Stem Cells,
Journal Year:
2021,
Volume and Issue:
39(6), P. 673 - 696
Published: March 3, 2021
Abstract
Hearing
loss
(HL)
is
a
major
global
health
problem
of
pandemic
proportions.
The
most
common
type
HL
sensorineural
hearing
(SNHL)
which
typically
occurs
when
cells
within
the
inner
ear
are
damaged.
Human
induced
pluripotent
stem
(hiPSCs)
can
be
generated
from
any
individual
including
those
who
suffer
different
types
HL.
development
new
differentiation
protocols
to
obtain
hair
(HCs)
and
spiral
ganglion
neurons
(SGNs)
promises
expedite
cell-based
therapy
screening
potential
pharmacologic
genetic
therapies
using
human
models.
Considering
age-related,
acoustic,
ototoxic,
insults
frequent
causes
irreversible
damage
HCs
SGNs,
methods
genome
editing
(GE),
especially
CRISPR/Cas9
technology,
could
bring
additional
opportunities
understand
pathogenesis
SNHL
identify
novel
therapies.
However,
important
challenges
associated
with
both
hiPSCs
GE
need
overcome
before
scientific
discoveries
correctly
translated
effective
patient-safe
applications.
purpose
present
review
(a)
summarize
findings
published
reports
utilizing
for
studies
SNHL,
hence
complementing
recent
reviews
focused
on
animal
studies,
(b)
outline
promising
future
directions
deciphering
disruptive
molecular
genomic
technologies.
Cell Reports,
Journal Year:
2021,
Volume and Issue:
36(13), P. 109758 - 109758
Published: Sept. 1, 2021
Noise-induced
hearing
loss
(NIHL)
results
from
a
complex
interplay
of
damage
to
the
sensory
cells
inner
ear,
dysfunction
its
lateral
wall,
axonal
retraction
type
1C
spiral
ganglion
neurons,
and
activation
immune
response.
We
use
RiboTag
single-cell
RNA
sequencing
survey
cell-type-specific
molecular
landscape
mouse
ear
before
after
noise
trauma.
identify
induction
transcription
factors
STAT3
IRF7
immune-related
genes
across
all
cell-types.
Yet,
transcriptomic
changes
dominate
The
ATF3/ATF4
stress-response
pathway
is
robustly
induced
in
1A
noise-resilient
potassium
transport
are
downregulated
mRNA
metabolism
outer
hair
cells,
deafness-associated
most
cell
types.
This
resource
available
via
Gene
Expression
Analysis
Resource
(gEAR;
https://umgear.org/NIHL)
provides
blueprint
for
rational
development
drugs
prevent
treat
NIHL.
Proceedings of the National Academy of Sciences,
Journal Year:
2020,
Volume and Issue:
117(7), P. 3828 - 3838
Published: Feb. 3, 2020
Exposure
to
loud
sound
damages
the
postsynaptic
terminals
of
spiral
ganglion
neurons
(SGNs)
on
cochlear
inner
hair
cells
(IHCs),
resulting
in
loss
synapses,
a
process
termed
synaptopathy.
Glutamatergic
neurotransmission
via
α-amino-3-hydroxy-5-methylisoxazole-4-propionic
acid
(AMPA)-type
receptors
is
required
for
synaptopathy,
and
here
we
identify
possible
involvement
GluA2-lacking
Ca2+-permeable
AMPA
(CP-AMPARs)
using
IEM-1460,
which
has
been
shown
block
AMPARs.
In
CBA/CaJ
mice,
2-h
exposure
100-dB
pressure
level
octave
band
(8
16
kHz)
noise
results
no
permanent
threshold
shift
but
does
cause
significant
synaptopathy
reduction
auditory
brainstem
response
(ABR)
wave-I
amplitude.
Chronic
intracochlear
perfusion
IEM-1460
artificial
perilymph
(AP)
into
adult
mice
prevented
decrease
ABR
amplitude
relative
AP
alone.
Interestingly,
itself
did
not
affect
threshold,
presumably
because
GluA2-containing
AMPARs
can
sustain
sufficient
synaptic
transmission
evoke
low-threshold
responses
during
blockade
On
individual
densities,
observed
nanodomains
alongside
regions
with
robust
GluA2
expression,
consistent
idea
that
synapses
have
both
CP-AMPARs
Ca2+-impermeable
SGNs
innervating
same
IHC
differ
their
vulnerability
noise.
We
found
local
heterogeneity
among
abundance
subunits
may
underlie
such
differences
vulnerability.
propose
role
noise-induced
whereby
account
excitotoxic
susceptibility.
These
data
suggest
means
maintaining
normal
hearing
thresholds
while
protecting
against
selective
CP-AMPARs.
Journal of Neuroscience,
Journal Year:
2023,
Volume and Issue:
43(12), P. 2075 - 2089
Published: Feb. 21, 2023
Resident
cochlear
macrophages
rapidly
migrate
into
the
inner
hair
cell
synaptic
region
and
directly
contact
damaged
connections
after
noise-induced
synaptopathy.
