Evidence map›Paper›PMID 25769437›Full record

ArticleHearing research2015

Synaptopathy in the noise-exposed and aging cochlea: Primary neural degeneration in acquired sensorineural hearing loss.

Sharon G Kujawa, M Charles Liberman

Registry-linked trialAbstract read
In one paragraph

Article in Hearing research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06729632 (Non-Invasive System to Deliver Therapeutic Hypothermia for Protection Against Noise-Induced Hearing Loss), which is not on this map. Cited by 413 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
413citing papers in PubMed, 2 pooled it
30.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06729632 narecruitingnot on this mapstarted 2024, after this paper: background citation

Non-Invasive System to Deliver Therapeutic Hypothermia for Protection Against Noise-Induced Hearing Loss

TypeinterventionalSponsorRestorear Devices LLCRan2024 to 2027Enrolled116ConditionsNoise Exposure, Noise-induced Hearing Loss, Noise, Adverse EffectArmsCold pack-delivered mild therapeutic hypothermia
3 · Its place in the literature

Who cites it

413 citing papers in PubMed, 2 syntheses or guidelines pooled it, 759 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of behavioral audiological tests in identifying cochlear synaptopathy: a systematic review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Pooled it
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353 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Sharon G KujawaDepartment of Otology and Laryngology, Harvard Medical School, Boston, MA, USA; Eaton-Peabody Laboratory, Massachusetts Eye & Ear Infirmary, Boston, MA, USA; Department of Audiology, Massachusetts Eye and Ear, Boston, MA, USA.
M Charles LibermanDepartment of Otology and Laryngology, Harvard Medical School, Boston, MA, USA; Eaton-Peabody Laboratory, Massachusetts Eye & Ear Infirmary, Boston, MA, USA. Electronic address: Charles_Liberman@meei.harvard.edu.
Harvard University · US

Funding

SINGLE-NEURON MARKING IN THE STUDY OF ABNORMAL COCHLEASR01DC000188 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Gabriel Corfas, M. Charles Liberman · 1989 to 2026
$15.1M
Imaging Core PlanP30DC005209 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI LIBERMAN, M. CHARLES · 2002 to 2016
$12.0M
Basic and Clinical Studies of Noise-Induced and Age-Related Hearing LossR01DC008577 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI KUJAWA, SHARON G · 2008 to 2012
$2.1M
NIDCD NIH HHS P30 DC005209NIDCD NIH HHS P30 DC 05209NIDCD NIH HHS R01 DC000188NIDCD NIH HHS R01 DC008577NIDCD NIH HHS R01 DC0188NIDCD NIH HHS R01 DC08577
6 · The paper itself

Abstract

The classic view of sensorineural hearing loss (SNHL) is that the "primary" targets are hair cells, and that cochlear-nerve loss is "secondary" to hair cell degeneration. Our recent work in mouse and guinea pig has challenged that view. In noise-induced hearing loss, exposures causing only reversible threshold shifts (and no hair cell loss) nevertheless cause permanent loss of >50% of cochlear-nerve/hair-cell synapses. Similarly, in age-related hearing loss, degeneration of cochlear synapses precedes both hair cell loss and threshold elevation. This primary neural degeneration has remained hidden for three reasons: 1) the spiral ganglion cells, the cochlear neural elements commonly assessed in studies of SNHL, survive for years despite loss of synaptic connection with hair cells, 2) the synaptic terminals of cochlear nerve fibers are unmyelinated and difficult to see in the light microscope, and 3) the degeneration is selective for cochlear-nerve fibers with high thresholds. Although not required for threshold detection in quiet (e.g. threshold audiometry or auditory brainstem response threshold), these high-threshold fibers are critical for hearing in noisy environments. Our research suggests that 1) primary neural degeneration is an important contributor to the perceptual handicap in SNHL, and 2) in cases where the hair cells survive, neurotrophin therapies can elicit neurite outgrowth from spiral ganglion neurons and re-establishment of their peripheral synapses. This article is part of a Special Issue entitled <Auditory Synaptology>.

Indexed as

HearingNerve DegenerationSynaptic TransmissionAcoustic StimulationAnimalsAuditory PathwaysAuditory PerceptionAuditory ThresholdCochleaCochlear NerveDisease Models, AnimalEvoked Potentials, Auditory, Brain StemGuinea PigsHair Cells, AuditoryHearing Loss, Noise-InducedHearing Loss, Sensorineural

Identifiers

PMID25769437
PMCPMC4567542
OpenAlexW2113747279

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.