Ohlemiller Kevin K
Fay and Carl Simons Center for the Biology of Hearing and Deafness, Central Institute for the Deaf, Saint Louis, MO 63110, USA.
J Assoc Res Otolaryngol. 2002 Dec;3(4):444-56. doi: 10.1007/s10162-002-2041-y. Epub 2002 Apr 9.
Schuknecht proposed categories for human age-related hearing loss (ARHL) based upon whether the primary degeneration involves the organ of Corti (sensory ARHL), spiral ganglion cells (neural), stria vascularis (strial), or a combination of these (mixed). Genetically standardized mouse ARHL models can help validate Schuknecht's framework and clarify the underlying cellular processes. Much recent work has focused on the mouse Ahl locus, which promotes both ARHL and noise-induced hearing loss. On the C57BL/6 inbred background, Ahl has been associated with degeneration of organ of Corti, afferent neurons, and stria vascularis/spiral ligament, suggesting that it promotes mixed (sensory/neural/strial) ARHL. Some cochlear degeneration in C57BL/6 mice could be caused by genes other than Ahl, however. The question of what constitutes Ahl-related pathology can be addressed by comparing C57BL/6 mice with other strains that carry the same allele, including BALB/c substrains. We examined the effects of aging and broadband noise exposure in inbred BALB/cJ mice (1.5-13.0 mos) using measures of frequency tuning (compound action potential tuning curves) (CAPTCs), strial function (endocochlear potential recording, EP), and light microscopy. Aging and noise led to generally similar physiological and anatomical changes. Reductions in sensitivity and sharpness of frequency tuning were not consistently linked to hair cell loss, reduction in the EP, or changes in the lateral wall. Instead they appeared best explained by alterations in supporting cells in the basal half of the cochlear and in the spiral limbus in the apex. These results emphasize the importance of cell types other than hair cells in cochlear pathology. They also indicate that Ahl does not necessarily promote a strial form of ARHL.
舒克内希特根据原发性退变是否累及柯蒂氏器(感觉性年龄相关性听力损失,ARHL)、螺旋神经节细胞(神经性)、血管纹(血管纹性)或这些的组合(混合性),提出了人类年龄相关性听力损失的分类。基因标准化的小鼠ARHL模型有助于验证舒克内希特的框架,并阐明潜在的细胞过程。最近的许多工作都集中在小鼠Ahl基因座上,该基因座既会导致ARHL,也会导致噪声性听力损失。在C57BL/6近交系背景下,Ahl与柯蒂氏器、传入神经元以及血管纹/螺旋韧带的退变有关,这表明它会导致混合性(感觉性/神经性/血管纹性)ARHL。然而,C57BL/6小鼠的一些耳蜗退变可能是由Ahl以外的基因引起的。通过将C57BL/6小鼠与携带相同等位基因的其他品系(包括BALB/c亚系)进行比较,可以解决与Ahl相关的病理学构成问题。我们使用频率调谐测量(复合动作电位调谐曲线,CAPTCs)、血管纹功能(内淋巴电位记录,EP)和光学显微镜,研究了近交BALB/cJ小鼠(1.5 - 13.0个月)衰老和宽带噪声暴露的影响。衰老和噪声导致了大致相似的生理和解剖学变化。频率调谐的敏感度和锐度降低与毛细胞损失、EP降低或侧壁变化并无一致关联。相反,它们似乎最好由耳蜗基部一半的支持细胞以及顶端螺旋缘的改变来解释。这些结果强调了毛细胞以外的细胞类型在耳蜗病理学中的重要性。它们还表明,Ahl不一定会导致血管纹性形式的ARHL。