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      The impact of biological sex on the response to noise and otoprotective therapies against acoustic injury in mice

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          Abstract

          Background

          Noise-induced hearing loss (NIHL) is the most prevalent form of acquired hearing loss and affects about 40 million US adults. Among the suggested therapeutics tested in rodents, suberoylanilide hydroxamic acid (SAHA) has been shown to be otoprotective from NIHL; however, these results were limited to male mice.

          Methods

          Here we tested the effect of SAHA on the hearing of 10-week-old B6CBAF1/J mice of both sexes, which were exposed to 2 h of octave-band noise (101 dB SPL centered at 11.3 kHz). Hearing was assessed by measuring auditory brainstem responses (ABR) at 8, 16, 24, and 32 kHz, 1 week before, as well as at 24 h and 15–21 days following exposure (baseline, compound threshold shift (CTS) and permanent threshold shift (PTS), respectively), followed by histologic analyses.

          Results

          We found significant differences in the CTS and PTS of the control (vehicle injected) mice to noise, where females had a significantly smaller CTS at 16 and 24 kHz ( p < 0.0001) and PTS at 16, 24, and 32 kHz (16 and 24 kHz p < 0.001, 32 kHz p < 0.01). This sexual dimorphic effect could not be explained by a differential loss of sensory cells or synapses but was reflected in the amplitude and amplitude progression of wave I of the ABR, which correlates with outer hair cell (OHC) function. Finally, the frequency of the protective effect of SAHA differed significantly between males (PTS, 24 kHz, p = 0 .002) and females (PTS, 16 kHz, p = 0.003), and the magnitude of the protection was smaller in females than in males. Importantly, the magnitude of the protection by SAHA was smaller than the effect of sex as a biological factor in the vehicle-injected mice.

          Conclusions

          These results indicate that female mice are significantly protected from NIHL in comparison to males and that therapeutics for NIHL may have a different effect in males and females. The data highlight the importance of analyzing NIHL experiments from males and females, separately. Finally, these data also raise the possibility of effectors in the estrogen signaling pathway as novel therapeutics for NIHL.

          Electronic supplementary material

          The online version of this article (10.1186/s13293-018-0171-0) contains supplementary material, which is available to authorized users.

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          Most cited references44

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          Dynamics of noise-induced cellular injury and repair in the mouse cochlea.

          To assess the dynamics of noise-induced tissue injury and repair, groups of CBA/CaJ mice were exposed to an octave-band noise for 2 hours at levels of 94, 100, 106, 112, or 116 dB SPL and evaluated at survival times of 0, 12, 24 hours or 1, 2, or 8 weeks. Functional change, assessed via auditory brainstem response (ABR), ranged from a reversible threshold shift (at 94 dB) to a profound permanent loss (at 116 dB). Light microscopic histopathology was assessed in serial thick plastic sections and involved quantitative evaluation of most major cell types within the cochlear duct, including hair cells (and their stereocilia), supporting cells, ganglion cells, spiral ligament fibrocytes, spiral limbus fibrocytes, and the stria vascularis. Morphometry allowed patterns of damage to be systematically assessed as functions of (1) cochlear location, (2) exposure level, and (3) postexposure survival. Insights into mechanisms of acute and chronic noise-induced cellular damage are discussed.
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            Prevalence of sexual dimorphism in mammalian phenotypic traits

            The role of sex in biomedical studies has often been overlooked, despite evidence of sexually dimorphic effects in some biological studies. Here, we used high-throughput phenotype data from 14,250 wildtype and 40,192 mutant mice (representing 2,186 knockout lines), analysed for up to 234 traits, and found a large proportion of mammalian traits both in wildtype and mutants are influenced by sex. This result has implications for interpreting disease phenotypes in animal models and humans.
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              Aging after noise exposure: acceleration of cochlear synaptopathy in "recovered" ears.

