Auditory Research publications

Blast-induced hearing loss (BIHL) is a prevalent form of sensory neurotrauma resulting from military and occupational blast exposure. However, effective post-injury interventions remain limited, and progress is hindered by challenges in delivering therapeutics to the injured cochlea. In this study, we developed a reproducible compressed-air blast mouse model with quantified output characteristics and evaluated a localized post-blast TrkB activation strategy using 7,8-dihydroxyflavone (7,8-DHF) delivered to the cochlea via poly(lactide-co-glycolide)-graft-polyethylenimine (PgP) nanoparticles. Device characterization demonstrated a monotonic relationship between regulator-setting pressure (100–250 psi) and acoustic output (72–124 dB). In addition, device modification increased acoustic output while reducing peak pressure relative to the prior configuration, thereby enabling reproducible, pressure-dependent injury. A single unilateral blast exposure produced robust elevations in auditory brainstem response (ABR) thresholds that partially recovered at intermediate regulator settings; however, these thresholds remained elevated over time at higher regulator settings. Since the modified blast paradigm frequently produced tympanic membrane perforation, we leveraged this transient access route to deliver 7,8-DHF-loaded nanoparticles through the ear canal immediately after blast. Compared with vehicle treatment, local 7,8-DHF delivery accelerated functional recovery and yielded significantly improved ABR thresholds, whereas vehicle-treated mice remained persistently impaired at 1 month. Histological analyses revealed preserved inner hair cell density, but significant outer hair cell loss and reduced inner hair cell ribbon synapses in mice exposed to blast. 7,8-DHF-loaded PgP attenuated outer hair cell loss and partially preserved ribbon synapses, with the strongest protection in basal cochlear regions. Together, these findings provide an accessible BIHL platform and support nanoparticle-enabled local TrkB activation as a feasible post-blast strategy that improves both functional and structural endpoints relevant to sensory neurotrauma.

The neural response of the brainstem to brief sounds, known as the auditory brainstem response (ABR), is widely employed in the laboratory and the clinic to diagnose hearing loss. Current ABR approaches are limited to analyzing the average ABR to hundreds of stimulus trials. Historically, trial-by-trial ABR analysis has not been possible owing to each trial's small signal-to-noise ratio. Here we overcome this limitation and show how to score individual ABR trials. We use the distribution of individual-trial ABR scores to define thresholds, which we call auditory brainstem detection (ABD) thresholds, and to assess suprathreshold hearing. Scores based on individual-trial amplitude and similarity produce lower ABD thresholds than scores based on individual-trial amplitude alone. Our method enables us to rank the suprathreshold hearing of individual subjects. Despite having normal ABR thresholds, some subjects appear to have suprathreshold hearing deficits.

Background: Prolonged exposure to moderate and loud noise is known to impair hearing; however, the safety of long-duration exposure to low-level sound, such as that encountered during everyday conversation, remains unclear. This study aimed to determine the effect of continuous exposure to sound at a 65 dB sound pressure level (SPL) on auditory processing. Methods: Auditory brainstem responses (ABRs) were recorded in C57BL/6 mice before and after a 1 h exposure to a continuous pure tone at 65 dB SPL. Changes in ABR thresholds, wave amplitudes, and latencies were analyzed across frequencies and time points. Correlations between amplitude and latency changes across ABR waves were also assessed. Results: Tone exposure induced a significant, frequency-specific increase in ABR thresholds, with a mean elevation of approximately 6 dB and a maximum shift of 15 dB. Significant reductions in amplitudes and prolongations of latencies were observed in Waves I–III, while Wave V amplitude remained relatively stable. A strong negative correlation between amplitude reduction and latency increase was found in Wave I, which progressively weakened from Wave II to Wave V. These functional changes persisted for up to three hours following exposure before gradually returning to baseline. Conclusions: Prolonged exposure to low-level sound at intensities typical of conversational speech can transiently impair auditory function and alter early neural processing in the auditory pathway. These findings suggest that sound levels commonly considered safe may still pose a risk when exposure is sustained, with implications for understanding hidden hearing loss and improving early diagnostic approaches.

