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      Central Compensation in Auditory Brainstem after Damaging Noise Exposure

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          Abstract

          Noise exposure is one of the most common causes of hearing loss and peripheral damage to the auditory system. A growing literature suggests that the auditory system can compensate for peripheral loss through increased central neural activity. The current study sought to investigate the link between noise exposure, increases in central gain, synaptic reorganization, and auditory function. All axons of the auditory nerve project to the cochlear nucleus, making it a requisite nucleus for sound detection. As the first synapse in the central auditory system, the cochlear nucleus is well positioned to respond plastically to loss of peripheral input. To investigate noise-induced compensation in the central auditory system, we measured auditory brainstem responses (ABRs) and auditory perception and collected tissue from mice exposed to broadband noise. Noise-exposed mice showed elevated ABR thresholds, reduced ABR wave 1 amplitudes, and spiral ganglion neuron loss. Despite peripheral damage, noise-exposed mice were hyperreactive to loud sounds and showed nearly normal behavioral sound detection thresholds. Ratios of late ABR peaks (2–4) relative to the first ABR peak indicated that brainstem pathways were hyperactive in noise-exposed mice, while anatomical analysis indicated there was an imbalance between expression of excitatory and inhibitory proteins in the ventral cochlear nucleus. The results of the current study suggest that a reorganization of excitation and inhibition in the ventral cochlear nucleus may drive hyperactivity in the central auditory system. This increase in central gain can compensate for peripheral loss to restore some aspects of auditory function.

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          Tinnitus with a normal audiogram: physiological evidence for hidden hearing loss and computational model.

          Ever since Pliny the Elder coined the term tinnitus, the perception of sound in the absence of an external sound source has remained enigmatic. Traditional theories assume that tinnitus is triggered by cochlear damage, but many tinnitus patients present with a normal audiogram, i.e., with no direct signs of cochlear damage. Here, we report that in human subjects with tinnitus and a normal audiogram, auditory brainstem responses show a significantly reduced amplitude of the wave I potential (generated by primary auditory nerve fibers) but normal amplitudes of the more centrally generated wave V. This provides direct physiological evidence of "hidden hearing loss" that manifests as reduced neural output from the cochlea, and consequent renormalization of neuronal response magnitude within the brainstem. Employing an established computational model, we demonstrate how tinnitus could arise from a homeostatic response of neurons in the central auditory system to reduced auditory nerve input in the absence of elevated hearing thresholds.
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            Eta-Squared and Partial Eta-Squared in Fixed Factor Anova Designs

            J J Cohen (1973)
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              The role of oxidative stress in noise-induced hearing loss.

              Modern research has provided new insights into the biological mechanisms of noise-induced hearing loss, and with these new insights comes hope for possible prevention or treatment. Underlying the classic set of cochlear pathologies that occur as a result of noise exposure are increased levels of reactive oxygen species (ROS) that play a significant role in noise-induced hair cell death. Both necrotic and apoptotic cell death have been identified in the cochlea. Included in the current review is a brief review of ROS, along with a description of sources of cochlear ROS generation and how ROS can damage cochlear tissue. The pathways of necrotic and apoptotic cell death are also reviewed. Interventions are discussed that target the prevention of noise-induced hair cell death: the use of antioxidants to scavenge and eliminate the damaging ROS, pharmacological interventions to limit the damage resulting from ROS, and new techniques aimed at interrupting the apoptotic biochemical cascade that results in the death of irreplaceable hair cells.
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                Author and article information

                Journal
                eNeuro
                eNeuro
                eneuro
                eneuro
                eNeuro
                eNeuro
                Society for Neuroscience
                2373-2822
                26 July 2018
                17 August 2018
                Jul-Aug 2018
                : 5
                : 4
                : ENEURO.0250-18.2018
                Affiliations
                [1 ]Department of Otolaryngology, Johns Hopkins School of Medicine , Baltimore, MD 21205
                [2 ]Hearing Research, Garvan Institute of Medical Research , Sydney, NSW 2010, Australia
                [3 ]St Vincent’s Clinical School, UNSW Sydney , Sydney, NSW 2052, Australia
                Author notes

                The authors report no competing financial interests.

                Author contributions: K.M.S. and A.M.L. designed research; K.M.S. and Y.-H.K. performed research; K.M.S., M.A.M., Y.-H.K., and A.M.L. analyzed data; K.M.S., M.A.M., Y.-H.K., and A.M.L. wrote the paper.

                Supported by NIH grants DC009353, DC000023, DC005211, DC016641, NHMRC grant 1080652, a gift from Liquin Zeng, and the David M. Rubenstein Fund for Hearing Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agencies.

                Correspondence should be addressed to Katrina M. Schrode, Department of Otolaryngology, Johns Hopkins School of Medicine, Baltimore, MD, 21205. E-mail: kschrod1@ 123456jhmi.edu
                Author information
                http://orcid.org/0000-0002-9963-9642
                http://orcid.org/0000-0001-8047-5871
                Article
                eN-CFN-0250-18
                10.1523/ENEURO.0250-18.2018
                6096756
                30123822
                7ceabc3a-109e-4e7d-8aa9-2f65f2ca4a13
                Copyright © 2018 Schrode et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.

                History
                : 27 June 2018
                : 19 July 2018
                Page count
                Figures: 10, Tables: 2, Equations: 0, References: 112, Pages: 19, Words: 14910
                Funding
                Funded by: http://doi.org/10.13039/100000055HHS | NIH | National Institute on Deafness and Other Communication Disorders (NIDCD)
                Award ID: DC009353
                Award ID: DC005211
                Award ID: DC016641
                Funded by: http://doi.org/10.13039/501100000925Department of Health | National Health and Medical Research Council (NHMRC)
                Award ID: 1080652
                Funded by: Liquin Zeng
                Funded by: David M. Rubenstein Fund for Hearing Research
                Categories
                8
                8.6
                Confirmation
                Sensory and Motor Systems
                Custom metadata
                July/August 2018

                auditory,brainstem,compensation,hyperactivity
                auditory, brainstem, compensation, hyperactivity

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