Eventually,
such
synapses
are
spontaneously
repaired,
but
precise
role
of
in
degeneration
repair
remains
unknown.
To
address
this,
were
eliminated
using
colony
stimulating
factor
1
receptor
(CSF1R)
inhibitor,
PLX5622.
Sustained
treatment
with
PLX5622
CX
3
CR1
GFP
/+
mice
both
sexes
led
to
robust
elimination
resident
(∼94%)
without
significant
adverse
effects
on
peripheral
leukocytes,
function,
structure.
At
day
(d)
post
noise
exposure
93
or
90
dB
SPL
for
2
hours,
degree
hearing
loss
synapse
comparable
presence
absence
macrophages.
30
d
exposure,
appeared
repaired
However,
macrophages,
was
significantly
reduced.
Remarkably,
cessation
treatment,
repopulated
cochlea,
leading
enhanced
repair.
Elevated
auditory
brainstem
response
thresholds
reduced
Peak
amplitudes
showed
limited
recovery
recovered
similarly
Cochlear
neuron
augmented
preservation
exposure.
While
central
microglia
depletion
remain
be
investigated,
these
data
demonstrate
that
do
not
affect
necessary
sufficient
restore
function
SIGNIFICANCE
STATEMENT
The
between
cells
spiral
ganglion
neurons
can
lost
because
over
biological
aging.
This
may
represent
most
common
causes
sensorineural
also
known
as
hidden
loss.
Synaptic
results
degradation
information,
difficulty
listening
noisy
environments
other
perceptual
disorders.
We
cochlea
following
synaptopathic
Our
work
reveals
a
novel
innate-immune
cells,
repair,
could
harnessed
regenerate
ribbon
noise-
age-linked
synaptopathy,
loss,
associated
anomalies.
Hearing Research,
Journal Year:
2024,
Volume and Issue:
443, P. 108967 - 108967
Published: Jan. 30, 2024
Hearing
loss
affects
approximately
18%
of
the
population
worldwide.
difficulties
in
noisy
environments
without
accompanying
audiometric
threshold
shifts
likely
affect
an
even
larger
percentage
global
population.
One
potential
causes
hidden
hearing
is
cochlear
synaptopathy,
synapses
between
inner
hair
cells
(IHC)
and
auditory
nerve
fibers
(ANF).
These
are
most
vulnerable
structures
cochlea
to
noise
exposure
or
aging.
The
deafferentation,
i.e.,
afferent
information,
whose
downstream
effect
information
that
sent
higher-order
processing
stages.
Understanding
physiological
perceptual
effects
this
early
deafferentation
might
inform
interventions
prevent
later,
more
severe
loss.
In
past
decade,
a
large
body
work
has
been
devoted
better
understand
loss,
including
their
corresponding
impact
on
pathway,
use
measures
for
clinical
diagnosis
deafferentation.
This
review
synthesizes
findings
from
studies
humans
animals
answer
some
key
questions
field,
it
points
gaps
knowledge
warrant
investigation.
Specifically,
recent
suggest
electrophysiological
have
function
as
indicators
humans,
but
research
needed
these
be
included
part
test
battery.
iScience,
Journal Year:
2024,
Volume and Issue:
27(2), P. 108825 - 108825
Published: Jan. 8, 2024
In
the
mammalian
cochlea,
moderate
acoustic
overexposure
leads
to
loss
of
ribbon-type
synapse
between
inner
hair
cell
(IHC)
and
its
postsynaptic
spiral
ganglion
neuron
(SGN),
causing
a
reduced
dynamic
range
hearing
but
not
permanent
threshold
elevation.
A
prevailing
view
is
that
such
ribbon
(known
as
synaptopathy)
selectively
impacts
low-spontaneous-rate
high-threshold
SGN
fibers
contacting
predominantly
modiolar
IHC
face.
However,
spatial
pattern
synaptopathy
remains
scarcely
characterized
in
most
sensitive
mid-cochlear
region,
where
two
morphological
subtypes
with
distinct
size
gradients
coexist.
Here,
we
used
volume
electron
microscopy
investigate
noise
exposure-related
changes
mouse
IHCs
without
loss.
Our
quantifications
reveal
differ
worst-hit
area
synaptopathy.
Moreover,
show
relative
enrichment
mitochondria
surviving
terminals,
providing
key
experimental
evidence
for
long-proposed
role
SGN-terminal
synaptic
vulnerability.
Frontiers in Neuroscience,
Journal Year:
2019,
Volume and Issue:
13
Published: June 13, 2019
Noise
trauma
causes
loss
of
synaptic
connections
between
cochlear
inner
hair
cells
(IHCs)
and
the
spiral
ganglion
neurons
(SGNs).
Such
can
trigger
slow
progressive
degeneration
SGNs.
Macrophage
fractalkine
signaling
is
critical
for
neuron
survival
in
injured
cochlea,
but
its
role
synaptopathy
unknown.
Fractalkine,
a
chemokine,
constitutively
expressed
by
SGNs
signals
via
receptor
CX3CR1
that
on
macrophages.
The
present
study
characterized
immune
response
examined
function
repair
synapses
following
noise
trauma.
