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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Audiol. Otol.</journal-id>
<journal-title>Frontiers in Audiology and Otology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Audiol. Otol.</abbrev-journal-title>
<issn pub-type="epub">2813-6055</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fauot.2025.1617134</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Audiology and Otology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title><italic>In vivo</italic> evidence of outer hair cell length changes and their role in high-frequency cochlear mechanics</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Puria</surname> <given-names>Sunil</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
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</contrib>
<contrib contrib-type="author">
<name><surname>Cho</surname> <given-names>Nam Hyun</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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</contrib>
<contrib contrib-type="author">
<name><surname>Guinan</surname> <given-names>John J.</given-names> <suffix>Jr.</suffix></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Eaton Peabody Laboratories, Massachusetts Eye and Ear</institution>, <addr-line>Boston, MA</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Otolaryngology-HNS, Harvard Medical School</institution>, <addr-line>Boston, MA</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Speech and Hearing and Bioscience and Technology Graduate Program at Harvard University</institution>, <addr-line>Cambridge, MA</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Bernd Fritzsch, University of Nebraska Medical Center, United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Wei Dong, Loma Linda University, United States</p>
<p>Jonathan F. Ashmore, University College London, United Kingdom</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Sunil Puria <email>sunil_puria&#x00040;meei.harvard.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>09</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>3</volume>
<elocation-id>1617134</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>04</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Puria, Cho and Guinan</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Puria, Cho and Guinan</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>The great sensitivity and frequency selectivity of mammalian hearing originates in cochlear mechanics. Cochlear responses to sound are thought to be amplified by outer hair cells (OHCs) cyclically expanding and contracting lengthwise in response to audio-frequency changes in their transmembrane potential. The mechanism by which OHCs amplify sound in the cochlea remains an enigma. Individual OHCs in micro-chambers have low-pass current-to-displacement characteristics with corner frequencies of a few kHz. <italic>In vivo</italic>, OHC corner frequencies were estimated to be &#x0007E;3 kHz. Since cochlear motion is amplified at many tens of kHz, the low OHC corner frequency appeared to be a problem for high-frequency amplification to be produced by OHC cyclic length changes.</p></sec>
<sec>
<title>Methods</title>
<p>We compared OHC motion to BM motion using high-resolution optical-coherence-tomography (OCT) in the 38&#x02013;46 kHz best-frequency (BF) region of Mongolian gerbils. We measured transverse organ-of-Corti (OoC) motions at the OHC top near the reticular lamina (RL), at the OHC bottom near the OHC-Deiters-cell junction (ODJ), and at the basilar-membrane (BM). From these <italic>in-vivo</italic> measurements we determined the transverse (lengthwise) motions of individual OHCs.</p></sec>
<sec>
<title>Results</title>
<p>At moderate tone levels and at frequencies up to 40&#x02013;50 kHz, the motions at the top and bottom of the OHCs were almost exactly out of phase, consistent with motion generated by OHC motility. Furthermore, OHCs length changes were greater than BM motion at frequencies of 40&#x02013;50 kHz.</p></sec>
<sec>
<title>Discussion</title>
<p>Thus, a low OHC current-to-displacement corner frequency should not be viewed as preventing OHCs from adding energy cycle-by-cycle to overcome cochlear damping and provide cochlear amplification. Our results are consistent with cochlear amplification being produced by OHC motility at all frequencies.</p></sec></abstract>
<kwd-group>
<kwd>inner ear</kwd>
<kwd>cochlear mechanics</kwd>
<kwd>outer hair cell (OHC)</kwd>
<kwd>optical-coherence-tomography</kwd>
<kwd>cochlear amplification</kwd>
</kwd-group>
<contract-num rid="cn001">R0-DC07910</contract-num>
<contract-sponsor id="cn001">National Institute on Deafness and Other Communication Disorders<named-content content-type="fundref-id">https://doi.org/10.13039/100000055</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="37"/>
<page-count count="10"/>
<word-count count="7704"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Auditory Science</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>It is well-established that cochlear outer-hair cells (OHC) have piezo-electric like electromotile properties (<xref ref-type="bibr" rid="B3">Brownell et al., 1985</xref>; <xref ref-type="bibr" rid="B23">Mountain and Hubbard, 1994</xref>; <xref ref-type="bibr" rid="B14">Gale and Ashmore, 1994</xref>). Electrical stimulation of OHCs can produce forces and motion up to 80 kHz (<xref ref-type="bibr" rid="B13">Frank et al., 1999</xref>), which is consistent with the hypothesis that OHC electromotility pumps power cycle-by-cycle into the cochlea thereby amplifying responses over the wide frequency range of mammalian hearing (<xref ref-type="bibr" rid="B28">Robles and Ruggero, 2001</xref>; <xref ref-type="bibr" rid="B17">Guinan et al., 2012</xref>; <xref ref-type="bibr" rid="B36">Wang et al., 2016</xref>). However, experiments on isolated OHCs in micro-chamber environments directly measured OHC electro-motility and found that the conversion of OHC stereocilia current to OHC transmembrane voltage had ms-long time constants (<xref ref-type="bibr" rid="B29">Santos-Sacchi, 1989</xref>; <xref ref-type="bibr" rid="B18">Housley and Ashmore, 1992</xref>). These long time constants were attributed to the OHC basolateral membrane having a low-pass RC-filter corner frequency (RC: resistance times capacitance) which seemed too low to allow OHCs to add eneregy cycle-by-cycle at high frequencies; this was called the OHC time-constant &#x0201C;problem&#x0201D; (<xref ref-type="bibr" rid="B29">Santos-Sacchi, 1989</xref>). In more recent experiments done with experimental refinements, voltage-controlled, OHC sound-frequency motion was found up to &#x0007E;20 kHz (<xref ref-type="bibr" rid="B30">Santos-Sacchi, 1992</xref>; <xref ref-type="bibr" rid="B32">Santos-Sacchi and Tan, 2018</xref>, <xref ref-type="bibr" rid="B33">2019</xref>; <xref ref-type="bibr" rid="B31">Santos-Sacchi et al., 2023</xref>), but this is still much lower than the frequencies at which there is cochlear amplification, i.e., 40&#x02013;50 kHz in gerbils (<xref ref-type="bibr" rid="B5">Cho and Puria, 2022</xref>).</p>
