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Guerreiro MJS, Puschmann S, Eck J, Rienäcker F, Van Gerven PWM, Thiel CM. The effect of hearing loss on age-related differences in neural distinctiveness. NEUROPSYCHOLOGY, DEVELOPMENT, AND COGNITION. SECTION B, AGING, NEUROPSYCHOLOGY AND COGNITION 2024; 31:627-645. [PMID: 37306610 DOI: 10.1080/13825585.2023.2223904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 06/04/2023] [Indexed: 06/13/2023]
Abstract
Age differences in cognitive performance have been shown to be overestimated if age-related hearing loss is not taken into account. Here, we investigated the role of age-related hearing loss on age differences in functional brain organization by assessing its impact on previously reported age differences in neural differentiation. To this end, we analyzed the data of 36 younger adults, 21 older adults with clinically normal hearing, and 21 older adults with mild-to-moderate hearing loss who had taken part in a functional localizer task comprising visual (i.e., faces, scenes) and auditory stimuli (i.e., voices, music) while undergoing functional magnetic resonance imaging. Evidence for reduced neural distinctiveness in the auditory cortex was observed only in older adults with hearing loss relative to younger adults, whereas evidence for reduced neural distinctiveness in the visual cortex was observed both in older adults with normal hearing and in older adults with hearing loss relative to younger adults. These results indicate that age-related dedifferentiation in the auditory cortex is exacerbated by age-related hearing loss.
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Affiliation(s)
- Maria J S Guerreiro
- Biological Psychology, Department of Psychology, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
- Cluster of Excellence "Hearing4all", Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
| | - Sebastian Puschmann
- Biological Psychology, Department of Psychology, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
| | - Judith Eck
- Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Franziska Rienäcker
- Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Pascal W M Van Gerven
- Department of Educational Development & Research, School of Health Professions Education (SHE), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
| | - Christiane M Thiel
- Biological Psychology, Department of Psychology, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
- Cluster of Excellence "Hearing4all", Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
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Ranran H, Aijie W, Yafei Z, Xinru B, Yi L, Xianghua B, Yunxin L, Guochao L, Guowei Z. Alterations of resting-state functional network connectivity in patients with noise-induced hearing loss: A study based on independent component analysis. Eur J Neurosci 2024; 59:2029-2045. [PMID: 38279577 DOI: 10.1111/ejn.16266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 12/12/2023] [Accepted: 01/12/2024] [Indexed: 01/28/2024]
Abstract
Functional reorganization is a response to auditory deficits or deprivation, and less is known about the overall brain network alterations involving resting-state networks (RSNs) and multiple functional networks in patients with occupational noise-induced hearing loss (NIHL). So this study evaluated resting-state functional network connectivity (FNC) alterations in occupational NIHL using an independent component analysis (ICA). In total, 79 mild NIHL patients (MP), 32 relatively severe NIHL patients (RSP), and 84 age- and education- matched healthy controls (HC) were recruited. All subjects were tested using the Mini-mental State Examination scale, the tinnitus Handicap Inventory scale, the Hamilton Anxiety scale (HAMA) and scanned by T1-3DFSPGR, resting-state functional magnetic resonance imaging sequence in 3.0 T and analysed by the ICA. Seven RSNs were identified, compared with the HC, the MP showed increased FNC within the executive control network (ECN) and enhanced FNC within the default mode network (DMN) and the visual network (VN); compared with the HC, the RSP showed decreased FNC within the ECN and auditory network (AUN), DMN and VN; no significant changes in FNC were found in the MP compared with the RSP. Furthermore, the correlation analysis between the noise exposure time and hearing loss level, HAMA were both negative, and there were no significant correlations between the abnormal RSNs and the hearing level, noise exposure time and HAMA. These findings indicate that different degrees of NIHL involve different alterations in RSNs connectivity and may reveal the neural mechanisms related to emotion-related features and functional abnormalities following long-term NIHL.
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Affiliation(s)
- Huang Ranran
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Wang Aijie
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Zhang Yafei
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Ba Xinru
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Lin Yi
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Bao Xianghua
- Occupational Department, Yantaishan Hospital, Yantai, China
| | - Li Yunxin
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Li Guochao
- Radiology Department, Yantaishan Hospital, Yantai, China
| | - Zhang Guowei
- Radiology Department, Yantaishan Hospital, Yantai, China
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Shin S, Nam HY. Characteristics of brain glucose metabolism and metabolic connectivity in noise-induced hearing loss. Sci Rep 2023; 13:21889. [PMID: 38081979 PMCID: PMC10713681 DOI: 10.1038/s41598-023-48911-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 12/01/2023] [Indexed: 12/18/2023] Open
Abstract
The purpose of this study was to evaluate the differences in cerebral glucose metabolism and metabolic connectivity between noise-induced hearing loss (NIHL) subjects and normal subjects. Eighty-nine subjects who needed close observation for NIHL or were diagnosed with NIHL and 89 normal subjects were enrolled. After pre-processing of positron emission tomography images including co-registration, spatial normalization, and smoothing, a two-sample t-test was conducted to compare cerebral glucose metabolism between the two groups. To evaluate metabolic connectivity between two groups, BRAPH-BRain Analysis using graPH theory, a software package to perform graph theory analysis of the brain connectome was used. NIHL subjects showed hypometabolism compared to normal subjects in both insulae (x - 38, y - 18, z 4; × 42, y - 12, z 4) and right superior temporal gyrus (× 44, y 16, z - 20). No brain regions showed hypermetabolism in the NIHL subjects. In metabolic connectivity analysis, NIHL subjects showed decreased average strength, global efficiency, local efficiency, and mean clustering coefficient when compared with normal subjects. Decreased glucose metabolism and metabolic connectivity in NIHL subject might reflect decreased auditory function. It might be characteristic of sensorineural hearing loss.
