KCNK5 channels mostly expressed in cochlear outer sulcus cells are indispensable for hearing

International audienceIn the cochlea, K þ is essential for mechano-electrical transduction. Here, we explore cochlear structure and function in mice lacking K þ channels of the two-pore domain family. A profound deafness associated with a decrease in endocochlear potential is found in adult Kcnk5 À / À mice. Hearing occurs around postnatal day 19 (P19), and completely disappears 2 days later. At P19, Kcnk5 À / À mice have a normal endolymphatic [K þ ] but a partly lowered endocochlear potential. Using Lac-Z as a gene reporter, KCNK5 is mainly found in outer sulcus Claudius', Boettcher's and root cells. Low levels of expression are also seen in the spiral ganglion, Reissner's membrane and stria vascularis. Essential channels (KCNJ10 and KCNQ1) contributing to K þ secretion in stria vascularis have normal expression in Kcnk5 À / À mice. Thus, KCNK5 channels are indispensable for the maintenance of hearing. Among several plausible mechanisms, we emphasize their role in K þ recycling along the outer sulcus lateral route

Effects of Ginkgo biloba extract (EGb 761) on cochlear vasculature in the guinea pig: morphometric measurements and laser Doppler flowmetry

Ginkgo biloba extract (EGb 761) was administered orally for 4 or 6 weeks to healthy adult guinea pigs. Animals were then decapitated under deep ketamine anesthesia. Post-mortem morphometric measurements of cochlear vessels in the spiral lamina revealed a vasodilating effect of the extract in four of ten animals following 6 weeks of treatment. In vivo testing of the effect of 4 or 6 weeks of treatment with EGb 761 was monitored with laser Doppler flowmetry of the cochlear blood flow under pathological conditions. Results demonstrated that EGb 761 partly counteracted sodium salicylate-induced decreases in cochlear blood flow (CBF) and enhanced CBF increases induced by hypoxia. These findings indicate that EGb 761 may help to improve oxygenation in cochleas with compromised blood flow.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/47279/1/405_2004_Article_BF00176698.pd

Long-Term Tinnitus Suppression with Linear Octave Frequency Transposition Hearing Aids

International audienceOver the last three years of hearing aid dispensing, it was observed that among 74 subjects fitted with a linear octave frequency transposition (LOFT) hearing aid, 60 reported partial or complete tinnitus suppression during day and night, an effect still lasting after several months or years of daily use. We report in more details on 38 subjects from whom we obtained quantified measures of tinnitus suppression through visual analog scaling and several additional psychoacoustic and audiometric measures. The long-term suppression seems independent of subject age, and of duration and subjective localization of tinnitus. A small but significant correlation was found with audiogram losses but not with high frequency loss slope. Long-term tinnitus suppression was observed for different etiologies, but with a low success rate for sudden deafness. It should be noted that a majority of subjects (23) had a history of noise exposure. Tinnitus suppression started after a few days of LOFT hearing aid use and reached a maximum after a few weeks of daily use. For nine subjects different amounts of frequency shifting were tried and found more or less successful for long-term tinnitus suppression, no correlation was found with tinnitus pitch. When the use of the LOFT hearing aid was stopped tinnitus reappeared within a day, and after re-using the LOFT aid it disappeared again within a day. For about one third of the 38 subjects a classical amplification or a non linear frequency compression aid was also tried, and no such tinnitus suppression was observed. Besides improvements in audiometric sensitivity to high frequencies and in speech discrimination scores, LOFT can be considered as a remarkable opportunity to suppress tinnitus over a long time scale. From a pathophysiological viewpoint these observations seem to fit with a possible re-attribution of activity to previously deprived cerebral areas corresponding to high frequency coding

Age-Related Impairment of Ultrasonic Vocalization in Tau.P301L Mice: Possible Implication for Progressive Language Disorders

Tauopathies, including Alzheimer's Disease, are the most frequent neurodegenerative diseases in elderly people and cause various cognitive, behavioural and motor defects, but also progressive language disorders. For communication and social interactions, mice produce ultrasonic vocalization (USV) via expiratory airflow through the larynx. We examined USV of Tau.P301L mice, a mouse model for tauopathy expressing human mutant tau protein and developing cognitive, motor and upper airway defects.At age 4-5 months, Tau.P301L mice had normal USV, normal expiratory airflow and no brainstem tauopathy. At age 8-10 months, Tau.P301L mice presented impaired USV, reduced expiratory airflow and severe tauopathy in the periaqueductal gray, Kolliker-Fuse and retroambiguus nuclei. Tauopathy in these nuclei that control upper airway function and vocalization correlates well with the USV impairment of old Tau.P301L mice.In a mouse model for tauopathy, we report for the first time an age-related impairment of USV that correlates with tauopathy in midbrain and brainstem areas controlling vocalization. The vocalization disorder of old Tau.P301L mice could be, at least in part, reminiscent of language disorders of elderly suffering tauopathy

High-Tension Closure of the Submental Flap Donor Site: Video and Technical Considerations

