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Noise Masking in Cochlear Synaptopathy: Auditory Brainstem Response vs. Auditory Nerve Response in Mouse
Kirupa Suthakar1,2, M Charles Liberman1,2
1Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA, United States.
Journal of Neurophysiology
|May 18, 2022
Summary
Acoustic overexposure damages auditory nerve fiber synapses, impairing hearing in noise. A new masking assay reveals enhanced dynamic range, suggesting potential for diagnosing this synaptic damage.
Area of Science:
- Neuroscience
- Auditory Neuroscience
- Ototoxicity Research
Background:
- Acoustic overexposure causes permanent auditory-nerve fiber (ANF) synapse retraction (synaptopathy).
- Synaptopathy degrades complex sound discrimination, especially in noise, but is difficult to diagnose due to minimal audiometric threshold changes until severe loss.
- Auditory brainstem responses (ABRs) are crucial for assessing auditory pathway function.
Purpose of the Study:
- To investigate an assay based on masking auditory brainstem responses (ABRs) to diagnose synaptopathy.
- To explore the underlying auditory-nerve fiber (ANF) responses at the single-fiber level in synaptopathic ears.
Main Methods:
- Synaptopathy was induced via octave-band noise overexposure, causing ~50% permanent synaptic loss.
- Auditory brainstem responses (ABRs) were measured using a probe tone masked by continuous noise at varied levels.
- Single-fiber recordings of ANF responses were analyzed.
Main Results:
- The normal delay of ABR peaks with increasing masker level was diminished in synaptopathic ears.
- This latency shift is attributed to a change in the dominant cochlear region, not fiber type shift.
- The dynamic range of masking in ABRs was surprisingly enhanced in synaptopathic ears.
- Single-fiber data showed paradoxical enhancement of onset-response synchrony and masking resistance in affected ANFs.
Conclusions:
- The enhanced dynamic range of masking in ABRs mirrors single-fiber findings and could serve as a diagnostic biomarker for synaptopathy.
- This assay offers a potential method for diagnosing synaptic damage in human populations, even with preserved audiometric thresholds.