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Affiliation(s)
- Seunghyeon Shin
- Department of Nuclear Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea
| | - Hyun-Yeol Nam
- Department of Nuclear Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Republic of Korea.
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Park MH, Kim JS, Lee S, Kim DH, Oh SH. Increased Resting-State Positron Emission Tomography Activity After Cochlear Implantation in Adult Deafened Cats. Clin Exp Otorhinolaryngol 2023; 16:326-333. [PMID: 36397262 DOI: 10.21053/ceo.2022.00423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 11/09/2022] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES Cochlear implants are widely used for hearing rehabilitation in patients with profound sensorineural hearing loss. However, Cochlear implants have variable. RESULTS and central neural plasticity is considered to be a reason for this variability. We hypothesized that resting-state cortical networks play a role in conditions of profound hearing loss and are affected by cochlear implants. To investigate the resting-state neuronal networks after cochlear implantation, we acquired 18F-fluorodeoxyglucose (FDG)-positron emission tomography (PET) images in experimental animals. METHODS Eight adult domestic cats were enrolled in this study. The hearing threshold of the animals was within the normal range, as measured by auditory evoked potential. They were divided into control (n=4) and hearing loss (n=4) groups. Hearing loss was induced by co-administration of ethacrynic acid and kanamycin. FDG-PET was performed in a normal hearing state and 4 and 11 months after the deafening procedure. Cochlear implantation was performed in the right ear, and electrical cochlear stimulation was performed for 7 months (from 4 to 11 months after the deafening procedure). PET images were compared between the two groups at the three time points. RESULTS Four months after hearing loss, the auditory cortical area's activity decreased, and activity in the associated visual area increased. After 7 months of cochlear stimulation, the superior marginal gyrus and cingulate gyrus, which are components of the default mode network, showed hypermetabolism. The inferior colliculi showed hypometabolism. CONCLUSION Resting-state cortical activity in the default mode network components was elevated after cochlear stimulation. This suggests that the animals' awareness level was elevated after hearing restoration by the cochlear implantation.
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Affiliation(s)
- Min-Hyun Park
- Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea
- Department of Otorhinolaryngology, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea
| | - Jin Su Kim
- Division of RI Application, Korea Institute of Radiological and Medical Sciences, Seoul, Korea
| | - Seonhwa Lee
- Division of RI Application, Korea Institute of Radiological and Medical Sciences, Seoul, Korea
| | - Doo Hee Kim
- Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea
| | - Seung Ha Oh
- Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea
- Sensory Organ Research Institute, Seoul National University Medical Research Center, Seoul, Korea
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Yong W, Song J, Xing C, Xu JJ, Xue Y, Yin X, Wu Y, Chen YC. Disrupted Topological Organization of Resting-State Functional Brain Networks in Age-Related Hearing Loss. Front Aging Neurosci 2022; 14:907070. [PMID: 35669463 PMCID: PMC9163682 DOI: 10.3389/fnagi.2022.907070] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 04/25/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose Age-related hearing loss (ARHL), associated with the function of speech perception decreases characterized by bilateral sensorineural hearing loss at high frequencies, has become an increasingly critical public health problem. This study aimed to investigate the topological features of the brain functional network and structural dysfunction of the central nervous system in ARHL using graph theory. Methods Forty-six patients with ARHL and forty-five age, sex, and education-matched healthy controls were recruited to undergo a resting-state functional magnetic resonance imaging (fMRI) scan in this study. Graph theory was applied to analyze the topological properties of the functional connectomes by studying the local and global organization of neural networks. Results Compared with healthy controls, the patient group showed increased local efficiency (Eloc) and clustering coefficient (Cp) of the small-world network. Besides, the degree centrality (Dc) and nodal efficiency (Ne) values of the left inferior occipital gyrus (IOG) in the patient group showed a decrease in contrast with the healthy control group. In addition, the intra-modular interaction of the occipital lobe module and the inter-modular interaction of the parietal occipital module decreased in the patient group, which was positively correlated with Dc and Ne. The intra-modular interaction of the occipital lobe module decreased in the patient group, which was negatively correlated with the Eloc. Conclusion Based on fMRI and graph theory, we indicate the aberrant small-world network topology in ARHL and dysfunctional interaction of the occipital lobe and parietal lobe, emphasizing the importance of dysfunctional left IOG. These results suggest that early diagnosis and treatment of patients with ARHL is necessary, which can avoid the transformation of brain topology and decreased brain function.