Through learning and memory, the cortex dynamically forms sensory associations to guide our behavior in an ever-changing environment. How memory-related brain regions, such as the medial-temporal lobe, influence sensory cortex to support this process remains unclear. Here, we used two-photon calcium imaging of axonal projections from the perirhinal (PRh) cortex to the auditory cortex during learning and generalization of an auditory discrimination task. PRh input in the auditory cortex increased during learning and influenced performance in a categorization task. Chemogenetically silencing PRh input selectively disrupted the activity of auditory cortex layer 2/3 pyramidal neurons, and PRh photoactivation drove behavior toward overgeneralization. These findings highlight PRh input as a key modulatory pathway that shapes cortical dynamics underlying auditory learning and memory-guided sensory perception.

Noise-induced hearing loss (NIHL) is classically attributed to glutamate excitotoxicity, yet the precise requirement for synaptic glutamate release remains untested using genetic approaches. Here, we investigated noise-induced cochlear damage using Vglut3 knockout ( Vglut3 -KO) mice, which lack glutamatergic transmission from inner hair cells. Following 116 dB SPL noise exposure, wild-type mice exhibited permanent threshold shifts, persistent ABR wave I amplitude reduction, and significant ribbon synapse loss at the 32 kHz region. Unexpectedly, Vglut3 -KO mice also exhibited significant synapse loss despite their inability to release glutamate, revealing glutamate-independent mechanisms of synaptopathy. Proteomic analysis identified 62 differentially expressed proteins in noise-exposed cochleae, with significant enrichment in synaptic structures and extracellular matrix components, including up-regulation of Rps6ka1 , Cplx2 , and Cdk5 , and downregulation of Ppa2 . Importantly, noise exposure severely compromised AAV8- Vglut3 gene therapy efficacy in Vglut3 -KO mice: while unexposed mutants achieved complete functional recovery, noise-exposed animals failed to attain normal hearing thresholds. These findings demonstrate that high-intensity noise induces synaptopathy through both excitotoxic and non-excitotoxic mechanisms involving synaptic and ECM disruption, and that acoustic trauma creates persistent pathological changes limiting gene therapy outcomes, underscoring the need for comprehensive otoprotective strategies in hereditary deafness patients awaiting treatment.

Per- and polyfluoroalkyl substances (PFAS) are persistent environmental pollutants linked to adverse health effects. Recent epidemiological data suggest an association between PFAS exposure and hearing loss, but underlying mechanisms remain unclear. This study examined PFAS-induced auditory dysfunction in mice exposed to a mixture of five PFAS compounds (2 mg/L each) in drinking water for seven weeks. Ldlr-/- mice were used due to their susceptibility to metabolic dysfunction, a risk factor for hearing loss. Auditory brainstem responses (ABR) indicated that PFAS exposure significantly elevated hearing thresholds by 18-33 dB across multiple frequencies. Distortion product otoacoustic emissions (DPOAEs) revealed impaired outer hair cell (OHC) function, and immunohistochemical analysis indicated a 20% OHC loss in the basal turn of the cochlea. In addition, PFAS exposure reduced ABR wave-1 amplitudes, and caused a 50% reduction in spiral ganglion cell density, indicating impaired auditory nerve function. Overall, this study provides the first evidence for PFAS-induced high-frequency hearing loss in mice. The findings further indicated that cochlear OHCs and spiral ganglion neurons are potential targets in PFAS-induced hearing loss. Together, these data suggest that PFAS exposure elicits a multifaceted ototoxic response, affecting both sensory and neural elements of the cochlea.

