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Pan C, Li J, Wang S, Shi C, Zhang Y, Yu Y. Novel heterozygous mutations in the otogelin-like (OTOGL) gene in a child with bilateral mild nonsyndromic sensorineural hearing loss. Gene 2022; 808:146000. [PMID: 34626719 DOI: 10.1016/j.gene.2021.146000] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 09/22/2021] [Accepted: 10/04/2021] [Indexed: 11/29/2022]
Abstract
Hearing loss is a common disease, of which genetic factors are the main cause. The incidence of mild or moderate postlingual deafness in children is not high, and the impact on life and learning is not as severe as that of prelingual deafness. This leads to insufficient attention to the disorder in the clinic. To date, only a few disease-causing genes have been reported. This report describe a case of novel heterozygous mutations in OTOGL that causes nonsyndromic mild sensorineural hearing loss. Basic information, imaging examinations, audiological examination, and vestibular function tests of the proband were collected. Blood samples of the proband's family were collected and analyzed by whole exome sequencing and Sanger sequencing. A pedigree diagram was drawn and the genetic patterns were analyzed. The proband is a 16-year-old female student with mild sensorineural hearing loss. High-resolution CT of the inner ear and vestibular function tests showed no abnormalities. The age of onset was approximately 4 years old. Except for hearing loss, no lesions were seen in other organs. The parents of the proband were not close relatives and had normal hearing. Two novel heterozygous mutations were found in the OTOGL gene. The c.5038del (p.D1680Ifs*6) variant was inherited from the father, and the c.2770C > T (p.R924X) variant from the mother. They enriched the mutation spectrum of OTOGL, which provides the basis for gene function research and genetic consultation.
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Affiliation(s)
- Chen Pan
- Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Jun Li
- Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Shixin Wang
- Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Chen Shi
- Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Yunmei Zhang
- Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China
| | - Yafeng Yu
- Department of Otolaryngology, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.
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Moreira Lana G, Sorg K, Wenzel GI, Hecker D, Hensel R, Schick B, Kruttwig K, Arzt E. Self‐Adhesive Silicone Microstructures for the Treatment of Tympanic Membrane Perforations. ADVANCED NANOBIOMED RESEARCH 2021. [DOI: 10.1002/anbr.202100057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Affiliation(s)
- Gabriela Moreira Lana
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
- Department of Materials Science and Engineering Saarland University Campus D2 2 Saarbrücken 66123 Germany
| | - Katharina Sorg
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - Gentiana Ioana Wenzel
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - Dietmar Hecker
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - René Hensel
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
| | - Bernhard Schick
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - Klaus Kruttwig
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
| | - Eduard Arzt
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
- Department of Materials Science and Engineering Saarland University Campus D2 2 Saarbrücken 66123 Germany
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Malheiros MKS, Câmara VDM, Garcia TR, Cavalcante DC, Mendonça LWD, Andrade MIKPD. Comparative Study of Evoked Otoacoustic Emissions in Offshore and Onshore Seafaring Workers. Codas 2021; 33:e20200178. [PMID: 33978109 DOI: 10.1590/2317-1782/20202020178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 08/24/2020] [Indexed: 11/22/2022] Open
Abstract
PURPOSE To evaluate the cochlear function of offshore and onshore seafaring workers of a naval company in the city of Rio de Janeiro and to estimate the degree of association between occupational exposure to noise and/or chemical substances and alteration in cochlear function. METHODS This study evaluated seafaring workers aged 20 to 49, of both genders, without auditory symptoms, divided into two groups: the Offshore Group, operating in the high seas with occupational exposure; and the Onshore Group, operating in offices without occupational exposure. Exams were performed to evaluate cochlear function, including transient evoked otoacoustic emissions (TEOAE) and distortion product otoacoustic emissions (DPOAE). RESULTS The TEOAE and DPOAE responses were on average lower in the Offshore Group, for all frequencies analyzed. The proportion of failures observed was also higher in the exposure group (Offshore), for general response and specific frequency, mainly for the frequencies of 4 kHz for TEOAE and 6 kHz for DPOAE. CONCLUSION The results suggest that exposure to noise and/or chemical substances can contribute to alterations in cochlear function in seafarers even without manifesting auditory symptoms.