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Affiliation(s)
- Wei Yong
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Jiajie Song
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
- Department of Radiology, Nanjing Pukou Central Hospital, Pukou Branch Hospital of Jiangsu Province Hospital, Nanjing, China
| | - Chunhua Xing
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Jin-Jing Xu
- Department of Otolaryngology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Yuan Xue
- Department of Otolaryngology, Nanjing Pukou Central Hospital, Pukou Branch Hospital of Jiangsu Province Hospital, Nanjing, China
| | - Xindao Yin
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Yuanqing Wu
- Department of Otolaryngology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
- *Correspondence: Yuanqing Wu
| | - Yu-Chen Chen
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
- Yu-Chen Chen
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Cui W, Wang S, Chen B, Fan G. Altered Functional Network in Infants With Profound Bilateral Congenital Sensorineural Hearing Loss: A Graph Theory Analysis. Front Neurosci 2022; 15:810833. [PMID: 35095404 PMCID: PMC8795617 DOI: 10.3389/fnins.2021.810833] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 12/22/2021] [Indexed: 12/17/2022] Open
Abstract
Functional magnetic resonance imaging (fMRI) studies have suggested that there is a functional reorganization of brain areas in patients with sensorineural hearing loss (SNHL). Recently, graph theory analysis has brought a new understanding of the functional connectome and topological features in central neural system diseases. However, little is known about the functional network topology changes in SNHL patients, especially in infants. In this study, 34 infants with profound bilateral congenital SNHL and 28 infants with normal hearing aged 11–36 months were recruited. No difference was found in small-world parameters and network efficiency parameters. Differences in global and nodal topologic organization, hub distribution, and whole-brain functional connectivity were explored using graph theory analysis. Both normal-hearing infants and SNHL infants exhibited small-world topology. Furthermore, the SNHL group showed a decreased nodal degree in the bilateral thalamus. Six hubs in the SNHL group and seven hubs in the normal-hearing group were identified. The left middle temporal gyrus was a hub only in the SNHL group, while the right parahippocampal gyrus and bilateral temporal pole were hubs only in the normal-hearing group. Functional connectivity between auditory regions and motor regions, between auditory regions and default-mode-network (DMN) regions, and within DMN regions was found to be decreased in the SNHL group. These results indicate a functional reorganization of brain functional networks as a result of hearing loss. This study provides evidence that functional reorganization occurs in the early stage of life in infants with profound bilateral congenital SNHL from the perspective of complex networks.
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Ma L, Yuan T, Li W, Guo L, Zhu D, Wang Z, Liu Z, Xue K, Wang Y, Liu J, Man W, Ye Z, Liu F, Wang J. Dynamic Functional Connectivity Alterations and Their Associated Gene Expression Pattern in Autism Spectrum Disorders. Front Neurosci 2022; 15:794151. [PMID: 35082596 PMCID: PMC8784878 DOI: 10.3389/fnins.2021.794151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 12/16/2021] [Indexed: 12/12/2022] Open
Abstract
Autism spectrum disorders (ASDs) are a group of heterogeneous neurodevelopmental disorders that are highly heritable and are associated with impaired dynamic functional connectivity (DFC). However, the molecular mechanisms behind DFC alterations remain largely unknown. Eighty-eight patients with ASDs and 87 demographically matched typical controls (TCs) from the Autism Brain Imaging Data Exchange II database were included in this study. A seed-based sliding window approach was then performed to investigate the DFC changes in each of the 29 seeds in 10 classic resting-state functional networks and the whole brain. Subsequently, the relationships between DFC alterations in patients with ASDs and their symptom severity were assessed. Finally, transcription-neuroimaging association analyses were conducted to explore the molecular mechanisms of DFC disruptions in patients with ASDs. Compared with TCs, patients with ASDs showed significantly increased DFC between the right dorsolateral prefrontal cortex (DLPFC) and left fusiform/lingual gyrus, between the DLPFC and the superior temporal gyrus, between the right frontal eye field (FEF) and left middle frontal gyrus, between the FEF and the right angular gyrus, and between the left intraparietal sulcus and the right middle temporal gyrus. Moreover, significant relationships between DFC alterations and symptom severity were observed. Furthermore, the genes associated with DFC changes in ASDs were identified by performing gene-wise across-sample spatial correlation analysis between gene expression extracted from six donors’ brain of the Allen Human Brain Atlas and case-control DFC difference. In enrichment analysis, these genes were enriched for processes associated with synaptic signaling and voltage-gated ion channels and calcium pathways; also, these genes were highly expressed in autistic disorder, chronic alcoholic intoxication and several disorders related to depression. These results not only demonstrated higher DFC in patients with ASDs but also provided novel insight into the molecular mechanisms underlying these alterations.
