School of Medicine, University Clermont Auvergne, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France; UMR INSERM 1107, School of Medicine, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France; Audioconsulting, Audition Conseil, 16 rue Blatin, 63000 Clermont-Ferrand, France.
School of Dentistry, University Clermont Auvergne, 2 Rue de Braga, 63100 Clermont-Ferrand, France; UMR INSERM 1107, School of Medicine, 28 Place Henri Dunant, 63000 Clermont-Ferrand, France.
Neuroscience. 2020 Feb 1;426:129-140. doi: 10.1016/j.neuroscience.2019.11.038. Epub 2019 Dec 14.
Hyperacusis, an exaggerated, sometimes painful perception of loudness even for soft sounds, is a poorly understood distressing condition. While the involvement of modified gain of central auditory neurons and the influence of nonauditory brain regions are well-documented, the issue of where in the auditory system these abnormalities arise remains open, particularly when hyperacusis comes without sensorineural hearing loss. Here we used acute intraperitoneal administration of sodium salicylate (150 mg/kg) in rats, enough to produce > 10-dB decrease in acoustic startle threshold with mild hearing loss at low frequencies (<10 kHz). Anesthesia, necessary for middle-ear-reflex (MEMR) threshold measurements, abolished the olivocochlear efferent reflex but not the MEMR acting on frequencies < 10 kHz, and its mean threshold increased from 55 dB SPL in controls to 80 dB SPL in salicylate-treated animals 60-90 minutes after injection, with an about 3-dB increase in acoustic energy reaching the cochlea. The mean latencies of auditory brainstem-evoked responses (ABR) conspicuously decreased after salicylate, by 0.25 millisecond at 6 kHz at every level, a frequency-dependent effect absent above 12 kHz. A generic model of loudness based upon cross-frequency coincidence detection predicts that with such timing changes, a transient sound may seem as loud at <40 dB SPL as it does in controls at >60 dB SPL. Candidate circuits able to act at the same time on the startle reflex, the MEMR and ABRs may be serotoninergic, as salicylate is known to increase brain serotonin and 5-HT neurons participate in MEMR and ABR circuits.
听觉过敏是一种对响度的夸大感知,甚至对轻柔的声音也会感到疼痛,是一种人们尚未完全了解的痛苦状态。虽然中枢听觉神经元的增益改变和非听觉脑区的影响已得到充分证实,但这些异常是在听觉系统的哪个部位产生的问题仍未解决,尤其是当听觉过敏没有感觉神经性听力损失时。在这里,我们使用了急性腹腔内给予水杨酸钠(150mg/kg)的方法,这种剂量足以使大鼠的声反射起始阈值降低超过 10dB,并导致低频(<10kHz)的轻度听力损失。为了进行中耳反射(MEMR)阈值测量,必须进行麻醉,但麻醉会消除橄榄耳蜗传出反射,但不会影响作用于频率<10kHz 的 MEMR,其平均阈值从对照组的 55dB SPL 增加到水杨酸盐处理动物的 80dB SPL,注射后 60-90 分钟内,到达耳蜗的声能增加了约 3dB。水杨酸盐处理后听觉脑干诱发反应(ABR)的平均潜伏期明显缩短,在每个水平上,6kHz 时缩短了 0.25 毫秒,这种频率依赖性效应在 12kHz 以上不存在。基于交叉频率巧合检测的响度通用模型预测,由于这种时间变化,瞬态声音可能在<40dB SPL 时听起来与对照组在>60dB SPL 时一样响亮。能够同时作用于惊跳反射、MEMR 和 ABR 的候选回路可能是血清素能的,因为水杨酸盐已知会增加大脑中的血清素,而 5-HT 神经元参与 MEMR 和 ABR 回路。