International audienceMost cochlear implants (CIs) stimulate the auditory nerve with trains of symmetric biphasic pulses consisting of two phases of opposite polarity. Animal and human studies have shown that both polarities can elicit neural responses. In human CI listeners, studies have shown that at suprathreshold levels, the anodic phase is more effective than the cathodic phase. In contrast, animal studies usually show the opposite trend. Although the reason for this discrepancy remains unclear, computational modelling results have proposed that the degeneration of the peripheral processes of the neurons could lead to a higher efficiency of anodic stimulation. We tested this hypothesis in ten guinea pigs who were deafened with an injection of sysomycin and implanted with a single ball electrode inserted in the first turn of the cochlea. Animals were tested at regular intervals between 1 week after deafening and up to 1 year for some of them. Our hypothesis was that if the effect of polarity is determined by the presence or absence of peripheral processes, the difference in polarity efficiency should change over time because of a progressive neural degeneration. Stimuli consisted of charge-balanced symmetric and asymmetric pulses allowing us to observe the response to each polarity individually. For all stimuli, the inferior colliculus evoked potential was measured. Results show that the cathodic phase was more effective than the anodic phase and that this remained so even several months after deafening. This suggests that neural degeneration cannot entirely account for the higher efficiency of anodic stimulation observed in human CI listeners

Ensemble spontaneous activity alterations detected by CISA approach

International audienceIn this paper, we propose a method for detecting alterations in the Ensemble Spontaneous Activity (ESA), a random signal representing the composite spontaneous contribution of the auditory nerve recorded on the round window. The proposed method is based on shape analysis of the ESA amplitude histogram. For this task, we use a recent approach, the Corrected Integral Shape Averaging (CISA). Using this approach, a shape clustering algorithm is proposed to classify healthy and pathological ESA signals generated by a recent ESA model. This model allows a precise simulation of neural mechanisms occurring in the auditory nerve. The obtained results demonstrate that this shape analysis is very sensitive for detecting a small number of fibers with correlated firing, supposed to occur during a particular type of tinnitus. In comparison, the classical spectral index fails in this detection

Low-pass filtering in amplitude modulation detection associated with vowel and consonant identification in subjects with cochlear implants

Temporal auditory analysis of acoustic events in various frequency channels is influenced by the ability to detect amplitude modulations which for normal hearing involves low-pass filtering with a cutoff frequency around 100 Hz and a rejection slope of about 10 dB per decade. These characteristics were established in previous studies measuring modulation transfer functions. For cochlear implant subjects, the delivery of detailed amplitude modulation information has been recently shown to result in very significant improvements in speech understanding. Several previous studies on cochlear implant subjects have reported capacities for temporal resolution rather equivalent to those of normally hearing subjects but with some notable individual differences. Recently two studies on some cochlear implant subjects indicated modulation transfer functions often quite similar to those of normal hearing but exhibiting marked individual differences in shape and absolute sensitivity. The present study compared amplitude modulation detection and phonetic recognition in a group of cochlear implant subjects to determine the extent to which the two tasks are correlated. Nine individuals who had been implanted with an lneraid device and who demonstrated open speech understanding ranging from excellent to poor were chosen and tested in the present study. For each subject modulation transfer functions were measured at the most apical electrode and phonetic recognition of isolated vowels and intervocalic consonants was assessed. Results showed a strong correlation between the depth of high-frequency rejection in modulation transfer functions and success in vowel and consonant intelligibility. These results emphasize the importance of temporal speech features and offer perspectives for customizing signal processing in cochlear implants

Développement de séries directionnelles de Microphones à Base de Traitement Analogique

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Stimulation Ultrasonore Extracochléaire du Cobaye

De nombreuses études ont montré que le système auditif pouvait répondre à des stimuli ultrasonores. Une étude récente a démontré que cette stimulation auditive est initiée au niveau de la cochlée car elle disparaît lorsque le nerf auditif est sectionné. Les mécanismes de conversion des US en ondes acoustiques audibles restent cependant peu connus. Le travail présent étudie l’effet de stimuli ultrasonores focalisés dirigés directement sur la cochlée de cobayes. Les réponses évoquées par ces stimulations sont enregistrés à l’aide d’une électrode placée dans le colliculus inférieur des animaux. Dans l’expérience 1, nous avons présenté des bouffées sinusoïdales de fréquence variant de 3 à 21 MHz, de durée variant de 1 à 100 μs et de pression pic variant de 90 kPa à 1 MPa à 10 cobayes normo-entendants. Des réponses évoquées par les ultrasons ont été obtenues pour tous les animaux. L’expérience 2 était un paradigme de masquage dans lequel un son pur continu audible était présenté pendant la stimulation ultrasonore. La présence de ce son pur engendrait une diminution de la réponse évoquée par les ultrasons, particulièrement autour de 10 kHz, suggérant que les ultrasons stimulent préférentiellement cette zone de la cochlée. Dans l’expérience 3, nous avons testé si les réponses ultrasonores provenaient de la stimulation des cellules ciliées ou des fibres du nerf auditif. 4 cobayes ont été rendus sourds chroniquement, engendrant la destruction de leurs cellules ciliées. Dans tous les cas, aucune réponse ultrasonore n’a pu été observée, démontrant que les réponses obtenues dans les expériences 1 et 2 impliquaient les cellules ciliées. Des études complémentaires incluant des mesures de vibrométrie laser et de modélisation seront présentées afin de discuter les mécanismes sous-jacents à la stimulation ultrasonore du système auditif