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Abnormal cochlear potentials from deaf patients with mutations in the otoferlin gene.
Rosamaria Santarelli1, Ignacio Del Castillo, Montserrat Rodríguez-Ballesteros
1Department of Medical and Surgical Specialities, Service of Audiology and Phoniatrics, University of Padua, Via Giustiniani 2, I-35128, Padua, Italy. rosamaria.santarelli@unipd.it
Mutations in the otoferlin (OTOF) gene cause severe hearing loss by impairing neurotransmitter release from inner hair cells. This study reveals abnormal cochlear potentials in children with OTOF mutations, indicating impaired auditory nerve function.
Area of Science:
- Genetics
- Neuroscience
- Audiology
Background:
- Otoferlin (OTOF) is crucial for neurotransmitter release at the inner hair cell (IHC) synapse.
- OTOF gene mutations lead to severe-to-profound hearing loss, often presenting as auditory neuropathy.
- Understanding the physiological impact of OTOF mutations is vital for diagnosing and treating hearing impairments.
Purpose of the Study:
- To investigate the physiological effects of OTOF mutations on sound-evoked cochlear potentials in children.
- To evaluate neurotransmitter release function in human subjects with OTOF mutations using electrocochleography.
- To compare cochlear potential characteristics between children with OTOF mutations and normally hearing children.
Main Methods:
- Transtympanic electrocochleography was used to record sound-evoked cochlear potentials in four children with OTOF mutations.
- Cochlear potentials were analyzed for amplitude, polarity, and duration in response to click stimuli.
- Recordings from affected children were compared to those from 16 normally hearing children.
Main Results:
- Cochlear microphonic (CM) amplitudes were generally normal, suggesting intact mechano-electrical transduction.
- Post-CM cochlear potentials showed reduced amplitude and prolonged duration, with negative polarity.
- Auditory nerve compound action potentials were absent or low amplitude, while summating potentials were mostly normal.
- These findings suggest impaired neurotransmitter release from IHCs, affecting auditory nerve activation.
Conclusions:
- Mechano-electrical transduction and cochlear amplification appear normal in individuals with OTOF mutations.
- Abnormal, low-amplitude, prolonged negative cochlear potentials indicate impaired neurotransmitter release from IHCs.
- This dysfunction leads to abnormal dendritic activation and impaired auditory nerve firing, explaining the profound hearing loss.
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