<p>OHCs must have appropriate loading for efficient energy transfer at high frequencies (<xref ref-type="bibr" rid="B19">Iwasa, 2017</xref>; <xref ref-type="bibr" rid="B25">Rabbitt, 2020</xref>). Micro-chamber measurements lack the load of <italic>in vivo</italic> OHCs. OHC-load coupling can change the effective OHC corner frequency (<xref ref-type="bibr" rid="B23">Mountain and Hubbard, 1994</xref>; <xref ref-type="bibr" rid="B19">Iwasa, 2017</xref>). However, <italic>in vivo</italic> measurements at 13&#x02013;25 kHz best frequency (BF) locations, of distortion products in gerbils indicated a low-pass OHC corner frequency of &#x0007E;3 kHz (<xref ref-type="bibr" rid="B35">Vavakou et al., 2019</xref>; <xref ref-type="bibr" rid="B34">van der Heijden and Vavakou, 2021</xref>). This <italic>in vivo</italic> 3 kHz corner frequency is higher than micro-chamber measurements but still below the tens of kHz at which small mammals can hear. <italic>In-vivo</italic> measurements of locally-generated harmonic distortion in mice at 9 kHz showed out-of-phase OHC top-to-bottom differential motion extending to 20 kHz, with amplitude decreasing above 9 kHz (<xref ref-type="bibr" rid="B10">Dewey et al., 2021</xref>). No direct, <italic>in vivo</italic> measurements of sound-evoked OHC top-to-bottom motion from a location with a BF of several tens of kHz have been made, nor have there been direct comparisons of OHC motion magnitude to BM motion at a high-BF location and at a frequency with cochlear amplification.</p>
<p>As part of our continuing study of organ-of-Corti (OoC) motion in the gerbil base (<xref ref-type="bibr" rid="B6">Cho et al., 2022</xref>; <xref ref-type="bibr" rid="B5">Cho and Puria, 2022</xref>), we measured motions at the 38&#x02013;46 kHz BF region with a viewing angle that is more transverse than previous measurements (e.g., <xref ref-type="bibr" rid="B7">Cooper et al., 2018</xref>). Our approach allowed us to measure transverse motions at both ends of the OHC axial length, i.e., at the apical end, near the reticular lamina (RL), and at the basal end, near the OHC-Deiter-cell (DC) junction (ODJ). Our optical-coherence-tomography (OCT) system allowed measurements, in the same animal, across individual OHCs in each of the three OHC rows with a relatively high axial resolution of &#x0007E;2.23 &#x003BC;m (<xref ref-type="bibr" rid="B5">Cho and Puria, 2022</xref>). We also measured basilar-membrane (BM) motion, so that the OHC top-to-bottom length changes can be compared to BM motion at the same frequency and location. These measurements allowed us to show that OHCs change length in response to tones at frequencies up to 40&#x02013;50 kHz, with length-change amplitudes that were larger than BM motion. A preliminary report of this work is (<xref ref-type="bibr" rid="B5">Cho and Puria 2022</xref>).</p></sec>
<sec id="s2">
<title>2 Materials and methods</title>
<sec>
<title>2.1 Experimental design and statistics</title>
<p>We measured motions at the top and bottom of individual OHCs and calculated the OHC top-to-bottom differential motion: &#x00394;OHC = RL &#x02013; ODJ. In a normal cochlea, OHC electromotility is excited by cyclic BM motion that tilts the OoC and deflects OHC stereocilia, which results in current flow into the OHC, a OHC transmembrane voltage change, and cyclic OHC length changes. Since the BM motion is produced by the traveling wave, the OHC motion, &#x00394;OHC, has the phase delay of the traveling wave, which is several cycles at frequencies near BF. Thus, measuring &#x00394;OHC gives the amplitude of the OHC top-to-bottom motion with the phase of the traveling wave. &#x00394;OHC does not provide a good metric of the OHC top-to-bottom phase <italic>difference</italic>. A better metric for this is &#x003B8;<sub>OHC</sub>, which is the phase difference: RL phase minus ODJ phase.</p>
<p>If OHC motion were primarily produced by following BM transverse motion without a contribution from OHC electromotility (i.e., OHC length was constant), then the motions at the top and bottom of an OHC would be in phase, with both motions approximately proportional to the BM motion. In contrast, if OHC motion is primarily produced by OHC electromotility (i.e., OHC length changes), then the motions at the top and bottom of an OHC would be close to out of phase (i.e., differ by 0.5 period) as internal OHC forces push the RL side up and the ODJ side down. Thus, we examine the &#x003B8;<sub>OHC</sub> phase (RL phase minus ODJ phase) for evidence of OHC electromotility (phase difference about 0.5 period) vs. whether OHC motion primarily came from following BM motion (phase difference 0.0 period).</p>
<p>Although the &#x00394;OHC motion phase is dominated by the traveling-wave phase, its magnitude can still be compared to the magnitude of the BM motion. If the OHC RC filter has rendered OHC motility to be unimportant at frequencies near BF (38&#x02013;45 kHz in our experiments), we would expect that &#x00394;OHC magnitude would be much less than the BM-motion magnitude. To examine this issue, we also calculated &#x00394;OHC/BM, which is (RL-ODJ)/BM.</p>
