Ohlemiller Kevin K, Lett Jaclynn M, Gagnon Patricia M
Department of Otolaryngology, Washington University School of Medicine, 660 S. Euclid, Saint Louis, MO 63110, USA.
Hear Res. 2006 Oct;220(1-2):10-26. doi: 10.1016/j.heares.2006.06.012. Epub 2006 Aug 9.
Age-related degeneration of cochlear stria vascularis and resulting reduction in the endocochlear potential (EP) are the hallmark features of strial presbycusis, one of the major forms of presbycusis, or age-related hearing loss (ARHL) (Schuknecht, H.F., 1964. Further observations on the pathology of presbycusis. Archives of Otolaryngology 80, 369-382; Schuknecht, H.F., 1993. Pathology of the Ear. Lea and Febiger, Philadelphia; Schuknecht, H.F., Gacek, M.R., 1993. Cochlear pathology in presbycusis. Annals of Otology, Rhinology and Laryngology 102, 1-16). It is unclear whether there are multiple forms of strial ARHL having different sequences of degenerative events and different risk factors. Human temporal bone studies suggest that the initial pathology usually affects strial marginal cells, then spreads to other strial cell types. While inheritance studies support a moderate genetic influence, no contributing genes have been identified. Establishment of mouse models of strial ARHL may promote the identification of underlying genes and gene/environment interactions. We have found that BALB/cJ mice show significant EP reduction by 19 months of age. The reduction only occurs in a subset of animals. To identify key anatomical correlates of the EP reduction, we compared several cochlear lateral wall metrics in BALBs with those in C57BL/6J (B6) mice, which show little EP reduction for ages up to 26 months. Among the measures obtained, marginal cell density and spiral ligament thickness were the best predictors of both the EP decline in BALBs, and EP stability in B6. Our results indicate that the sequence of strial degeneration in BALBs is like that suggested for humans. Additional strain comparisons we have performed suggest that genes governing strial melanin production do not play a role.
耳蜗血管纹的年龄相关性退变以及由此导致的内淋巴电位(EP)降低是老年聋(即老年性听力损失,ARHL的主要形式之一)的标志性特征(舒克内希特,H.F.,1964年。关于老年聋病理学的进一步观察。《耳鼻喉科文献》80卷,369 - 382页;舒克内希特,H.F.,1993年。《耳的病理学》。利与费伯格出版社,费城;舒克内希特,H.F.,加塞克,M.R.,1993年。老年聋的耳蜗病理学。《耳科、鼻科和喉科年鉴》102卷,1 - 16页)。目前尚不清楚是否存在多种形式的血管纹性ARHL,它们具有不同的退变事件顺序和不同的风险因素。人类颞骨研究表明,初始病理变化通常影响血管纹边缘细胞,然后扩散到其他血管纹细胞类型。虽然遗传研究支持适度的遗传影响,但尚未确定相关基因。建立血管纹性ARHL的小鼠模型可能有助于识别潜在基因以及基因/环境相互作用。我们发现,BALB/cJ小鼠在19月龄时显示出显著的EP降低。这种降低仅发生在一部分动物中。为了确定EP降低的关键解剖学相关因素,我们比较了BALB小鼠和C57BL/6J(B6)小鼠的几个耳蜗外侧壁指标,B6小鼠在26月龄之前EP几乎没有降低。在所获得的测量指标中,边缘细胞密度和螺旋韧带厚度是BALB小鼠EP下降以及B6小鼠EP稳定性的最佳预测指标。我们的结果表明,BALB小鼠血管纹退变的顺序与人类相似。我们进行的其他品系比较表明,控制血管纹黑色素生成的基因不起作用。