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Spatio-temporal distribution of cellular retinoid binding protein gene transcripts in the developing and the adult cochlea. Morphological and functional consequences in CRABP- and CRBPI-null mutant mice.

The expression patterns of the mouse cellular retinoid binding protein genes were investigated by in situ hybridization analysis in the inner ear from 10.5 days post coïtum (dpc) up to the adult stage. The cellular retinoic acid binding protein II (CRABPII) and cellular retinol binding protein I (CRBPI) were present in a widespread and abundant pattern in cochlear structures during embryogenesis. Expression of the cellular retinoic acid binding protein I (CRABPI) is restricted during development in Kölliker's organ whilst cellular retinol binding protein II (CRBPII) is only visible after birth with a ubiquitous distribution in most regions of the cochlea including nervous components. No CRABP or CRBP transcripts were observed in the auditory receptors. Morphological observations of CRBPI- and CRABPI/CRABPII-null mutant fetus at 18.5 dpc do not show any structural modification at the level of the organ of Corti. Furthermore, electrophysiological tests performed by measuring distorsion-product otoacoustic emissions and auditory brainstem evoked responses did not present significant alteration of the auditory function for the different types of mutants. The expression of retinoid binding proteins in cochlear structures during embryogenesis could suggest important roles for these proteins during ontogenesis and morphogenesis of the inner ear. Despite these observations, morphological and functional data from mutant mice did not present obvious modifications of the cochlear structures and auditory thresholds. It is therefore unlikely that CRABPs and CRBPI are directly involved in development of the cochlea and hair cell differentiation.

Age Factors↗

Effects of diazepam and triazolam on auditory and visual thresholds and reaction times in the baboon.

Adult male baboons were trained on a psychophysical procedure that measured detection thresholds and reaction times for pure tone and white light stimuli. Intramuscular injections of diazepam or triazolam were given 30 min before session onset; stimulus intensity was randomly varied from trial to trial, and four to five estimates of sensory thresholds and reaction times were obtained throughout each session. Diazepam produced dose-related elevations of both auditory and visual thresholds and reaction times. Effects of a single high dose of diazepam were apparent 4-5 days after administration. Triazolam was approximately 100 times more potent than diazepam in elevating reaction times and visual thresholds, but did not elevate auditory thresholds. There were no residual effects of triazolam on the day after dosing. These results suggest that diazepam and triazolam produce qualitatively similar effects on basic psychophysical function, but that they can be differentiated on the basis of sensory modality changes and post-drug recovery time.

Animals↗

Steady-state evoked potentials to amplitude modulated tones in the monkey.

A frequency-specific, objective assessment of hearing thresholds is required for use in subjects unable to perform behavioural audiometry. One such method using steady-state evoked potentials (SSEPs) in response to amplitude-modulated tones was evaluated in an experimental animal, the macaque monkey. An amplitude-modulation frequency of 165 Hz was found to produce optimum response detection in the anaesthetised animal. Auditory thresholds determined by a computerised automatic response detection system accurately reflected behavioural thresholds previously described in this species.

Animals↗

[Significance of electrocochleography within the scope of audiologic diagnosis].

Despite the extensive applicability of brainstem evoked response audiometry (= BERA), electrocochleography (= ECochG) occupies an undisputed place among audiological diagnostic methods. It is useful, among other things, in the early identification or confirmation of hearing defects in children, since it permits measurement of the auditory threshold and of the characteristics of the suprathreshold area, and may aid in excluding ambiguous findings resulting from subjective audiometric or other objective audiometric methods in certain cases. In this regard, it makes possible a valid early prescription of hearing aids to children with auditory defects; in addition, in certain cases it provides valuable additional information and can be employed in solving simulation and masking problems. The diagnostic validity of ECochG in Menière's disease requires continued investigation. To sum up, we can say that ECochG should be performed only at centres where the frequency of examinations guarantees the necessary expert knowledge.

Audiometry↗

[A proposition for mutual genesis of hearing loss, recruitment and ear murmurs in the case of acute inner ear alterations (author's transl)].

Pathological changes on the stereocilia of cochlear hair cells observed by Bredberg et al. (1972) after noise exposure and in the early stages of antibiotic intoxication are suggested to cause a mechanical decoupling between the tectorial membrane and the hair cells. During acute episodes of endolymphatic hydrops a similar decoupling is suggested to occur, although for different reasons. Harris (1968) calculated the noise generated at the input to the hair cells on account of the Brownian motion of air particles in front of the tympanic membrane. For tight coupling, he obtained a level of (--)22 dB re auditory threshold. For loose coupling this noise was found to increase to +33 dB, i.e., for 55 dB. These two independent findings are used to account for the combination of hearing loss, recruitment, and tinnitus observed with the inner-ear pathologies mentioned. The proposed hypothesis is in good agreement with clinical observations.

