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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Neurosci.</journal-id>
<journal-title>Frontiers in Cellular Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-5102</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fncel.2024.1465255</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Obliteration of a glycinergic projection to the medial geniculate in an animal model of autism</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Mansour</surname> <given-names>Yusra</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1411811/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Kulesza</surname> <given-names>Randy</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/4138/overview"/>
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<aff id="aff1"><sup>1</sup><institution>Department of Otolaryngology&#x2014;Head and Neck Surgery</institution>, <addr-line>Detroit, MI</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Anatomy, Lake Erie College of Osteopathic Medicine</institution>, <addr-line>Erie, PA</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0001">
<p>Edited by: Christian Keine, University of Oldenburg, Germany</p>
</fn>
<fn fn-type="edited-by" id="fn0002">
<p>Reviewed by: Sarthak Singhal, University of California, San Diego, United States</p>
<p>Michael Thomas Roberts, University of Michigan, United States</p>
<p>Sara Reis, University of Porto, Portugal</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Randy Kulesza, <email>rkulesza@lecom.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>18</volume>
<elocation-id>1465255</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>07</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>10</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2024 Mansour and Kulesza.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Mansour and Kulesza</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>
<p>Auditory dysfunction affects the vast majority of people with autism spectrum disorder (ASD) and can range from deafness to hypersensitivity. <italic>In utero</italic> exposure to the antiepileptic valproic acid (VPA) is associated with significant risk of an ASD diagnosis in humans and timed <italic>in utero</italic> exposure to VPA is utilized as an animal model of ASD. VPA-exposed rats have significantly fewer neurons in their auditory brainstem, thalamus and cortex, reduced ascending projections to the midbrain and thalamus and reduced descending projections from the cortex to the auditory midbrain. Consistent with these anatomical changes, VPA-exposed animals also have abnormal auditory brainstem responses. We have recently described a significant ascending projection from calbindin-positive neurons in the medial nucleus of the trapezoid body (MNTB) to the ventral division of the medial geniculate (vMG) in rats that bypasses the central nucleus of the inferior colliculus (CNIC). Since we found that axonal projections to the vMG in VPA-exposed rats are reduced beyond what is predicted from neuron loss alone, we hypothesize that VPA exposure would result in a significant reduction in the MNTB projection to the vMG. We examined this hypothesis by quantifying the proportion of retrogradely-labeled neurons in the MNTB of control and VPA-exposed animals after injections of retrograde tracers in the CNIC and vMG in control and VPA-exposed animals. Our results indicate that in control animals, the MNTB forms the largest projection from the superior olivary complex to the MG and that this projection is nearly abolished by <italic>in utero</italic> VPA exposure.</p>
</abstract>
<kwd-group>
<kwd>hearing</kwd>
<kwd>brainstem</kwd>
<kwd>autism</kwd>
<kwd>development</kwd>
<kwd>neurodevelopmental disorders</kwd>
</kwd-group>
<counts>
<fig-count count="9"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="139"/>
<page-count count="17"/>
<word-count count="12207"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Cellular Neurophysiology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<title>Introduction</title>
<p>Autism spectrum disorder (ASD) is a developmental disability characterized by social, communication and behavioral difficulties (<xref ref-type="bibr" rid="ref5">Allen, 1988</xref>; <xref ref-type="bibr" rid="ref131">Wing, 1997</xref>; <xref ref-type="bibr" rid="ref7">American Psychiatric Association, 2013</xref>; <xref ref-type="bibr" rid="ref20">CDC.gov, 2024</xref>). Approximately one in 36 children will be diagnosed with ASD and this is four times more common in males (<xref ref-type="bibr" rid="ref20">CDC.gov, 2024</xref>). There are several key signs and symptoms of ASD, but the vast majority of subjects have some degree of auditory dysfunction (<xref ref-type="bibr" rid="ref33">Greenspan and Wieder, 1997</xref>; <xref ref-type="bibr" rid="ref124">Tomchek and Dunn, 2007</xref>; <xref ref-type="bibr" rid="ref15">Bolton et al., 2012</xref>; reviewed in <xref ref-type="bibr" rid="ref73">Mansour et al., 2021a</xref>) and this can range across individuals from deafness to hypersensitivity to sounds (<xref ref-type="bibr" rid="ref96">Roper et al., 2003</xref>; <xref ref-type="bibr" rid="ref3">Alc&#x00E1;ntara et al., 2004</xref>; <xref ref-type="bibr" rid="ref48">Khalfa et al., 2001</xref>; <xref ref-type="bibr" rid="ref118">Szelag et al., 2004</xref>; <xref ref-type="bibr" rid="ref121">Teder-S&#x00E4;lej&#x00E4;rvi et al., 2005</xref>; <xref ref-type="bibr" rid="ref32">Gravel et al., 2006</xref>; <xref ref-type="bibr" rid="ref122">Tharpe et al., 2006</xref>; <xref ref-type="bibr" rid="ref100">Russo et al., 2009</xref>). Indeed, many individuals with ASD have longer latency auditory brainstem responses (ABR) (<xref ref-type="bibr" rid="ref9003">Ornitz, 1969</xref>; <xref ref-type="bibr" rid="ref117">Student and Sohmer, 1978</xref>; <xref ref-type="bibr" rid="ref97">Rosenblum et al., 1980</xref>; <xref ref-type="bibr" rid="ref113">Sohmer, 1982</xref>; <xref ref-type="bibr" rid="ref119">Tanguay et al., 1982</xref>; <xref ref-type="bibr" rid="ref30">Gillberg et al., 1983</xref>; <xref ref-type="bibr" rid="ref109">Sersen et al., 1990</xref>; <xref ref-type="bibr" rid="ref123">Thivierge et al., 1990</xref>; <xref ref-type="bibr" rid="ref132">Wong and Wong, 1991</xref>; <xref ref-type="bibr" rid="ref78">Maziade et al., 2000</xref>; <xref ref-type="bibr" rid="ref62">Kwon et al., 2007</xref>; <xref ref-type="bibr" rid="ref98">Roth et al., 2012</xref>; <xref ref-type="bibr" rid="ref12">Azouz et al., 2014</xref>; <xref ref-type="bibr" rid="ref120">Tas et al., 2007</xref>; <xref ref-type="bibr" rid="ref80">Miron et al., 2018</xref>; <xref ref-type="bibr" rid="ref91">Ramezani et al., 2019</xref>; <xref ref-type="bibr" rid="ref25">Delgado et al., 2023</xref>). Consistent with hearing impairments from a developmental etiology, we have identified significant and consistent auditory brainstem hypoplasia in the brainstem of individuals with ASD (<xref ref-type="bibr" rid="ref58">Kulesza and Mangunay, 2008</xref>; <xref ref-type="bibr" rid="ref57">Kulesza et al., 2011</xref>; <xref ref-type="bibr" rid="ref66">Lukose et al., 2015</xref>; <xref ref-type="bibr" rid="ref75">Mansour and Kulesza, 2020</xref>). Specifically, in our study of the superior olivary complex (SOC) in a cohort of 28 subjects with ASD ranging from 4 to 39 years of age, we found significantly fewer neurons and surviving neurons were significantly smaller across nearly all constituent nuclei, including the medial nucleus of the trapezoid body (MNTB). In addition, several of these subjects had marked gliosis in and around the medial superior olive (MSO) and/or islands of ectopic neurons posterior and lateral to the SOC (<xref ref-type="bibr" rid="ref66">Lukose et al., 2015</xref>).</p>
