Bohne B A, Harding G W
Department of Otolaryngology, Washington University School of Medicine, St. Louis, MO 63110.
Laryngoscope. 1992 Jun;102(6):693-703. doi: 10.1288/00005537-199206000-00017.
Recent studies in the bird ear have shown that degenerated hair cells are sometimes replaced by regenerated receptor cells. The present study evaluated the adult mammalian cochlea for evidence of hair-cell and nerve-fiber regeneration. Eighty-eight noise-damaged chinchilla cochleas were examined as plastic-embedded whole mounts by phase-contrast and bright-field microscopy. No signs of hair-cell regeneration were found. However, 32 (70%) of 46 cochleas damaged by high-intensity noise and 20 (48%) of 42 cochleas damaged by moderate-intensity noise contained a variable number of nerve fibers which appeared to be regenerated. These fibers, which were located in severely damaged areas of organ of Corti, differed from residual fibers with respect to their diameters, the degree and pattern of myelination, and by the abnormal paths they followed within the osseous spiral lamina and on the basilar membrane. The number of regenerated fibers varied with type of exposure and length of recovery. The strongest response was found in ears exposed to a high-intensity, low-frequency noise. The results described here indicate that a potential exists for the biological restoration of the mammalian inner ear.
近期对鸟类耳朵的研究表明,退化的毛细胞有时会被再生的受体细胞所取代。本研究评估了成年哺乳动物的耳蜗,以寻找毛细胞和神经纤维再生的证据。通过相差显微镜和明场显微镜,对88个噪声损伤的毛丝鼠耳蜗进行了塑料包埋整装片检查。未发现毛细胞再生的迹象。然而,在46个受高强度噪声损伤的耳蜗中,有32个(70%)以及在42个受中等强度噪声损伤的耳蜗中,有20个(48%)含有数量不等的似乎是再生的神经纤维。这些纤维位于柯蒂氏器的严重受损区域,在直径、髓鞘形成程度和模式以及它们在骨螺旋板和基底膜内所走的异常路径方面,与残留纤维不同。再生纤维的数量因暴露类型和恢复时间长短而异。在暴露于高强度低频噪声的耳朵中发现了最强的反应。此处描述的结果表明,哺乳动物内耳存在生物修复的潜力。