Anti-Bacterial Agents↗

Behavioral and auditory evoked potential audiograms of a false killer whale (Pseudorca crassidens).

Behavioral and auditory evoked potential (AEP) audiograms of a false killer whale were measured using the same subject and experimental conditions. The objective was to compare and assess the correspondence of auditory thresholds collected by behavioral and electrophysiological techniques. Behavioral audiograms used 3-s pure-tone stimuli from 4 to 45 kHz, and were conducted with a go/no-go modified staircase procedure. AEP audiograms used 20-ms sinusoidally amplitude-modulated tone bursts from 4 to 45 kHz, and the electrophysiological responses were received through gold disc electrodes in rubber suction cups. The behavioral data were reliable and repeatable, with the region of best sensitivity between 16 and 24 kHz and peak sensitivity at 20 kHz. The AEP audiograms produced thresholds that were also consistent over time, with range of best sensitivity from 16 to 22.5 kHz and peak sensitivity at 22.5 kHz. Behavioral thresholds were always lower than AEP thresholds. However, AEP audiograms were completed in a shorter amount of time with minimum participation from the animal. These data indicated that behavioral and AEP techniques can be used successfully and interchangeably to measure cetacean hearing sensitivity.

Acoustic Stimulation↗

Impulse noise and continuous noise of equivalent frequency spectrum and total sound energy.

It has been proposed that impulse noise and continuous noise affect the inner ear differently and investigations have found impulse noise to be harmful to both the inner hair cells and the outer hair cells. Scanning electron microscopy and non-standard methods for statistical analysis have facilitated the evaluation of different types of morphological changes after exposure to various kinds of noise. Morphological differences were compared in groups of guinea pigs exposed to either impulse noise or continuous noise of equivalent duration, spectral content and energy. Functionally, the groups also showed similar threshold elevations. In order to separate the two groups, subtle hair cell changes were recorded and evaluated either alone, in combination with each other or with hair cell loss. It was found that both the inner hair cells and the outer hair cells were affected differently by impulse noise than by continuous noise even though the auditory thresholds were similar.

Animals↗

AP threshold elevation in the guinea pig following exposure to a broadband noise.

Sixty guinea pigs were exposed to a steady-state broadband noise with a falling frequency spectrum. The sound-pressure level was varied between 96 and 117 dB SPL, and the duration of the exposure was varied from 3 to 12 h. After 4-5 weeks, the auditory thresholds were determined by electrocochleography at 14 frequencies, and the results were compared with a control group. With increasing sound-pressure level, the thresholds became elevated at all frequencies. The maximum threshold elevation also exhibited a slight shift toward higher frequencies. With increasing exposure time, the threshold elevations increased and shifted into the high-frequency region, whereas the low-frequency region was less affected. Linear regression analysis showed that the average threshold elevation between 1 and 20 kHz did not deviate from that predicted by the equal-energy hypothesis. However, the high-frequency loss at 5-20 kHz was very dependent on the exposure time, whereas the 1- to 4-kHz loss was not. There was no sign of any critical intensity with sudden increments in threshold elevation.

Animals↗

P300 in young and elderly subjects: auditory frequency and intensity effects.

Auditory event-related potentials (ERPs) were assessed in young and elderly subjects when stimulus intensity (40 vs. 60 dB SL) and standard/target tone frequency (250/500 Hz and 1000/2000 Hz) were manipulated to study the effects of these variables on the P3(00) and N1, P2 and N2 components. Auditory thresholds for each stimulus type were obtained, and the stimulus intensity was adjusted to effect perceptually equal intensities across conditions for each subject. Younger subjects demonstrated larger P3 amplitudes and shorter latencies than elderly subjects. The low frequency stimuli produced larger P3 amplitude and shorter latencies than the high frequency stimuli. Low intensity stimuli yielded somewhat smaller P3 amplitudes and longer peak latencies than high intensity stimulus tones. Although additional stimulus intensity and frequency effects were obtained for the N1, P2 and N2 components, these generally differed relatively little with subject age. The findings suggest that auditory stimulus parameters contribute to P3 measures, which are different for young compared to elderly subjects.

Acoustic Stimulation↗

Do 'auditory processing' tests measure auditory processing in the elderly?