<p><italic>In utero</italic> exposure to the antiepileptic drug valproic acid (VPA) is associated with elevated risk of an ASD diagnosis in humans (<xref ref-type="bibr" rid="ref82">Moore et al., 2000</xref>; <xref ref-type="bibr" rid="ref127">Williams et al., 2001</xref>; <xref ref-type="bibr" rid="ref92">Rasalam et al., 2005</xref>; <xref ref-type="bibr" rid="ref51">Koren et al., 2006</xref>; <xref ref-type="bibr" rid="ref16">Bromley et al., 2013</xref>; <xref ref-type="bibr" rid="ref22">Christensen et al., 2013</xref>; <xref ref-type="bibr" rid="ref39">Hern&#x00E1;ndez-D&#x00ED;az et al., 2024</xref>; <xref ref-type="bibr" rid="ref88">Pack et al., 2024</xref>). Accordingly, timed <italic>in utero</italic> exposure to VPA is a biologically relevant and validated animal model of ASD (rodents: <xref ref-type="bibr" rid="ref95">Rodier et al., 1996</xref>; <xref ref-type="bibr" rid="ref68">Mabunga et al., 2015</xref>; primates: <xref ref-type="bibr" rid="ref135">Zhao et al., 2019</xref>). Consistent with the neuropathological changes we identified in the SOC of human subjects with ASD, animals exposed to VPA <italic>in utero</italic> have significantly fewer neurons in the ventral cochlear nuclei (VCN), SOC, nuclei of the lateral lemniscus (NLL), central nucleus of the inferior colliculus (CNIC), and medial geniculate (MG; <xref ref-type="bibr" rid="ref67">Lukose et al., 2011</xref>; <xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>; <xref ref-type="bibr" rid="ref77">Mansour et al., 2019</xref>). VPA-exposed animals also have fewer neurons across all layers of the auditory cortex with smaller pyramidal and non-pyramidal neurons in auditory association areas (<xref ref-type="bibr" rid="ref52">Kosmer and Kulesza, 2024</xref>). Besides having fewer neurons throughout the auditory brainstem and forebrain, VPA-exposed animals have reduced ascending projections to the CNIC (<xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>) and MG (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>) and reduced descending projections from layer VI of auditory cortex to the CNIC (<xref ref-type="bibr" rid="ref52">Kosmer and Kulesza, 2024</xref>). VPA-exposed animals have fewer calbindin (CB) immunoreactive neurons in several locations, including the octopus cell area in the VCN, MNTB (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>), dorsal nucleus of the lateral lemniscus (DNLL; <xref ref-type="bibr" rid="ref77">Mansour et al., 2019</xref>), primary auditory cortex (<xref ref-type="bibr" rid="ref52">Kosmer and Kulesza, 2024</xref>), and cerebellum (<xref ref-type="bibr" rid="ref69">Main and Kulesza, 2017</xref>) and fewer CB+ puncta in vestibular nuclei (<xref ref-type="bibr" rid="ref74">Mansour et al., 2022</xref>). VPA-exposed animals have significantly more cFOS+ neurons in the VCN, MNTB and CNIC after exposure to pure tone stimuli, consistent with disruption of inhibitory circuits (<xref ref-type="bibr" rid="ref28">Dubiel and Kulesza, 2016</xref>). Finally, VPA-exposed animals have abnormal auditory brainstem responses, including elevated thresholds, and longer latency responses for wave III, IV and V, consistent with auditory brainstem dysfunction (<xref ref-type="bibr" rid="ref70">Malhotra and Kulesza, 2023</xref>).</p>
<p>The rat MNTB is composed primarily of glycinergic, CB+ principal neurons that receive input from globular bushy cells (GBCs) in the contralateral VCN via the calyx of Held (<xref ref-type="bibr" rid="ref83">Morest, 1968a</xref>,<xref ref-type="bibr" rid="ref84">b</xref>; <xref ref-type="bibr" rid="ref87">Ottersen and Storm-Mathisen, 1984</xref>; <xref ref-type="bibr" rid="ref29">Friauf and Ostwald, 1988</xref>; <xref ref-type="bibr" rid="ref10">Arai et al., 1991</xref>; <xref ref-type="bibr" rid="ref93">R&#x00E9;sibois and Rogers, 1992</xref>; <xref ref-type="bibr" rid="ref65">Lohmann and Friauf, 1996</xref>; <xref ref-type="bibr" rid="ref110">Smith et al., 1991</xref>). MNTB principal neurons project within the ipsilateral SOC to the medial and lateral superior olives (MSO and LSO, respectively; <xref ref-type="bibr" rid="ref115">Spangler et al., 1985</xref>; <xref ref-type="bibr" rid="ref38">Helfert et al., 1989</xref>), and the superior paraolivary nucleus (SPON; <xref ref-type="bibr" rid="ref60">Kuwabara et al., 1991</xref>; <xref ref-type="bibr" rid="ref13">Banks and Smith, 1992</xref>; <xref ref-type="bibr" rid="ref114">Sommer et al., 1993</xref>; <xref ref-type="bibr" rid="ref54">Kulesza, 2007</xref>; see <xref ref-type="fig" rid="fig1">Figure 1</xref>, control). The MNTB also sends a descending projection to the GBC area of the ipsilateral VCN (<xref ref-type="bibr" rid="ref105">Schofield, 1994</xref>) and ascending projections to both the ventral and intermediate nuclei of the lateral lemniscus (VNLL, INLL; <xref ref-type="bibr" rid="ref115">Spangler et al., 1985</xref>; <xref ref-type="bibr" rid="ref114">Sommer et al., 1993</xref>; <xref ref-type="bibr" rid="ref111">Smith et al., 1998</xref>; <xref ref-type="bibr" rid="ref47">Kelly et al., 2009</xref>; <xref ref-type="bibr" rid="ref102">Salda&#x00F1;a et al., 2009</xref>; see <xref ref-type="fig" rid="fig1">Figure 1</xref>, control). Injections of retrograde tracers into nuclei further rostral in the brainstem such as the DNLL and CNIC indicate that only rare MNTB neurons project to these targets (rat: <xref ref-type="bibr" rid="ref14">Beyerl, 1978</xref>; <xref ref-type="bibr" rid="ref27">Druga and Syka, 1984</xref>; <xref ref-type="bibr" rid="ref24">Coleman and Clerici, 1987</xref>; <xref ref-type="bibr" rid="ref46">Kelly et al., 1998</xref>, <xref ref-type="bibr" rid="ref47">2009</xref>; <xref ref-type="bibr" rid="ref102">Salda&#x00F1;a et al., 2009</xref>; guinea pig: <xref ref-type="bibr" rid="ref106">Schofield and Cant, 1992</xref>; cat: <xref ref-type="bibr" rid="ref1">Adams, 1979</xref>; <xref ref-type="bibr" rid="ref17">Brunso-Bechtold et al., 1981</xref>; gerbil: <xref ref-type="bibr" rid="ref85">Nordeen et al., 1983</xref>; <xref ref-type="bibr" rid="ref19">Cant and Benson, 2006</xref>; mole: <xref ref-type="bibr" rid="ref53">Kudo et al., 1990</xref>). However, we have recently demonstrated a projection from the MNTB to the ipsilateral MG that bypasses the CNIC in Sprague&#x2013;Dawley rats (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Specifically, approximately 40% of MNTB neurons project to the ipsilateral ventral division of the MG (vMG; <xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Because VPA exposure results in significantly reduced ascending projections from the SOC to the MG, we hypothesized that <italic>in utero</italic> VPA exposure will result in a significant reduction in this ascending glycinergic projection from the MNTB to the MG. We examined this hypothesis in a library of retrograde tracer injections into the CNIC and MG from control and VPA-exposed animals (<xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>; <xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Schematic of MNTB projections. In control animals, the MNTB receives its main input from the contralateral VCN via the calyx of Held and projects within the SOC, to the ipsilateral VCN, to the VNLL, INLL, and MG. Our tract tracing results indicate that VPA exposure abolishes the MNTB projection to the MG. Currently, it is unclear if VPA exposure impacts other projections from the MNTB.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g001.tif"/>
</fig>
</sec>
<sec sec-type="methods" id="sec2">
<title>Methods</title>
<p>All handling and surgical procedures were approved by the LECOM Institutional Animal Care and Use Committee (protocols #16-02, 19&#x2013;04, 20&#x2013;02 &#x0026; 21&#x2013;03) and conducted in accordance with the National Institute of Health Guide for the Care and Use of Laboratory Animals. Sprague&#x2013;Dawley rats were maintained on a 12&#x2009;h light/dark cycle with <italic>ad libitum</italic> access to food and water. <italic>In utero</italic> exposure to VPA was performed per our previous work in this model (<xref ref-type="fig" rid="fig2">Figure 2A</xref>; <xref ref-type="bibr" rid="ref69">Main and Kulesza, 2017</xref>; <xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>; <xref ref-type="bibr" rid="ref77">Mansour et al., 2019</xref>; <xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>; <xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>; <xref ref-type="bibr" rid="ref76">Mansour and Kulesza, 2021</xref>; <xref ref-type="bibr" rid="ref74">Mansour et al., 2022</xref>; <xref ref-type="bibr" rid="ref70">Malhotra and Kulesza, 2023</xref>; <xref ref-type="bibr" rid="ref52">Kosmer and Kulesza, 2024</xref>). All dams were fed 3.1&#x2009;g of peanut butter on embryonic days (E) 7&#x2013;12. Dams in the VPA group were fed peanut butter mixed with 800&#x2009;mg/kg of VPA on E10 and E12 (<xref ref-type="fig" rid="fig2">Figure 2A</xref>). Both control and VPA-exposed dams were permitted to deliver pups without interference and pups were weaned on postnatal day (P) 21. Only male pups were included in the study because gender-specific effects of VPA exposure are established (<xref ref-type="bibr" rid="ref104">Schneider et al., 2008</xref>). We conducted this study under the assumption that all male pups in a given litter were equally impacted by VPA exposure; our previous studies provide data consistent with this strategy (<xref ref-type="bibr" rid="ref69">Main and Kulesza, 2017</xref>; <xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>; <xref ref-type="bibr" rid="ref77">Mansour et al., 2019</xref>; <xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>; <xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>; <xref ref-type="bibr" rid="ref76">Mansour and Kulesza, 2021</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Experimental paradigm. Panel <bold>(A)</bold> shows the timing of VPA exposure, weaning and tracer injections. The experimental timeline (embryonic day 0; E0) started with identification of a vaginal plug. Pregnant females in the control group were fed peanut butter (vehicle) from E7 through E12; those in the experimental group received peanut butter on E7-9 and E11 and peanut butter + VPA on E10 and E12. Pups were weaned on P21 and stereotaxic injections of retrograde tracers were made between P50-60. Three injections (100&#x2009;nL each) were made into the CNIC <bold>(B)</bold>. In a separate group of animals, two injections (100&#x2009;nL each) were made into the MG <bold>(C)</bold>.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g002.tif"/>
