Evidence map›Paper›PMID 33125982›Full record

ArticleHearing research2020

Is cochlear synapse loss an origin of low-frequency hearing loss associated with endolymphatic hydrops?

Carla V Valenzuela, Choongheon Lee, Abby Mispagel, Atri Bhattacharyya, Shannon M Lefler, Shelby Payne, Shawn S Goodman, Amanda J Ortmann, Craig A Buchman, Mark A Rutherford and 1 more

Open access · greenAbstract read
In one paragraph

Article in Hearing research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Evaluation of neural transmission in implanted patients with Meniere's disease.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026
    Article
  2. Article
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  4. The Origin Along the Cochlea of Otoacoustic Emissions Evoked by Mid-Frequency Tone Pips.Journal of the Association for Research in Otolaryngology : JARO · 2024
    Article
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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

11 authors at 3 institutions in 1 country.

Carla V ValenzuelaDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA.
Choongheon LeeDepartment of Otolaryngology, University of Rochester, Rochester, NY, USA.
Abby MispagelProgram in Audiology and Communication Sciences, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Atri BhattacharyyaWashington University in St. Louis, St. Louis, MO, USA.
Shannon M LeflerDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA.
Shelby PayneDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA.
Shawn S GoodmanCommunication Sciences and Disorders, University of Iowa, Iowa City, IA, USA.
Amanda J OrtmannDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA; Department of Otolaryngology, University of Rochester, Rochester, NY, USA.
Craig A BuchmanDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA.
Mark A RutherfordDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA.
Jeffery T LichtenhanDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine in St. Louis, 660 South Euclid Avenue, Saint Louis, MO 63110, USA; Program in Audiology and Communication Sciences, Washington University School of Medicine in St. Louis, St. Louis, MO, USA. Electronic address: jlichtenhan@wustl.edu.
Washington University in St. Louis · USUniversity of Iowa · USUniversity of Rochester · US

Funding

EXCITATION AND EXCITOTOXICITY IN TYPE I COCHLEAR AFFERENTS: SYNAPTIC STRUCTURE AND FUNCTIONR01DC014712 · NIDCD · WASHINGTON UNIVERSITY · PI Mark Allen Rutherford · 2016 to 2026
$5.6M
DEVELOPMENT OF CLINICIAN/RESEARCHERS IN ACADEMIC ENTT32DC000022 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 1989 to 2022
$5.6M
ORIGINS OF PHYSIOLOGICAL MEASUREMENTS FROM THE EARR01DC014997 · NIDCD · WASHINGTON UNIVERSITY · PI LICHTENHAN, JEFFERY · 2016 to 2020
$1.6M
NIDCD NIH HHS R01 DC014712NIDCD NIH HHS R01 DC014997NIDCD NIH HHS T32 DC000022
6 · The paper itself

Abstract

There is a strong association between endolymphatic hydrops and low-frequency hearing loss, but the origin of the hearing loss remains unknown. A reduction in the number of cochlear afferent synapses between inner hair cells and auditory nerve fibres may be the origin of the low-frequency hearing loss, but this hypothesis has not been directly tested in humans or animals. In humans, measurements of hearing loss and postmortem temporal-bone based measurements of endolymphatic hydrops are generally separated by large amounts of time. In animals, there has not been a good objective, physiologic, and minimally invasive measurement of low-frequency hearing. We overcame this obstacle with the combined use of a reliable surgical approach to ablate the endolymphatic sac in guinea pigs and create endolymphatic hydrops, the Auditory Nerve Overlapped Waveform to measure low-frequency hearing loss (≤ 1 kHz), and immunohistofluorescence-based confocal microscopy to count cochlear synapses. Results showed low- and mid-(1-4 kHz) frequency hearing loss at all postoperative days, 1, 4, and 30. There was no statistically significant loss of cochlear synapses, and there was no correlation between synapse loss and hearing function. We conclude that cochlear afferent synaptic loss is not the origin of the low-frequency hearing loss in the early days following endolymphatic sac ablation. Understanding what is, and is not, the origin of a hearing loss can help guide preventative and therapeutic development.

Indexed as

Endolymphatic HydropsHearing LossAnimalsCochleaCochlear NerveDeafnessGuinea PigsSynapsesAuditory Nerve Overlapped WaveformEndolymphatic hydropsLow-frequency hearing lossMénière's diseaseRibbon synapse

Identifiers

PMID33125982
PMCPMC9058942
OpenAlexW3094247806

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.