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Affiliation(s)
- Lin Ma
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Tengfei Yuan
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Wei Li
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, Tianjin, China
| | - Lining Guo
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Dan Zhu
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
- Department of Radiology, Tianjin Medical University General Hospital Airport Hospital, Tianjin, China
| | - Zirui Wang
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Zhixuan Liu
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Kaizhong Xue
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Yaoyi Wang
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Jiawei Liu
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Weiqi Man
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
| | - Zhaoxiang Ye
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, Tianjin, China
- *Correspondence: Zhaoxiang Ye,
| | - Feng Liu
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
- Feng Liu,
| | - Junping Wang
- Department of Radiology and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University General Hospital, Tianjin, China
- Junping Wang,
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Picou EM, Rakita L, Buono GH, Moore TM. Effects of Increasing the Overall Level or Fitting Hearing Aids on Emotional Responses to Sounds. Trends Hear 2021; 25:23312165211049938. [PMID: 34866509 PMCID: PMC8825634 DOI: 10.1177/23312165211049938] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Adults with hearing loss demonstrate a reduced range of emotional responses to nonspeech
sounds compared to their peers with normal hearing. The purpose of this study was to
evaluate two possible strategies for addressing the effects of hearing loss on emotional
responses: (a) increasing overall level and (b) hearing aid use (with and without
nonlinear frequency compression, NFC). Twenty-three adults (mean age = 65.5 years) with
mild-to-severe sensorineural hearing loss and 17 adults (mean age = 56.2 years) with
normal hearing participated. All adults provided ratings of valence and arousal without
hearing aids in response to nonspeech sounds presented at a moderate and at a high level.
Adults with hearing loss also provided ratings while using individually fitted study
hearing aids with two settings (NFC-OFF or NFC-ON). Hearing loss and hearing aid use
impacted ratings of valence but not arousal. Listeners with hearing loss rated pleasant
sounds as less pleasant than their peers, confirming findings in the extant literature.
For both groups, increasing the overall level resulted in lower ratings of valence. For
listeners with hearing loss, the use of hearing aids (NFC-OFF) also resulted in lower
ratings of valence but to a lesser extent than increasing the overall level. Activating
NFC resulted in ratings that were similar to ratings without hearing aids (with a moderate
presentation level) but did not improve ratings to match those from the listeners with
normal hearing. These findings suggest that current interventions do not ameliorate the
effects of hearing loss on emotional responses to sound.
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Affiliation(s)
- Erin M Picou
- Department of Hearing and Speech Sciences, 12328Vanderbilt University School of Medicine, Nashville TN, USA
| | - Lori Rakita
- Department of Otolaryngology, 1866Massachusetts Ear and Eye Infirmary, Harvard Medical School, Boston, MA, USA
| | - Gabrielle H Buono
- Department of Hearing and Speech Sciences, 12328Vanderbilt University School of Medicine, Nashville TN, USA
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Yang T, Liu Q, Fan X, Hou B, Wang J, Chen X. Altered regional activity and connectivity of functional brain networks in congenital unilateral conductive hearing loss. NEUROIMAGE-CLINICAL 2021; 32:102819. [PMID: 34537683 PMCID: PMC8455857 DOI: 10.1016/j.nicl.2021.102819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 08/08/2021] [Accepted: 08/20/2021] [Indexed: 11/18/2022]
Abstract
Focal brain function and seed-based functional connectivity were first analyzed in congenital unilateral CHL. Auditory and visual networks showed altered regional activity and functional connectivity. Abnormally high activity in the left ITG was positively correlated with duration of disease. Higher-order networks including frontoparietal regions and DMN demonstrated abnormal functional connectivity. GSR may produce spurious signals in SBFC analyses.
Neuroimaging studies have shown marked alterations in brain function after auditory deprivation, with these alterations mainly caused by sensorineural hearing loss. To date, however, little is known about the patterns of functional brain reorganization in conductive hearing loss (CHL). The effects of congenital unilateral CHL on human brain were assessed by resting-state functional magnetic resonance imaging in 24 patients with unilateral microtia (UM) and 25 healthy controls. Focal brain function and seed-based functional connectivity were analyzed to characterize spontaneous activity and network changes in UM. Patients with UM showed common alterations in focal brain activities in the left inferior temporal gyrus across different measurements, with these alterations significantly associated with the duration of hearing loss. Additionally, focal brain activities were decreased in the auditory system and increased in the visual system, with a disassociated pattern shown in the default-mode system. Using the left inferior temporal gyrus as the seed region, patients with UM showed lower connectivity with the default-mode system and right visual regions but higher connectivity with the left frontoparietal regions when compared with controls. These results indicate that congenital partial hearing deprivation, despite normal bone conduction hearing, can induce widespread reorganizations that continue into adolescence and adulthood.