</fig>
<p>Animals receiving tracer injections were anesthetized with vaporized isoflurane (5% isoflurane in oxygen for induction, 2&#x2013;3% for maintenance at 1.2&#x2009;L/min). When animals were unresponsive to toe pinch, they were fitted with an anesthesia mask and secured in a stereotaxic frame with non-rupture ear bars. Body temperature was maintained with an electric heating pad. The animal&#x2019;s scalp was cleaned with iodine solution and injected with 0.25% bupivacaine; eyes were covered with ophthalmic ointment or closed and covered over with the anesthesia mask. A midline incision was made over the parietal and occipital bones and the dorsal aspect of the brain was approached via stereotaxic craniotomy. All injections were made with a tracer-dedicated 1&#x2009;&#x03BC;L Hamilton KH Neuros syringe (32-gauge, four points).</p>
<p>We studied projections from the MNTB to the CNIC in injection site-matched cases from seven control and eight VPA-exposed animals (<xref ref-type="fig" rid="fig2">Figure 2B</xref>). In all animals, the CNIC was approached 0.2&#x2009;mm rostral to lambda, 1.5&#x2009;mm to the right of the midline. A depth measurement was taken from the surface of the dura mater and deposits of 100&#x2009;nL of Fast Blue (FB; 2.5% in water; Polysciences) or Fluorogold (FG, 4% in saline; Fluochrome) were made at depths of &#x2212;3.6, &#x2212; 3.2, and&#x2009;&#x2212;&#x2009;2.6&#x2009;mm for a total injected volume of 300&#x2009;nL.</p>
<p>We studied projections from the MNTB to the MG in injection site-matched cases from six control and six VPA-exposed animals (<xref ref-type="fig" rid="fig2">Figure 2C</xref>). The stereotaxic coordinates were the same for all control and VPA-exposed animals: 5.6&#x2009;mm caudal to bregma and 3.4&#x2009;mm to the right of the midline (as indicated by <xref ref-type="bibr" rid="ref89">Paxinos and Watson, 2007</xref>). Injections of FG were made as described above. A depth measurement was taken from the surface of the dura mater and deposits of 100&#x2009;nL of FG were made at depths of &#x2212;5.8 and&#x2009;&#x2212;&#x2009;5.0&#x2009;mm for a total injected volume of 200&#x2009;nL.</p>
<p>The syringe was left in place for 10&#x2009;min after the final injection to permit diffusion of the tracer. After the syringe was removed, the scalp wound was injected with lidocaine and sutured. Animals were removed from anesthesia and placed in their home cage and monitored until they were able to stand on all fours. Six-days following the surgery, animals were anesthetized with isoflurane and perfused through the ascending aorta first with 0.9% saline and then 4% paraformaldehyde (PFA) in phosphate buffered saline (pH 7.4; &#x201C;fixative&#x201D;). Brains were dissected from the skull and the right side (ipsilateral to the tracer injection) was marked with a syringe needle and post-fixed for at least 24&#x2009;h. Twenty-four hours before frozen sectioning, brains were transferred into cryoprotectant (30% sucrose in fixative). Brains were sectioned in the coronal plane at a thickness of 50&#x2009;&#x03BC;m and sections were collected in PBS from the cochlear nucleus through the injection site in the CNIC or MG in three wells. Injection sites were recovered from well 3; sections from well 2 were counter stained with Neurotrace Red (NT; Invitrogen), mounted onto glass slides from cresyl gelatin, coverslipped with Entellan (Millipore Sigma) and photographed with an Olympus CKX41 microscope with epifluorescence and a DP71 camera. The rostrocaudal borders of the MNTB, SPON and dorsalmedial wedge (DMW) were as previously delineated (<xref ref-type="bibr" rid="ref59">Kulesza et al., 2002</xref>; <xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>; <xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). For each section including the MNTB, two images were collected&#x2014;one of NT (using a rhodamine filter cube) and one of FB/FG labeling (using a UV filter cube) using a 20&#x2009;&#x00D7;&#x2009;objective. Each pair of images was combined using the z-stack feature in Fiji (<xref ref-type="bibr" rid="ref103">Schindelin et al., 2012</xref>) to form a single layer image containing overlayed NT and FB/FG labeling.</p>
<p>Counts of FB/FG&#x2009;+&#x2009;MNTB neurons were made from 4 to 6 stacked images per animal. The overlayed FB/FG and NTR images were imported into Fiji and analyzed with the cell counting feature. In these images, neurons were considered FB or FG&#x2009;+&#x2009;if they had blue or yellow fluorescent labeling within a cell body contour. Neurons were considered negative if the cell body demonstrated NT labeling and lacked any blue/yellow fluorescence. At least 80 MNTB neurons were analyzed in each overlayed image and counts from these 4&#x2013;6 images were averaged, resulting in a single percentage of FB/FG&#x2009;+&#x2009;MNTB neurons per animal. In <xref ref-type="table" rid="tab1">Table 1</xref>, we re-examine previously published data from our study of ascending projections to the MG from the rat SOC (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>) to demonstrate the relative size of the MNTB projection to the MG. Morphology of NTR and FB/FG-labeled MNTB neurons was quantified as previously described (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Neuron loss and projection changes in VPA-exposed animals.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="center" valign="top" colspan="2">Number of neurons in nucleus<xref ref-type="table-fn" rid="tfn1"><sup>a</sup></xref><sup>,</sup><xref ref-type="table-fn" rid="tfn2"><sup>b</sup></xref><sup>,</sup><xref ref-type="table-fn" rid="tfn4"><sup>d</sup></xref></th>
<th align="center" valign="top" colspan="2">MG neurons per total number of neurons in nucleus<xref ref-type="table-fn" rid="tfn1"><sup>a</sup></xref><sup>,</sup><xref ref-type="table-fn" rid="tfn2"><sup>b</sup></xref><sup>,</sup><xref ref-type="table-fn" rid="tfn3"><sup>c</sup></xref></th>
<th/>
<th align="center" valign="top" colspan="2">Total number of neurons projecting to MG<xref ref-type="table-fn" rid="tfn3"><sup>c</sup></xref></th>
<th align="center" valign="top" colspan="2">MG neurons per projecting neurons in nucleus<xref ref-type="table-fn" rid="tfn3"><sup>c</sup></xref></th>
<th/>
<th align="center" valign="top">Projection Change<xref ref-type="table-fn" rid="tfn3"><sup>c</sup></xref></th>
</tr>
<tr>
<th/>
<th align="center" valign="top">A</th>
<th align="center" valign="top">B</th>
<th align="center" valign="top">C</th>
<th align="center" valign="top">D</th>
<th align="center" valign="top">E</th>
<th align="center" valign="top">F</th>
<th align="center" valign="top">G</th>
<th align="center" valign="top">H</th>
<th align="center" valign="top">I</th>
<th align="center" valign="top">J</th>
<th align="center" valign="top">K</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Calculation</td>
<td/>
<td/>
<td align="center" valign="top">46,796/A</td>
<td align="center" valign="top">23,403/B</td>
<td align="center" valign="top">D/C</td>
<td align="center" valign="top">A&#x002A;%FG+</td>
<td align="center" valign="top">B&#x002A;%FG+</td>
<td align="center" valign="top">46,796/F</td>
<td align="center" valign="top">23,403/G</td>
<td align="center" valign="top">I/H</td>
<td align="center" valign="top">E-J</td>
</tr>
<tr>
<td/>
<td align="center" valign="top">Control</td>
<td align="center" valign="top">VPA</td>
<td align="center" valign="top">Control</td>
<td align="center" valign="top">VPA</td>
<td align="center" valign="top">VPA/C</td>
<td align="center" valign="top">Control</td>
<td align="center" valign="top">VPA</td>
<td align="center" valign="top">Control</td>
<td align="center" valign="top">VPA</td>
<td align="center" valign="top">VPA/C</td>
<td align="center" valign="top">VPA/C</td>
</tr>
<tr>
<td align="left" valign="top">vMG&#x2009;+&#x2009;mMG</td>
<td align="center" valign="top">46,796</td>
<td align="center" valign="top">23,403</td>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td/>
<td/>
<td align="center" valign="middle">(36.7%)</td>
<td align="center" valign="middle">(1.6%)</td>
<td/>
<td/>
<td/>
<td/>
</tr>
<tr>
<td align="left" valign="top">IL MNTB</td>
<td align="center" valign="top">6,591</td>
<td align="center" valign="top">5,300</td>
<td align="center" valign="middle">7.10</td>
<td align="center" valign="middle">4.41</td>
<td align="center" valign="middle">0.62</td>
<td align="center" valign="middle">2,419</td>
<td align="center" valign="middle">84.8</td>
<td align="center" valign="middle">19.34</td>
<td align="center" valign="middle">275.97</td>
<td align="center" valign="middle">12.56</td>
<td align="center" valign="middle">
<bold>&#x2212;11.94</bold>
</td>
</tr>
<tr>
<td align="left" valign="top">IL LSO</td>
<td align="center" valign="top">2,586</td>
<td align="center" valign="top">1,935</td>
<td align="center" valign="middle">18.10</td>
<td align="center" valign="middle">12.09</td>
<td align="center" valign="middle">0.67</td>
<td align="center" valign="middle">173.26</td>
<td align="center" valign="middle">75.47</td>
<td align="center" valign="middle">270.09</td>