OBJECTIVE: To examine the associations between measures of auditory processing and measures of auditory or cognitive function in elderly listeners with impaired hearing. DESIGN: Multiple measures of auditory processing, auditory function, and cognitive function were obtained and linear, multiple-regression analyses were conducted to examine the relations between these sets of variables. In particular, four measures of auditory processing were obtained from each of 213 elderly participants. Measures of auditory processing included duration discrimination for a 1000-Hz pure tone, temporal-order discrimination for mid-frequency pure tones, dichotic syllable identification, and recognition of 45% time-compressed monosyllables. Each participant also completed additional measures of auditory function, including pure-tone thresholds, auditory brain stem responses for each ear and at two presentation rates (11.1 and 71.1 clicks per second), and performance-intensity functions for monosyllabic words (PI-PB rollover). Finally, three measures of cognitive function, all from the Wechsler Adult Intelligence Scale-Revised, were obtained from the 213 participants. RESULTS: For three of the four measures of auditory processing examined in this study (duration discrimination, temporal-order discrimination, and dichotic CV identification), a measure of cognitive function (IQ) and age were the two primary predictors of individual differences in performance. For these three measures of auditory processing, 11 to 14% of the total variance could be accounted for by the predictor variables. For the remaining measure of auditory processing (recognition of time-compressed monosyllables), 56% of the total variance could be accounted for by a set of four predictor variables, but most of this variance (54% of the total variance) was associated with individual differences in hearing loss. When hearing loss was removed as a predictor for this measure of auditory processing, 14% of the total variance was explained by four variables: age, IQ, and two measures derived from auditory brain stem response wave-V latency. CONCLUSIONS: Performance on the battery of auditory processing measures by elderly hearing-impaired listeners was systematically related to individual differences in cognitive function rather than auditory function, especially for stimuli not affected by peripheral hearing loss. However, much of the variance in auditory processing performance remained unaccounted for by any of the predictor variables examined in this study.

Aged↗

Abnormal cochlea linked to deafness in transgenic mice expressing human cytokeratin K8.

The cytokeratin intermediate filaments have a relevant role in the proliferation and differentiation processes of epithelial cells. To provide information about the role of K8 cytokeratin during the auditory receptor differentiation, two groups of adult mice were used: TGK8-4 transgenic and control animals. The TGK8-4 transgenic mice contained 12 kb of K8 human cytokeratin (HK8) locus (Casanova et al., 1995, 1999). The functional activity of the auditory receptor was analyzed by auditory thresholds. Morphological studies demonstrate that the auditory receptors of the TGK8-4 transgenic mice are highly immature. Immunocytochemical studies were made by using two monoclonal antibodies: CAM 5-2 (recognizing K8 human cytokeratin) and Troma-1 (recognizing both mouse and human K8 cytokeratin). These demonstrated significant differences between the auditory receptors of the transgenic mice and the control mice. These functional and morphological differences clearly suggest that K8 cytokeratin has a relevant role during the differentiation and tridimensional organization of the sensory and the supporting cells of the auditory receptor.

Animals↗

Trimethyltin disrupts auditory function and cochlear morphology in pigmented rats.

Trimethyltin (TMT) produces auditory deficits, presumably of cochlear origin, in rats. The present study identified pathological changes in the cochlea following treatment with TMT and correlated them with auditory threshold changes. Thresholds were determined by reflex-modulation audiometry, before and after treatment with TMT or with saline vehicle. Animals were then perfused and their cochleas embedded for examination as block-surface preparations or radial sections. In the first week following treatment, all TMT-treated rats showed threshold shifts of 40 to 60 dB at 40 kHz, and smaller threshold shifts (10-25 dB) at 2.5 and 10 kHz. At 3 weeks they showed threshold shifts similar to those identified one week following treatment, but with some recovery at 10 kHz. At 10 weeks, one animal showed complete recovery and three showed recovery of function at 10 but not at 40 kHz. TMT-treated animals showed losses of outer hair cells (OHC) in the basal turn of the cochlea as early as 48 hours following exposure. Comparable OHC pathology was seen at 9 days, along with some losses of inner hair cells. More extensive pathology occurred at longer survival times including the loss of type 1 spiral ganglion cells. The loss of auditory sensitivity at high frequencies was closely related to the loss of outer hair cells in the basal turn of the cochlea.

Animals↗

Hearing in congenital hypothyroidism.

The hearing profile of children with congenital hypothyroidism was studied in 45 patients with thyroid gland agenesis, hypogenesis or dyshormogenesis, during adequate substitution therapy. Preliminary, secretory otitis media was found in 6 patients under the age of 6 years; in these children, hearing assessment was performed after cure of the middle ear effusion. Hearing threshold was measured either by conventional pure-tone audiometry or conditioned orientation reflex audiometry according to the patient's age (above and below 4 years). In 36 patients (80%) the auditory thresholds were normal; in the remaining 9 patients (20%) a sensorineural hearing loss of different degree was detected; in 5 cases (11%) the deafness was important and required auditory rehabilitation, with the use of a hearing aid in 4 of them. No relation could be found between hearing acuity and bone age at diagnosis of hypothyroidism or aetiology of thyroid dysfunction. It is concluded that in about one tenth of the children with congenital hypothyroidism a substantial deafness persists. The sensorineural nature of the hearing loss is in agreement with reported histological findings in congenital hypothyroid animals, where an immature development of the organ of Corti including hair cells and tectorial membrane has been observed.

