Evidence map›Paper›PMID 31887361›Full record

ArticleNeuroscience2020

Noise-induced Cochlear Synaptopathy with and Without Sensory Cell Loss.

Katharine A Fernandez, Dan Guo, Steven Micucci, Victor De Gruttola, M Charles Liberman, Sharon G Kujawa

Abstract read
In one paragraph

Article in Neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

96 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Phenotypic changes of auditory nerve fibers after excitotoxicity.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article

36 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

6 authors.

Katharine A FernandezEaton-Peabody Laboratories, Massachusetts Eye & Ear, Boston, MA 02114, USA; Department of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA 02115, USA.
Dan GuoEaton-Peabody Laboratories, Massachusetts Eye & Ear, Boston, MA 02114, USA; Department of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA 02115, USA.
Steven MicucciEaton-Peabody Laboratories, Massachusetts Eye & Ear, Boston, MA 02114, USA.
Victor De GruttolaDepartment of Biostatistics, Harvard School of Public Health, Boston, MA 02115, USA.
M Charles LibermanEaton-Peabody Laboratories, Massachusetts Eye & Ear, Boston, MA 02114, USA; Department of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA 02115, USA.
Sharon G KujawaEaton-Peabody Laboratories, Massachusetts Eye & Ear, Boston, MA 02114, USA; Department of Otolaryngology-Head & Neck Surgery, Harvard Medical School, Boston, MA 02115, USA. Electronic address: Sharon_Kujawa@meei.harvard.edu.

Funding

Synaptopathy, Neural Pathophysiology and Suprathreshold Processing in Gerbils with Normal or Elevated ThresholdsP50DC015857 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Sharon G Kujawa · 2017 to 2026
$28.1M
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
NIDCD NIH HHS P50 DC015857NIDCD NIH HHS R01 DC000188
6 · The paper itself

Abstract

Prior work has provided extensive documentation of threshold sensitivity and sensory hair cell losses after noise exposure. It is now clear, however, that cochlear synaptic loss precedes such losses, at least at low-moderate noise doses, silencing affected neurons. To address questions of whether, and how, cochlear synaptopathy and underlying mechanisms change as noise dose is varied, we assessed cochlear physiologic and histologic consequences of a range of exposures varied in duration from 15 min to 8 h and in level from 85 to 112 dB SPL. Exposures delivered to adult CBA/CaJ mice produced acute elevations in hair cell- and neural-based response thresholds ranging from trivial (∼5 dB) to large (∼50 dB), followed by varying degrees of recovery. Males appeared more noise vulnerable for some conditions of exposure. There was little to no inner hair cell (IHC) loss, but outer hair cell (OHC) loss could be substantial at highest frequencies for highest noise doses. Synapse loss was an early manifestation of noise injury and did not scale directly with either temporary or permanent threshold shift. With increasing noise dose, synapse loss grew to ∼50%, then declined for exposures yielding permanent hair cell injury/loss. All synaptopathic, but no non-synaptopathic exposures produced persistent neural response amplitude declines; those additionally yielding permanent OHC injury/loss also produced persistent reductions in OHC-based responses and exaggerated neural amplitude declines. Findings show that widespread cochlear synaptopathy can be present with and without noise-induced sensory cell loss and that differing patterns of cellular injury influence synaptopathic outcomes.

Indexed as

CochleaHair Cells, Auditory, OuterSynapsesAnimalsAuditory ThresholdFemaleHair Cells, Auditory, InnerHearing Loss, Noise-InducedMaleMiceMice, Inbred CBANoiseSex Factorscochlear deafferentationcochlear synaptopathyhair cellnoise-induced hearing losssensorineural hearing loss

Identifiers

PMID31887361
PMCPMC7450393

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Registered trials

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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.