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In vivo AAV9-Myo7a gene rescue restores hearing and cholinergic efferent innervation in inner hair cells
Andrew P. O’Connor, Ana E. Amariutei, Alice Zanella, Sarah A. Hool, Adam J. Carlton, Fanbo Kong, Mauricio Saenz-Roldan, Jing-Yi Jeng, Marie-José Lecomte, Stuart L. Johnson, Saaid Safieddine, Walter Marcotti
Andrew P. O’Connor, Ana E. Amariutei, Alice Zanella, Sarah A. Hool, Adam J. Carlton, Fanbo Kong, Mauricio Saenz-Roldan, Jing-Yi Jeng, Marie-José Lecomte, Stuart L. Johnson, Saaid Safieddine, Walter Marcotti
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Research Article Aging Neuroscience

In vivo AAV9-Myo7a gene rescue restores hearing and cholinergic efferent innervation in inner hair cells

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Abstract

In the mammalian cochlea, sensory hair cells are crucial for the transduction of acoustic stimuli into electrical signals, which are then relayed to the central auditory pathway via spiral ganglion neuron (SGN) afferent dendrites. The SGN output is directly modulated by inhibitory cholinergic axodendritic synapses from the efferent fibers originating in the superior olivary complex. When the adult cochlea is subjected to noxious stimuli or aging, the efferent system undergoes major rewiring, such that it reestablishes direct axosomatic contacts with the inner hair cells (IHCs), which occur only transiently during prehearing stages of development. The trigger, origin, and degree of efferent plasticity in the cochlea remains largely unknown. Using functional and morphological approaches, we demonstrate that efferent plasticity in the adult cochlea occurs as a direct consequence of mechanoelectrical transducer current dysfunction. We also show that, different from prehearing stages of development, the lateral olivocochlear — but not the medial olivocochlear — efferent fibers are those that form the axosomatic synapses with the IHCs. The study also demonstrates that in vivo restoration of IHC function using AAV-Myo7a rescue reestablishes the synaptic profile of adult IHCs and improves hearing, highlighting the potential of using gene-replacement therapy for progressive hearing loss.

Authors

Andrew P. O’Connor, Ana E. Amariutei, Alice Zanella, Sarah A. Hool, Adam J. Carlton, Fanbo Kong, Mauricio Saenz-Roldan, Jing-Yi Jeng, Marie-José Lecomte, Stuart L. Johnson, Saaid Safieddine, Walter Marcotti

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Figure 5

Conditional KO of Myo7a only in the IHCs is sufficient to induce the efferent reinnervation.

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Conditional KO of Myo7a only in the IHCs is sufficient to induce the eff...
(A) Average ABR thresholds for click stimuli recorded from Myo7afl/fl (black) and Myo7afl/fl Otof-cre+/– (red) mice at P19, P23, and P36–P40. Two-tailed t test was used. (B) ABR thresholds for frequency-specific pure tone burst stimuli from 3 to 30 kHz recorded from both genotypes at P19 (left), P23 (middle), and P36–P40 (right). Significance was found using 2-way ANOVA. Number of mice tested for each genotype is shown next to the data. The dashed lines indicate the upper threshold limit for these recordings (95 dB). (C and D) Maximum intensity projections of confocal Z stack images taken from the 9–12 kHz apical region of the cochlea in Myo7afl/fl (C) and Myo7afl/fl Otof-cre+/– mice (D) at P23 (top panels) and P39 (bottom panels). IHCs were labeled with antibodies against SK2 (green), BK (magenta), and the IHC marker MYO7A (cyan). BK channels are expressed in mature IHCs. Arrows point to SK2 puncta; arrowhead indicates BK puncta. Scale bars: 10 μm. (E) Percentage of IHCs that expressed MYO7A (left) and SK2 (right) puncta in 150 μm of the apical cochlea region at P19 or P37–P39 in Myo7afl/fl (black) and Myo7afl/fl Otof-cre+/– mice (red). *P < 0.0001. NS indicates P = 0.0645 (Tukey’s post hoc test, 1-way ANOVA). The number of mice used for each genotype is shown above the data. (F and G) Voltage-clamp recordings obtained from IHCs in Myo7afl/fl (F) and Myo7afl/fl Otof-cre+/– (G) mice at P42 during the extracellular application of 40 mM KCl. IPSCs were only evoked in Myo7afl/fl Otof-cre+/– IHCs. Recordings were made from 3 Myo7afl/fl and 4 Myo7afl/fl Otof-cre+/– mice. Data are shown as mean ± SD.

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