<p>At frequencies near BF, calculations of (RL-ODJ)/BM were limited by the ODJ motion at low sound levels being low in amplitude and not passing our signal-to-noise ratio (SNR) criterion (downward ODJ motion was sometimes accompanied by upward BM motion, which made the overall ODJ motion small so that it didn&#x00027;t pass the SNR criterion). In the 40&#x02013;50 kHz range (most of which was above the local BF), accurate data were available in different animals at different frequencies within this range because the points with low SNRs occurred at different frequencies in different animals. In addition, the data are not expected to have a normal distribution. Because of these issues, standard statistical tests (e.g., <italic>t</italic>-test) are not applicable.</p>
<p>For the present data set, one kind of statistical test that can be done is a permutation test, also known as the bootstrap, rerandomization test or shuffle test (e.g., <xref ref-type="bibr" rid="B12">Efron and Tibshirani, 1993</xref>). A permutation test at each sound level was done using the <italic>N</italic> points for which (RL-ODJ)/BM could be calculated across multiple animals. At each level we did 1,000,000 trials in which a (RL-ODJ)/BM pseudo-average was obtained by averaging sets of <italic>N</italic> points chosen randomly, with replacement, from the <italic>N</italic> data points. The trial was scored as a &#x0201C;failure&#x0201D; if the (RL-ODJ)/BM pseudo-average value was below the criterion value. The probability that the average was less than the criterion value was the number of failures divided by the number of trials.</p>
<p>Below we state the methods essential for understanding our results. Our methods were described by (<xref ref-type="bibr" rid="B6">Cho et al. 2022</xref>) and (<xref ref-type="bibr" rid="B5">Cho and Puria 2022</xref>) and additional details can be found there.</p></sec>
<sec>
<title>2.2 OCT imaging and vibrometry</title>
<p>OCT measurements were conducted using a commercial system (GAN620C1, Thorlabs, Germany). This system combined two near-infrared superluminescent-diode light sources with center wavelengths of 847.5 and 929.6 nm. The spectral bandwidths of these sources were 63.4 and 95.8 nm, respectively.</p>
<p>Using a 0.055-NA objective (OCT-LK3-BB, Thorlabs, Germany), this system yielded an axial resolution of &#x0007E;2.23 &#x003BC;m (in water) and a lateral resolution of &#x0007E;8 &#x003BC;m. Custom LabVIEW (NI, TX, USA) software (VibOCT version 2.1.4) controlled the OCT data acquisition at a frame rate of 192 kHz and FFT Length of 8,192 corresponding to 42.7 ms acquisition time. The system provided video images of the tissue that guided the anatomical approach (<xref ref-type="fig" rid="F1">Figure 1B</xref>). A single &#x0201C;A-scan&#x0201D; measured reflected light vs. depth (e.g. <xref ref-type="fig" rid="F1">Figure 1A</xref>). &#x0201C;M-scans&#x0201D; for vibrometry were a series of A-scans done multiple times with their phases synchronized to the tone. A Fast Fourier Transforms (FFT) on each A-scan of the M-scan yielded a reflectivity depth profile (e.g., <xref ref-type="fig" rid="F1">Figure 1A</xref>). A second FFT along the time axis of the multiple depth profiles, at one depth of the interferometric data, extracted the vibration displacement and phase at that OoC location. OCT accuracy was evaluated by comparing the OCT-system measurements with measurements from a calibrated laser-Doppler vibrometer (LDV; Polytec OFV501/OFV2600, Irvine, CA) using motion from a piezoelectric vibrator. The OCT and LDV measurements were typically within 1 dB (&#x0007E;2 dB at some frequencies) and had a systematic phase differences that was compensated. In a typical experiment, after the measurements at a particular place were done, the noise floor was assessed by measuring the motion at that place with no sound applied. Noise floors ranged from 100 to 500 pm; more reflective structures had lower noise floors. Measurements were only used if the signal-to-noise ratio (SNR) was 6 dB, or more.</p>
<fig position="float" id="F1">
<label>Figure 1</label>
<caption><p>The relationship of the optical-coherent-tomography (OCT) beam to cochlear anatomy. <bold>(A)</bold> An OCT backscattered-light depth profile from a 1D &#x0201C;A-scan&#x0201D; [at the white dotted line in <bold>(B)</bold>]. The peaks correspond to the round-window membrane (RWM), the basilar-membrane (BM) at the arcuate-pectinate junction, the outer hair cell (OHC) Deiters cell (DC) junction (ODJ), and the reticular lamina (RL). <bold>(B)</bold> A through-the-RWM, <italic>in vivo</italic>, cross-sectional, OCT B-scan image from gerbil G614. Color = reflectivity strength (arbitrary units, key at bottom, white is highest). <bold>(C)</bold> Enlarged view of white box in <bold>(B)</bold> with organ of Corti (OoC) structures outlined. The outlined TM was identified by increasing the image-to-color-map gain (not shown). <bold>(D)</bold> Outlined structures labeled. TBCs, tympanic border cells; BCs, Boettcher cells; OSL, osseous spiral lamina; HCs, Hensen&#x00027;s cells; TCs, tectal cells; TCE, tectal-cell extension; ISCs, inner-sulcus cells; IHC, inner hair cell; TM, tectorial membrane; OT, outer tunnel; SN, Space of Nuel; ToC, tunnel of Corti; ISS, inner spiral sulcus.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fauot-03-1617134-g0001.tif">
<alt-text>Optical coherence tomography (OCT) images of the cochlea are shown in four panels. Panel A displays a reflectivity profile with depth marked in micrometers. Panel B contains a cross-sectional OCT image with color-coded reflectivity, highlighting regions like the scala tympani and scala media. Panel C offers a detailed, zoomed-in OCT image. Panel D presents a schematic diagram identifying various cochlear structures, labeled with abbreviations such as BM, ODJ, and RL. Each panel is marked with a scale bar for reference.</alt-text>
</graphic>
</fig>
<p>Overall, our OCT system provided better spatial resolution than the resolution obtained in previously published OCT OoC measurements (e.g, <xref ref-type="fig" rid="F1">Figure 1C</xref>), primarily because our OCT system had a shorter infrared wavelength and a wider bandwidth. In contrast to some other OoC systems, we obtained a refection peak at the position of the RL (possibly because of our shorter OCT wavelength and/or that our more-transverse viewing angle made the RL reflect light better). Our system was able to resolve the tops and bottoms of each of the three OHC rows (<xref ref-type="bibr" rid="B5">Cho and Puria, 2022</xref>). However, we have the most data for OHC row 3, so we use OHC-row-3 data for comparisons across animals. For the point being made here, only data from one OHC row is necessary. Most OoC images reported in the literature are from postmortem tissue. <xref ref-type="fig" rid="F1">Figure 1D</xref> shows the OoC schematic obtained from the in vivo image shown in <xref ref-type="fig" rid="F1">Figure 1C</xref>.</p></sec>
