ABSTRACT
Tinnitus and hyperacusis, commonly seen in adults, are also reported in children. Although clinical studies found children with tinnitus and hyperacusis often suffered from recurrent otitis media, there is no direct study on how temporary hearing loss in the early age affects the sound loudness perception. In this study, sound loudness changes in rats affected by perforation of the tympanic membranes (TM) have been studied using an operant conditioning based behavioral task. We detected significant increases of sound loudness and susceptibility to audiogenic seizures (AGS) in rats with bilateral TM damage at postnatal 16 days. As increase to sound sensitivity is commonly seen in hyperacusis and tinnitus patients, these results suggest that early age hearing loss is a high risk factor to induce tinnitus and hyperacusis in children. In the TM damaged rats, we also detected a reduced expression of GABA receptor δ and α6 subunits in the inferior colliculus (IC) compared to the controls. Treatment of vigabatrin (60 mg/kg/day, 7-14 days), an anti-seizure drug that inhibits the catabolism of GABA, not only blocked AGS, but also significantly attenuated the loudness response. Administration of vigabatrin following the early age TM damage could even prevent rats from developing AGS. These results suggest that TM damage at an early age may cause a permanent reduction of GABA tonic inhibition which is critical towards the maintenance of normal loudness processing of the IC. Increasing GABA concentration during the critical period may alleviate the impairment in the brain induced by early age hearing loss.
Subject(s)
Behavior, Animal , Hyperacusis/etiology , Loudness Perception , Acoustic Stimulation , Age Factors , Animals , Conditioning, Operant , Disease Models, Animal , Epilepsy, Reflex/etiology , Epilepsy, Reflex/physiopathology , Epilepsy, Reflex/prevention & control , Epilepsy, Reflex/psychology , GABA Agents/pharmacology , Hyperacusis/drug therapy , Hyperacusis/metabolism , Hyperacusis/physiopathology , Hyperacusis/psychology , Inferior Colliculi/metabolism , Inferior Colliculi/physiopathology , Neural Inhibition , Rats, Sprague-Dawley , Receptors, GABA-A/metabolism , Tympanic Membrane Perforation/complications , Vigabatrin/pharmacologyABSTRACT
Noise exposure is one of the most common causes of hearing loss. Recent studies found that noise exposure-induced cochlear damage may change the excitability and tonotopic organization of the central auditory system (CAS). This plasticity was suspected to be related to tinnitus and hyperacusis. However, how cochlear damage affects CAS function and causes these neurologic diseases is still not clear. CAS function is activity dependent, so we hypothesize that a restricted cochlear lesion might disrupt the balance of excitation and inhibition in the CAS and thereby affect its neural activity. To test this hypothesis, we studied the effects of narrow-band noise exposure on the firing properties of neurons in the inferior colliculus (IC), which has complex neural circuits and plays an important role in sound processing. We found that noise exposure (20 kHz, 105 dB SPL, 30 min) caused a dramatic decrease of the characteristic frequency in about two-thirds of high-frequency neurons with/without causing a significant threshold shift. The noise exposure also caused an increase in firing rate of the low-frequency neurons at suprathreshold levels, whereas it dramatically decreased the firing rate of the high-frequency neurons. Our results suggest that acute high-frequency noise exposure may increase low-frequency responsiveness by causing hyperexcitability of low-frequency neurons. The functional change of the low-frequency neurons may be related to the disruption of side-band inhibition at the noise exposure frequencies caused by cochlear damage.
Subject(s)
Action Potentials/physiology , Evoked Potentials, Auditory/physiology , Inferior Colliculi/cytology , Neurons/physiology , Noise , Acoustic Stimulation , Acoustics , Animals , Brain Mapping , Mice , Reaction TimeABSTRACT
Recent clinical reports found a high incidence of recurrent otitis media in children suffering hyperacusis, a marked intolerance to an otherwise ordinary environmental sound. However, it is unclear whether the conductive hearing loss caused by otitis media in early age will affect sound tolerance later in life. Thus, we have tested the effects of tympanic membrane (TM) damage at an early age on sound perception development in rats. Two weeks after the TM perforation, more than 80% of the rats showed audiogenic seizure (AGS) when exposed to loud sound (120 dB SPL white noise, < 1 min). The susceptibility of AGS lasted at least sixteen weeks after the TM damage, even the hearing loss recovered. The TM damaged rats also showed significantly enhanced acoustic startle responses compared to the rats without TM damage. These results suggest that early age conductive hearing loss may cause an impaired sound tolerance during development. In addition, the AGS can be suppressed by the treatment of vigabatrin, acute injections (250 mg/kg) or oral intakes (60 mg/kg/day for 7 days), an antiepileptic drug that inhibits the catabolism of GABA. c-Fos staining showed a strong staining in the inferior colliculus (IC) in the TM damaged rats, not in the control rats, after exposed to loud sound, indicating a hyper-excitability in the IC during AGS. These results indicate that early age conductive hearing loss can impair sound tolerance by reducing GABA inhibition in the IC, which may be related to hyperacusis seen in children with otitis media.