Abstract

Animal models show that cochlear afferent nerve endings are more vulnerable than sensory hair cells to age-related damage. Because such cochlear deafferentation is not apparent in standard audiometry, the extent to which it contributes to deficits in human hearing is debated, and the intervening neural processes are poorly characterized. This presentation will describe our efforts to address these gaps through co-ordinated experiments in at-risk humans and a chinchilla model. Our results suggest that cochlear deafferentation is widespread in middle age despite clinically normal audiometric sensitivity. Furthermore, the resulting reduction in peripheral input appears to trigger compensatory central “gain” at the cortical level, likely through altered local balance of excitation and inhibition. Consistent with the important role of inhibition in parsing temporal regularities across different frequency components of sound, central gain is also associated with reduced ability to perceptually segregate acoustic scenes with multiple sources into individual perceptual streams. Taken together, our results suggest that age-related cochlear deafferentation may affect hearing not only by reducing the fidelity of input encoding but also by interfering with the central auditory system’s ability to extract targets in noisy environments.

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