<sec>
<title>2.3 Animal preparation</title>
<p>We used female Mongolian gerbils (<italic>N</italic> = 19, aged 5&#x02013;11 weeks, weight range 41&#x02013;76 g). Our results are from seven left ears with good cochlear sensitivity as assessed by distortion-product otoacoustic emissions (DPOAEs; these data are shown in <xref ref-type="bibr" rid="B5">Cho and Puria, 2022</xref>, <xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>). Anesthesia was induced by intraperitoneal injection of sodium pentobarbital (70 mg/kg), followed by a subcutaneous injection of acepromazine (1 mg/kg) mixed with atropine (0.06 mg/kg). The depth of anesthesia was evaluated every 30&#x02013;60 min via toe-pinch response and/or an increase in heart rate of &#x0003E;10%. To maintain anesthesia, 1/3 the initial dose of sodium pentobarbital was given every 45&#x02013;60 min. This study was approved by the MEE Institutional Animal Care and Use Committee (IACUC), PHS Approved Animal Welfare Assurance D16-00215 (A3332-01). All methods and procedures were performed in accordance with the approved MEE protocol and written up following the Animal Research: Reporting of the <italic>In Vivo</italic> Experiments (ARRIVE) guidelines.</p>
<p>Anesthetized gerbils were fixed by a headholder and placed on a heating pad that maintained rectal temperature at 38.5 &#x000B1; 1 &#x000B0;C. The left pinna and external ear canal were removed. The tympanic bulla was exposed and opened using a ventral approach. The tympanic membrane, malleus, incus, stapes, and round-window membrane (RWM) were kept intact.</p>
<p>After surgery, the animal was placed on a two-stage goniometer (07-GON-503, Melles Griot, Carlsbad, CA, USA) positioned on top of a three-axis micro-manipulator (OCT-XYR1, Thorlabs, Germany) mounted on a vibration-isolation table. The head was oriented to make measurements through the intact RWM with the viewing angle adjusted to be close to transverse to the BM. This angle provided access to BFs in the 38&#x02013;46 kHz range. The BM motions used in this paper were from the arcuate-pectinate junction, which yielded the largest BM motions.</p>
<p>After <italic>in vivo</italic> measurements, animals were euthanized by intraperitoneal injection of Fatal Plus (&#x0003E;150 mg/kg). Within 5&#x02013;10 min after the injection, the animal stopped breathing and the heart typically stopped. Postmortem measurements were done 5&#x02013;60 min after the animal stopped breathing and had no heartbeat.</p></sec>
<sec>
<title>2.4 Stimulus generation and acoustic measurements</title>
<p>Signal generation and measurement used a National Instruments (NI) PXI-4461 in an NI PXI-1031 chassis with an NI PXI-8196 computer (NI, TX, USA) at a sample rate of 192 kHz with an FFT length of 8,192. OCT vibrometry used a sequence of pure tones (2&#x02013;63 kHz, &#x0007E;0.8-kHz linear frequency steps) generated by custom software (SyncAv, version 0.42). The board output was amplified by a Techron Model 5507 amplifier (AE Techron, IN, USA) that drove a Parts Express 275-010 tweeter in a closed-field acoustic assembly. Ear-canal pressure was measured by a calibrated Knowles FG-23329 microphone coupled to a probe tube that extended to 1&#x02013;2 mm from the tympanic membrane.</p>
<p>At the start of the experiment, we measured the <italic>in situ</italic> ear-canal sound pressure as a function of frequency from a constant stimulus voltage. The measured pressure was then used to set the stimulus voltage to produce a nearly flat sound level across frequency. This equalization voltage was scaled in &#x0007E;10 dB steps (or &#x0007E;5 dB steps above 85 dB SPL) to produce the tone levels used. The nominal sound pressure level in SPL (0 dB SPL = 20 &#x003BC;Pa) associated with each measurement was calculated as the average SPL measured across frequency for a given set of equalization voltages. The equalization voltages were varied to set the nominal SPLs from &#x0007E;30 to &#x0007E;90 dB across experiments, while the actual SPLs typically varied &#x000B1;4 dB due to small differences across time in the position of the acoustic assembly or fluid in the ear canal.</p>
<p>One consequence of making measurements at high frequencies (&#x0003E;30 kHz) is that small differences in the acoustics can make substantial differences in the ear-canal sound pressure, especially near acoustic resonances. Changes across time in sound-pressure for the same stimulus voltage were minimized by measuring the sound-pressure stimulus and OCT vibrations simultaneously, and by expressing vibrometry measurements as <italic>gains</italic> (i.e., OoC-motion displacement/SPL). Measurements at different structures, which were done at separate times, were then compared using their gains. Full complex-number computations were used (e.g., computations were done using real and imaginary parts, not computations using amplitude and phase).</p></sec></sec>
<sec id="s3">
<title>3 Results</title>
<p>Example data at various sound levels are shown in <xref ref-type="fig" rid="F2">Figure 2</xref>. As explained in Section 2, the motion gains (displacement/sound pressure) provide the most accurate metrics across structures, so motion differences were characterized using gains, not displacements or velocities. <xref ref-type="fig" rid="F2">Figure 2</xref> shows that at frequencies near the BF, all three regions had gains with compressive nonlinearities. At low sound levels, the gains were at least 30 dB more than the postmortem gain. In contrast, at frequencies an octave or more below BF, the gains varied little over the levels tested, and the RL and BM gain magnitudes were close to their postmortem values, while the ODJ had gain amplitudes &#x0007E;15 dB above its postmortem value. This pattern was representative of our data (<xref ref-type="bibr" rid="B5">Cho and Puria, 2022</xref>) and can be understood using the transverse-organ-of-Corti (TOoC) Model (<xref ref-type="bibr" rid="B16">Guinan et al., 2025</xref>). All motions showed the classic traveling wave phase accumulation of 2&#x02013;3 cycles at the BF (<xref ref-type="fig" rid="F2">Figure 2</xref>, bottom), as was found in previous reports (<xref ref-type="bibr" rid="B27">Ren et al., 2016</xref>; <xref ref-type="bibr" rid="B11">Dong and Olson, 2013</xref>; <xref ref-type="bibr" rid="B7">Cooper et al., 2018</xref>).</p>
