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慢性耳蜗去传入神经支配与永久性声学损伤易感性

Chronic cochlear de-efferentation and susceptibility to permanent acoustic injury.

作者信息

Liberman M C, Gao W Y

机构信息

Department of Otology and Laryngology, Harvard Medical School, Boston, MA 02114, USA.

出版信息

Hear Res. 1995 Oct;90(1-2):158-68. doi: 10.1016/0378-5955(95)00160-2.

Abstract

The question of whether olivocochlear (OC) efferent feedback can decrease permanent damage from acoustic overexposure was investigated by comparing the chronic threshold shifts and cochlear histopathology in guinea pigs either surgically de-efferented or sham-operated and then exposed (awake and unrestrained) to a 109- or 112-dB narrow-band noise centered at 10 kHz for 2 h. Threshold shifts were estimated using compound action potentials; hair cell loss and stereocilia condition were evaluated via light-microscopic examination of plastic-embedded surface preparations, and the degree of de-efferentation was assessed by measuring OC fascicles in the tunnel of Corti. Among animals exposed to 109-dB noise, the mean permanent threshold shift (PTS) was less than 25 dB, and there were no significant differences between normal and de-efferented animals with respect to either physiological or histological measures of acoustic injury. Among animals exposed to 112 dB, the mean peak PTS was roughly 50 dB. There was a small (but statistically significant) increase in PTS for de-efferented animals, especially at frequencies above the region of peak threshold shift; however, the patterns of hair cell loss and stereocilia damage were statistically indistinguishable. Thus, for these particular exposure conditions, sound-evoked activity in the OC system does not play a major protective role in the auditory periphery, except perhaps for the extreme basal regions of the cochlea.

摘要

通过比较豚鼠手术去传出神经或假手术,然后(清醒且不受约束)暴露于以10kHz为中心的109或112dB窄带噪声2小时后的慢性阈值变化和耳蜗组织病理学,研究了橄榄耳蜗(OC)传出反馈是否能减少声学过度暴露造成的永久性损伤。使用复合动作电位估计阈值变化;通过对塑料包埋表面制剂的光学显微镜检查评估毛细胞损失和静纤毛状况,并通过测量柯蒂氏管中的OC束来评估去传出神经的程度。在暴露于109dB噪声的动物中,平均永久性阈值变化(PTS)小于25dB,正常动物和去传出神经动物在声学损伤的生理或组织学测量方面没有显著差异。在暴露于112dB的动物中,平均峰值PTS约为50dB。去传出神经动物的PTS有小幅(但具有统计学意义)增加,特别是在阈值变化峰值区域以上的频率;然而,毛细胞损失和静纤毛损伤的模式在统计学上无法区分。因此,对于这些特定的暴露条件,OC系统中的声音诱发活动在听觉外周并不起主要保护作用,也许除了耳蜗的极端基底区域。

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