Hereditary hearing loss, the most prevalent genetic sensory disorder, lacks approved pharmacological therapies and represents a compelling target for gene correction. Pathogenic variants in KCNQ4 account for ~9.5% of autosomal dominant nonsyndromic cases. Prior gene-editing strategies disrupting mutant alleles have failed to achieve durable auditory rescue. Here we employed a knock-in mouse model harboring the human KCNQ4 c.961 G > A (p.G321S) mutation to evaluate precise base editing. Dual-AAV delivery of the adenine base editor ABE8e achieved 21.4–28.9% correction in the organ of Corti—the highest efficiency reported for genetic hearing loss. A dose-dependent therapeutic window emerged: higher doses promoted rapid recovery, whereas optimized lower doses minimized long-term toxicity and sustained functional benefit for at least 32 weeks. Treatment reduced auditory brainstem response thresholds by up to 49.09 dB SPL at optimal frequencies, mitigated degeneration of hair cells, spiral ganglion neurons, and auditory nerve fibers, and partially restored outer hair cell electrophysiology. These findings demonstrate the durability of precise mutation correction over allele-disruptive approaches and support clinical translation for KCNQ4 -associated hearing loss.

Echolocating bats emit acoustic pulses that get reflected off objects. The spatial information carried by the echoes enables bats to avoid obstacles in darkness. Usually, every pulse is followed by a cascade of echoes arising from multiple objects. By using echolocation sequences where single pulses are followed by echo cascades, we recently demonstrated that cortical neurons predominantly responded to the leading echo. Responses to lagging echoes from a cascade were suppressed, suggesting that spatial information from the most immediate object is processed at the cortex level. In that study, the leading echo was typically the most intense, leaving it unclear whether the echo selectivity was due to echo order or echo level. Here, we recorded from the auditory cortex of anaesthetized Carollia perspicillata, while stimulating the bats with echolocation sequences that contained echo cascades either with echo levels that were equally intense or where the leading echo was less intense than the lagging ones. Our results demonstrate that the echo level has only minor effects on neural processing and that the echo selectivity is mostly caused by the echo order. These results go in line with the neural time window of sensation hypothesis, proposed by Roverud and Grinnell. Whenever the bat hears a pulse, a neural time window opens, and any subsequent high-frequency signal within the spectral range of that pulse is by default classified as an echo, thereby closing the sensation window. This mechanism renders large parts of the cortex less responsive to distant objects, regardless of the echo intensity they produced.

Tumor necrosis factor-alpha (TNF-α), a pleiotropic cytokine, modulates neuronal functions under both physiological and pathological conditions. In the auditory system, it is required for refinement of the cortical frequency map during early development. In adulthood, TNF-α upregulation following noise trauma contributes to synaptic imbalance and central auditory processing deficits. The effects of TNF-α deficiency on adult auditory cortical circuits and function have not been examined. Here, we report that compared with wild-type (WT) control mice (an equal number of males and females per group), adult TNF-α knock-out (KO) mice had reduced PV neuron density and PV expression levels. Pyramidal neurons in the auditory cortex of TNF-α KO mice had larger miniature excitatory postsynaptic current (mEPSC) amplitude and lower miniature inhibitory postsynaptic current (mIPSC) frequency, suggesting a shift in synaptic E/I balance. Cortical multiunit recordings showed increased spontaneous and evoked activity and broadened tuning bandwidth consistent with the increased synaptic E/I ratio. Importantly, unlike WT mice, TNF-α KO mice exhibited persistent critical period-like plasticity into adulthood. Following exposure to a single-frequency tone, the representation of the tone was enlarged in adult TNF-α KO mice, but not in WT mice. Together with existing literature, our results suggest that TNF-α has a bell-shaped influence on adult auditory cortical circuits, with both elevated and deficient TNF-α expression leading to PV neuron dysfunction, increased synaptic E/I ratio, and enhanced cortical frequency map plasticity.

Pitch perception is fundamental to speech and music, yet the neural representation of pitch in auditory cortex remains poorly understood. We hypothesized that mice rely on temporal cues for pitch perception because of their wide auditory filters and high-frequency hearing. To investigate, we developed a mouse auditory filter bank model that estimates the temporal pitch salience of complex tones. We then trained mice to discriminate low vs. high fundamental frequencies (F0s) in complex tones and found that modeled temporal pitch salience was highly correlated with behavioral discrimination sensitivity. Widefield calcium imaging showed that the organization of periodotopy in auditory cortex predicts how well mice recognize temporal pitch cues. Mice trained on an F0 discrimination task had larger periodotopic maps with greater vector strengths than naïve mice, demonstrating experience-dependent expansion and refinement of temporal pitch maps in auditory cortex. Our findings establish mice as a robust model for studying the neural basis of temporal pitch perception.

