouse vestibular function. However, the effectiveness of VOR tests has not been systematically evaluated with appropriate mouse models, and the lack of commercial equipment hampers its accessibility, confining vestibular testing to a select few labs.

Methods: In this study, we developed an integrated and surgery-free instrument system with both angular VOR (aVOR) and off-vertical axis rotation (OVAR) modes for evaluating mouse vestibular function. In addition, the eye rotation calibrations used in this study standardize the data between instruments. To demonstrate its validity and efficacy of the testing equipment, we evaluated four mouse models, including both genders, with peripheral vestibular deficits: 1) mice injected with the vestibulotoxic drug 3,3'-iminodiproprionitrile (IDPN, 2 mg/g and 4 mg/g, 3 male/3 female per group); 2) Critical MET-related mutant mice (Cdh23v2J/v2J, 4 male/4 female and TMC1-/-, 6 male/5 female); 3) Vestibular-specific mutant mice (Zpld1-/-, 6 male/6 female, for semicircular canal dysfunction and Otop1tlt/tlt, 3 male/2 female, for otoconia deficient); 4) Unilateral vestibular lesion (UVL) mouse model (3 male/3 female per group) where gentamicin was injected into horizontal semicircular canal.

Results: The results showed: 1) Quantification of vestibular deficits can be achieved as a daily routine; 2) Both the horizontal semicircular canal and otolith organs can be assessed, respectively; and 3) The lesion side of UVL can be identified.

Conclusion: These test results reveal the potential of our system as standard equipment for evaluating common vestibular deficits in mice.

目的:在前庭和听觉研究领域,可靠的前庭功能测试是必不可少的。然而,与使用标准听觉脑干反应(ABR)设备的听觉功能测试不同,前庭测试没有广泛采用的等效设备。前庭眼反射(VORs)是一种代偿性眼反射,可确保头部运动时视力的稳定。VORs在临床上被广泛用于诊断前庭功能障碍。在研究中,VORs已被不同的组用来评估小鼠前庭功能。然而,VOR测试的有效性尚未用适当的小鼠模型进行系统评估,商业设备的缺乏阻碍了其可及性,将前庭测试限制在少数实验室。方法:在本研究中,我们开发了一种综合的、免手术的仪器系统,具有角度VOR (aVOR)和离垂直轴旋转(OVAR)模式,用于评估小鼠前庭功能。此外,本研究中使用的眼旋转校准标准化了仪器之间的数据。为了验证该测试设备的有效性,我们对四种雌性小鼠前庭周围功能缺损模型进行了评估:1)小鼠注射前庭毒性药物3,3'-亚氨基双炔腈(IDPN, 2 mg/g和4 mg/g,每组3公3母);2) met相关的临界突变小鼠(Cdh23v2J/v2J,雄性4 /雌性4,TMC1-/-,雄性6 /雌性5);3)前庭特异性突变小鼠(Zpld1-/-, 6公6母,用于半规管功能障碍;Otop1tlt/tlt, 3公2母,用于耳蜗缺陷);4)单侧前庭病变(UVL)小鼠模型(每组3公3母),水平半圆形管内注射庆大霉素。结果:结果表明:1)前庭功能缺损的量化可作为日常工作;2)水平半规管和耳石器官均可分别评估;3)可以识别出UVL的病变侧。结论:这些测试结果揭示了我们的系统作为评估小鼠常见前庭功能缺陷的标准设备的潜力。
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引用次数: 0
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Jaro-Journal of the Association for Research in Otolaryngology
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