Department of Otolaryngology, University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
J Assoc Res Otolaryngol. 2011 Apr;12(2):219-32. doi: 10.1007/s10162-010-0249-9. Epub 2010 Nov 16.
Electric stimuli can prosthetically excite auditory nerve fibers to partially restore sensory function to individuals impaired by profound or severe hearing loss. While basic response properties of electrically stimulated auditory nerve fibers (ANF) are known, responses to complex, time-changing stimuli used clinically are inadequately understood. We report that forward-masker pulse trains can enhance and reduce ANF responsiveness to subsequent stimuli and the novel observation that sub-threshold (nonspike-evoking) electric trains can reduce responsiveness to subsequent pulse-train stimuli. The effect is observed in the responses of cat ANFs and shown by a computational biophysical ANF model that simulates rate adaptation through integration of external potassium cation (K) channels. Both low-threshold (i.e., Klt) and high-threshold (Kht) channels were simulated at each node of Ranvier. Model versions without Klt channels did not produce the sub-threshold effect. These results suggest that some such accumulation mechanism, along with Klt channels, may underlie sub-threshold masking observed in cat ANF responses. As multichannel auditory prostheses typically present sub-threshold stimuli to various ANF subsets, there is clear relevance of these findings to clinical situations.
电刺激可以修复听觉神经纤维,从而为因深度或严重听力损失而受损的个体部分恢复感觉功能。虽然已经了解了电刺激听觉神经纤维(ANF)的基本响应特性,但对临床上使用的复杂、随时间变化的刺激的响应仍了解不足。我们报告称,前向掩蔽脉冲串可以增强和降低 ANF 对后续刺激的响应,并且还观察到一个新颖的现象,即亚阈值(无峰发放)电脉冲串可以降低对随后的脉冲串刺激的响应。该效应在猫 ANF 的反应中得到观察,并通过模拟通过外部钾阳离子 (K) 通道进行整合的率适应的计算生物物理 ANF 模型得到证实。在每个 Ranvier 节点处模拟了低阈值 (即 Klt) 和高阈值 (Kht) 通道。没有 Klt 通道的模型版本没有产生亚阈值效应。这些结果表明,在猫 ANF 反应中观察到的亚阈值掩蔽可能是某种累积机制以及 Klt 通道共同作用的结果。由于多通道听觉假体通常向各种 ANF 子集呈现亚阈值刺激,因此这些发现与临床情况密切相关。