Adolescent↗

Hearing loss of a central type secondary to carbon monoxide poisoning.

The effect of carbon monoxide poisoning on the threshold sensitivity of the responses from the auditory cortex, inferior colliculus, and cochlea to acoustic stimuli in guinea pigs was studied. The toxicity of carbon monoxide is believed to be secondary to tissue hypoxia and is partially reversible. Loss of auditory threshold sensitivity in carbon monoxide poisoning is most prominent at the auditory cortex. The loss of sensitivity at the inferior colliculus is the next most severe. There is no loss of sensitivity at the cochlea. The relative vulnerability of the central auditory pathway to carbon monoxide poisoning as compared with the end organ is demonstrated.

Animals↗

Development of hearing loss in kanamycin treated chinchillas.

Behaviorally determined auditory thresholds of chinchillas were monitored before, during and after daily administration of kanamycin sulfate (200 mg/kg per day). Drug treatment was terminated as soon as a shift in high-frequency thresholds was observed. In surviving animals, hearing loss spread toward lower frequencies and stabilized after eight to nine days. The stable hearing loss was limited, on the average, to frequencies above 3 kHz. The magnitude of the loss was constant across frequencies and averaged about 40 dB. Virtually complete outer hair cell loss was seen in the basal portion of the cochleae of all surviving animals.

Animals↗

Audiological assessment of eleven congenital hypothyroid infants before and after treatment.

Eleven congenital hypothyroid newborns were consecutively referred for audiological evaluation before any treatment. Evoked otoacoustic emissions were present bilaterally in 9 newborns. These results suggest the normality outer hair cells and contrast with results obtained in experimental studies. The auditory brainstem responses in 6 newborns showed a prolonged wave I, as previously reported by other authors. At 9 to 12 months of age, all children treated had evoked otoacoustic emissions in at least one ear. In 9 cases, the auditory threshold was normal (equal to or below 20 dB) as determined by behavioural tests.

Auditory Threshold↗

Form and function in the unique inner ear of a teleost: the silver perch (Bairdiella chrysoura).

Members of the teleost family Sciaenidae show significant variation in inner ear and swim bladder morphology as well as in the relationship between the swim bladder and the inner ear. In the silver perch (Bairdiella chrysoura), a Stellifer-group sciaenid, both the saccular and utricular otoliths are enlarged relative to those in other teleosts. Additionally, its swim bladder is two-chambered, and the anterior chamber surrounds the otic capsule and terminates lateral to the saccules. Structure and function of the auditory system of the silver perch were explored by using gross dissections, scanning electron microscopy, CT scan reconstruction, and auditory brainstem response approach. Several morphological specializations of the auditory system of the silver perch were found, including expansion of the utricular and lagenar otoliths, close proximity between the saccules and the utricles, deeply grooved sulci on the saccular otoliths, two-planar saccular sensory epithelia, and a unique orientation pattern of sensory hair cell ciliary bundles on the saccular sensory epithelium. It was determined that the silver perch can detect up to 4 kHz, with lowest auditory thresholds between 600 Hz and 1 kHz. Audition in the silver perch is comparable to that in the goldfish (Carassius auratus), a hearing "specialist." The morphological specializations of the inner ear and swim bladder of the silver perch may be linked to its enhanced hearing capabilities. The findings of this study support the proposal that sciaenids are excellent model species for investigating structure-function relations in the teleost auditory system.

Air Sacs↗

Distortion product otoacoustic emission (DPOAE) input/output functions and the influence of the second DPOAE source.

Distortion product otoacoustic emissions (DPOAEs) at 2f1-f2 (f2/f1 = 1.2) have two components from different cochlear sources, i.e., a distortion component generated near f2 and a reflection component from the characteristic site of fDP. The interaction of the two sources may negatively affect the DPOAE input/output (I/O) functions that are used to predict either auditory thresholds or the compression characteristics of the basilar membrane. This study investigates the influence of the reflection component on DPOAE I/O functions in a frequency range for f2 from 1500 to 4500 Hz in steps of 18 Hz. A time windowing procedure is used to separate the components from the two DPOAE sources. With decreasing stimulus level, the relative contribution of the reflection component increases. I/O functions from the separated distortion component (DCOAE I/O functions) only show smooth changes in shape and slope with frequency, while "standard" DPOAE I/O functions show rapid changes between adjacent frequencies, indicating a strong influence from the interference with the second DPOAE source. A reduced variability for adjacent frequencies can be seen as well for prediction of hearing thresholds, when using DCOAE instead of DPOAE I/O functions.

Acoustic Impedance Tests↗