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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 8

Injection of AAV9-Myo7a rescues the normal efferent wiring of the adult IHCs in Myo7afl/fl Myo15-cre+/– mice.

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Injection of AAV9-Myo7a rescues the normal efferent wiring of the adult ...
(A–C) Maximum intensity projections of confocal Z stack images taken from the 9–12 kHz cochlear region in noninjected control Myo7afl/fl (A), Myo7afl/fl Myo15-cre+/– (B), and Myo7afl/fl Myo15-cre+/– mice injected with AAV9-Myo7a (C) at P49–P54. AAV-Myo7a was injected between P13 and P15. Cochleae were labeled with antibodies against BK (magenta) and the IHC markers MYO7A (cyan) or MYO6 (gray). BK was almost complete absence in Myo7afl/fl Myo15-cre+/– mice (B). Right images show a single IHC from the left panels rotated on the y,z plane, providing a lateral view of the IHC and allowing visualization of the juxtaposed MYO7A/MYO6 and the BK puncta. (D) Percentage of IHCs expressing the BK channels over 150 μm range. Statistical comparisons (post hoc test, 1-way ANOVA): Myo7afl/fl vs. Myo7afl/fl Myo15-cre+/–, P < 0.0001; Myo7afl/fl vs. Myo7afl/fl Myo15-cre+/–AAV9-Myo7a, P = 0.0068; Myo7afl/fl Myo15-cre+/– vs. Myo7afl/fl Myo15-cre+/–AAV9-Myo7a, P = 0.0016. Number of mice for A–C is shown in D. (E) Example of outward K+ current responses from IHCs of P37 Myo7afl/fl, P37 Myo7afl/fl Myo15-cre+/– and P36 Myo7afl/fl Myo15-cre+/– mice injected with AAV9-Myo7a. Currents were elicited by using 10 mV depolarizing voltage steps from –84 mV to the various test potentials shown by some of the traces. BK current IK,f is indicated with an arrow. (F) Size of the isolated IK,f measured at –25 mV and at 1 ms from the onset in the 3 experimental conditions shown in E. The number of IHCs is shown above the data. Number of mice from left to right: 15, 16, 3. (G–I) Images obtained as described in A–C for the same 3 mouse lines (P49–P54) and using antibodies against SK2 (magenta) and the IHC marker MYO7A (cyan) and otoferlin (gray). (J) Percentage of IHCs expressing the SK2 channels and number of SK2 puncta over 150 μm of the apical cochlear region. Number of mice used in G–I is shown in J. (K) Examples of inward membrane currents recorded from IHCs of P36 Myo7afl/fl Myo15-cre+/– mice injected with AAV9-Myo7a. Recording protocol is as described in Figure 3. Note that 1 IHC (left) only shows the inward current, while in the others (right) 40 mM K+ also elicited a few IPSCs. (L) Average frequency of the IPSCs recorded from IHCs of 17 Myo7afl/fl, 17 Myo7afl/fl Myo15-cre+/– and 3 Myo7afl/fl Myo15-cre+/– mice injected with AAV9-Myo7a. One-way ANOVA was used. Data are shown as mean ± SD.

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