Many perceptual skills improve with a few days of training. However, weeks or months of practice may be required to reach a level of expertise on complex tasks (Watson, 1980). Here, we explored how gerbils attain expertise on a difficult task: amplitude modulation (AM) rate discrimination at very shallow AM depths, similar to the depths used during vocal communication. Using an appetitive Go-Nogo procedure, we first trained 6 gerbils to perform an AM discrimination task (Nogo: 4 Hz; Go: 4.25-10 Hz) at a depth of 0 dB (re: 100% depth). Animals were then trained to perform AM discrimination at successively shallower depths, from -3 to -18 dB, requiring an average of 5-10 days of practice to reach a performance metric of d’≥1 for each depth. Finally, we determined that AM discrimination thresholds were nearly identical between 0 to -12 dB, and only slightly elevated at -15 dB. Improvements in performance were accompanied by a large reduction in response time during procedural learning, and a gradual reduction of response time during perceptual learning, even as AM depth became shallower (i.e., more difficult). The shallowest depth at which gerbils displayed peak performance on the AM discrimination task is similar to their lowest AM depth detection thresholds. These results suggest performance on challenging auditory perceptual tasks require prolonged practice, and is accompanied by increased automaticity (i.e., lower response time) that stabilizes once expertise is achieved.

Understanding speech in noisy environments is difficult for many people, and current hearing aids often fail because they amplify all sounds rather than the talker of interest. Auditory attention decoding (AAD) offers a potential solution by using the listener's brain signals to identify and enhance the attended speaker, but it has been unclear whether this can provide real-time perceptual benefits. Here we used high-resolution intracranial electroencephalography in patients undergoing neurosurgical procedures to implement a closed-loop system that achieves the decoding fidelity necessary to dynamically amplify the attended talker. Across multiple experiments, the system improved speech intelligibility, reduced listening effort and was consistently preferred by subjects. It also tracked both instructed and self-initiated attention shifts. By providing direct evidence that a real-time, brain-controlled hearing system can enhance perception, this work establishes a key performance benchmark for future auditory brain-computer interfaces and advances AAD from a theoretical concept to a validated solution for personalized assistive hearing.

Objective Traumatic brain injury (TBI) significantly reduces the quality of life for millions of survivors worldwide, causing persistent brain tissue damage and cognitive impairments, with no established therapeutic interventions currently available. Slow‐wave activity, a hallmark of deep sleep, has been implicated in recovery after TBI, but pharmacological approaches to enhance it lack specificity and scalability, complicating efforts to identify slow‐wave activity as a direct mechanistic contributor and severely limiting clinical translation. Methods To overcome these limitations, we developed a preclinical closed‐loop auditory stimulation (CLAS) paradigm that targets sleep's slow waves, enabling highly specific and temporally precise enhancement of slow‐wave activity. Therefore, we delivered 30‐ms sound triggers targeting the up‐phase of real‐time detected slow‐waves (upCLAS: TBI n = 8), or no sound stimulation (mockCLAS: non‐TBI n = 8, TBI n = 7) during sleep to healthy controls (non‐TBI) or brain injured (TBI) rats. Concomitantly, we assessed the ability of upCLAS‐enhanced sleep to counteract brain tissue damage (primary outcome) and symptomatic sequelae (secondary outcome) of TBI. Results Bayesian analysis revealed that sound‐mediated slow‐wave activity enhancement: (1) reduces diffuse axonal injury, with TBI mockCLAS posterior estimates falling outside the 95% confidence intervals of both other groups, whereas the posterior distributions of TBI upCLAS and non‐TBI groups largely overlapped (~13% posterior differences >0), consistent with a negligible effect size between groups; (2) decreases demyelination, with approximately 97% posterior differences >0 between TBI mockCLAS and TBI upCLAS groups, compared to approximately 60% between non‐TBI and TBI upCLAS groups; and (3) preserves cognitive ability, with recognition indexes in the novel object recognition test significantly above chance level in non‐TBI (* p = 0.031) and TBI upCLAS (* p = 0.026) groups, in contrast to mockCLAS‐treated TBI rats ( p = 0.156), presenting pronounced cognitive deficit. Furthermore, microglial response to brain injury was increased by deep sleep enhancement, with reduced ionized calcium‐binding adaptor molecule 1+ area coverage in TBI upCLAS rats (* p = 0.0445) compared to non‐TBI ones. Interpretation These results unambiguously demonstrate slow‐wave activity enhancement confers robust disease modification following TBI while overcoming major limitations of other preclinical approaches. Our findings constitute proof‐of‐concept that boosted sleep intensity mitigates histopathological and cognitive sequelae of brain trauma, suggesting that a clinically relevant, nonobtrusive, sleep‐based therapy may represent a novel therapeutic intervention for TBI survivors. ANN NEUROL 2026;100:242–254

