PMID- 32116980 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221202 IS - 1664-2295 (Print) IS - 1664-2295 (Electronic) IS - 1664-2295 (Linking) VI - 10 DP - 2019 TI - Intracochlear Perfusion of Tumor Necrosis Factor-Alpha Induces Sensorineural Hearing Loss and Synaptic Degeneration in Guinea Pigs. PG - 1353 LID - 10.3389/fneur.2019.01353 [doi] LID - 1353 AB - Tumor necrosis factor-alpha (TNF-alpha) is a proinflammatory cytokine that plays a prominent role in the nervous system, mediating a range of physiologic and pathologic functions. In the auditory system, elevated levels of TNF-alpha have been implicated in several types of sensorineural hearing loss, including sensorineural hearing loss induced by vestibular schwannoma, a potentially fatal intracranial tumor that originates from the eighth cranial nerve; however, the mechanisms underlying the tumor's deleterious effects on hearing are not well-understood. Here, we investigated the effect of acute elevations of TNF-alpha in the inner ear on cochlear function and morphology by perfusing the cochlea with TNF-alpha in vivo in guinea pigs. TNF-alpha perfusion did not significantly change thresholds for compound action potential (CAP) responses, which reflect cochlear nerve activity, or distortion product otoacoustic emissions, which reflect outer hair cell integrity. However, intracochlear TNF-alpha perfusion reduced CAP amplitudes and increased the number of inner hair cell synapses without paired post-synaptic terminals, suggesting a pattern of synaptic degeneration that resembles that observed in primary cochlear neuropathy. Additionally, etanercept, a TNF-alpha blocker, protected against TNF-alpha-induced synaptopathy when administered systemically prior to intracochlear TNF-alpha perfusion. Findings motivate further investigation into the harmful effects of chronically elevated intracochlear levels of TNF-alpha, and the potential for etanercept to counter these effects. CI - Copyright (c) 2020 Katsumi, Sahin, Lewis, Iyer, Landegger and Stankovic. FAU - Katsumi, Sachiyo AU - Katsumi S AD - Eaton Peabody Laboratories, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, United States. AD - Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, United States. FAU - Sahin, Mehmet I AU - Sahin MI AD - Eaton Peabody Laboratories, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, United States. AD - Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, United States. FAU - Lewis, Rebecca M AU - Lewis RM AD - Eaton Peabody Laboratories, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, United States. AD - Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, United States. FAU - Iyer, Janani S AU - Iyer JS AD - Eaton Peabody Laboratories, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, United States. AD - Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, United States. AD - Program in Speech and Hearing Bioscience and Technology, Harvard Medical School, Boston, MA, United States. FAU - Landegger, Lukas D AU - Landegger LD AD - Eaton Peabody Laboratories, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, United States. AD - Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, United States. FAU - Stankovic, Konstantina M AU - Stankovic KM AD - Eaton Peabody Laboratories, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, United States. AD - Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, United States. AD - Program in Speech and Hearing Bioscience and Technology, Harvard Medical School, Boston, MA, United States. AD - Harvard Program in Therapeutic Science, Harvard Medical School, Boston, MA, United States. LA - eng GR - R01 DC015824/DC/NIDCD NIH HHS/United States PT - Journal Article DEP - 20200210 PL - Switzerland TA - Front Neurol JT - Frontiers in neurology JID - 101546899 PMC - PMC7025643 OTO - NOTNLM OT - cochlear synaptopathy OT - sensorineural hearing loss OT - tumor necrosis factor-alpha OT - unpaired (orphaned) ribbons OT - vestibular schwannoma EDAT- 2020/03/03 06:00 MHDA- 2020/03/03 06:01 PMCR- 2020/02/10 CRDT- 2020/03/03 06:00 PHST- 2019/08/09 00:00 [received] PHST- 2019/12/09 00:00 [accepted] PHST- 2020/03/03 06:00 [entrez] PHST- 2020/03/03 06:00 [pubmed] PHST- 2020/03/03 06:01 [medline] PHST- 2020/02/10 00:00 [pmc-release] AID - 10.3389/fneur.2019.01353 [doi] PST - epublish SO - Front Neurol. 2020 Feb 10;10:1353. doi: 10.3389/fneur.2019.01353. eCollection 2019.