<td align="center" valign="middle">310.09</td>
<td align="center" valign="middle">1.15</td>
<td align="center" valign="middle">&#x2212;0.48</td>
</tr>
<tr>
<td align="left" valign="top">CL LSO</td>
<td align="center" valign="top">2,586</td>
<td align="center" valign="top">1,935</td>
<td align="center" valign="middle">18.10</td>
<td align="center" valign="middle">12.09</td>
<td align="center" valign="middle">0.67</td>
<td align="center" valign="middle">57.67</td>
<td align="center" valign="middle">157.70</td>
<td align="center" valign="middle">811.48</td>
<td align="center" valign="middle">148.40</td>
<td align="center" valign="middle">0.18</td>
<td align="center" valign="middle">+0.49</td>
</tr>
<tr>
<td align="left" valign="top">IL MSO</td>
<td align="center" valign="top">1,201</td>
<td align="center" valign="top">517</td>
<td align="center" valign="middle">38.96</td>
<td align="center" valign="middle">45.27</td>
<td align="center" valign="middle">1.16</td>
<td align="center" valign="middle">148.56</td>
<td align="center" valign="middle">38.93</td>
<td align="center" valign="middle">314.99</td>
<td align="center" valign="middle">601.15</td>
<td align="center" valign="middle">1.91</td>
<td align="center" valign="middle">&#x2212;0.75</td>
</tr>
<tr>
<td align="left" valign="top">IL SPON</td>
<td align="center" valign="top">2,265</td>
<td align="center" valign="top">1,302</td>
<td align="center" valign="middle">20.66</td>
<td align="center" valign="middle">17.97</td>
<td align="center" valign="middle">0.87</td>
<td align="center" valign="middle">450.96</td>
<td align="center" valign="middle">155.20</td>
<td align="center" valign="middle">103.77</td>
<td align="center" valign="middle">150.79</td>
<td align="center" valign="middle">1.45</td>
<td align="center" valign="middle">&#x2212;0.58</td>
</tr>
<tr>
<td align="left" valign="top">IL DMW</td>
<td align="center" valign="top">2,407</td>
<td align="center" valign="top">1,803</td>
<td align="center" valign="middle">19.44</td>
<td align="center" valign="middle">12.98</td>
<td align="center" valign="middle">0.67</td>
<td align="center" valign="middle">883.37</td>
<td align="center" valign="middle">485.91</td>
<td align="center" valign="middle">52.97</td>
<td align="center" valign="middle">48.16</td>
<td align="center" valign="middle">0.91</td>
<td align="center" valign="middle">&#x2212;0.24</td>
</tr>
<tr>
<td align="left" valign="top">CL DMW</td>
<td align="center" valign="top">2,407</td>
<td align="center" valign="top">1,803</td>
<td align="center" valign="middle">19.44</td>
<td align="center" valign="middle">12.98</td>
<td align="center" valign="middle">0.67</td>
<td align="center" valign="middle">403.17</td>
<td align="center" valign="middle">98.26</td>
<td align="center" valign="middle">116.07</td>
<td align="center" valign="middle">238.17</td>
<td align="center" valign="middle">2.05</td>
<td align="center" valign="middle">&#x2212;1.38</td>
</tr>
<tr>
<td align="left" valign="top">IL VNTB</td>
<td align="center" valign="top">3,244</td>
<td align="center" valign="top">2,606</td>
<td align="center" valign="middle">34.13</td>
<td align="center" valign="middle">22.5</td>
<td align="center" valign="middle">0.66</td>
<td align="center" valign="middle">389.28</td>
<td align="center" valign="middle">260.6</td>
<td align="center" valign="middle">120.21</td>
<td align="center" valign="middle">89.80</td>
<td align="center" valign="middle">0.74</td>
<td align="center" valign="middle">&#x2212;0.08</td>
</tr>
<tr>
<td align="left" valign="top">CL VNTB</td>
<td align="center" valign="top">3,244</td>
<td align="center" valign="top">2,606</td>
<td align="center" valign="middle">34.13</td>
<td align="center" valign="middle">22.5</td>
<td align="center" valign="middle">0.66</td>
<td align="center" valign="middle">32.44</td>
<td align="center" valign="middle">26.06</td>
<td align="center" valign="middle">1,442.54</td>
<td align="center" valign="middle">898.04</td>
<td align="center" valign="middle">0.62</td>
<td align="center" valign="middle">0.04</td>
</tr>
<tr>
<td align="left" valign="top">CL VCN</td>
<td align="center" valign="top">23,111</td>
<td align="center" valign="top">15,280</td>
<td align="center" valign="middle">2.02</td>
<td align="center" valign="middle">1.53</td>
<td align="center" valign="middle">0.76</td>
<td align="center" valign="middle">7,164.41</td>
<td align="center" valign="middle">825.12</td>
<td align="center" valign="middle">6.53</td>
<td align="center" valign="middle">28.36</td>
<td align="center" valign="middle">4.34</td>
<td align="center" valign="middle">&#x2212;3.59</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1">
<label>a</label>
<p><xref ref-type="bibr" rid="ref136">Zimmerman et al. (2018)</xref>.</p>
</fn>
<fn id="tfn2">
<label>b</label>
<p><xref ref-type="bibr" rid="ref77">Mansour et al. (2019)</xref>.</p>
</fn>
<fn id="tfn3">
<label>c</label>
<p><xref ref-type="bibr" rid="ref75">Mansour and Kulesza (2020)</xref>.</p>
</fn>
<fn id="tfn4">
<label>d</label>
<p><xref ref-type="bibr" rid="ref76">Mansour and Kulesza (2021)</xref>.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>GraphPad Prism (10.1, San Diego, CA) was used to generate descriptive statistics and conduct all statistical comparisons. Data that fit a normal distribution are presented in the text as mean&#x2009;&#x00B1;&#x2009;standard deviation (SD); data that did not fit a normal distribution are presented as the median with the 95% confidence interval of the median. Specifically, the number of neurons projecting to the CNIC and MG were compared with Mann&#x2013;Whitney (one-tailed) and neuronal morphology was compared with ANOVA with Tukey&#x2019;s multiple comparison test. Differences were considered statistically significant if <italic>p</italic> values were&#x2009;&#x003C;&#x2009;0.05.</p>
</sec>
<sec sec-type="results" id="sec3">
<title>Results</title>
<sec id="sec4">
<title>Projections to the CNIC</title>
<p>After injections of FB or FG into the CNIC (<xref ref-type="fig" rid="fig3">Figures 3</xref>, <xref ref-type="fig" rid="fig4">4</xref>), only 2.2% (95% CI: 0&#x2013;5.62%) of neurons in the ipsilateral MNTB were retrogradely labeled in control animals (<xref ref-type="fig" rid="fig5">Figure 5A</xref>). In VPA-exposed animals, 1.49% (0&#x2013;7.14%) of neurons in the ipsilateral MNTB were labeled (<xref ref-type="fig" rid="fig5">Figure 5B</xref>). This difference was not significant [U(7,8)&#x2009;=&#x2009;22.5, <italic>p</italic>&#x2009;=&#x2009;0.54; <xref ref-type="fig" rid="fig6">Figure 6A</xref>]. Contralateral to the injection site, no retrogradely labeled MNTB neurons were found in control or VPA-exposed animals (<xref ref-type="fig" rid="fig5">Figure 5A</xref>).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Tracer injection sites in the CNIC. Injection sites for the seven control animals are shown in panel <bold>(A)</bold> and those for the eight VPA-exposed animals are shown in panel <bold>(B)</bold>. These cases were selected to match injections site size and rostrocaudal distribution of injections between control and VPA-exposed animals. The scale bar is equal to 500&#x2009;&#x03BC;m. D, Dorsal; DC, Dorsal cortex; EC, External cortex; and M, Medial.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g003.tif"/>
</fig>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Injection sites in the CNIC. Representative examples of recovered injections sites in the CNIC are provided for control <bold>(A&#x2013;C)</bold> and VPA-exposed animals <bold>(D&#x2013;F)</bold>. The images were taken with simultaneous illumination with white light and a mercury lamp with a UV filter cube. Myeloarchitecture is shown in gray and the tracer injection in white. The scale bar is equal to 500&#x2009;&#x03BC;m. D, Dorsal; DC, Dorsal cortex; EC, External cortex; M, Medial.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g004.tif"/>
</fig>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Only occasional MNTB neurons project to the CNIC. Panels <bold>(A1,B1)</bold> show sections through the same rostrocaudal level of the SOC from a control <bold>(A1,A2)</bold> and VPA-exposed animal <bold>(B1,B2)</bold> after tracer injection in the CNIC. Retrogradely-labeled neurons are pseudocolored yellow and Neurotrace counter-stained cells are shown in red (NT). Retrogradely labeled MNTB neurons are indicated with yellow arrowheads. Panels <bold>(A2,B2)</bold> show the Neurotrace counter-stained sections from panels <bold>(A1,B1)</bold> but without the tracer label for reference. The scale bar is equal to 500&#x2009;&#x03BC;m. D, Dorsal; FN, Facial nerve; LNTB, Lateral nucleus of the trapezoid body; M, Medial; RF, Reticular formation; Tz, Trapezoid body; VNTB, Ventral nucleus of the trapezoid body.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g005.tif"/>