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Affiliation(s)
- Tengyu Yang
- Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China
| | - Qiang Liu
- Department of Otolaryngology Head and Neck Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, People's Republic of China
| | - Xinmiao Fan
- Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China
| | - Bo Hou
- Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China
| | - Jian Wang
- Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China.
| | - Xiaowei Chen
- Department of Otolaryngology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, People's Republic of China.
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10
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Manno FAM, An Z, Kumar R, Wu EX, He J, Feng Y, Lau C. Structural Alterations in a Rat Model of Short-Term Conductive Hearing Loss Are Associated With Reduced Resting State Functional Connectivity. Front Syst Neurosci 2021; 15:655172. [PMID: 34456689 PMCID: PMC8397539 DOI: 10.3389/fnsys.2021.655172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 07/02/2021] [Indexed: 12/14/2022] Open
Abstract
Conductive hearing loss (CHL) results in attenuation of air conducted sound reaching the inner ear. How a change in air conducted sound alters the auditory system resulting in cortical alterations is not well understood. Here, we have assessed structural and functional magnetic resonance imaging (MRI) in an adult (P60) rat model of short-term conductive hearing loss (1 week). Diffusion tensor imaging (DTI) revealed fractional anisotropy (FA) and axial diffusivity alterations after hearing loss that circumscribed the auditory cortex (AC). Tractography found the lateral lemniscus tract leading to the bilateral inferior colliculus (IC) was reduced. For baseline comparison, DTI and tractography alterations were not found for the somatosensory cortex. To determine functional connectivity changes due to hearing loss, seed-based analysis (SBA) and independent component analysis (ICA) were performed. Short term conductive hearing loss altered functional connectivity in the AC and IC, but not the somatosensory cortex. The results present an exploratory neuroimaging assessment of structural alterations coupled to a change in functional connectivity after conductive hearing loss. The results and implications for humans consist of structural-functional brain alterations following short term hearing loss in adults.
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Affiliation(s)
| | - Ziqi An
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
- Key Laboratory of Mental Health of the Ministry of Education, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China
| | - Rachit Kumar
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States
- Medical Scientist Training Program, University of Pennsylvania, Philadelphia, PA, United States
| | - Ed X. Wu
- Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong, SAR China
- Laboratory of Biomedical Imaging and Signal Processing, The University of Hong Kong, Hong Kong, SAR China
| | - Jufang He
- Department of Neuroscience, City University of Hong Kong, Hong Kong, SAR China
- Department of Biomedical Sciences, City University of Hong Kong, Hong Kong, SAR China
| | - Yanqiu Feng
- Guangdong Provincial Key Laboratory of Medical Image Processing, School of Biomedical Engineering, Southern Medical University, Guangzhou, China
- Key Laboratory of Mental Health of the Ministry of Education, Guangdong-Hong Kong-Macao Greater Bay Area Center for Brain Science and Brain-Inspired Intelligence, Southern Medical University, Guangzhou, China
| | - Condon Lau
- Department of Physics, City University of Hong Kong, Hong Kong, SAR China
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Ren F, Ma W, Zong W, Li N, Li X, Li F, Wu L, Li H, Li M, Gao F. Brain Frequency-Specific Changes in the Spontaneous Neural Activity Are Associated With Cognitive Impairment in Patients With Presbycusis. Front Aging Neurosci 2021; 13:649874. [PMID: 34335224 PMCID: PMC8316979 DOI: 10.3389/fnagi.2021.649874] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 06/11/2021] [Indexed: 11/13/2022] Open
Abstract
Presbycusis (PC) is characterized by preferential hearing loss at high frequencies and difficulty in speech recognition in noisy environments. Previous studies have linked PC to cognitive impairment, accelerated cognitive decline and incident Alzheimer’s disease. However, the neural mechanisms of cognitive impairment in patients with PC remain unclear. Although resting-state functional magnetic resonance imaging (rs-fMRI) studies have explored low-frequency oscillation (LFO) connectivity or amplitude of PC-related neural activity, it remains unclear whether the abnormalities occur within all frequency bands or within specific frequency bands. Fifty-one PC patients and fifty-one well-matched normal hearing controls participated in this study. The LFO amplitudes were investigated using the amplitude of low-frequency fluctuation (ALFF) at different frequency bands (slow-4 and slow-5). PC patients showed abnormal LFO amplitudes in the Heschl’s gyrus, dorsolateral prefrontal cortex (dlPFC), frontal eye field and key nodes of the speech network exclusively in slow-4, which suggested that abnormal spontaneous neural activity in PC was frequency dependent. Our findings also revealed that stronger functional connectivity between the dlPFC and the posterodorsal stream of auditory processing, as well as lower functional coupling between the PCC and key nodes of the DMN, which were associated with cognitive impairments in PC patients. Our study might underlie the cross-modal plasticity and higher-order cognitive participation of the auditory cortex after partial hearing deprivation. Our findings indicate that frequency-specific analysis of ALFF could provide valuable insights into functional alterations in the auditory cortex and non-auditory regions involved in cognitive impairment associated with PC.