<fig position="float" id="F2">
<label>Figure 2</label>
<caption><p>Example cochlear motion gains from gerbil 637 at various sound levels (thinner lines = lower levels), as functions of tone frequency. Gain = displacement in mm divided by ear-canal sound pressure in Pascals. Columns: <bold>(A, D)</bold> reticular lamina (RL), <bold>(B, E)</bold> outer-hair-cell Deiters-cell junction (ODJ) and <bold>(C, F)</bold>, basilar membrane (BM) at the arcuate-pectinate junction. Top Row: cochlear cross-section diagrams with stars showing the measurement locations. Middle Row: gain magnitudes. Bottom Row: gain phases. Note that the RL, ODJ and BM postmortem phase data overlap when plotted on the same graph. RL and ODJ from second row OHCs. BF, best frequency.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fauot-03-1617134-g0002.tif">
<alt-text>Graphs illustrate organ of Corti motion measurements: Reticular Lamina, OHC-Deiters Junction, and Basilar Membrane. Panels A-C show gain versus frequency; Panels D-F show phase versus frequency. Colors indicate alive (red, green, blue) and postmortem (gray) data across various sound pressure levels, highlighting differences in auditory responses.</alt-text>
</graphic>
</fig>
<sec>
<title>3.1 Outer-hair-cell motion</title>
<p>Our main interest is the OHC motion, both the phase difference between the OHC tops and bottoms and how the magnitude of OHC motion compares to the magnitude of BM motion. The best metric for showing the OHC top-to-bottom phase difference is &#x003B8;<sub>OHC</sub> = PHASE{RL/ear-canal-pressure} minus PHASE{ODJ/ear-canal-pressure}, which cancels out both the ear-canal sound pressure and the traveling-wave phases. Example &#x003B8;<sub>OHC</sub> phases from two animals are shown in <xref ref-type="fig" rid="F3">Figure 3</xref>. The motions at the tops and bottoms of the OHCs were almost opposite in phase from low frequencies up to near BF (at BF the large transverse traveling-wave motion sometimes dominated the ODJ motion), and above BF at frequencies up to near 50 kHz (<xref ref-type="fig" rid="F3">Figure 3</xref>). Note that in the postmortem animals, the OHC top-to-bottom phase differences were near zero (gray lines in <xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<fig position="float" id="F3">
<label>Figure 3</label>
<caption><p>&#x003B8;<sub>OHC</sub> phase, i.e., the phase of the motion at the OHC <italic>top</italic> (the RL) relative to the motion at the OHC <italic>bottom</italic> (the ODJ), at various sound levels (key at top shows nominal sound level in dB SPL, PM = postmortem). Data from OHC row 3 of <bold>(A)</bold> Gerbil 616. <bold>(B)</bold> Gerbil 614.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fauot-03-1617134-g0003.tif">
<alt-text>Two panels labeled A and B display frequency versus phase data for gerbils 616 and 614. Both graphs plot phase in cycles on the y-axis against frequency in kilohertz on the x-axis. Lines represent different input levels in dB SPL with color-coded legend: 60 (red), 70 (green), 80 (blue), 90 (pink), and PM (gray). The label &#x0201C;BF&#x0201D; with a vertical dashed line indicates best frequency (BF) in kHz that varies with the animal. The right axis shows arrows where the phases are opposite (0.5 cycles). The arrows on the right axis indicate when the phase is opposite (0.5 cycles).</alt-text>
</graphic>
</fig>
<p>Although the OHC tops and bottoms moved in opposite directions at low frequencies and above BF in the examples of <xref ref-type="fig" rid="F3">Figure 3</xref>, whether this OHC motion has any effect on amplification depends on its amplitude. OHC motion was compared to BM motion using the ratio of the magnitude of OHC top-to-bottom motion, &#x00394;OHC = RL &#x02013; ODJ, relative to the magnitude of BM motion, i.e., by &#x00394;OHC/BM. Again, by calculating motion ratios, the traveling-wave phases are canceled. <xref ref-type="fig" rid="F4">Figure 4</xref> shows &#x00394;OHC/BM magnitude for the animals of <xref ref-type="fig" rid="F3">Figure 3</xref>. These data show that, at the lowest sound levels measured, the amplitude of OHC motion exceeded BM motion from the lowest frequencies to above 40 kHz. For the PM condition, OHC motion was less than BM motion for all frequencies measured.</p>
<fig position="float" id="F4">
<label>Figure 4</label>
<caption><p>OHC top-to-bottom motion difference relative to BM motion, i.e., (RL-ODJ)/BM, at various sound levels. Data from OHC row 3 of <bold>(A)</bold> Gerbil 616. <bold>(B)</bold> Gerbil 614.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fauot-03-1617134-g0004.tif">
<alt-text>Two panels showing magnitude ratios from corresponding to the measurements shown in Figure 3. The x-axis is frequency in kilohertz, and the y-axis is the ratio of RL-ODJ to BM. Both graphs depict multiple lines representing different input dB SPL (60, 70, 80, and 90) with a reference to BM Amplitude = 1. The graphs include a black line marking BF (best frequency).</alt-text>
</graphic>
</fig>