</fig>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Quantification of the MNTB projection. Panel <bold>(A)</bold> shows the percentage of MNTB neurons that were retrogradely labeled from the CNIC (Mann&#x2013;Whitney). Panel <bold>(B)</bold> shows the percentage of MNTB neurons retrogradely labeled from the MG (Mann&#x2013;Whitney). Each data point is averaged data from one animal. Panel <bold>(C)</bold> shows the cross-sectional area of MNTB neurons in control and VPA-exposed animals comparing counterstained (NTR) and retrogradely labeled (FG) neurons (ANOVA). Panel <bold>(D)</bold> shows linear correlation comparing the number of neurons projecting to the MG from the MSO and LSO to the number of neurons projecting to the MG from the MNTB. Panel <bold>(E)</bold> shows linear correlation comparing the number of neurons projecting to the MG from the SPON to the number of neurons projecting to the MG from the MNTB. In Panel <bold>(D,E)</bold>, each data point corresponds to one animal. Panel <bold>(F)</bold> shows the mean number of SOC neurons projecting to the MG in control and VPA-exposed animals. Panel <bold>(G)</bold> shows the distribution of neurons participating in the olivogeniculate projection. The control chart is based on distribution of 7,166 neurons and the VPA chart is based on distribution of 825 neurons. C, Control; CL, Contralateral; DMW, Dorsal medial wedge; FG, Fluorogold; IL, Ipsilateral; LSO, Lateral superior olive; MSO, Medial superior olive; NTR, Neurotrace red; SPON, Superior paraolivary nucleus. Key to symbols: &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05; &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.01, and &#x002A;&#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g006.tif"/>
</fig>
</sec>
<sec id="sec5">
<title>Projections to the MG</title>
<p>After injections of FG into the MG (<xref ref-type="fig" rid="fig7">Figures 7</xref>, <xref ref-type="fig" rid="fig8">8</xref>), 36.7% (20&#x2013;50%) of neurons in the ipsilateral MNTB were retrogradely labeled in control animals (<xref ref-type="fig" rid="fig9">Figures 9A</xref>,<xref ref-type="fig" rid="fig9">B</xref>). In VPA-exposed animals, only 1.6% (1.3&#x2013;2.9%) of neurons in the ipsilateral MNTB were labeled (<xref ref-type="fig" rid="fig9">Figures 9C</xref>,<xref ref-type="fig" rid="fig9">D</xref>). This difference was significant [U(6,6)&#x2009;=&#x2009;0, <italic>p</italic>&#x2009;=&#x2009;0.001; <xref ref-type="fig" rid="fig6">Figure 6B</xref>]. Contralateral to the injection site, only 0.43% (0&#x2013;0.55%) MNTB neurons were retrogradely labeled in control animals and 0.18% (0&#x2013;0.59%) MNTB neurons were labeled in VPA-exposed animals. This difference was not significant [U(6,6)&#x2009;=&#x2009;14, <italic>p</italic>&#x2009;=&#x2009;0.57; <xref ref-type="fig" rid="fig6">Figure 6B</xref>]. In control animals, MNTB neurons had a cross-sectional area of 182.5&#x2009;&#x00B1;&#x2009;65.37&#x2009;&#x03BC;m<sup>2</sup>. MNTB neurons retrogradely labeled from the MG had a cross-sectional area of 177.6&#x2009;&#x00B1;&#x2009;70.23&#x2009;&#x03BC;m<sup>2</sup>. This difference was not significant (<italic>p</italic>&#x2009;=&#x2009;0.98; <xref ref-type="fig" rid="fig6">Figure 6C</xref>). In VPA-exposed animals, MNTB neurons had a cross-sectional area of 125.1&#x2009;&#x00B1;&#x2009;50.93&#x2009;&#x03BC;m<sup>2</sup> and those retrogradely labeled from the MG had a cross sectional area of 126.1&#x2009;&#x00B1;&#x2009;43.88&#x2009;&#x03BC;m<sup>2</sup>. This difference was not significant (<italic>p</italic>&#x2009;&#x003E;&#x2009;0.99; <xref ref-type="fig" rid="fig6">Figure 6C</xref>). Consistent with our previous reports, MNTB neurons in control animals are significantly larger than those in VPA-exposed animals [<italic>F</italic>(3, 144)&#x2009;=&#x2009;10.84, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001]. Retrogradely, labeled neurons in the MNTB of control animals were significantly larger than those in VPA-exposed animals (<italic>p</italic>&#x2009;=&#x2009;0.035; <xref ref-type="fig" rid="fig6">Figure 6C</xref>).</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Tracer injection sites in the MG. Injection sites for the six control animals are shown in panel <bold>(A)</bold> and those for the six VPA-exposed animals are shown in panel <bold>(B)</bold>. These cases were selected to match injections site size and rostrocaudal distribution of injections between control and VPA-exposed animals. The scale bar is equal to 200&#x2009;&#x03BC;m. D, Dorsal; dMG, Dorsal nucleus of the medial geniculate; m, Medial nucleus of the medial geniculate; M, Medial; vMG, Ventral nucleus of the medial geniculate.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g007.tif"/>
</fig>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>Injection sites in the MG. Representative examples of recovered injections sites in the MG are provided for control <bold>(A&#x2013;C)</bold> and VPA-exposed animals <bold>(D&#x2013;F)</bold>. The images were taken with simultaneous illumination with white light and a mercury lamp with a UV filter cube. Myeloarchitecture is shown in gray and the tracer injection in white. The scale bar is equal to 200&#x2009;&#x03BC;m. D, Dorsal; dMG, Dorsal nucleus of the medial geniculate; m, Medial nucleus of the medial geniculate; M, Medial; vMG, Ventral nucleus of the medial geniculate.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g008.tif"/>
</fig>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p>VPA exposure abolishes the projection from the MNTB to the MG. Retrograde labeling from a deposit of FG in the MG is shown for control <bold>(A1, B1)</bold> and VPA-exposed animals <bold>(C1,D1)</bold>. Panels <bold>(A1,A2,B1,B2)</bold> are from two different control animals; panels <bold>(C1,C2,D1,D2)</bold> are from two different VPA-exposed animals. Retrogradely labeled neurons are pseudocolored cyan and Neurotrace counter-stained cells are shown in red (NT). Retrogradely labeled neurons are indicated with cyan arrowheads. Panels <bold>(A2,B2,C2,D2)</bold> show Neurotrace counter-stained sections without the tracer label for reference. The scale bar in panel <bold>(C1)</bold> is equal to 200&#x2009;&#x03BC;m and applies to all images. D, Dorsal; FN, Facial nerve; LNTB, Lateral nucleus of the trapezoid body; M, Medial; RF, Reticular formation; Tz, Trapezoid body; VNTB, Ventral nucleus of the trapezoid body.</p>
</caption>
<graphic xlink:href="fncel-18-1465255-g009.tif"/>
</fig>
</sec>
<sec id="sec6">
<title>Proportion of SOC neurons projecting to the MG</title>
<p>Our previous studies indicate the rat MNTB contains 6,591 neurons in control animals and 5,300 neurons in VPA exposed animals (<xref ref-type="table" rid="tab1">Table 1</xref>, columns A and B; <xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>). This equates to a 20% loss of neurons in the MNTB after VPA exposure. Our tract tracing experiments indicate that 36.7% of MNTB neurons in control and only 1.6% of MNTB neurons in VPA-exposed animals project to the ipsilateral MG. Based on these values, we estimate that in control animals 2,419 MNTB neurons project to the ipsilateral MG (<xref ref-type="table" rid="tab1">Table 1</xref>, column F). However, after VPA exposure, this drops to only about 85 total neurons (<xref ref-type="table" rid="tab1">Table 1</xref>, column G) and constitutes a loss of 96% of the MNTB projection to the MG.</p>
<p>In control animals, the vMG and mMG combined include 46,796 neurons, but only 23,403 neurons in VPA-exposed animals (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>; <xref ref-type="table" rid="tab1">Table 1</xref>, columns A and B). This equates to a 50% loss of neurons in the vMG and mMG after VPA exposure. Accordingly, there are nearly 15 times as many MG neurons per MNTB neuron projecting to the MG in VPA-exposed animals (<xref ref-type="table" rid="tab1">Table 1</xref>, column H and I). This drastic change led us to ask if the MNTB projection to the MG was more severely impacted by VPA exposure than other SOC nuclei. <xref ref-type="fig" rid="fig6">Figure 6D</xref> shows linear correlation lines comparing the projection to the MG from the MSO and LSO combined and the MNTB alone. In control animals about 320 neurons from the ipsilateral MSO and LSO combined project to the MG while approximately 2,400 MNTB neurons make this projection. In VPA-exposed animals, only about 114 neurons from the MSO and LSO project to the MG, while only about 85 MNTB neurons make this projection (<xref ref-type="fig" rid="fig6">Figure 6F</xref>). <xref ref-type="fig" rid="fig5">Figure 5E</xref> shows linear correlation lines comparing the projection to the MG from the SPON and the MNTB. In control animals, approximately 450 SPON neurons project to the MG and only about 160 SPON neurons in VPA-exposed animals make this projection (<xref ref-type="table" rid="tab1">Table 1</xref>, columns F and G) (<xref ref-type="fig" rid="fig6">Figure 6E</xref>). Together, this suggests that VPA exposure results in a&#x2009;~&#x2009;65% decrease in the projection from the MSO and LSO and a 66% decrease in the projection from the SPON to the MG (<xref ref-type="fig" rid="fig6">Figure 6F</xref>). However, VPA exposure results in a 96% decrease in the projection from the MNTB to the MG (<xref ref-type="fig" rid="fig6">Figure 6F</xref>; <xref ref-type="table" rid="tab1">Table 1</xref>, column F and G).</p>