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Mittal R, Ocak E, Zhu A, Perdomo MM, Pena SA, Mittal J, Bohorquez J, Eshraghi AA. Effect of Bone Marrow-Derived Mesenchymal Stem Cells on Cochlear Function in an Experimental Rat Model. Anat Rec (Hoboken) 2019; 303:487-493. [PMID: 30632683 DOI: 10.1002/ar.24065] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 06/15/2018] [Accepted: 08/23/2018] [Indexed: 12/15/2022]
Abstract
Mesenchymal stem cell (MSC) therapy is an emerging treatment modality for various human diseases. Although induced pluripotent stem cells have been explored for the restoration of hearing, the potential of MSCs as a therapeutic strategy for various cochlear insults is not precisely known. MSCs possess anti-inflammatory, anti-apoptotic and neuroprotective properties, making them an attractive target for the treatment of inner ear disorders such as hair cell damage in response to inflammation. Most of the previous studies have used immunosuppression or the complex surgical techniques to deliver stem cells into the cochlea. However, no information is available regarding the biocompatibility and safety of MSCs in the inner ear in immunocompetent cochlea. The aim of the present study was to determine the effect of non-surgical administration of rodent bone marrow derived MSCs (BM-MSCs) through transtympanic delivery on the cochlear function and to assess any adverse effects on the auditory system employing a rat model without immunosuppression. We observed that the transtympanic administration of BM-MSCs has no significant effect on the hearing thresholds as determined by auditory brainstem response and distortion product otoacoustic emissions. Histopathological examination revealed no recruitment of inflammatory leukocytes and edema in the cochlea of BM-MSCs administrated rats. The results of this study suggest that transtympanic administration of BM-MSCs is safe and can be explored in providing otoprotection against cochlear insults. Anat Rec, 303:487-493, 2020. © 2019 American Association for Anatomy.
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Affiliation(s)
- Rahul Mittal
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
| | - Emre Ocak
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
| | - Angela Zhu
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
| | - Mario M Perdomo
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
| | - Stefanie A Pena
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
| | - Jeenu Mittal
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
| | - Jorge Bohorquez
- Department of Biomedical Engineering, University of Miami, Miami, Florida
| | - Adrien A Eshraghi
- Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, Florida
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Möhrle D, Hofmeier B, Amend M, Wolpert S, Ni K, Bing D, Klose U, Pichler B, Knipper M, Rüttiger L. Enhanced Central Neural Gain Compensates Acoustic Trauma-induced Cochlear Impairment, but Unlikely Correlates with Tinnitus and Hyperacusis. Neuroscience 2018; 407:146-169. [PMID: 30599268 DOI: 10.1016/j.neuroscience.2018.12.038] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 12/18/2018] [Accepted: 12/20/2018] [Indexed: 01/09/2023]
Abstract
For successful future therapeutic strategies for tinnitus and hyperacusis, a subcategorization of both conditions on the basis of differentiated neural correlates would be of invaluable advantage. In the present study, we used our refined operant conditioning animal model to divide equally noise-exposed rats into groups with either tinnitus or hyperacusis, with neither condition, or with both conditions co-occurring simultaneously. Using click stimulus and noise burst-evoked Auditory Brainstem Responses (ABR) and Distortion Product Otoacoustic Emissions, no hearing threshold difference was observed between any of the groups. However, animals with neither tinnitus nor hyperacusis responded to noise trauma with shortened ABR wave I and IV latencies and elevated central neuronal gain (increased ABR wave IV/I amplitude ratio), which was previously assumed in most of the literature to be a neural correlate for tinnitus. In contrast, animals with tinnitus had reduced neural response gain and delayed ABR wave I and IV latencies, while animals with hyperacusis showed none of these changes. Preliminary studies, aimed at establishing comparable non-invasive objective tools for identifying tinnitus in humans and animals, confirmed reduced central gain and delayed response latency in human and animals. Moreover, the first ever resting state functional Magnetic Resonance Imaging (rs-fMRI) analyses comparing humans and rats with and without tinnitus showed reduced rs-fMRI activities in the auditory cortex in both patients and animals with tinnitus. These findings encourage further efforts to establish non-invasive diagnostic tools that can be used in humans and animals alike and give hope for differentiated classification of tinnitus and hyperacusis.
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Affiliation(s)
- Dorit Möhrle
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany.
| | - Benedikt Hofmeier
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany.
| | - Mario Amend
- University of Tübingen, Department of Preclinical Imaging and Radiopharmacy, University Hospital Tübingen, Röntgenweg 13, 72076 Tübingen, Germany.
| | - Stephan Wolpert
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany.
| | - Kun Ni
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany; Shanghai Jiao Tong University, Department of Otolaryngology, Head & Neck Surgery, Shanghai Children's Hospital, Shanghai Luding Road, NO. 355. Putuo District, 200062 Shanghai, China.
| | - Dan Bing
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany.
| | - Uwe Klose
- University Hospital Tübingen, Department of Diagnostic and Interventional Neuroradiology, Hoppe-Seyler-Str. 3, 72076 Tübingen, Germany.
| | - Bernd Pichler
- University of Tübingen, Department of Preclinical Imaging and Radiopharmacy, University Hospital Tübingen, Röntgenweg 13, 72076 Tübingen, Germany.
| | - Marlies Knipper
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany.
| | - Lukas Rüttiger
- University of Tübingen, Department of Otolaryngology, Head & Neck Surgery, Tübingen Hearing Research Centre (THRC), Molecular Physiology of Hearing, Elfriede-Aulhorn-Straße 5, 72076 Tübingen, Germany.