Hearing is the largest modifiable mid-life risk factor for Alzheimer's disease (AD), yet its link to dementia remains unclear. We identified a neurophysiological biomarker of AD risk using the non-invasive, rapidly acquired, and clinically translatable auditory brainstem response (ABR) in normal hearing knock-in rats (Swedish familial AD risk variant to Amyloid precursor protein, AppS; male and female). Human ABRs have been proposed as a biomarker for AD and related dementias. The novel metric reported here is derived from multidimensional parametric feature extraction on the distribution statistics of repeated single-trial ABR traces. We report accurate prediction of genetic risk for AD risk in young and aged rats: AppS separate clearly from healthy humanized (AppH) in sex- and age-dependent manners. Notably, auditory learning during young adulthood shifted the AppS ABR signature towards a healthy AppH-like state that maintained over time into older age. Altogether the findings support the utility of the ABR to track disease state, progression, and effects of intervention, and point to a central neural generator of auditory dysfunction related to AD risk. ABRs could provide a very early biomarker for detection of AD risk and used to test the synergy of auditory and cognitive functions in human dementia.

Aging and noise over-exposure lead to complex mixtures of cochlear degradation that impair the structure and function of outer hair cells, inner hair cells (IHCs), and the cochlear nerve. However, IHC damage and cochlear synaptopathy (CS) remain pathologies “hidden” from the audiogram. This study aimed to identify and differentiate the physiological signatures of these two distinct pathologies using promising non-invasive assays: Envelope Following Responses (EFRs), Auditory Brainstem Response (ABRs), Wideband middle-ear reflexes (WB-MEMRs), and Distortion Product Otoacoustic Emissions (DPOAEs). We utilized chinchilla models of carboplatin-induced (CA) IHC damage (N = 4) and temporary threshold shift (TTS) noise-induced CS (N = 4) to compare the physiological signatures of each pathology. While both groups showed unchanged ABR thresholds two weeks after exposure, EFRs, ABR Wave V/I ratios, and MEMRs showed distinct effects of exposure. Despite non-elevated ABR-derived audiometric thresholds after exposure, both CA and TTS exposure resulted in severe in EFR “peakiness”, particularly for sharp, short-duty-cycle stimuli and significant elevations in ABR Wave V/I ratios. However, these findings were less-pronounced in the TTS-exposed animals. WB-MEMR amplitudes were decreased with elevated thresholds in both groups; this effect was more pronounced in the TTS group. Opposite trends in DPOAE amplitudes indicated that while both IHC damage and CS result in similar suprathreshold temporal coding deficits, effects on outer-hair-cell integrity and auditory efferent physiology may differ between the two pathologies. Future work and novel diagnostics should aim to distinguish these specific cochlear pathologies in clinical populations, or at the very least consider their overlap. Highlights A multi-metric diagnostic approach was used with chinchilla models of inner-hair-cell (IHC) damage and cochlear synaptopathy (CS). IHC damage and synaptopathy both cause suprathreshold deficits “hidden” from the audiogram. IHC damage results in more severe temporal envelope coding degradation than does synaptopathy. A combination of EFR “peakiness”, ABR Wave V/I ratio, and Wideband Middle Ear Muscle Reflex (WB-MEMR) appear to be useful measures for profiling IHC damage and CS.