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Affiliation(s)
- Fuxin Ren
- Department of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.,Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Wen Ma
- Department of Otolaryngology, The Central Hospital of Jinan City, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Wei Zong
- Department of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.,Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Ning Li
- Department of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.,Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Xiao Li
- Department of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.,Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Fuyan Li
- Department of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.,Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Lili Wu
- CAS Key Laboratory of Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, China
| | - Honghao Li
- Department of Neurology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Muwei Li
- Vanderbilt University Institute of Imaging Science, Nashville, TN, United States
| | - Fei Gao
- Department of Radiology, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.,Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
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12
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Wang S, Chen B, Yu Y, Yang H, Cui W, Fan G, Li J. Altered resting-state functional network connectivity in profound sensorineural hearing loss infants within an early sensitive period: A group ICA study. Hum Brain Mapp 2021; 42:4314-4326. [PMID: 34060682 PMCID: PMC8356983 DOI: 10.1002/hbm.25548] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/29/2021] [Accepted: 05/20/2021] [Indexed: 12/21/2022] Open
Abstract
Data from both animal models and deaf children provide evidence for that the maturation of auditory cortex has a sensitive period during the first 2-4 years of life. During this period, the auditory stimulation can affect the development of cortical function to the greatest extent. Thus far, little is known about the brain development trajectory after early auditory deprivation within this period. In this study, independent component analysis (ICA) technique was used to detect the characteristics of brain network development in children with bilateral profound sensorineural hearing loss (SNHL) before 3 years old. Seven resting-state networks (RSN) were identified in 50 SNHL and 36 healthy controls using ICA method, and further their intra-and inter-network functional connectivity (FC) were compared between two groups. Compared with the control group, SNHL group showed decreased FC within default mode network, while enhanced FC within auditory network (AUN) and salience network. No significant changes in FC were found in the visual network (VN) and sensorimotor network (SMN). Furthermore, the inter-network FC between SMN and AUN, frontal network and AUN, SMN and VN, frontal network and VN were significantly increased in SNHL group. The results implicate that the loss and the compensatory reorganization of brain network FC coexist in SNHL infants. It provides a network basis for understanding the brain development trajectory after hearing loss within early sensitive period.
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Affiliation(s)
- Shanshan Wang
- Department of Radiology, The First Hospital, China Medical University, Shenyang, Liaoning, China
| | - Boyu Chen
- Department of Radiology, The First Hospital, China Medical University, Shenyang, Liaoning, China
| | - Yalian Yu
- Department of Otorhinolaryngology, The First Hospital, China Medical University, Shenyang, Liaoning, China
| | - Huaguang Yang
- Department of Radiology, Renmin Hospital, Wuhan University, Wuhan, China
| | - Wenzhuo Cui
- Department of Radiology, The First Hospital, China Medical University, Shenyang, Liaoning, China
| | - Guoguang Fan
- Department of Radiology, The First Hospital, China Medical University, Shenyang, Liaoning, China
| | - Jian Li
- Department of Radiology, The First Hospital, China Medical University, Shenyang, Liaoning, China
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13
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Buono GH, Crukley J, Hornsby BWY, Picou EM. Loss of high- or low-frequency audibility can partially explain effects of hearing loss on emotional responses to non-speech sounds. Hear Res 2020; 401:108153. [PMID: 33360158 DOI: 10.1016/j.heares.2020.108153] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 11/20/2020] [Accepted: 12/08/2020] [Indexed: 11/16/2022]
Abstract
Hearing loss can disrupt emotional responses to sound. However, the impact of stimulus modality (multisensory versus unisensory) on this disruption, and the underlying mechanisms responsible, are unclear. The purposes of this project were to evaluate the effects of stimulus modality and filtering on emotional responses to non-speech stimuli. It was hypothesized that low- and high-pass filtering would result in less extreme ratings, but only for unisensory stimuli. Twenty-four adults (22- 34 years old; 12 male) with normal hearing participated. Participants made ratings of valence and arousal in response to pleasant, neutral, and unpleasant non-speech sounds and/or pictures. Each participant completed ratings of five stimulus modalities: auditory-only, visual-only, auditory-visual, filtered auditory-only, and filtered auditory-visual. Half of the participants rated low-pass filtered stimuli (800 Hz cutoff), and half of the participants rated high-pass filtered stimuli (2000 Hz cutoff). Combining auditory and visual modalities resulted in more extreme (more pleasant and more unpleasant) ratings of valence in response to pleasant and unpleasant stimuli. In addition, low- and high-pass filtering of sounds resulted in less extreme ratings of valence (less pleasant and less unpleasant) and arousal (less exciting) in response to both auditory-only and auditory-visual stimuli. These results suggest that changes in audible spectral information are partially responsible for the noted changes in emotional responses to sound that accompany hearing loss. The findings also suggest the effects of hearing loss will generalize to multisensory stimuli if the stimuli include sound, although further work is warranted to confirm this in listeners with hearing loss.