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Dziemba OC, Grafmans D, Merz S, Hocke T. Contralateral electrically-evoked suppression of transient evoked otoacoustic emissions in single-sided deaf patients. Hear Res 2017; 345:52-56. [PMID: 28057487 DOI: 10.1016/j.heares.2016.12.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2016] [Revised: 12/19/2016] [Accepted: 12/29/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Oliver Christian Dziemba
- University Medicine Greifswald, Department of ENT, Head & Neck Surgery, Ferdinand-Sauerbruch-Straße, D-17475 Greifswald, Germany.
| | - Daniel Grafmans
- University Medicine Greifswald, Department of ENT, Head & Neck Surgery, Ferdinand-Sauerbruch-Straße, D-17475 Greifswald, Germany.
| | - Stephan Merz
- Merz Medizintechnik GmbH, Gutenbergstraße 43, 72555 Metzingen, Germany.
| | - Thomas Hocke
- Cochlear Deutschland GmbH & Co. KG, Karl-Wiechert-Allee 76 A, 30625 Hannover, Germany.
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Barbosa TA, Durante AS, Granato L. Distortion-product otoacoustic emission growth curves in neonates. Rev Assoc Med Bras (1992) 2015; 60:591-8. [PMID: 25650862 DOI: 10.1590/1806-9282.60.06.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Accepted: 02/20/2014] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND The recording of otoacoustic emissions (OAE) enabled us to prove that the cochlea is able not only to receive sounds but also to produce acoustic energy. Through the use of distortion-product otoacoustic emission measurements, the growth of the response was seen according to the intensity of the sound stimulus presented (growth curve). OBJECTIVE to determine the thresholds for the emergence of distortion-product otoacoustic emissions (DPOAE) on frequencies of 2000 and 4000 Hz with a stimulus varying from 20 to 65 dB SPL, and to establish the slope values obtained in the growth curves. METHODS 39 neonates aged 5 to 28 days without risk indicators of hearing loss were studied. The DPOAE growth curves were obtained on the frequencies from 2000 Hz and 4000 Hz with a level of intensity ranging from 20 to 65 dB SPL divided into two paradigms (20 to 40 dB SPL and 40-65 dB SPL). RESULTS there was a statistically significant difference in the thresholds for the emergence of DPOAE depending on the criteria used. The thresholds were on average higher at 4000 Hz than 2000 Hz and the slope was higher on average at 2000 Hz than 4000 Hz, although not statistically significant in either case. CONCLUSION the thresholds were on average 30 dB SPL at 2000 Hz and 35 dB SPL at 4000 Hz. The slope values varied between 3 and 4 on average, reaching 15 in some cases.
