PMID- 23392612 OWN - NLM STAT- MEDLINE DCOM- 20130906 LR - 20211021 IS - 1438-7573 (Electronic) IS - 1525-3961 (Print) IS - 1438-7573 (Linking) VI - 14 IP - 2 DP - 2013 Apr TI - Effects of brain-derived neurotrophic factor (BDNF) and electrical stimulation on survival and function of cochlear spiral ganglion neurons in deafened, developing cats. PG - 187-211 LID - 10.1007/s10162-013-0372-5 [doi] AB - Both neurotrophic support and neural activity are required for normal postnatal development and survival of cochlear spiral ganglion (SG) neurons. Previous studies in neonatally deafened cats demonstrated that electrical stimulation (ES) from a cochlear implant can promote improved SG survival but does not completely prevent progressive neural degeneration. Neurotrophic agents combined with an implant may further improve neural survival. Short-term studies in rodents have shown that brain-derived neurotrophic factor (BDNF) promotes SG survival after deafness and may be additive to trophic effects of stimulation. Our recent study in neonatally deafened cats provided the first evidence of BDNF neurotrophic effects in the developing auditory system over a prolonged duration Leake et al. (J Comp Neurol 519:1526-1545, 2011). Ten weeks of intracochlear BDNF infusion starting at 4 weeks of age elicited significant improvement in SG survival and larger soma size compared to contralateral. In the present study, the same deafening and BDNF infusion procedures were combined with several months of ES from an implant. After combined BDNF + ES, a highly significant increase in SG numerical density (>50 % improvement re: contralateral) was observed, which was significantly greater than the neurotrophic effect seen with ES-only over comparable durations. Combined BDNF + ES also resulted in a higher density of myelinated radial nerve fibers within the osseous spiral lamina. However, substantial ectopic and disorganized sprouting of these fibers into the scala tympani also occurred, which may be deleterious to implant function. EABR thresholds improved (re: initial thresholds at time of implantation) on the chronically stimulated channels of the implant. Terminal electrophysiological studies recording in the inferior colliculus (IC) revealed that the basic cochleotopic organization was intact in the midbrain in all studied groups. In deafened controls or after ES-only, lower IC thresholds were correlated with more selective activation widths as expected, but no such correlation was seen after BDNF + ES due to much greater variability in both measures. FAU - Leake, Patricia A AU - Leake PA AD - Epstein Hearing Research Laboratory, Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 533 Parnassus Ave., San Francisco, CA 94143-0526, USA. pleake@ohns.ucsf.edu FAU - Stakhovskaya, Olga AU - Stakhovskaya O FAU - Hetherington, Alexander AU - Hetherington A FAU - Rebscher, Stephen J AU - Rebscher SJ FAU - Bonham, Ben AU - Bonham B LA - eng GR - HHS-N-263-2007-00054-C/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20130208 PL - United States TA - J Assoc Res Otolaryngol JT - Journal of the Association for Research in Otolaryngology : JARO JID - 100892857 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Animals MH - Auditory Threshold/drug effects/physiology MH - Brain-Derived Neurotrophic Factor/*pharmacology MH - Cats MH - Cell Survival/drug effects/physiology MH - Cochlea/growth & development/*innervation/physiopathology MH - Cochlear Implants MH - Deafness/*physiopathology/*therapy MH - Disease Models, Animal MH - *Electric Stimulation Therapy MH - Electrophysiological Phenomena/drug effects/physiology MH - Neovascularization, Physiologic/drug effects/physiology MH - Neurons/cytology/drug effects/*physiology MH - Spiral Ganglion/cytology/drug effects/*physiology PMC - PMC3660916 EDAT- 2013/02/09 06:00 MHDA- 2013/09/07 06:00 PMCR- 2014/04/01 CRDT- 2013/02/09 06:00 PHST- 2012/05/10 00:00 [received] PHST- 2013/01/03 00:00 [accepted] PHST- 2013/02/09 06:00 [entrez] PHST- 2013/02/09 06:00 [pubmed] PHST- 2013/09/07 06:00 [medline] PHST- 2014/04/01 00:00 [pmc-release] AID - 372 [pii] AID - 10.1007/s10162-013-0372-5 [doi] PST - ppublish SO - J Assoc Res Otolaryngol. 2013 Apr;14(2):187-211. doi: 10.1007/s10162-013-0372-5. Epub 2013 Feb 8.