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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 6

Abolishing IHC exocytosis does not trigger efferent reinnervation.

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Abolishing IHC exocytosis does not trigger efferent reinnervation.
(A) A...
(A) Average peak Ca2+ current-voltage (ICa-Vm) curves from control Otoffl/fl (black) and Otoffl/fl Myo15-cre+/– (red) mice between P24 and P32. Recordings were obtained in response to 50 ms voltage steps from –81 mV in 10 mV increments. (B) ICa-Vm curves from control Otoffl/fl and Otoffl/flVglut3-cre+/– mice between P48 and P65. Recording conditions are as in A. (C and D) Exocytosis was recorded from both Otoffl/fl Myo15-cre+/– (C) and Otoffl/flVglut3-cre+/– (D) mice and their respective controls (Otoffl/fl) mice from the same age-range stated in A and B, respectively. ΔCm was elicited by applying 50 ms voltage steps to –11 mV (holding potential: –81 mV) between 2 ms and 0.6 seconds (interstep interval: at least 11 seconds) using 1.3 mM extracellular Ca2+ and at 35°C–37°C. Data are shown as mean ± SD. Significance was found using 2-way ANOVA. Number of IHCs is shown next to the data. Number of mice: Otoffl/fl and Otoffl/fl Myo15-cre+/– (n = 5 [A], 4 [C]); Otoffl/fl (n = 3 [B], 2 [D]) and Otoffl/flVglut3-cre+/– (n = 3 [B], 3 [D]). (E and F) Maximum intensity projections of confocal Z stacks of IHCs taken from the apical cochlea region of Otoffl/fl and Otoffl/fl Myo15-cre+/– (E) and Otoffl/flVglut3-cre+/– (F) mice at P50. IHCs were labeled with antibodies against the efferent presynaptic terminal marker ChAT (magenta), the postsynaptic efferent marker SK2 (green), and otoferlin (cyan). Right images show a side view of an IHC from the left images. SK2 puncta were absent in the IHCs of both strains. Three mice were used for each genotype and age group. Scale bars: 10 μm. (G) Voltage-clamp recordings obtained from IHCs held at –84 mV in P66 Otoffl/fl and Otoffl/flVglut3-cre+/– mice during the extracellular application of 40 mM KCl. Different from Myo7afl/fl Myo15-cre+/– mice (Figure 3), IHCs responded to KCl with slow inward sustained currents (Otoffl/fl: 343 ± 126 pA, 3 IHCs from 2 mice; Otoffl/flVglut3-cre+/–: 355 ± 98 pA, 5 IHCs from 4 mice; P = 0.8745, 2-tailed t test) without the superimposed IPSCs in both genotypes.

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