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Affiliation(s)
| | | | - Lidio Granato
- Department of Otorhinolaryngology, Faculty of Medical Sciences, Santa Casa de São Paulo, São Paulo, SP, Brazil
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Olzowy B, Abendroth S, von Gleichenstein G, Mees K, Stelter K. No Evidence of Intracranial Hypertension in Trekkers with Acute Mountain Sickness When Assessed Noninvasively with Distortion Product Otoacoustic Emissions. High Alt Med Biol 2014; 15:364-70. [DOI: 10.1089/ham.2013.1120] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Bernhard Olzowy
- Department of Otorhinolaryngology, Head and Neck Surgery, University of Rostock Medical Center, Rostock, Germany
| | | | | | - Klaus Mees
- Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilians University of Munich Medical Center, München, Germany
| | - Klaus Stelter
- Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilians University of Munich Medical Center, München, Germany
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Influence of ketamine-xylazine anaesthesia on cubic and quadratic high-frequency distortion-product otoacoustic emissions. J Assoc Res Otolaryngol 2014; 15:695-705. [PMID: 25070925 DOI: 10.1007/s10162-014-0470-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Accepted: 05/28/2014] [Indexed: 01/13/2023] Open
Abstract
Ketamine is a dissociative anaesthetic, analgesic drug as well as an N-methyl-D-aspartate receptor antagonist and has been reported to influence otoacoustic emission amplitudes. In the present study, we assess the effect of ketamine-xylazine on high-frequency distortion-product otoacoustic emissions (DPOAE) in the bat species Carollia perspicillata, which serves as model for sensitive high-frequency hearing. Cubic DPOAE provide information about the nonlinear gain of the cochlear amplifier, whereas quadratic DPOAE are used to assess the symmetry of cochlear amplification and potential efferent influence on the operating state of the cochlear amplifier. During anaesthesia, maximum cubic DPOAE levels can increase by up to 35 dB within a medium stimulus level range from 35 to 60 dB SPL. Close to the -10 dB SPL threshold, at stimulus levels below about 20-30 dB SPL, anaesthesia reduces cubic DPOAE amplitudes and raises cubic DPOAE thresholds. This makes DPOAE growth functions steeper. Additionally, ketamine increases the optimum stimulus frequency ratio which is indicative of a reduction of cochlear tuning sharpness. The effect of ketamine on cubic DPOAE thresholds becomes stronger at higher stimulus frequencies and is highly significant for f2 frequencies above 40 kHz. Quadratic DPOAE levels are increased by up to 25 dB by ketamine at medium stimulus levels. In contrast to cubic DPOAEs, quadratic DPOAE threshold changes are variable and there is no significant loss of sensitivity during anaesthesia. We discuss that ketamine effects could be caused by modulation of middle ear function or a release from ipsilateral efferent modulation that mainly affects the gain of cochlear amplification.
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Different effects of propofol and isoflurane on cochlear blood flow and hearing function in Guinea pigs. PLoS One 2014; 9:e96861. [PMID: 24818751 PMCID: PMC4018396 DOI: 10.1371/journal.pone.0096861] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Accepted: 04/12/2014] [Indexed: 11/19/2022] Open
Abstract
Objectives To investigate the effects of isoflurane and propofol on mean arterial pressure (MAP), cochlear blood flow (CoBF), distortion-product otoacoustic emission (DPOAE), and the ultrastructure of outer hair cells (OHCs) in guinea pig cochleae. Methods Forty-eight male guinea pigs were randomly assigned to one of six treatment groups. Groups 1 to 3 were infused (i.v.) with a loading dose of propofol (5 mg/kg) for 5 min and three maintenance doses (10, 20, or 40 mg kg−1·h−1, respectively) for 115 min. Groups 4 to 6 were inhaled with isoflurane at concentrations of 1.15 vol%, 2.30 vol% or 3.45 vol% respectively for 120 min. CoBF and MAP were recorded prior to and at 5 min intervals during drug administration. DPOAE was measured before, immediately after, and 1 h after administration. Following the final DPOAE test, cochleae were examined using scanning electron microscopy. Results Propofol treatment reduced MAP in a dose-dependent manner. CoBF and DPOAE showed increases at propofol maintenance doses of 10 and 20 mg kg−1·h−1. Inhalation of isoflurane at concentrations of 2.30 vol% and 3.45 vol% reduced MAP and CoBF. DPOAE amplitude increased following inhalation of 1.15 vol% isoflurane, but decreased following inhalations of 2.30 vol% and 3.45 vol%. Cochlear structure was changed following inhalation of either 2.30 vol% or 3.45 vol% isoflurane. Conclusions Propofol could decrease MAP and increase both CoBF and DPOAE without affecting OHC structure. Inhalation of isoflurane at concentrations >2.30 vol% decreased CoBF and DPOAE, and produced injury to OHCs.
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Dettling J, Franz C, Zimmermann U, Lee SC, Bress A, Brandt N, Feil R, Pfister M, Engel J, Flamant F, Rüttiger L, Knipper M. Autonomous functions of murine thyroid hormone receptor TRα and TRβ in cochlear hair cells. Mol Cell Endocrinol 2014; 382:26-37. [PMID: 24012852 DOI: 10.1016/j.mce.2013.08.025] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2013] [Revised: 08/22/2013] [Accepted: 08/29/2013] [Indexed: 11/18/2022]
Abstract
Thyroid hormone acts on gene transcription by binding to its nuclear receptors TRα1 and TRβ. Whereas global deletion of TRβ causes deafness, global TRα-deficient mice have normal hearing thresholds. Since the individual roles of the two receptors in cochlear hair cells are still unclear, we generated mice with a hair cell-specific mutation of TRα1 or deletion of TRβ using the Cre-loxP system. Hair cell-specific TRβ mutant mice showed normal hearing thresholds but delayed BK channel expression in inner hair cells, slightly stronger outer hair cell function, and slightly reduced amplitudes of auditory brainstem responses. In contrast, hair cell-specific TRα mutant mice showed normal timing of BK channel expression, slightly reduced outer hair cell function, and slightly enhanced amplitudes of auditory brainstem responses. Our data demonstrate that TRβ-related deafness originates outside of hair cells and that TRα and TRβ play opposing, non-redundant roles in hair cells. A role for thyroid hormone receptors in controlling key regulators that shape signal transduction during development is discussed. Thyroid hormone may act through different thyroid hormone receptor activities to permanently alter the sensitivity of auditory neurotransmission.