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Affiliation(s)
- Gabrielle H Buono
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Ave South, Room 8310, Nashville, TN 37232, United States
| | - Jeffery Crukley
- Department of Speech-Language Pathology, University of Toronto, Canada
| | - Benjamin W Y Hornsby
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Ave South, Room 8310, Nashville, TN 37232, United States
| | - Erin M Picou
- Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, 1215 21st Ave South, Room 8310, Nashville, TN 37232, United States.
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14
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Reduced resting state functional connectivity with increasing age-related hearing loss and McGurk susceptibility. Sci Rep 2020; 10:16987. [PMID: 33046800 PMCID: PMC7550565 DOI: 10.1038/s41598-020-74012-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 09/15/2020] [Indexed: 11/21/2022] Open
Abstract
Age-related hearing loss has been related to a compensatory increase in audio-visual integration and neural reorganization including alterations in functional resting state connectivity. How these two changes are linked in elderly listeners is unclear. The current study explored modulatory effects of hearing thresholds and audio-visual integration on resting state functional connectivity. We analysed a large set of resting state data of 65 elderly participants with a widely varying degree of untreated hearing loss. Audio-visual integration, as gauged with the McGurk effect, increased with progressing hearing thresholds. On the neural level, McGurk illusions were negatively related to functional coupling between motor and auditory regions. Similarly, connectivity of the dorsal attention network to sensorimotor and primary motor cortices was reduced with increasing hearing loss. The same effect was obtained for connectivity between the salience network and visual cortex. Our findings suggest that with progressing untreated age-related hearing loss, functional coupling at rest declines, affecting connectivity of brain networks and areas associated with attentional, visual, sensorimotor and motor processes. Especially connectivity reductions between auditory and motor areas were related to stronger audio-visual integration found with increasing hearing loss.
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15
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Neuroanatomical changes associated with age-related hearing loss and listening effort. Brain Struct Funct 2020; 225:2689-2700. [PMID: 32960318 PMCID: PMC7674350 DOI: 10.1007/s00429-020-02148-w] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 09/09/2020] [Indexed: 02/03/2023]
Abstract
Age-related hearing loss is associated with a decrease in hearing abilities for high frequencies and therefore leads to impairments in understanding speech—in particular, under adverse listening conditions. Growing evidence suggests that age-related hearing loss is related to various neural changes, for instance, affecting auditory and frontal brain regions. How the decreased auditory input and the increased listening effort in daily life are associated with structural changes is less clear, since previous evidence is scarce and mostly involved low sample sizes. Hence, the aim of the current study was to investigate the impact of age-related untreated hearing loss and subjectively rated daily life listening effort on grey matter and white matter changes in a large sample of participants (n = 71). For that aim, we conducted anatomical MRI and diffusion tensor imaging (DTI) in elderly hard-of-hearing and age-matched normal-hearing participants. Our results showed significantly lower grey matter volume in the middle frontal cortex in hard-of-hearing compared to normal-hearing participants. Further, higher listening effort was associated with lower grey matter volume and cortical thickness in the orbitofrontal cortex and lower grey matter volume in the inferior frontal cortex. No significant relations between hearing abilities or listening effort were obtained for white matter integrity in tracts connecting auditory and prefrontal as well as visual areas. These findings provide evidence that hearing impairment as well as daily life listening effort seems to be associated with grey matter loss in prefrontal brain regions. We further conclude that alterations in cortical thickness seem to be linked to the increased listening effort rather than the hearing loss itself.
