Abstract

The innervation of the inner ear critically depends on the two neurotrophins Ntf3 and Bdnf. In contrast to this molecularly well-established dependency, evidence regarding the need of innervation for long-term maintenance of inner ear hair cells is inconclusive, due to experimental variability. Mutant mice that lack both neurotrophins could shed light on the long-term consequences of innervation loss on hair cells without introducing experimental variability, but do not survive after birth. Mutant mice with conditional deletion of both neurotrophins lose almost all innervation by postnatal day 10 and show an initially normal development of hair cells by this stage. No innervation remains after 3 weeks and complete loss of all innervation results in near complete loss of outer and many inner hair cells of the organ of Corti within 4 months. Mutants that retain one allele of either neurotrophin have only partial loss of innervation of the organ of Corti and show a longer viability of cochlear hair cells with more profound loss of inner hair cells. By 10 months, hair cells disappear with a base to apex progression, proportional to the residual density of innervation and similar to carboplatin ototoxicity. Similar to reports of hair cell loss after aminoglycoside treatment, blobbing of stereocilia of apparently dying hair cells protrude into the cochlear duct. Denervation of vestibular sensory epithelia for several months also resulted in variable results, ranging from unusual hair cells resembling the aberrations found in the organ of Corti, to near normal hair cells in the canal cristae. Fusion and/or resorption of stereocilia and loss of hair cells follows a pattern reminiscent of Myo6 and Cdc42 null mice. Our data support a role of innervation for long-term maintenance but with a remarkable local variation that needs to be taken into account when attempting regeneration of the organ of Corti.

Highlights

  • It is estimated that over 900 million people worldwide will have at least a 25 dB reduction in hearing sensitivity by 2025 [http://hearinghealthmatters.org/hearinginternational/2011/incidence-ofhearing-loss-around-the-world/]

  • Sensorineural hearing loss is a common type of age-related hearing loss (AHL) and mainly results from loss of cochlear hair cells (HCs) and/or spiral ganglion neurons (SGNs)

  • Complete absence of any innervation in these conditional null mutants for both neurotrophins (Pax2-cre; Bdnf f /f ; Ntf3f /f ) seemed to occur around postnatal day 21 (P21) as neither tracing nor immunstaining for tubulin or neurofilament showed any fiber to the ear in these and older mice (Figure 2)

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Summary

Introduction

It is estimated that over 900 million people worldwide will have at least a 25 dB reduction in hearing sensitivity by 2025 [http://hearinghealthmatters.org/hearinginternational/2011/incidence-ofhearing-loss-around-the-world/]. Even mild hearing loss (26–40 dB HL) may deprive people from their accustomed way of communication (Yamasoba et al, 2013), promote cognitive decline (Lin et al, 2013), and possibly increase the risk for developing dementia, including Alzheimer’s disease (Lin and Albert, 2014). The hallmarks of aging were reviewed and cell communication was found to be a major aspect that defines which cell will survive and which will die (López-Otín et al, 2013), possibly underlying the diversity of cellular reactions that has been stressed in recent papers studying hair cell loss after ototoxic treatments (Taylor et al, 2012). We evaluate the historically controversial influence of innervation on hair cell viability in the ear using newly developed models of targeted deletion of neurotrophins

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