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Affiliation(s)
- Juliane Dettling
- Molecular Physiology of Hearing, Hearing Research Centre Tübingen (THRC), Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Christoph Franz
- Molecular Physiology of Hearing, Hearing Research Centre Tübingen (THRC), Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Ulrike Zimmermann
- Molecular Physiology of Hearing, Hearing Research Centre Tübingen (THRC), Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Sze Chim Lee
- Molecular Physiology of Hearing, Hearing Research Centre Tübingen (THRC), Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Andreas Bress
- Molecular Genetics, THRC, Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Niels Brandt
- Department of Biophysics, Saarland University, 66421 Homburg/Saar, Germany
| | - Robert Feil
- Department of Signal Transduction & Transgenic Models, Interfaculty Institute of Biochemistry, University of Tübingen, Hoppe-Seyler-Str. 4, 72076 Tübingen, Germany
| | - Markus Pfister
- Molecular Genetics, THRC, Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Jutta Engel
- Department of Biophysics, Saarland University, 66421 Homburg/Saar, Germany
| | - Frédéric Flamant
- Institut de Génomique Fonctionnelle, Ecole Normale Supérieure de Lyon, 46 allée d'Italie, 69364 Lyon cedex 07, Lyon, France
| | - Lukas Rüttiger
- Molecular Physiology of Hearing, Hearing Research Centre Tübingen (THRC), Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany
| | - Marlies Knipper
- Molecular Physiology of Hearing, Hearing Research Centre Tübingen (THRC), Department of Otolaryngology, University of Tübingen, Elfriede-Aulhorn-Str. 5, 72076 Tübingen, Germany.
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Abstract
Hearing is a particularly sensitive form of mechanosensation that relies on dedicated ion channels transducing sound-induced vibrations that hardly exceed Brownian motion. Attempts to molecularly identify these auditory transduction channels have put the focus on TRPs in ears. In Drosophila, hearing has been shown to involve TRPA, TRPC, TRPN, and TRPV subfamily members, with candidate auditory transduction channels including NOMPC (=TRPN1) and the TRPVs Nan and Iav. In vertebrates, TRPs are unlikely to form auditory transduction channels, yet most TRPs are expressed in inner ear tissues, and mutations in TRPN1, TRPVA1, TRPML3, TRPV4, and TRPC3/TRPC6 have been implicated in inner ear function. Starting with a brief introduction of fly and vertebrate auditory anatomies and transduction mechanisms, this review summarizes our current understanding of the auditory roles of TRPs.
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Affiliation(s)
- Damiano Zanini
- Department of Cellular Neurobiology, University of Göttingen, Julia-Lermontowa-Weg 3, 37077, Göttingen, Germany
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Effects of the depth of anesthesia on distortion product otoacoustic emissions. Eur Arch Otorhinolaryngol 2013; 271:2897-904. [DOI: 10.1007/s00405-013-2780-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2013] [Accepted: 10/12/2013] [Indexed: 11/25/2022]
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Husain FT. Effect of tinnitus on distortion product otoacoustic emissions varies with hearing loss. Am J Audiol 2013; 22:125-34. [PMID: 23800808 DOI: 10.1044/1059-0889(2012/12-0059)] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
PURPOSE The aim of this study was to measure the effect of tinnitus, while accounting for the effect of hearing loss and aging, on distortion product otoacoustic emissions (DPOAEs). METHOD DPOAEs were measured twice in both ears in 5 groups of participants: young adults with normal hearing, middle-age adults with normal hearing, adults with high-frequency sensorineural hearing loss, age-matched adults with similar hearing loss and tinnitus, and adults with normal hearing and chronic tinnitus. RESULTS Multivariate analysis revealed a main effect of hearing loss and age, but no effect of tinnitus, across all 5 groups. Separate tests revealed significant effects of age and tinnitus in the normal-hearing groups and hearing loss in adults with or without tinnitus, but no effect of tinnitus in those with hearing loss. CONCLUSION DPOAE levels in the group of adults with hearing loss and tinnitus were diminished, but those in the group with normal hearing and tinnitus were enhanced, relative to DPOAE levels in the controls. Outer hair cell function, as indexed by DPOAEs, exhibits a complex association with tinnitus, and this has implications in the use of DPOAEs as a tool both for testing for tinnitus presence and for creating a model of neural mechanisms underlying tinnitus.
