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新生期耳聋及人工耳蜗电刺激后猫听觉神经向耳蜗核投射的拓扑结构

Topography of auditory nerve projections to the cochlear nucleus in cats after neonatal deafness and electrical stimulation by a cochlear implant.

作者信息

Leake Patricia A, Hradek Gary T, Bonham Ben H, Snyder Russell L

机构信息

Epstein Laboratory, Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 533 Parnassus Avenue, Room #U490, San Francisco, CA 94143-0526, USA.

出版信息

J Assoc Res Otolaryngol. 2008 Sep;9(3):349-72. doi: 10.1007/s10162-008-0127-x. Epub 2008 Jun 24.

Abstract

We previously reported that auditory nerve projections from the cochlear spiral ganglion (SG) to the cochlear nucleus (CN) exhibit clear cochleotopic organization in adult cats deafened as neonates before hearing onset. However, the topographic specificity of these CN projections in deafened animals is proportionately broader than normal (less precise relative to the CN frequency gradient). This study examined SG-to-CN projections in adult cats that were deafened as neonates and received a unilateral cochlear implant at approximately 7 weeks of age. Following several months of electrical stimulation, SG projections from the stimulated cochleae were compared to projections from contralateral, non-implanted ears. The fundamental organization of SG projections into frequency band laminae was clearly evident, and discrete projections were always observed following double SG injections in deafened cochleae, despite severe auditory deprivation and/or broad electrical activation of the SG. However, when normalized for the smaller CN size after deafness, AVCN, PVCN, and DCN projections on the stimulated side were broader by 32%, 34%, and 53%, respectively, than projections in normal animals (although absolute projection widths were comparable to normal). Further, there was no significant difference between projections from stimulated and contralateral non-implanted cochleae. These findings suggest that early normal auditory experience may be essential for normal development and/or maintenance of the topographic precision of SG-to-CN projections. After early deafness, the CN is smaller than normal, the topographic distribution of these neural projections that underlie frequency resolution in the central auditory system is proportionately broader, and projections from adjacent SG sectors are more overlapping. Several months of stimulation by a cochlear implant (beginning at approximately 7 weeks of age) did not lessen or exacerbate these degenerative changes observed in adulthood. One clinical implication of these findings is that congenitally deaf cochlear implant recipients may have central auditory system alterations that limit their ability to achieve spectral selectivity equivalent to post-lingually deafened subjects.

摘要

我们之前报道过,在听力开始前就已先天性耳聋的成年猫中,从耳蜗螺旋神经节(SG)到耳蜗核(CN)的听觉神经投射呈现出清晰的耳蜗拓扑组织。然而,在耳聋动物中,这些CN投射的拓扑特异性比正常情况要宽得多(相对于CN频率梯度而言不太精确)。本研究检查了在新生儿期耳聋并在大约7周龄时接受单侧人工耳蜗植入的成年猫的SG到CN的投射。经过几个月的电刺激后,将受刺激耳蜗的SG投射与对侧未植入耳朵的投射进行比较。SG投射到频带层的基本组织清晰可见,并且在耳聋耳蜗中进行双SG注射后总是能观察到离散的投射,尽管存在严重的听觉剥夺和/或SG的广泛电激活。然而,当对耳聋后较小的CN大小进行归一化处理时,受刺激侧的前腹侧耳蜗核(AVCN)、后腹侧耳蜗核(PVCN)和背侧耳蜗核(DCN)投射分别比正常动物的投射宽32%、34%和53%(尽管绝对投射宽度与正常情况相当)。此外,受刺激耳蜗和对侧未植入耳蜗的投射之间没有显著差异。这些发现表明,早期正常的听觉经验对于SG到CN投射的拓扑精度的正常发育和/或维持可能至关重要。早期耳聋后,CN比正常情况小,这些构成中枢听觉系统频率分辨率基础的神经投射在拓扑分布上相应地更宽,并且相邻SG区域的投射更重叠。人工耳蜗(从大约7周龄开始)几个月的刺激并没有减轻或加剧成年期观察到的这些退行性变化。这些发现的一个临床意义是,先天性耳聋的人工耳蜗接受者可能存在中枢听觉系统改变,这限制了他们实现与语后聋受试者相当的频谱选择性的能力。

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