Abstract

The vestibular system is vital for proper balance perception, and its dysfunction contributes significantly to fall-related injuries, especially in the elderly. Vestibular ganglion neurons innervate vestibular hair cells at the periphery and vestibular nuclei and the uvula and nodule of the cerebellum centrally. During aging, these vestibular ganglion neurons degenerate, impairing vestibular function. A complete understanding of the molecular mechanisms involved in neurosensory cell survival in the vestibular system is unknown. Brain-derived neurotrophic factor (BDNF) is specifically required for the survival of vestibular ganglion neurons, as its loss leads to early neuronal death. Bdnf null mice die within 3 weeks of birth, preventing the study of the long-term effects on target cells. We use Pax2-cre to conditionally knock out Bdnf, allowing mice survival to approximately 6 months of age. We show that a long-term loss of Bdnf leads to a significant reduction in the number of vestibular ganglion neurons and a reduction in the number of vestibular hair cells. There was no significant decrease in the central targets lateral vestibular nucleus (LVN) or the cerebellum at 6 months. This suggests that the connectivity between central target cells and other neurons suffices to prevent their loss despite vestibular hair cell and ganglion neuron loss. Whether the central neurons would undergo eventual degeneration in the absence of Bdnf remains to be determined.

Highlights

  • The vestibular system is paramount in the perception of balance, and its dysfunction is a significant contributor to fall-related injuries, especially amongst the elderly [1,2,3,4]

  • Using antibodies against Myo7a to label hair cells and neurofilament to label neurons, we investigated the changes in the vestibular periphery of 6-month-old brain-derived neurotrophic factor (Bdnf) CKO mice compared with controls

  • Unlike control mice in which there is an abundance of innervation to vestibular hair cells in all sensory epithelia, in the Bdnf CKO mice, there is a decreased number of peripheral vestibular fibers and terminals to the hair cells within the utricle and saccule (Figures 1A,A3,B,B3) and little to no innervation to the semicircular canal cristae (Figures 1A,A4,B,B4; Supplementary Figures 1A,B2)

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Summary

Introduction

The vestibular system is paramount in the perception of balance, and its dysfunction is a significant contributor to fall-related injuries, especially amongst the elderly [1,2,3,4]. Behavioral assessment of vestibular function confirms an age-dependent decline [5,6,7]. Age-related vestibular defects correlate well with the loss of vestibular hair cells [8] as well as loss of vestibular ganglion neurons [9]. The peripheral vestibular system is housed in the dorsal portion of the inner ear. It comprises five sensory epithelia in mammals: the utricle and saccule for linear acceleration perception and the anterior, horizontal, and posterior semicircular canal cristae for angular acceleration perception.

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