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Abstract
The sense of hearing is remarkable for its auditory dynamic range, which spans more than 10(12) in acoustic intensity. The mechanisms that enable the cochlea to transduce high sound levels without damage are of key interest, particularly with regard to the broad impact of industrial, military, and recreational auditory overstimulation on hearing disability. We show that ATP-gated ion channels assembled from P2X2 receptor subunits in the cochlea are necessary for the development of temporary threshold shift (TTS), evident in auditory brainstem response recordings as sound levels rise. In mice null for the P2RX2 gene (encoding the P2X2 receptor subunit), sustained 85-dB noise failed to elicit the TTS that wild-type (WT) mice developed. ATP released from the tissues of the cochlear partition with elevation of sound levels likely activates the broadly distributed P2X2 receptors on epithelial cells lining the endolymphatic compartment. This purinergic signaling is supported by significantly greater noise-induced suppression of distortion product otoacoustic emissions derived from outer hair cell transduction and decreased suprathreshold auditory brainstem response input/output gain in WT mice compared with P2RX2-null mice. At higher sound levels (≥95 dB), additional processes dominated TTS, and P2RX2-null mice were more vulnerable than WT mice to permanent hearing loss due to hair cell synapse disruption. P2RX2-null mice lacked ATP-gated conductance across the cochlear partition, including loss of ATP-gated inward current in hair cells. These data indicate that a significant component of TTS represents P2X2 receptor-dependent purinergic hearing adaptation that underpins the upper physiological range of hearing.
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Drexl M, Gürkov R, Krause E. Low-frequency modulated quadratic and cubic distortion product otoacoustic emissions in humans. Hear Res 2012; 287:91-101. [DOI: 10.1016/j.heares.2012.03.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2011] [Revised: 03/07/2012] [Accepted: 03/09/2012] [Indexed: 01/13/2023]
Affiliation(s)
- Markus Drexl
- Integrated Centre for Research and Treatment of Vertigo, Balance and Ocular Motor Disorders, Ludwig-Maximilians University Munich, Marchioninistr 15, 81377 Munich, Germany.
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Almeida PPD, Sanches SGG, Carvallo RMM. Otoacoustic emissions growth rate threshold: distortion product in neonates. PRO-FONO : REVISTA DE ATUALIZACAO CIENTIFICA 2011; 22:409-14. [PMID: 21271091 DOI: 10.1590/s0104-56872010000400008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2010] [Accepted: 11/30/2010] [Indexed: 11/22/2022]
Abstract
BACKGROUND Distortion product otoacoustic emission measures (DPOAE) verifies, among other characteristics, the emergence and growth rate of the DPOAE response according to sound stimulus intensity (growth curve). AIM To estimate the DPOAE threshold in neonates according to the DPOAE growth curve at 2 kHz and 4 kHz, with stimulus presentation ranging between 35 and 70 dB SPL. METHOD Participants were 51 neonates, with 24 to 84 hours of life and with no indication of risk for hearing impairment. The DPOAE were registered in the growth curve function at 2 kHz and at 4 kHz. Neonates were evaluated during the period of hospital stay, after birth. Three possible thresholds were considered (LIM 1, LIM 2 and LIM 3) based on the presence of response at 3 dB SPL in the signal to noise ratio. RESULTS The average thresholds intensities ranged from 47.55 to 49.85 dB at 2 kHz and from 55.52 to 59.94 dB at 4 kHz. The mean amplitude response ranged from 6.67 to 8.27 dB at 2 kHz and from 6.99 to 11.35 dB at 4 kHz. There was significant difference between the three thresholds for the two studied frequencies. CONCLUSION The procedure was feasible for the neonatal population revealing mean thresholds of up to 60 dB for both frequencies. Even though participants presented elevated thresholds, robust amplitude responses were observed.