              Cochlear synaptic loss, rather than hair cell death, is the earliest sign of damage in both noise- and age-related hearing impairment (Kujawa and Liberman, 2009; Sergeyenko et al., 2013). Here, we compare cochlear aging after two types of noise exposure: one producing permanent synaptic damage without hair cell loss and another producing neither synaptopathy nor hair cell loss. Adult mice were exposed (8-16 kHz, 100 or 91 dB SPL for 2 h) and then evaluated from 1 h to ∼ 20 months after exposure. Cochlear function was assessed via distortion product otoacoustic emissions and auditory brainstem responses (ABRs). Cochlear whole mounts and plastic sections were studied to quantify hair cells, cochlear neurons, and the synapses connecting them. The synaptopathic noise (100 dB) caused 35-50 dB threshold shifts at 24 h. By 2 weeks, thresholds had recovered, but synaptic counts and ABR amplitudes at high frequencies were reduced by up to ∼ 45%. As exposed animals aged, synaptopathy was exacerbated compared with controls and spread to lower frequencies. Proportional ganglion cell losses followed. Threshold shifts first appeared >1 year after exposure and, by ∼ 20 months, were up to 18 dB greater in the synaptopathic noise group. Outer hair cell losses were exacerbated in the same time frame (∼ 10% at 32 kHz). In contrast, the 91 dB exposure, producing transient threshold shift without acute synaptopathy, showed no acceleration of synaptic loss or cochlear dysfunction as animals aged, at least to ∼ 1 year after exposure. Therefore, interactions between noise and aging may require an acute synaptopathy, but a single synaptopathic exposure can accelerate cochlear aging.
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                Author and article information

                Contributors
                bmilon@som.umaryland.edu
                Sunayana.mitra@gmail.com
                ysong@som.umaryland.edu
                zjmarg@gmail.com
                RCasserly@som.umaryland.edu
                vdrake1@jhmi.edu
                JMong@som.umaryland.edu
                depireux@gmail.com
                410-328-1892 , rhertzano@som.umaryland.edu
                Journal
                Biol Sex Differ
                Biol Sex Differ
                Biology of Sex Differences
                BioMed Central (London )
                2042-6410
                12 March 2018
                12 March 2018
                2018
                : 9
                : 12
                Affiliations
                [1 ]ISNI 0000 0001 2175 4264, GRID grid.411024.2, Department of Otorhinolaryngology - Head and Neck Surgery, , University of Maryland, ; 16 South Eutaw Street, Suite 500, Baltimore, MD 21201 USA
                [2 ]ISNI 0000 0001 2175 4264, GRID grid.411024.2, Institute for Genome Science, , University of Maryland School of Medicine, ; Baltimore, MD 21201 USA
                [3 ]ISNI 0000 0001 2175 4264, GRID grid.411024.2, Department of Pharmacology, , University of Maryland School of Medicine, ; Baltimore, MD 21201 USA
                [4 ]ISNI 0000 0001 0941 7177, GRID grid.164295.d, Institute for Systems Research, , University of Maryland, ; College Park, MD 20742 USA
                [5 ]ISNI 0000 0001 2175 4264, GRID grid.411024.2, Department of Anatomy and Neurobiology, , University of Maryland School of Medicine, ; Baltimore, MD 21201 USA
                Article
                171
                10.1186/s13293-018-0171-0
                5848513
                29530094
                9ca08dec-8d08-4169-8863-b101ea73a7d2
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 26 January 2018
                : 27 February 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100000055, National Institute on Deafness and Other Communication Disorders;
                Award ID: RO1DC03544
                Award ID: RO1DC013817
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000090, Congressionally Directed Medical Research Programs;
                Award ID: MR130240
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Human biology
                noise-induced hearing loss,sex differences,saha,b6cbaf1/j mice,inner ear,abr
                Human biology
                noise-induced hearing loss, sex differences, saha, b6cbaf1/j mice, inner ear, abr

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