<p>Finally, we asked if <italic>in utero</italic> VPA exposure altered the contributions of the SOC nuclei to the olivogeniculate projection (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). The proportional contributions of each SOC nucleus to the olivogeniculate projection are shown in <xref ref-type="fig" rid="fig5">Figure 5G</xref>. The control pie chart is based on distribution of 4,075 neurons; the VPA pie chart is based on distribution of only 840 neurons. The largest projection to the MG is from the medial SOC in control animals: 91% of the olivogeniculate projection comes from the SPON, DMW and MNTB. This proportion changes drastically after VPA exposure. In VPA-exposed animals, the SPON, DMW and MNTB contribute only 75% of the MG projection and the MSO and LSO contribute ~25%. In control animals, the largest single contributor to the olivogeniculate project is the MNTB (53%, <xref ref-type="fig" rid="fig6">Figure 6G</xref>). While in VPA-exposed animals the DMW is the largest single contributor (53%) followed by the LSO (21%, <xref ref-type="fig" rid="fig6">Figure 6G</xref>).</p>
<p>Since all auditory brainstem nuclei have fewer neurons after VPA exposure (except the VNTB: <xref ref-type="bibr" rid="ref76">Mansour and Kulesza, 2021</xref>), we calculated a projection change. This calculation compares neuron loss and projection loss (<xref ref-type="table" rid="tab1">Table 1</xref>, column K). A negative value indicates loss of projections beyond what is predicted by VPA-induced neuron loss. The MNTB has a projection change of &#x2212;11.94 and the VCN has a projection change of &#x2212;3.59, indicating these are the most severely affected of the brainstem nuclei.</p>
</sec>
</sec>
<sec sec-type="discussion" id="sec7">
<title>Discussion</title>
<p>This study provides the first detailed examination of the impact of <italic>in utero</italic> exposure to the antiepileptic VPA on a novel, glycinergic projection from the MNTB to the auditory thalamus. It is important here to recall our finding that VPA exposure results in significantly smaller brains and brainstems (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>; <xref ref-type="bibr" rid="ref77">Mansour et al., 2019</xref>). Accordingly, VPA animals received proportionally larger tracer deposits in the CNIC and MG and in theory this should result in more retrogradely labeled neurons, but this was not the case. <italic>In utero</italic> VPA exposure results in hypoplasia and dysmorphology in the auditory brainstem and thalamus, abnormal patterns of CB immunolabeling, reduced ascending projections to the CNIC and MG, abnormal auditory brainstem responses and imbalanced excitatory/inhibitory inputs to brainstem neurons (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>; <xref ref-type="bibr" rid="ref77">Mansour et al., 2019</xref>; <xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>; <xref ref-type="bibr" rid="ref4">Alhelo and Kulesza, 2022</xref>). Similar morphological changes have been found in the SOC of human subjects with ASD, including significantly fewer neurons in the MNTB (<xref ref-type="bibr" rid="ref58">Kulesza and Mangunay, 2008</xref>; <xref ref-type="bibr" rid="ref57">Kulesza et al., 2011</xref>; <xref ref-type="bibr" rid="ref66">Lukose et al., 2015</xref>). Therefore, our findings may provide insight into structural and functional changes in the auditory pathway of subjects with ASD and other neurodevelopment disorders.</p>
<sec id="sec8">
<title>Connectivity of the MNTB</title>
<p>The MNTB receives a fast and precise glutamatergic input from GBCs in the contralateral VCN via the calyx of Held (<xref ref-type="bibr" rid="ref36">Harrison and Irving, 1964</xref>; <xref ref-type="bibr" rid="ref83">Morest, 1968a</xref>,<xref ref-type="bibr" rid="ref84">b</xref>; <xref ref-type="bibr" rid="ref60">Kuwabara et al., 1991</xref>; <xref ref-type="bibr" rid="ref110">Smith et al., 1991</xref>). Consequently, evoked responses from MNTB principal neurons maintain the precision of the auditory nerve and GBCs. Principal MNTB neurons use glycine as a neurotransmitter (<xref ref-type="bibr" rid="ref81">Moore and Caspary, 1983</xref>; <xref ref-type="bibr" rid="ref125">Wenthold et al., 1987</xref>) and project to surrounding nuclei in the ipsilateral SOC (<xref ref-type="bibr" rid="ref81">Moore and Caspary, 1983</xref>; <xref ref-type="bibr" rid="ref61">Kuwabara and Zook, 1992</xref>; <xref ref-type="bibr" rid="ref114">Sommer et al., 1993</xref>; <xref ref-type="bibr" rid="ref111">Smith et al., 1998</xref>), the ipsilateral VCN (guinea pig: <xref ref-type="bibr" rid="ref105">Schofield, 1994</xref>), and VNLL and INLL (<xref ref-type="bibr" rid="ref115">Spangler et al., 1985</xref>; <xref ref-type="bibr" rid="ref114">Sommer et al., 1993</xref>; <xref ref-type="bibr" rid="ref111">Smith et al., 1998</xref>; <xref ref-type="bibr" rid="ref47">Kelly et al., 2009</xref>; <xref ref-type="bibr" rid="ref102">Salda&#x00F1;a et al., 2009</xref>). Glycinergic input from the MNTB to the MSO and LSO plays essential roles in coding sound source localization (<xref ref-type="bibr" rid="ref134">Zarbin et al., 1981</xref>; <xref ref-type="bibr" rid="ref81">Moore and Caspary, 1983</xref>; <xref ref-type="bibr" rid="ref61">Kuwabara and Zook, 1992</xref>; <xref ref-type="bibr" rid="ref35">Grothe and Sanes, 1993</xref>; <xref ref-type="bibr" rid="ref45">Kapfer et al., 2002</xref>). In the SPON, MNTB inputs form temporally precise rebound responses that code the offset of tone-pips and rapid fluctuations in the stimulus envelope (<xref ref-type="bibr" rid="ref56">Kulesza et al., 2003</xref>; <xref ref-type="bibr" rid="ref44">Kadner et al., 2006</xref>). The projection from the MNTB to the MG is a recent discovery&#x2014;it was first described in guinea pigs (<xref ref-type="bibr" rid="ref108">Schofield et al., 2014b</xref>), but in this species appears to originate from non-principal MNTB neurons. In rats, deposits of retrograde tracers in the vMG and dMG result in robust labeling in the ipsilateral MNTB (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Our injections in the MG resulted in labeling across the auditory brainstem, consistent with previous reports of thalamic projections from the CNIC, NLL, SOC, and VCN from other species (ferrets: <xref ref-type="bibr" rid="ref9">Angelucci et al., 1998</xref>; guinea pig: <xref ref-type="bibr" rid="ref107">Schofield et al., 2014a</xref>,<xref ref-type="bibr" rid="ref108">b</xref>; rat: <xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). It should be emphasized that in control animals, focal injections of FG restricted to the vMG resulted in labeling of up to 84% of MNTB neurons (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Approximately 87% of MNTB neurons retrogradely labeled from the vMG are CB immunoreactive, confirming that at least in the rat, the thalamic projection from the MNTB is derived from principal neurons (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Deposits of an anterograde tracer in the MNTB resulted in labeled axons and terminals in the SPON, LSO, VNLL, (consistent with previous reports; see above) but also the ipsilateral nucleus of the brachium of the inferior colliculus and vMG (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Consistent with a glycinergic projection to the auditory thalamus, there is dense somatic immunolabeling for the glycine receptor in the dMG and vMG, with only scant labeling in the mMG (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Together, these results support the presence of a prominent projection from MNTB principal neurons in rats providing a fast, glycinergic input to the vMG.</p>
</sec>
<sec id="sec9">
<title>Functions of the MNTB projection to the auditory thalamus</title>
<p>The role of direct projections from the cochlear nuclei and SOC to the MG are unclear. Specifically, there is a direct projection from stellate neurons in the VCN to the contralateral CNIC and MG (<xref ref-type="bibr" rid="ref71">Malmierca et al., 2002</xref>; <xref ref-type="bibr" rid="ref107">Schofield et al., 2014a</xref>; <xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>). Our results show that 13,913 neurons in the rat VCN project to the contralateral CNIC (<xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>) and 7,164 neurons in the VCN project to the contralateral MG (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). In the current study, we show that 2,419 MNTB neurons project to the ipsilateral MG. Outside of the VNLL, whose thalamic projection has not yet been examined in rats, the VCN appears to be the largest single subcollicular source of input to the MG, followed by the MNTB (<xref ref-type="table" rid="tab1">Table 1</xref>; <xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). The stellate neuron input from the VCN is most likely excitatory based on the nature of VCN projections to the CNIC (<xref ref-type="bibr" rid="ref40">Ito and Oliver, 2010</xref>) and seems to be most heavily directed to the contralateral mMG (<xref ref-type="bibr" rid="ref71">Malmierca et al., 2002</xref>; <xref ref-type="bibr" rid="ref107">Schofield et al., 2014a</xref>). The mMG