Chen Yuh-Shyang, Liu Tien-Chen, Cheng Chiung-Hsiang, Yeh Te-Huei, Lee Shiann-Yann, Hsu Chuan-Jen
Department of Otolaryngology, National Taiwan University, Taipei, Taiwan.
ORL J Otorhinolaryngol Relat Spec. 2003 Sep-Oct;65(5):266-74. doi: 10.1159/000075224.
The vulnerability of inner hair cells (IHCs) and outer hair cells (OHCs) to acoustic overstimulation is still controversially discussed. The present study was undertaken to investigate the vulnerability of IHCs and OHCs and the relation between chronological changes of auditory threshold shifts and stereocilia damages on IHCs and OHCs in guinea pigs after moderate acoustic trauma, caused by a single continuous exposure to pink noise (20 Hz to 20 kHz) of around 106 +/- 2 dB SPL for 44 h. Stereocilia changes and threshold shifts of auditory brainstem responses (ABR) were assessed at regular intervals after noise exposure for 9 weeks. Scanning electron microscopy demonstrated the morphological changes of stereocilia as early as 1 day after noise exposure. The morphological changes included fused, bent, collapsed, and even missing stereocilia. These damages were more prominent on IHCs than on OHCs. The shift of ABR threshold was not parallel to the chronological change of the stereocilia on IHCs as well as OHCs. The elevation of the ABR threshold (40-60 dB SPL) was greatest on the 1st day after noise exposure, whereas the stereocilia showed the most damage 7 days after noise exposure. Combined with the results from previous studies, we conclude that moderate-level (around 105-110 dB) noise tends to induce more damage to the stereocilia of IHCs than of OHCs. Other damage (e.g., metabolic disturbance) than morphological damage of hair cell stereocilia may contribute partially to the hearing threshold shift induced by moderate acoustic overstimulation.
内毛细胞(IHCs)和外毛细胞(OHCs)对声音过度刺激的易损性仍存在争议。本研究旨在探讨豚鼠在单次连续暴露于约106±2 dB SPL的粉红噪声(20 Hz至20 kHz)44小时所导致的中度声学创伤后,IHCs和OHCs的易损性以及听觉阈值变化的时间顺序与IHCs和OHCs上静纤毛损伤之间的关系。在噪声暴露后9周内定期评估听觉脑干反应(ABR)的静纤毛变化和阈值变化。扫描电子显微镜显示,噪声暴露后1天即可观察到静纤毛的形态变化。形态变化包括静纤毛融合、弯曲、塌陷甚至缺失。这些损伤在IHCs上比在OHCs上更明显。ABR阈值的变化与IHCs和OHCs上静纤毛的时间顺序变化并不平行。噪声暴露后第1天ABR阈值升高(40 - 60 dB SPL)最为显著,而静纤毛在噪声暴露后7天损伤最为严重。结合先前研究的结果,我们得出结论,中等强度(约105 - 110 dB)的噪声对内毛细胞静纤毛的损伤往往比外毛细胞更严重。毛细胞静纤毛的形态损伤以外的其他损伤(如代谢紊乱)可能部分导致了中度声音过度刺激引起的听力阈值变化。