Adult
mice
wild
type,
heterozygous
knockout
C57BL/6
background
were
exposed
2
h
to
an
octave
band
at
90
dB
SPL.
exposure
caused
temporary
shifts
hearing
thresholds
without
any
evident
have
intact
signaling.
Enhanced
macrophage
migration
toward
IHC-synaptic
region
was
observed
immediately
after
all
genotypes.
Synaptic
immunolabeling
revealed
rapid
ribbon
throughout
basal
turn
cochlea
damaged
spontaneously
recovered
with
CX3CR1.
However,
(KO)
animals
displayed
enhanced
correlated
attenuated
suprathreshold
neural
responses
higher
frequencies.
Exposed
KO
also
exhibited
increased
IHCs
SGN
cell
bodies
compared
mice.
These
results
indicate
macrophages
promote
moderate
requires
Scientific Reports,
Journal Year:
2020,
Volume and Issue:
10(1)
Published: Nov. 17, 2020
Abstract
Overexposure
to
intense
noise
can
destroy
the
synapses
between
auditory
nerve
fibers
and
their
hair
cell
targets
without
destroying
cells
themselves.
In
adult
mice,
this
synaptopathy
is
immediate
largely
irreversible,
whereas,
in
guinea
pigs,
counts
of
immunostained
synaptic
puncta
recover
with
increasing
post-exposure
survival.
Here,
we
asked
whether
recovery
simply
reflects
changes
immunostaining,
or
there
actual
retraction
extension
neurites
and/or
synaptogenesis.
Analysis
numbers,
sizes
spatial
distribution
pre-
post-synaptic
markers
on
cochlear
inner
cells,
pigs
surviving
from
1
day
6
months
after
a
synaptopathic
exposure,
shows
dramatic
re-organization
during
period
which
synapse
16
91%
normal
most
affected
regions.
Synaptic
move
all
over
membrane
recovery,
translocating
far
positions
at
basolateral
pole,
auditory-nerve
terminals
extend
towards
cell’s
apical
end
re-establish
contact
them.
These
observations
provide
stronger
evidence
for
spontaneous
neural
regeneration
mature
mammalian
cochlea
than
be
inferred
alone.
Neural Plasticity,
Journal Year:
2021,
Volume and Issue:
2021, P. 1 - 16
Published: July 6, 2021
Noise
overexposure
leads
to
hair
cell
loss,
synaptic
ribbon
reduction,
and
auditory
nerve
deterioration,
resulting
in
transient
or
permanent
hearing
loss
depending
on
the
exposure
severity.
Oxidative
stress,
inflammation,
calcium
overload,
glutamate
excitotoxicity,
energy
metabolism
disturbance
are
main
contributors
noise-induced
(NIHL)
up
now.
Gene
variations
also
identified
as
NIHL
related.
Glucocorticoid
is
only
approved
medication
for
treatment.
New
pharmaceuticals
targeting
oxidative
neuropathy
emerging,
highlighted
by
nanoparticle-based
drug
delivery
system.
Given
complexity
of
pathogenesis
behind
NIHL,
deeper
more
comprehensive
studies
still
need
be
fulfilled.
Journal of Neurophysiology,
Journal Year:
2021,
Volume and Issue:
126(6), P. 2027 - 2038
Published: Nov. 17, 2021
Noise-induced
damage
to
synapses
between
inner
hair
cells
and
auditory-nerve
fibers
(ANFs)
can
occur
without
permanent
cell
damage,
resulting
in
pathophysiology
that
“hides”
behind
normal
thresholds.
Prior
single-fiber
neurophysiology
guinea
pig
suggested
noise
selectively
targets
high-threshold
ANFs.
Here,
we
show
the
lingering
differs
mouse,
with
both
ANF
groups
affected
a
paradoxical
gain-of-function
surviving
low-threshold
fibers,
including
increased
onset
rate,
decreased
jitter,
reduced
maskability.
Theranostics,
Journal Year:
2023,
Volume and Issue:
13(11), P. 3524 - 3549
Published: Jan. 1, 2023
Noise
accounts
for
one-third
of
hearing
loss
worldwide.Regretfully,
noise-induced
(NIHL)
is
deemed
to
be
irreversible
due
the
elusive
pathogenic
mechanisms
that
have
not
been
fully
elucidated.The
complex
interaction
between
genetic
and
environmental
factors,
which
influences
numerous
downstream
molecular
cellular
events,
contributes
NIHL.In
clinical
settings,
there
are
no
effective
therapeutic
drugs
other
than
steroids,
only
treatment
option
patients
with
NIHL.Therefore,
need
NIHL
currently
unmet,
along
recent
progress
in
our
understanding
underlying
regulatory
mechanisms,
has
led
a
lot
new
literatures
focusing
on
this
field.The
emergence
novel
technologies
modify
local
drug
delivery
inner
ear
development
promising
approaches,
under
investigation.In
comprehensive
review,
we
focus
outlining
analyzing
basics
potential
therapeutics
NIHL,
as
well
application
biomaterials
nanomedicines
delivery.The
objective
review
provide
an
incentive
NIHL's
fundamental
research
future
translation.