receives input from the inferior colliculus, CN, SOC, NLL (<xref ref-type="bibr" rid="ref107">Schofield et al., 2014a</xref>,<xref ref-type="bibr" rid="ref108">b</xref>; <xref ref-type="bibr" rid="ref71">Malmierca et al., 2002</xref>; <xref ref-type="bibr" rid="ref9001">Anderson et al., 2006</xref>) and several non-auditory sources. The mMG also receives input from the vestibular system (<xref ref-type="bibr" rid="ref99">Roucoux-Hanus and Boisacq-Schepens, 1977</xref>) and spinothalamic tract relaying pain and thermal sense (<xref ref-type="bibr" rid="ref63">LeDoux et al., 1987</xref>). The mMG projects to auditory, somatosensory and prefrontal cortex (<xref ref-type="bibr" rid="ref116">Spreafico et al., 1981</xref>; <xref ref-type="bibr" rid="ref11">Avedafio and Llamas, 1984</xref>; <xref ref-type="bibr" rid="ref128">Winer, 1985</xref>), amygdala (<xref ref-type="bibr" rid="ref86">Ottersen and Ben-Ari, 1979</xref>; <xref ref-type="bibr" rid="ref64">LeDoux et al., 1985</xref>; <xref ref-type="bibr" rid="ref9002">Doron and LeDoux, 1999</xref>) and provides descending input to the auditory brainstem (<xref ref-type="bibr" rid="ref126">Whitley and Henkel, 1984</xref>). Together, these features of the mMG illustrate its possible role in integration across several sensory modalities. The MNTB input is most likely glycinergic and mainly targets the vMG (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). The vMG is the main relay of ascending auditory information from the CNIC to the auditory cortex (<xref ref-type="bibr" rid="ref101">Ryugo and Killackey, 1974</xref>; <xref ref-type="bibr" rid="ref63">LeDoux et al., 1987</xref>; <xref ref-type="bibr" rid="ref129">Winer and Larue, 1987</xref>; <xref ref-type="bibr" rid="ref31">Gonz&#x00E1;lez-Hern&#x00E1;ndez et al., 1991</xref>; <xref ref-type="bibr" rid="ref23">Clerici and Coleman, 1990</xref>; <xref ref-type="bibr" rid="ref130">Winer et al., 1999</xref>; <xref ref-type="bibr" rid="ref49">Kimura et al., 2003</xref>; <xref ref-type="bibr" rid="ref37">Hazama et al., 2004</xref>; <xref ref-type="bibr" rid="ref41">Ito and Oliver, 2012</xref>; <xref ref-type="bibr" rid="ref112">Smith et al., 2012</xref>) and therefore its functions are likely focused on hearing. The roles these inputs from the VCN and MNTB play in shaping responses of neurons across the MG subdivision are unclear, but they clearly provide fast and precise input to the auditory thalamus (<xref ref-type="bibr" rid="ref108">Schofield et al., 2014b</xref>). It is important to emphasize that based on tract tracing studies in rat and guinea pig (<xref ref-type="bibr" rid="ref71">Malmierca et al., 2002</xref>; <xref ref-type="bibr" rid="ref107">Schofield et al., 2014a</xref>,<xref ref-type="bibr" rid="ref108">b</xref>; <xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>), the VCN and MNTB projections are targeting different regions of the MG and would appear to be functionally independent. As such, we will only discuss the MNTB projection further.</p>
<p>Within the SOC, glycinergic input from the MNTB to the MSO arrives before excitatory, glutamatergic inputs from the ipsilateral VCN, despite a longer axon distance and extra synapse (<xref ref-type="bibr" rid="ref34">Grothe, 1994</xref>; <xref ref-type="bibr" rid="ref35">Grothe and Sanes, 1993</xref>; <xref ref-type="bibr" rid="ref94">Roberts et al., 2014</xref>). In the rat, MNTB principal neurons have spontaneous discharge rates of 20&#x2013;30 spikes/s and respond to pure tone-pips with precise temporal patterns of action potentials; shortly following the stimulus offset, MNTB neurons have a brief window of quiescence and then gradually resume their spontaneous discharge rate (<xref ref-type="bibr" rid="ref56">Kulesza et al., 2003</xref>; <xref ref-type="bibr" rid="ref54">Kulesza, 2007</xref>; <xref ref-type="bibr" rid="ref44">Kadner et al., 2006</xref>; <xref ref-type="bibr" rid="ref43">Kadner and Berrebi, 2008</xref>; <xref ref-type="bibr" rid="ref50">Kopp-Scheinpflug et al., 2008</xref>). This post-stimulus interruption in MNTB responses to pure tone-pips is essential in the formation of offset responses in the SPON (<xref ref-type="bibr" rid="ref56">Kulesza et al., 2003</xref>; <xref ref-type="bibr" rid="ref44">Kadner et al., 2006</xref>). Together, these findings suggest that glycinergic input from the MNTB likely reaches the vMG before any other lemniscal inputs, but more importantly provides fast and temporally precise inhibition. Additionally, based on our tracer injections in the IC and MG, it appears that the MNTB projection to the vMG has very few if any collaterals to the CNIC (<xref ref-type="fig" rid="fig8">Figure 8</xref>)&#x2014;this is unique among nuclei in the CN, SOC and NLL projecting to the thalamus. The reason for this projection pattern is unclear but we propose that maintenance of the timing and integration of this glycinergic input is functionally important for at least a subset of functionally distinct vMG neurons (see below).</p>
<p><italic>In vivo</italic> recordings in rabbits reveal that about 8% of neurons in the rabbit vMG respond to pure tones with offset responses and about 3% of neurons respond to pure tone-pips with on/off responses (<xref ref-type="bibr" rid="ref21">Cetas et al., 2002</xref>). Similar offset-type responses have been found in and around the vMG of other species (guinea pig: <xref ref-type="bibr" rid="ref133">Yu et al., 2004</xref>; cat: <xref ref-type="bibr" rid="ref2">Aitkin and Prain, 1974</xref>, mouse: <xref ref-type="bibr" rid="ref8">Anderson and Linden, 2016</xref>). Our immunolabeling for the glycine receptors in the dMG and vMG is largely somatic, similar to what is found in the SPON (<xref ref-type="bibr" rid="ref55">Kulesza and Berrebi, 2000</xref>), where glycinergic inputs play an essential role in forming offset responses (<xref ref-type="bibr" rid="ref54">Kulesza, 2007</xref>; <xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). Based on the role of the MNTB in forming offset responses in the SPON and the distribution of glycine receptor positive puncta in the vMG, we hypothesize that the MNTB input to this region functions, at least in part, to create responses timed to the stimulus offset.</p>
</sec>
<sec id="sec10">
<title>Impact of VPA exposure on connectivity in the auditory brainstem</title>
<p>In control animals, we estimate about 20,326 total neurons in the SOC (LSO, MSO, MNTB, SPON, VNTB, LNTB and DMW). However, in VPA-exposed animals, there are only 15,136 total neurons in these nuclei&#x2014;this equates to a 26% decrease in the total number of neurons in the SOC. However, VPA exposure results in approximately a 49% decrease in the SOC projection to the CNIC (<xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>) and a 73% decrease in the SOC projection to the MG (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>; <xref ref-type="bibr" rid="ref76">Mansour and Kulesza, 2021</xref>). Additionally, VPA exposure appears to result in a significant reorganization of the olivogeniculate projection in rats. VPA exposure results in a 20% decrease in the total number of MNTB neurons (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>) but a 96% decrease in the total number of MNTB neurons projecting to the MG (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). VPA exposure results in a 25% decrease in the total number of LSO neurons (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>). The ascending projection from the LSO to the ipsilateral CNIC is inhibitory and likely glycinergic, while the projection to the contralateral CNIC is glutamatergic (<xref ref-type="bibr" rid="ref40">Ito and Oliver, 2010</xref>). VPA exposure results in a 34% decrease in the ipsilateral projection and a 47% decrease in the contralateral projection from the LSO to the CNIC (<xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>). However, VPA exposure resulted in a 57% decrease in the ipsilateral projection (glycine) but a 172% increase in the contralateral projection to the MG from the LSO (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). The MSO projection to the MG is likely glutamatergic. VPA exposure results in a 57% decrease in the total number of MSO neurons (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>), a 74% decrease in the number of MSO neurons projecting to the CNIC (<xref ref-type="bibr" rid="ref137">Zimmerman et al., 2020</xref>) and 74% decrease in the number of neurons projecting to the MG (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). The SPON projection to the MG is most likely GABAergic (<xref ref-type="bibr" rid="ref55">Kulesza and Berrebi, 2000</xref>). VPA exposure results in a 43% decrease in the total number of SPON neurons (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>), a 61% decrease in the number of SPON neurons projecting to the CNIC and a 66% decrease in the total number of SPON neurons projecting to the MG (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>). While VPA exposure results in significant reorganization of the olivogeniculate projection (<xref ref-type="fig" rid="fig5">Figure 5G</xref>), there is still