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Trnovec T, Sovcíková E, Pavlovcinová G, Jakubíková J, Jusko TA, Husták M, Jurecková D, Palkovicová L, Kocan A, Drobná B, Lancz K, Wimmerová S. Serum PCB concentrations and cochlear function in 12-year-old children. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2010; 44:2884-9. [PMID: 20384380 PMCID: PMC2855148 DOI: 10.1021/es901918h] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Experimental evidence from animals indicates that exposure to polychlorinated biphenyls (PCBs) causes deterioration of the outer hair cells (OHCs) of the cochlea. To test this hypothesis in humans, we measured serum PCB concentrations in 574 12-year-old children residing in three districts in the Slovak Republic using high-resolution gas chromatography with microelectron capture detection. As a marker of cochlear status, we measured transient evoked (TE) and distortion product (DP) otoacoustic emissions (OAEs), and assessed the cross-sectional association between serum PCBs and OAEs. Median total PCB concentrations were 352.8, 150.5, and 134.9 ng/g lipid in Michalovce, Svidnik, and Bratislava, respectively. In multivariate regression models where otoacoustic measures were modeled as a function of log (base 10) PCB concentrations with adjustment for gender, age, and site of examination, dioxin-like PCBs, nondioxin-like PCBs and a PCB grouping targeting upregulation of hepatic uridine 5'-diphospho-glucuronosyltransferase were significantly associated with lower TEOAE powers at 1000 and 1500 Hz. At 1500 Hz, we observed a strong association with sum of PCBs and DL-PCBs, in the left ear only. The DPOAEs at 1000 Hz were associated with all four PCB groupings. The results of this study show that PCBs may affect the OHCs of the cochlea, a result consistent with findings from animal studies published to date.
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Affiliation(s)
- Tomás Trnovec
- Slovak Medical University, Limbova 12, 83303 Bratislava, Slovakia.
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Epstein M, Silva I. Analysis of parameters for the estimation of loudness from tone-burst otoacoustic emissions. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2009; 125:3855-3864. [PMID: 19507968 DOI: 10.1121/1.3106531] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
There is evidence that tone-burst otoacoustic emissions (TBOAEs) might be useful for estimating loudness. However, within-listener comparisons between loudness and TBOAE measurements are an essential prerequisite to determine appropriate analysis parameters for loudness estimation from TBOAE measurements. The purpose of the present work was to collect TBOAE measurements and loudness estimates across a wide range of levels in the same listeners. Therefore, TBOAEs were recorded for 1- and 4-kHz stimuli and then analyzed using a wide range of parameters to determine which parameter set yielded the lowest mean-square-error estimation of loudness with respect to a psychoacoustical, cross-modality-matching procedure and the inflected exponential (INEX) loudness model. The present results show strong agreement between 1-kHz loudness estimates derived from TBOAEs and loudness estimated using cross-modality matching (CMM), with TBOAE estimation accounting for almost 90% of the CMM variance. Additionally, the results indicate that analysis parameters may vary within a reasonable range without compromising the results (i.e., the estimates exhibit some parametric robustness). The lack of adequate parametric optimization for TBOAEs at 4 kHz suggests that measurements at this frequency are strongly contaminated by ear-canal resonances, meaning that deriving loudness estimates from TBOAEs at this frequency is significantly more challenging than at 1 kHz.
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Affiliation(s)
- Michael Epstein
- Department of Speech-Language Pathology and Audiology, Auditory Modeling and Processing Laboratory, Communications and Digital Signal Processing Center, Northeastern University, Boston, Massachusetts 02115, USA.
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Otoacoustic detection of risk of early hearing loss in ears with normal audiograms: a 3-year follow-up study. Hear Res 2009; 251:10-6. [PMID: 19249340 DOI: 10.1016/j.heares.2009.02.008] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2008] [Revised: 01/27/2009] [Accepted: 02/11/2009] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Distortion product otoacoustic emissions (DPOAEs) are known to represent the contractile amplifier function of cochlear outer hair cells. It is known that low or absent DPOAEs are associated with hearing loss on audiograms. However, low DPOAEs can also be found associated with normal audiograms. It is unknown whether low DPOAEs in normal hearing ears are risk markers for subsequent early hearing loss when subjects are exposed to noise. MATERIALS AND METHODS A 3-year follow-up study was carried out on a population of pilots aged 20-40 years (n=521). Data collection consisted of tonal audiograms, DPOAEs measurements with a calculation of an index of abnormality (the IaDPOAE). Of the 521 pilots enrolled, 350 (67%) had follow-up data 3 years later. In pilots with normal audiograms (n=219, all frequencies=10dB HL), we observed the occurrence of hearing threshold shifts after 3 years depending on whether the IaDPOAE was initially high (group 1) or low (group 2). We used this index to test the hypothesis that reduced DPOAEs levels are potential ear vulnerability biomarkers in apparent normal hearing ears. After a 3-year follow-up, the initial IaDPOAE in normal hearing subjects was correlated with final noise-induced hearing threshold shifts at high frequencies (p<0.01). The occurrence of abnormal audiograms was significantly higher in group 1 compared to group 2 (p=0.003). In group 1, 13% of audiograms were found with at least one frequency 25dB HL compared to 3% of audiograms in group 2. In both groups, impairments occurred at high frequencies and hearing in the 4kHz frequency range was significantly more impaired in group 1 (p=0.035). Group 1 was associated with a relative risk of 2.29 (95% CI 1.26-4.16, p=0.005) of sustaining early hearing loss. There was no significant differences between groups for age and noise exposure. DISCUSSION In adults with a normal audiogram, ear vulnerability to noise could be elicited by the use of objective DPOAE measurements. A high IaDPOAE that corresponded to reduced DPOAE levels constitutes a risk for early hearing loss. This study emphasised the interest of DPOAE measurements in public health and occupational noise prevention policies. The IaDPOAE calculation may also be interesting for clinicians because no DPOAE index of abnormality is currently available.
