Abstract
Current clinical interest lies in the relationship between hearing loss and cognitive impairment. Previous work demonstrated that noise exposure, a common cause of sensorineural hearing loss (SNHL), leads to cognitive impairments in mice. However, in noise-induced models, it is difficult to distinguish the effects of noise trauma from subsequent SNHL on central processes. Here, we use cochlear hair cell ablation to isolate the effects of SNHL. Cochlear hair cells were conditionally and selectively ablated in mature, transgenic mice where the human diphtheria toxin (DT) receptor was expressed behind the hair-cell specific Pou4f3 promoter. Due to higher Pou4f3 expression in cochlear hair cells than vestibular hair cells, administration of a low dose of DT caused profound SNHL without vestibular dysfunction and had no effect on wild-type (WT) littermates. Spatial learning/memory was assayed using an automated radial 8-arm maze (RAM), where mice were trained to find food rewards over a 14-day period. The number of working memory errors (WME) and reference memory errors (RME) per training day were recorded. All animals were injected with DT during P30–60 and underwent the RAM assay during P90–120. SNHL animals committed more WME and RME than WT animals, demonstrating that isolated SNHL affected cognitive function. Duration of SNHL (60 versus 90 days post DT injection) had no effect on RAM performance. However, younger age of acquired SNHL (DT on P30 versus P60) was associated with fewer WME. This describes the previously undocumented effect of isolated SNHL on cognitive processes that do not directly rely on auditory sensory input.
Highlights
Current clinical interest lies in the relationship between hearing loss and cognitive impairment
This data indicates that sudden hearing loss is accompanied by spatial learning and memory impairment, demonstrating that hearing loss is causally linked to cognitive impairment
Hearing was assessed by auditory brainstem response (ABR) thresholds (Fig. 1c), which were determined for pure tones (5.7–32 kHz)
Summary
Current clinical interest lies in the relationship between hearing loss and cognitive impairment. Younger age of acquired SNHL (DT on P30 versus P60) was associated with fewer WME This describes the previously undocumented effect of isolated SNHL on cognitive processes that do not directly rely on auditory sensory input. This association is commonly seen in the elderly, who experience a wide clinical spectrum of hearing and cognitive impairments While this association is likely modulated in part by common aging processes that affect both hearing and c ognition[3,4], current clinical interest lies in whether peripheral hearing loss can induce or accelerate cognitive decline. Progressive hearing loss is correlated with widespread changes in neurotransmitter expression that potentiate spatial memory impairments[1,10,11] These associations suggest there exists a causal mechanism underlying hearing-related cognitive decline. This data indicates that sudden hearing loss is accompanied by spatial learning and memory impairment, demonstrating that hearing loss is causally linked to cognitive impairment
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