a net reduction in the number of SOC neurons projecting to the thalamus. Specifically, the proportion of VNTB and DMW neurons projecting to the MG increases (<xref ref-type="fig" rid="fig5">Figure 5G</xref>), but there is an overall reduction in the number of neurons projecting to the MG from these nuclei (<xref ref-type="table" rid="tab1">Table 1</xref>, column K). The only exception to this pattern is from the contralateral LSO (<xref ref-type="table" rid="tab1">Table 1</xref>, column K). There are glycinergic neurons in the rat LSO, VNTB and LNTB (<xref ref-type="bibr" rid="ref125">Wenthold et al., 1987</xref>; Rampon et al., 1996) and changes in projections from these nuclei may compensate for the loss of glycinergic input from the MNTB, although they likely cannot provide the same temporal precision. Besides the MNTB, these results do not currently provide a clear pattern for the impact of <italic>in utero</italic> VPA exposure on projections of specific nuclei or neurotransmitter systems in the auditory brainstem. VPA has been shown to inhibit neurite outgrowth (<xref ref-type="bibr" rid="ref90">Qian et al., 2009</xref>), and we propose that the drastic reduction in the thalamic projection of the MNTB is due to the impact of VPA on developing axons. Nonetheless, these results emphasize two important points. First, our findings are consistent with loss of projections to both the CNIC and MG beyond what is predicted from neuron loss alone (<xref ref-type="table" rid="tab1">Table 1</xref>, column K). Second, VPA exposure seems to have a preferential impact on longer axonal projections and the MNTB projection to the thalamus in particular.</p>
<p>As we have previously shown, the number of neurons from the VCN and most SOC nuclei projecting to the MG are fewer than those projecting to the CNIC. There are however two exceptions to this: the DMW and MNTB (<xref ref-type="bibr" rid="ref18">Burchell et al., 2022</xref>). In control animals, we estimate that only about 810 DMW neurons (combined ipsilateral and contralateral) project to the CNIC but 1,286 neurons project to the vMG (1.6-fold larger thalamic projection). In VPA-exposed animals we estimate that 174 DMW neurons project to the CNIC and about 583 neurons project to the vMG (3.3-fold larger thalamic projection). This is mainly attributable to a nearly 10-fold decrease in the projection from the ipsilateral DMW to the vMG after VPA exposure. In control animals, we estimate that only about 145 MNTB neurons project to the CNIC but 2,256 neurons project to the vMG (16-fold larger thalamic projection). In VPA-exposed animals we estimate that approximately 80 MNTB neurons project to the CNIC and only about 85 neurons project to the vMG. This difference in the number of MNTB neurons projecting to the MG compared to the CNIC in VPA-exposed animals is essentially 0 and is consistent with abolishment of the thalamic projection from the MNTB (<xref ref-type="fig" rid="fig1">Figure 1</xref>). This finding is based on injections of the retrograde tracer FG into the MG. Anterograde tracing experiments will undoubtably provide additional insight into course, collaterals and distribution of MNTB axons beyond the SOC. It is not clear to what degree MNTB projections to the CN, SPON, MSO, LSO and NLL are impacted by <italic>in utero</italic> VPA exposure, but we will explore these projections in future studies.</p>
</sec>
<sec id="sec11">
<title>Impact of loss of MNTB input to the vMG</title>
<p>The role of glycinergic input to the VNLL, INLL or vMG from the MNTB is not well characterized, so we can only speculate on the impact of losing this projection. Again, we propose that at least in the vMG, the MNTB input contributes to formation of offset responses. VPA exposure appears to abolish this projection to the vMG and so we hypothesize that VPA-exposed animals have significantly fewer offset responding neurons in the vMG. While there are significantly fewer MNTB and SPON neurons in VPA-exposed animals, we have not examined the distribution of glycine receptors or glycine-immunoreactive puncta in the SPON. MNTB principal neurons are characteristically CB+, but VPA exposure results in reduced CB immunolabeling in the MNTB, and many MNTB neurons have CB immunoreactivity restricted to the nucleus (<xref ref-type="bibr" rid="ref136">Zimmerman et al., 2018</xref>), so counting CB+ puncta may not be a viable metric to quantify this projection to the SPON, VNLL or INLL. Regardless, VPA exposure results in near complete loss of MNTB input to the vMG. Since the MNTB input would provide a fast, glycinergic input to vMG neurons we hypothesize that VPA-exposed animals have reduced coding of temporal information in the auditory thalamus. This most likely impairs coding of complex sounds such as vocalizations.</p>
<p>Interestingly, the physiological impact of abolishing the thalamic projection from the MNTB may not be so clear cut. Mice with deletion of the transcription factor <italic>En1</italic>, lack MNTB and VNTB neurons but neurons in the LSO and SPON still receive glycinergic innervation (<xref ref-type="bibr" rid="ref42">Jalabi et al., 2013</xref>; <xref ref-type="bibr" rid="ref6">Altieri et al., 2014</xref>). Mice lacking an MNTB had normal sound-evoked startle responses, but elevated thresholds to pure tones, significantly reduced amplitude of wave III, which is attributed largely to the MNTB and reduced sound localization abilities (<xref ref-type="bibr" rid="ref42">Jalabi et al., 2013</xref>). However, these mice have fewer GlyT2+ puncta in the LSO but no change in the SPON. The development of these GlyT2+ puncta in the LSO even followed a similar time course as control animals, but was delayed in the SPON (<xref ref-type="bibr" rid="ref6">Altieri et al., 2014</xref>). In fact, strychnine-sensitive offset responses could still be elicited in the SPON, despite there being no MNTB neurons (<xref ref-type="bibr" rid="ref42">Jalabi et al., 2013</xref>). The origin of these glycinergic inputs to the SPON and LSO in the absence of MNTB neurons has not been resolved, but likely arise from the contralateral VCN (<xref ref-type="bibr" rid="ref42">Jalabi et al., 2013</xref>).</p>
<p>Our tract tracing studies show that the projection to the MG from the contralateral VCN is greatly reduced in VPA-exposed animals (<xref ref-type="table" rid="tab1">Table 1</xref>). Specifically, deposits of retrograde tracers in the MG results in labeling of about 7,166 VCN neurons in control animals but only 825 neurons in VPA-exposed animals (<xref ref-type="bibr" rid="ref72">Mansour et al., 2021b</xref>)&#x2014;this equates to a 88% decrease. While the VCN may reprogram to compensate for loss of local glycinergic projections in <italic>En1</italic> deficit animals, this does not appear likely for long-range projections in VPA-exposed animals. Therefore, we hypothesize significant loss of glycinergic innervation of the vMG and dMG in VPA-exposed animals. Regardless, our results are consistent with significantly reduced and disproportionate ascending thalamic projections in VPA-exposed animals. These changes likely translate into impaired temporal and spectral coding of auditory information in the MG and auditory cortex and provide evidence that certain projections may be preferentially impacted in animal models of ASD.</p>
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</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec12">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="ethics-statement" id="sec13">
<title>Ethics statement</title>
<p>The animal study was approved by Lake Erie College of Osteopathic Medicine IACUC. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec14">
<title>Author contributions</title>
<p>YM: Data curation, Investigation, Methodology, Writing &#x2013; review &#x0026; editing. RK: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec sec-type="funding-information" id="sec15">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<sec sec-type="COI-statement" id="sec16">
<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.</p>
<p>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="disclaimer" id="sec17">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<fn-group>
<title>Abbreviations</title>
<fn fn-type="abbr"><p>ASD, Autism spectrum disorder; CB&#x2009;+&#x2009;Calbindin positive; CNIC, Central nucleus of the inferior colliculus; dMG, Dorsal nucleus of the medial geniculate; DMW, Dorsal medial wedge; DNLL, Dorsal nucleus of the lateral lemniscus; E, Embryonic; FB, Fast blue; FG, Fluorogold; GBC, Globular bushy cell; INLL, Intermediate nucleus of the lateral lemniscus; LSO, Lateral superior olive; MG, Medial geniculate; mMG, Medial nucleus of the medial geniculate; MNTB, Medial nucleus of the trapezoid body; MSO, Medial superior olive; P, Postnatal; PBS, Phosphate buffered saline; SOC, Superior olivary complex; SPON, Superior paraolivary nucleus; VCN, Ventral cochlear nucleus; vMG, Ventral nucleus of the medial geniculate; VNLL, Ventral nucleus of the lateral lemniscus; VPA, Valproic acid.</p></fn>
</fn-group>
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