<p>Plots at 60, 70, and 80 dB SPL nominal sound levels from all of the animals for which we have these data are shown in <xref ref-type="fig" rid="F5">Figures 5</xref>, <xref ref-type="fig" rid="F6">6</xref>. Plots of these data as functions of frequency/BF are given in <xref ref-type="supplementary-material" rid="SM1">Supplementary material</xref>. <xref ref-type="fig" rid="F5">Figure 5</xref> shows the OHC top-to-bottom phase difference and <xref ref-type="fig" rid="F6">Figure 6</xref> shows the relative magnitudes of the OHC differential motions to the BM motions. The OHC top-to-bottom phase data (<xref ref-type="fig" rid="F5">Figure 5</xref>) have a lot of scatter at high frequencies, but for 60 and 70 dB SPL, where cochlear amplification has more effect than at 80 dB SPL, the average data (thick black lines) show near a half-cycle difference up to frequencies of 45&#x02013;50 kHz. <xref ref-type="fig" rid="F6">Figure 6</xref> shows that throughout the frequency range, in many cases extending to &#x0007E;50 kHz, the magnitude of the OHC top-to-bottom differential motion was greater than the magnitude of the BM motion. At the 60 dB SPL nominal level, the OHC differential motion, &#x00394;OHC, was typically more than three times greater than the magnitude of the BM motion, across frequencies (<xref ref-type="fig" rid="F6">Figure 6B</xref>). A permutation test of statistical significance (see Section 2) on all available data within the 40&#x02013;50 kHz range showed average &#x00394;OHC/BM&#x00027;s for 60, 70, and 80 dB SPL nominal levels of 4.89, 3.82, and 3.38 with the probability that the average &#x00394;OHC/BM would fall below 3 of <italic>P</italic> &#x0003C; 0.0001, <italic>P</italic> &#x0003C; 0.0001, and <italic>P</italic> = 0.087, respectively (i.e., highly significant at 60 and 70 dB and not significant at 80 dB). Using a criterion of 3 is arbitrary, but it serves to illustrate that &#x00394;OHC was substantially greater than BM motion.</p>
<fig position="float" id="F5">
<label>Figure 5</label>
<caption><p>&#x0201D; At frequencies up to 45&#x02013;50 kHz, outer-hair-cell (OHC) top and bottom motions were nearly opposite in phase. The OHC top-to-bottom phase ratios from seven gerbils (animal code in inset). The thick black line is the average (on a linear scale) across the available data in 2 kHz overlapping ranges. Data from nominally 80 <bold>(A)</bold>, 70 <bold>(B)</bold> or 60 <bold>(C)</bold> dB SPL tones.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fauot-03-1617134-g0005.tif">
<alt-text>Graph with three panels labeled A, B, and C showing RL/ODJ Phase in cycles against frequency in kilohertz. Panel A is at around 80 dB SPL, Panel B at around 70 dB SPL, and Panel C at around 60 dB SPL. Each panel includes multiple colored lines representing different animals measured with a bold black line for the average. Arrows on the right indicate &#x0201C;Phases Opposite.</alt-text>
</graphic>
</fig>
<fig position="float" id="F6">
<label>Figure 6</label>
<caption><p>At frequencies up to 45&#x02013;50 kHz, outer-hair-cell (OHC) top and bottom motion differences were larger than the BM motion. Magnitude ratios of OHC top-to-bottom differential motion re BM motion (&#x00394;OHC/BM). Data from even gerbils (code in inset at top). The thick gray line is the average (on a log scale) across the available data in 2 kHz overlapping ranges. Data from nominally 80 <bold>(A)</bold>, 70 <bold>(B)</bold> or 60 <bold>(C)</bold> dB SPL tones.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fauot-03-1617134-g0006.tif">
<alt-text>Graphical data with three panels labeled A, B, and C showing the relationship between frequency in kilohertz and RL-ODJ amplitude ratios re BM at different sound pressure levels (SPL): approximately 80 dB in panel A, 70 dB in panel B, and 60 dB in panel C. The panels display multiple colored lines representing different animal measured, with a bold black line indicating the average. Arrows on the right indicate when IBM amplitude equals one. Panel C includes labeled BFs across animals at the bottom. </alt-text>
</graphic>
</fig>
</sec></sec>
<sec id="s4">
<title>4 Discussion</title>
<p>We directly measured, <italic>in vivo</italic>, individual OHC top-to-bottom differential motion in the 38&#x02013;46 kHz region of the gerbil and compared it to BM motion. For moderate-level tones (60 and 70 dB SPL), the differences between the OHC top and bottom motions were close to out-of-phase up to 45&#x02013;50 kHz (<xref ref-type="fig" rid="F3">Figures 3</xref>, <xref ref-type="fig" rid="F5">5</xref>), which is consistent with this motion being due to OHC motility and not simply motion that follows BM transverse motion. This OHC motion extended to frequencies more than a decade above the OHC corner frequency in the gerbil cochlear base (<xref ref-type="bibr" rid="B35">Vavakou et al., 2019</xref>). Even more important, at moderate sound levels the amplitude of the OHC motion was greater than BM motion, most often by a factor of 3 or more at 60 and 70 dB SPL (<xref ref-type="fig" rid="F4">Figures 4</xref>, <xref ref-type="fig" rid="F6">6</xref>). Thus, our data show that in response to sound stimulation, single OHCs cyclically expand and contract at substantial amplitudes up to frequencies of 45&#x02013;50 kHz.</p>
<p>It is interesting to note that at 80 dB SPL, the OHC top-to-bottom phase difference changed from antiphase at low frequencies to near zero at the highest frequencies (<xref ref-type="fig" rid="F5">Figure 5A</xref>). One interpretation of these data is that at high levels near BF, BM motion dominates the OHC differential motion so that the OHC top-to-bottom motion difference is no longer important. This effect can also be seen in the &#x00394;OHC/BM data of <xref ref-type="fig" rid="F6">Figure 6</xref>, which shows that, near BF, the &#x00394;OHC to BM magnitude ratio becomes less as sound level is increased.</p>
<p>We have compared the measured OHC motion to the motion of the BM because OHC-generated forces acting on the BM has been the traditional way to think about cochlear amplification (<xref ref-type="bibr" rid="B28">Robles and Ruggero, 2001</xref>; <xref ref-type="bibr" rid="B17">Guinan et al., 2012</xref>). However, it has been proposed that cochlear amplification is produced by OHC forces acting to change the local cross-sectional area of the OoC in a way that adds energy to the traveling wave in scala-media/vestibuli (<xref ref-type="bibr" rid="B1">Altoe et al., 2022</xref>; <xref ref-type="bibr" rid="B15">Guinan, 2022</xref>). With this conception, OHC motion might best be compared to RL motion. Since near BF, RL motion is much greater than BM motion (<xref ref-type="fig" rid="F2">Figure 2</xref>), this would make the OHC top-to-bottom motion be smaller than RL motion. OHC forces could still produce cochlear amplification, e.g. it only takes small pushes each cycle to make a swing move much greater than the movement in the push, Furthermore, cochlear amplification builds up gradually over about &#x000BD; octave basal to the BF place, so that at each longitudinal location, only a small increment of gain is added (<xref ref-type="bibr" rid="B37">Yoon et al., 2011</xref>; <xref ref-type="bibr" rid="B22">Motallebzadeh et al., 2018</xref>). Our measurements don&#x00027;t tell us how cochlear amplification works, but they do tell us that OHC motion is substantial at 40&#x02013;50 kHz (<xref ref-type="fig" rid="F6">Figure 6</xref>), and not as sometimes supposed diminished by the OHC RC time constant to be negligibly small.</p>