Sound is essential for threat detection. In many animals, salient sounds trigger defensive behaviors, suggesting an innate negative valence. Here, we examined how salient noise is represented in dopaminergic circuits encoding valence and saliency. In the nucleus accumbens (NAc), dopamine decreased during noise presentation in all subjects, with a subset additionally showing a transient increase at noise onset. Dopaminergic fibers from the ventral tegmental area showed corresponding patterns in the NAc. In the tail of the striatum (TS), dopamine increased in response to noise, also suggesting negative valence coding. For ramped and damped noises, dopamine dynamics are related to the temporal profile of sound intensity. Neural activity increased in both NAc and TS during noise. Together, these findings suggest that dopaminergic signaling in the NAc and TS represents noise intensity with negative valence, while NAc dopamine also reflects perceived saliency and may contribute to defensive behaviors evoked by auditory stimuli.

Low-frequency interaural time differences (ITDs) are the primary human horizontal-plane localization cue. Across-frequency binaural interference tasks, which assess changes in ITD sensitivity in the presence of a remote interferer, reveal how listeners weigh binaural information across frequency regions. Low-frequency (0.5-kHz) targets experience less interference from high-frequency (4-kHz) interferers compared to the reverse, but the role of relative signal level across frequencies remains relatively underexplored. This study measured ITD discrimination thresholds in ten young normal-hearing listeners using target and interferer frequencies of 0.5, 4, and 8 kHz and levels of 35, 55, and 75 dB-A. Binaural interference magnitude depended on both stimulus level and frequency. For a 4-kHz target and 0.5-kHz interferer, interference significantly increased with increasing interferer and decreasing target levels. For a 0.5-kHz target and 4-kHz interferer, interference significantly increased with increasing interferer level when the target level was 35 dB-A, but was unchanged when the target level was 55 or 75 dB-A. The resistance to binaural interference for the low-frequency target at higher target levels confirms the robustness of low-frequency ITD processing and highlights the level-dependent vulnerability of high-frequency targets to interference. This helps advance understanding of spatial hearing for complex stimuli in more realistic auditory scenes.

Stimulus-specific adaptation is a key feature of sensory systems, where the repeated presentation of a stimulus results in diminishing neuronal responses specifically to that stimulus, but not to a different stimulus. Cortical neurons display varying degrees of stimulus-specific adaptation, with cortical circuits shaping the dynamics of these responses. Here, we use calcium imaging and optogenetic approaches to assess the contributions of SOM and PV neurons to stimulus-specific adaptation in the mouse auditory cortex. We find opposing and complementary effects of SOM and PV neurons on the adaptation of principal neurons which manifest as context-dependent SOM neuron-mediated enhancement and PV-neuron mediated suppression of responses that depend on the temporal repetition rate of the sounds. Our results suggest that SOM and PV neurons can engage in multiple operating regimes that exist in a continuum during sensory processing.

Background: Firefighters search for survivors in low-visibility environments and have documented expertise in spatial orientation and wayfinding. No studies so far have investigated their ability to make use of auditory spatial cues. Methods: The performance of 41 professional firefighters and 24 control subjects to localise sounds played in a dark environment at 9 azimuthal positions was assessed using (i) meaningless single sounds and (ii) meaningful sounds presented with two simultaneous distractors. Localisation errors were analysed with a 3-way ANOVA Task × Position × Group. Results: The analysis yielded significant main effects of Task, Position and Group. The localisation errors tended to be smaller when localising meaningless single sounds (main effect Task), for items presented at central as compared to peripheral positions (main effect Position), and by firefighters rather than controls (main effect Group). The interactions Position × Group and Task × Position were significant; firefighters performed more accurately at peripheral positions than controls, and meaningless single sounds yielded fewer localisation errors at the periphery than meaningful sounds presented with distractors. Conclusions: Professional firefighters perform better than controls at explicit localisation of sounds, including in conditions where sound objects need to be segregated from distractors by spatial cues. These results suggest that firefighters have acquired expertise in the explicit and implicit use of auditory spatial cues. The proficiency of firefighters needs to be taken into consideration when planning and carrying out interventions.