Rotman Research Institute, Baycrest Centre, 3560 Bathurst Street, Toronto, ON M6A 2E1, Canada; Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada.
Rotman Research Institute, Baycrest Centre, 3560 Bathurst Street, Toronto, ON M6A 2E1, Canada; Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada.
Neuroimage. 2021 Jan 15;225:117474. doi: 10.1016/j.neuroimage.2020.117474. Epub 2020 Oct 21.
Speech-in-noise (SIN) understanding often becomes difficult for older adults because of impaired hearing and aging-related changes in central auditory processing. Central auditory processing depends on a fine balance between excitatory and inhibitory neural mechanisms, which may be upset in older age by a change in the level of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA). In this study, we used MEGA-PRESS magnetic resonance spectroscopy (MRS) to estimate GABA levels in both the left and right auditory cortices of young and older adults. We found that total auditory GABA levels were lower in older compared to young adults. To understand the relationship between GABA and hearing function, we correlated GABA levels with hearing loss and SIN performance. In older adults, the GABA level in the right auditory cortex was correlated with age and SIN performance. The relationship between chronological age and SIN loss was partially mediated by the GABA level in the right auditory cortex. These findings support the hypothesis that inhibitory mechanisms in the auditory system are reduced in aging, and this reduction relates to functional impairments.
老年人由于听力下降和与年龄相关的中枢听觉处理变化,噪声下言语理解能力常常变得困难。中枢听觉处理依赖于兴奋性和抑制性神经机制之间的精细平衡,而在老年时,抑制性神经递质γ-氨基丁酸 (GABA) 的水平变化可能会打破这种平衡。在这项研究中,我们使用 MEGA-PRESS 磁共振波谱 (MRS) 来估计年轻和老年成年人左右听觉皮层中的 GABA 水平。我们发现,与年轻人相比,老年人的总听觉 GABA 水平较低。为了了解 GABA 与听力功能之间的关系,我们将 GABA 水平与听力损失和 SIN 表现进行了相关分析。在老年人中,右听觉皮层中的 GABA 水平与年龄和 SIN 表现相关。年龄和 SIN 损失之间的关系部分由右听觉皮层中的 GABA 水平介导。这些发现支持了这样一种假设,即听觉系统中的抑制机制在衰老过程中减少,这种减少与功能障碍有关。