<sec>
<title>4.1 The OHC-RC-time-constant problem</title>
<p>The so-called &#x0201C;OHC-RC-time-constant problem&#x0201D; was first noted from <italic>in vitro</italic> measurements of OHC somatic motility, and it was assumed that the long RC time constants would limit the effects of OHC force production to just a few kHz (<xref ref-type="bibr" rid="B29">Santos-Sacchi, 1989</xref>; <xref ref-type="bibr" rid="B18">Housley and Ashmore, 1992</xref>; <xref ref-type="bibr" rid="B35">Vavakou et al., 2019</xref>). Alternative arguments were that <italic>in vivo</italic> OHCs are bathed in the fluid environment of the cochlea, and that OHCs act on the internal impedance of the OoC (which is not present in a dish) so that OHC function would be fundamentally different <italic>in vivo</italic> compared to <italic>in vitro</italic> (<xref ref-type="bibr" rid="B23">Mountain and Hubbard, 1994</xref>; <xref ref-type="bibr" rid="B19">Iwasa, 2017</xref>). <italic>In-vivo</italic> measurements using a zwuis stimulus tone complex spectrum in the gerbil base indicated that the OHCs had a 3 kHz low-pass corner frequency (<xref ref-type="bibr" rid="B35">Vavakou et al., 2019</xref>). Since this OHC corner frequency was several octaves lower than the local BF, (<xref ref-type="bibr" rid="B35">Vavakou et al. 2019</xref>) concluded that OHC motion would not be enough to produce cochlear amplification in high-BF regions (which <xref ref-type="fig" rid="F5">Figures 5</xref>, <xref ref-type="fig" rid="F6">6</xref> show is incorrect).</p>
<p>From experiments in gerbils and rats, (<xref ref-type="bibr" rid="B20">Johnson et al. 2011</xref>) concluded that the OHC RC time constant decreased from apex to base, however they also found that the OHC channel-open probability was near &#x000BD; and varied very little across BF regions. An OHC channel-open probability of &#x000BD; implies that the resting operating point of the OHC mechano-electric-transfer (MET) function is near the middle of its range, i.e., the MET function is symmetric about its resting operating point. In contrast, in the guinea-pig apex, the OHC MET function was found to be highly asymmetric (<xref ref-type="bibr" rid="B9">Dallos et al., 1982</xref>; <xref ref-type="bibr" rid="B8">Dallos, 1985</xref>). Furthermore, in live, sensitive cats with unopened cochleae, low-frequency bias-tone effects on auditory-nerve-fiber responses (with bias-tone effects on IHCs excluded) showed a smooth gradation with low-CF regions showing high OHC MET asymmetry and regions with CFs &#x0003E;10&#x02013;20 kHz showing symmetric OHC MET functions (<xref ref-type="bibr" rid="B4">Cai and Geisler, 1996</xref>; <xref ref-type="bibr" rid="B24">Nam and Guinan, 2016</xref>). Perhaps the difference in results across the above experiments is due to species (gerbil and rat vs. guinea-pig and cat), but we think it is more likely that the difference is due to an excised-preparation vs. a live-animal preparation. The discrepancy in the symmetry of the OHC MET function between Johnson et al.&#x00027;s (<xref ref-type="bibr" rid="B20">2011</xref>) measurements and those in live animals casts doubt Johnson et al&#x00027;s other conclusion that the OHC RC time constant varies with CF, or, at least, that it varies as much as Johnson et al proposes. Furthermore, Johnson et al.&#x00027;s (<xref ref-type="bibr" rid="B20">2011</xref>) OHC RC time constants do not agree with the time constant measured by (<xref ref-type="bibr" rid="B35">Vavakou et al. 2019</xref>) in the 13&#x02013;25 kHz region of live, sensitive gerbils, where Fc ranged from 2.1 to 3.3 kHz with a weak trend of the RC time constant decreasing with BF. Overall, the extent to which the OHC corner frequency may vary along the length of the cochlea is unknown.</p>
<p>Before to our current work, the highest frequency at which OHC sound-driven motility had been documented was from the mouse 9 kHz region where differential OHC top-to-bottom motions at stimulus harmonics up to 20 kHz were closer to out-of-phase than in-phase (i.e., phase difference &#x0003E;&#x000BC; cycle) (<xref ref-type="bibr" rid="B10">Dewey et al., 2021</xref>). Our experiments extend the frequency range showing sound-driven OHC motility up to 40&#x02013;50 kHz, and, most importantly, show that for moderate-level sounds the OHC top-to-bottom differential motion is <italic>larger</italic> than BM motion. Thus, it is feasible that OHC motility drives cycle-by-cycle cochlear amplification even at frequencies far above the &#x0201C;OHC corner frequency&#x0201D; measured in isolated OHCs.</p>
<p>Why is there still substantial OHC motility at frequencies more than an order of magnitude above the OHC corner frequency? One explanation has been that OHCs can work at such high frequencies because the coupling of the load on the OHCs acts to balance out the OHC capacity and increase the effective corner frequency (<xref ref-type="bibr" rid="B23">Mountain and Hubbard, 1994</xref>; <xref ref-type="bibr" rid="B19">Iwasa, 2017</xref>). When the RC time constant &#x0201C;problem&#x0201D; was identified, the OHC output was considered to be OHC <italic>displacement</italic>, but it has been argued that the OHC output <italic>velocity</italic>, which is the time derivative of displacement and therefore flat above the voltage corner frequency, is what is important for cochlear amplification since OHC velocity would be most closely related to the OHC force at frequencies where there is traveling-wave amplification (<xref ref-type="bibr" rid="B2">Alto&#x000E8; and Shera, 2023</xref>). Whether-or-not this is correct, <xref ref-type="fig" rid="F6">Figure 6</xref> shows that the <italic>displacement</italic> magnitude of the OHC motion is greater than BM <italic>displacement</italic> magnitude up to very high frequencies (and this is also true for velocity). Perhaps the way to think about this issue is that the mechanical energy produced by prestin (which is mechanical energy converted from electrical energy) is not captured by a simple OHC RC time constant because part of the OHC capacitance arises from the mechanism by which electrical energy is converted to mechanical energy (see <xref ref-type="bibr" rid="B25">Rabbitt, 2020</xref>, <xref ref-type="bibr" rid="B26">2022</xref>). Whatever the underlying cause, it appears that sound-driven OHCs work well enough to produce substantial motion at frequencies well above their RC time constant.</p></sec>