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16
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Xing C, Zhang J, Cui J, Yong W, Hu J, Yin X, Wu Y, Chen YC. Disrupted Functional Network Connectivity Predicts Cognitive Impairment in Presbycusis Patients. Front Aging Neurosci 2020; 12:246. [PMID: 32903748 PMCID: PMC7438913 DOI: 10.3389/fnagi.2020.00246] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 07/17/2020] [Indexed: 11/18/2022] Open
Abstract
Purpose: Individuals with presbycusis often show deficits in cognitive function, however, the exact neurophysiological mechanisms are not well understood. This study explored the alterations in intra- and inter-network functional connectivity (FC) of multiple networks in presbycusis patients, and further correlated FC with cognitive assessment scores to assess their ability to predict cognitive impairment. Methods: Resting-state functional magnetic resonance imaging (rs-fMRI) was performed in 40 presbycusis patients and 40 matched controls, and 12 resting-state networks (RSNs) were identified by independent component analysis (ICA) approach. A two-sample t-test was carried out to detect the intra-network FC differences, and functional network connectivity (FNC) was calculated to compare the inter-network FC differences. Pearson or Spearman correlation analysis was subsequently used to explore the correlation between altered FC and cognitive assessment scores. Results: Our study demonstrated that patients with presbycusis showed significantly decreased FC in the subcortical limbic network (scLN), default mode network (DMN), executive control network (ECN), and attention network (AN) compared with the control group. Moreover, the connectivity for scLN-AUN (auditory network) and VN (visual network)-DMN were found significantly increased while AN-DMN was found significantly decreased in presbycusis patients. Ultimately, this study revealed the intra- and inter-network alterations associated with some cognitive assessment scores. Conclusion: This study observed intra- and inter-network FC alterations in presbycusis patients, and investigated that presbycusis can lead to abnormal connectivity of RSNs and plasticity compensation mechanism, which may be the basis of cognitive impairment, suggesting that FNC can be used to predict potential cognitive impairment in their early stage.
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Affiliation(s)
- Chunhua Xing
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Juan Zhang
- Department of Neurology, Nanjing Yuhua Hospital, Yuhua Branch of Nanjing First Hospital, Nanjing, China
| | - Jinluan Cui
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Wei Yong
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Jinghua Hu
- Department of Otolaryngology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Xindao Yin
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Yuanqing Wu
- Department of Otolaryngology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
| | - Yu-Chen Chen
- Department of Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China
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17
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Wolak T, Cieśla K, Pluta A, Włodarczyk E, Biswal B, Skarżyński H. Altered Functional Connectivity in Patients With Sloping Sensorineural Hearing Loss. Front Hum Neurosci 2019; 13:284. [PMID: 31507391 PMCID: PMC6713935 DOI: 10.3389/fnhum.2019.00284] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Accepted: 08/02/2019] [Indexed: 12/12/2022] Open
Abstract
Background Sensory deprivation, such as hearing loss, has been demonstrated to change the intrinsic functional connectivity (FC) of the brain, as measured with resting-state functional magnetic resonance imaging (rs-fMRI). Patients with sloping sensorineural hearing loss (SNHL) are a unique population among the hearing impaired, as they have all been exposed to some auditory input throughout their lifespan and all use spoken language. Materials and Methods Twenty patients with SNHL and 21 control subjects participated in a rs-fMRI study. Whole-brain seed-driven FC maps were obtained, with audiological scores of patients, including hearing loss severity and speech performance, used as covariates. Results Most profound differences in FC were found between patients with prelingual (before language development, PRE) vs. postlingual onset (after language development, POST) of SNHL. An early onset was related to enhancement in long-range network connections, including the default-mode network, the dorsal-attention network and the fronto-parietal network, as well as in local sensory networks, the visual and the sensorimotor. A number of multisensory brain regions in frontal and parietal cortices, as well as the cerebellum, were also more internally connected. We interpret these effects as top-down mechanisms serving optimization of multisensory experience in SNHL with a prelingual onset. At the same time, POST patients showed enhanced FC between the salience network and multisensory parietal areas, as well as with the hippocampus, when they were compared to those with PRE hearing loss. Signal in several cortex regions subserving visual processing was also more intra-correlated in POST vs. PRE patients. This outcome might point to more attention resources directed to multisensory as well as memory experience. Finally, audiological scores correlated with FC in several sensory and high-order brain regions in all patients. Conclusion The results show that a sloping hearing loss is related to altered resting-state brain organization. Effects were shown in attention and cognitive control networks, as well as visual and sensorimotor regions. Specifically, we found that even in a partial hearing deficit (affecting only some of the hearing frequency ranges), the age at the onset affects the brain function differently, pointing to the role of sensitive periods in brain development.
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Affiliation(s)
- Tomasz Wolak
- Institute of Physiology and Pathology of Hearing, Bioimaging Research Center, World Hearing Center, Warsaw, Poland
| | - Katarzyna Cieśla
- Institute of Physiology and Pathology of Hearing, Bioimaging Research Center, World Hearing Center, Warsaw, Poland
| | - Agnieszka Pluta
- Institute of Physiology and Pathology of Hearing, Bioimaging Research Center, World Hearing Center, Warsaw, Poland.,Faculty of Psychology, University of Warsaw, Warsaw, Poland
| | - Elżbieta Włodarczyk
- Institute of Physiology and Pathology of Hearing, Bioimaging Research Center, World Hearing Center, Warsaw, Poland
| | - Bharat Biswal
- Department of Biomedical Engineering and Department of Radiology, New Jersey Medical School, NJIT, Newark, NJ, United States
| | - Henryk Skarżyński
- Institute of Physiology and Pathology of Hearing, Bioimaging Research Center, World Hearing Center, Warsaw, Poland
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