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Turcanu D, Dalhoff E, Zenner HP, Gummer AW. [Laser Doppler vibrometric measurements of DPOAE in humans. Eardrum vibrations reflect middle- and inner-ear characteristics]. HNO 2008; 55:930-7. [PMID: 17571243 DOI: 10.1007/s00106-007-1582-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Up to now, laser interferometric vibration measurements of the human eardrum have not provided any information about cochlear function, because the measurement devices have not been sufficiently sensitive. METHODS After designing a new type of laser Doppler vibrometer (LDV) that allows detection of displacement amplitudes down to about 1 pm, we used this device in 20 subjects to measure growth functions of the distortion products of otoacoustic emissions (DPOAE) as vibrations of the umbo. For comparison, DPOAE growth functions were also measured conventionally with an acoustic probe in the closed external auditory meatus. Hearing thresholds were estimated from both sets of measurements and compared with Békésy thresholds. RESULTS The standard deviation of the threshold estimate obtained from the vibration DPOAEs was 8.6 dB, which is significantly smaller than that of the threshold estimate (16.7 dB) obtained from the acoustic DPOAEs. We attribute the smaller standard deviation for the LDV data to the fact that these measurements are made in an open sound field and are therefore less susceptible to pressure calibration errors. CONCLUSIONS Being relatively free of sound-field measurement artefacts, the LDV method allows precise estimation of the hearing threshold. Vibration measurements of the umbo have, therefore, considerable potential for the differential diagnosis of mechanical dysfunction of the middle and inner ear.
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Affiliation(s)
- D Turcanu
- HNO-Klinik, Sektion Physiologische Akustik and Kommunikation, Universität Tübingen
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Olzowy B, von Gleichenstein G, Canis M, Mees K. Distortion product otoacoustic emissions for assessment of intracranial hypertension at extreme altitude? Eur J Appl Physiol 2008; 103:19-23. [DOI: 10.1007/s00421-007-0666-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2007] [Indexed: 10/22/2022]
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Hensel J, Scholz G, Hurttig U, Mrowinski D, Janssen T. Impact of infrasound on the human cochlea. Hear Res 2007; 233:67-76. [PMID: 17761395 DOI: 10.1016/j.heares.2007.07.004] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2007] [Revised: 07/11/2007] [Accepted: 07/12/2007] [Indexed: 01/12/2023]
Abstract
Low-frequency tones were reported to modulate the amplitude of distortion product otoacoustic emissions (DPOAEs) indicating periodic changes of the operating point of the cochlear amplifier. The present study investigates potential differences between infrasound and low-frequency sounds in their ability to modulate human DPOAEs. DPOAEs were recorded in 12 normally hearing subjects in the presence of a biasing tone with f(B)=6Hz and a level L(B)=130dB SPL. Primary frequencies were fixed at f(1)=1.6 and f(2)=2.0kHz with fixed levels L(1)=51 and L(2)=30dB SPL. A new measure, the modulation index (MI), was devised to characterise the degree of DPOAE modulation. In subsequent measurements with biasing tones of f(B) = 12, 24 and 50Hz, L(B) was adjusted to maintain the MI as obtained individually at 6Hz. Modulation patterns lagged with increasing f(B). The necessary L(B) decreased by 12dB/octave with increasing f(B) and ran almost parallel to the published infrasound detection threshold. No signs of an abrupt change in transmission into the cochlea were found between infra- and low-frequency sounds. The results show clearly that infrasound enters the inner ear, and can alter cochlear processing.
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Affiliation(s)
- Johannes Hensel
- Department of Otolaryngology, Charité, Universitätsmedizin Berlin, Schumannstr. 20, D-10117 Berlin, Germany.
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