<sec>
<title>4.2 Comparisons with other data</title>
<p>(<xref ref-type="bibr" rid="B27">Ren et al. 2016</xref>) reported measurements purported to be from the RL that showed motion with a phase approximately opposite to BM phase at low frequencies. However, their optical system did not provide an image of the live tissue so their assessment that the structure measured was the RL was based on the depth of the reflective structure from the BM compared to the BM to RL depth in histological sections. An interpretation consistent with the data is that Ren et al.&#x00027;s (<xref ref-type="bibr" rid="B27">2016</xref>) so-called &#x0201C;RL&#x0201D; measurements were from the ODJ (i.e. they are like <xref ref-type="fig" rid="F2">Figure 2B</xref>).</p>
<p>Our measurements of OHC motion at high frequencies can be compared to <italic>in vivo</italic> measurements of OHC receptor currents or voltages. In the gerbil &#x0007E;24 kHz BF region, the extracellular voltage just under the BM (a surrogate for the local OHC current) was measured by (<xref ref-type="bibr" rid="B11">Dong and Olson 2013</xref>) along with scala-tympani pressure and BM displacement. From these measurements it was surmised that the extracellular voltage and displacements were in phase at low frequencies (more than &#x000BD;-octave below BF), but at &#x000BD;-octave below BF there was a rapid phase change so that from &#x000BD;-octave below BF up to BF, the phase of the local OHC current led BM displacement by &#x000BC; to &#x000BD; cycle (<xref ref-type="bibr" rid="B11">Dong and Olson, 2013</xref>). Our measurements of the phase of the differential OHC-top-to-bottom motion (<xref ref-type="fig" rid="F3">Figures 3</xref>, <xref ref-type="fig" rid="F5">5</xref>) do not easily fit with an abrupt transition at &#x000BD;-octave below BF. The phases in these two experiments seem likely to be related, but we don&#x00027;t understand exactly how. The two sets of data agree on there being a consistent response phase across frequency at more than an octave below BF.</p>
<p>It has recently been argued that at frequencies above the OHC corner frequency, OHC motility is activated by OHC <italic>extracellular a.c. voltages</italic> that are larger than the OHC intracellular a.c. receptor potential (<xref ref-type="bibr" rid="B21">Levic et al., 2022</xref>; <xref ref-type="bibr" rid="B31">Santos-Sacchi et al., 2023</xref>). However, the (<xref ref-type="bibr" rid="B21">Levic et al., 2022</xref>) report that at frequencies of a few tens of kHz, the extracellular potential was almost an order of magnitude larger than the intra-OHC receptor potential, is difficult to reconcile with the OHC RC filter being intact. At frequencies far above the OHC RC filter corner frequency, the low impedance of the OHC RC filter will reduce the OHC transmembrane voltage no matter whether the electrical source is inside or outside of the OHC. Also, Levic et al.&#x00027;s (<xref ref-type="bibr" rid="B21">2022</xref>) report of almost no OHC transmembrane a.c. voltage difference at low frequencies, doesn&#x00027;t fit with there being large measured OHC top-to-bottom motion at low frequencies (e.g. <xref ref-type="fig" rid="F2">Figures 2</xref>, <xref ref-type="fig" rid="F4">4</xref>, <xref ref-type="fig" rid="F6">6</xref>). How, Levic et al.&#x00027;s (<xref ref-type="bibr" rid="B21">2022</xref>) data fits with these other data is unclear, but we note that the possibility that the electrode penetrating the OHC might have damaged the OHC was never considered in (<xref ref-type="bibr" rid="B21">Levic et al. 2022</xref>).</p></sec></sec>
<sec id="s5">
<title>5 Conclusion</title>
<p>Our measurements show that, <italic>in vivo, individual</italic> OHCs cyclically expand and contract with amplitudes greater than BM motion from 2 kHz up to &#x0007E;50 kHz. Thus, OHCs are not prevented from amplifying at high frequencies by a low OHC corner frequency.</p></sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The data for this study will be made available on the Harvard Dataverse site <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.7910/DVN/C0VCPN">https://doi.org/10.7910/DVN/C0VCPN</ext-link>, or from the corresponding author on request.</p>
</sec>
<sec sec-type="ethics-statement" id="s7">
<title>Ethics statement</title>
<p>The animal study was approved by MEE Institutional Animal Care and Use Committee (IACUC), PHS Approved Animal Welfare Assurance D16-00215 (A3332-01). The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="s8">
<title>Author contributions</title>
<p>SP: Resources, Investigation, Writing &#x02013; review &#x00026; editing, Funding acquisition, Supervision, Conceptualization, Writing &#x02013; original draft. NC: Conceptualization, Investigation, Formal analysis, Writing &#x02013; review &#x00026; editing, Methodology. JG: Formal analysis, Data curation, Writing &#x02013; original draft, Writing &#x02013; review &#x00026; editing.</p>
</sec>
<sec sec-type="funding-information" id="s9">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by grant R01-DC07910 from the NIDCD of NIH and the Amelia Peabody Charitable fund (both to SP).</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer WD declared a past co-authorship with the authors(s) SP to the handling editor. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="ai-statement" id="s10">
<title>Generative AI statement</title>
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