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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Neurosci.</journal-id>
<journal-title>Frontiers in Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-453X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnins.2017.00304</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Minimal Effects of Age and Exposure to a Noisy Environment on Hearing in Alpha9 Nicotinic Receptor Knockout Mice</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lauer</surname> <given-names>Amanda M.</given-names></name>
<xref ref-type="author-notes" rid="fn001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/100787/overview"/>
</contrib>
</contrib-group>
<aff><institution>Department of Otolaryngology-HNS, Center for Hearing and Balance, Johns Hopkins University School of Medicine</institution> <country>Baltimore, MD, United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Barbara Jane Morley, Boys Town National Research Hospital, United States</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Sulev K&#x000F5;ks, University of Tartu, Estonia; Petra Scholze, Medical University of Vienna, Austria; Anne Luebke, University of Rochester Medical Center, United States; Dwayne D. Simmons, Baylor University, United States</p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x0002A;Correspondence: Amanda M. Lauer <email>alauer2&#x00040;jhmi.edu</email> <ext-link ext-link-type="uri" xlink:href="http://orcid.org/0000-0003-4184-7374">orcid.org/0000-0003-4184-7374</ext-link></p></fn>
<fn fn-type="other" id="fn002"><p>This article was submitted to Neuropharmacology, a section of the journal Frontiers in Neuroscience</p></fn></author-notes>
<pub-date pub-type="epub">
<day>02</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="collection">
<year>2017</year>
</pub-date>
<volume>11</volume>
<elocation-id>304</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>03</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>05</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2017 Lauer.</copyright-statement>
<copyright-year>2017</copyright-year>
<copyright-holder>Lauer</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) or licensor 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>Studies have suggested a role of weakened medial olivocochlear (OC) efferent feedback in accelerated hearing loss and increased susceptibility to noise. The present study investigated the progression of hearing loss with age and exposure to a noisy environment in medial OC-deficient mice. Alpha9 nicotinic acetylcholine receptor knockout (&#x003B1;9KO) and wild types were screened for hearing loss using auditory brainstem responses. &#x003B1;9KO mice housed in a quiet environment did not show increased hearing loss compared to wild types in young adulthood and middle age. Challenging the medial OC system by housing in a noisy environment did not increase hearing loss in &#x003B1;9KO mice compared to wild types. ABR wave 1 amplitudes also did not show differences between &#x003B1;9KO mice and wild types. These data suggest that deficient medial OC feedback does not result in early onset of hearing loss.</p></abstract>
<kwd-group>
<kwd>olivocochlear</kwd>
<kwd>auditory efferent</kwd>
<kwd>age</kwd>
<kwd>hearing loss</kwd>
<kwd>alpha9 nicotinic acetylcholine receptor</kwd>
<kwd>noise</kwd>
</kwd-group>
<contract-num rid="cn001">P30DC005211</contract-num>
<contract-num rid="cn001">F32DC009353</contract-num>
<contract-num rid="cn001">R03DC012352</contract-num>
<contract-sponsor id="cn001">National Institute on Deafness and Other Communication Disorders<named-content content-type="fundref-id">10.13039/100000055</named-content></contract-sponsor>
<contract-sponsor id="cn002">National Organization for Hearing Research Foundation<named-content content-type="fundref-id">10.13039/100002249</named-content></contract-sponsor>
<contract-sponsor id="cn003">Capita Foundation<named-content content-type="fundref-id">10.13039/100008180</named-content></contract-sponsor>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="71"/>
<page-count count="10"/>
<word-count count="6783"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>Regulation of auditory afferent input to the brain occurs via an efferent pathway termed the olivocochlear (OC) system. Medial OC (MOC) efferents decrease activity in the ear and indirectly affect the auditory input from the cochlea to the brain by reducing the gain produced by outer hair cells via an acetylcholine-triggered mechanism (Fuchs, <xref ref-type="bibr" rid="B14">2014</xref>; Guinan, <xref ref-type="bibr" rid="B18">2014</xref>). Lateral OC efferents (LOC) can decrease or increase auditory nerve activity by direct action on auditory nerve fibers through a suite of different neurotransmitters and neuropeptides (Darrow et al., <xref ref-type="bibr" rid="B8">2006</xref>; Le Prell et al., <xref ref-type="bibr" rid="B39">2014</xref>). The OC system has been implicated in hearing in noise (Kawase et al., <xref ref-type="bibr" rid="B30">1993</xref>; Giraud et al., <xref ref-type="bibr" rid="B17">1995</xref>; Hienz et al., <xref ref-type="bibr" rid="B22">1998</xref>; de Boer and Thornton, <xref ref-type="bibr" rid="B10">2008</xref>), protection from loud noise exposure (Rajan, <xref ref-type="bibr" rid="B56">1988</xref>; Maison and Liberman, <xref ref-type="bibr" rid="B42">2000</xref>; Darrow et al., <xref ref-type="bibr" rid="B9">2007</xref>; Taranda et al., <xref ref-type="bibr" rid="B62">2009</xref>; Fuente, <xref ref-type="bibr" rid="B15">2015</xref>), sound localization (May et al., <xref ref-type="bibr" rid="B46">2004</xref>; Irving et al., <xref ref-type="bibr" rid="B27">2011</xref>), and selective attention (Scharf et al., <xref ref-type="bibr" rid="B58">1997</xref>; Zeng et al., <xref ref-type="bibr" rid="B70">2000</xref>; Terreros et al., <xref ref-type="bibr" rid="B63">2016</xref>).</p>
<p>While OC regulation of afferent activity is known to contribute to developmental refinement of auditory circuits (Clause et al., <xref ref-type="bibr" rid="B7">2011</xref>; Johnson et al., <xref ref-type="bibr" rid="B29">2013</xref>; Hickman et al., <xref ref-type="bibr" rid="B21">2015</xref>), the impact of OC regulation of afferent activity over the course of adult aging is not as well-understood. Studies in humans and animals using contralateral noise suppression of otoacoustic emissions as a measure of MOC strength have suggested that weakened MOC activity contributes to age-related hearing loss (Parthasarathy, <xref ref-type="bibr" rid="B53">2001</xref>; Kim et al., <xref ref-type="bibr" rid="B32">2002</xref>; Jacobson et al., <xref ref-type="bibr" rid="B28">2003</xref>; Varghese et al., <xref ref-type="bibr" rid="B65">2005</xref>; Zhu et al., <xref ref-type="bibr" rid="B71">2007</xref>). Presumably, weakened MOC strength leaves the cochlea more vulnerable to damage to environmental sounds accrued over a lifetime, resulting in earlier onset or more severe age-related hearing loss. However, other studies indicate that weakened MOC strength in aging subjects may itself be due to hearing loss (Castor et al., <xref ref-type="bibr" rid="B3">1994</xref>; Tadros et al., <xref ref-type="bibr" rid="B61">2005</xref>; Keppler et al., <xref ref-type="bibr" rid="B31">2010</xref>; Konomi et al., <xref ref-type="bibr" rid="B33">2014</xref>), presumably because of reduced afferent input driving the MOC neurons or damage to outer hair cells that limits MOC functionality. Other studies have not found evidence of weakened MOC strength in older adults, and MOC activation was even enhanced under certain conditions (Quaranta et al., <xref ref-type="bibr" rid="B55">2001</xref>; Abdala et al., <xref ref-type="bibr" rid="B1">2014</xref>).</p>
<p>The mixed results from contralateral suppression studies in human listeners highlight the difficulties in determining which comes first: weakening of the OC pathways with age or age-related hearing loss. Direct manipulation of OC neurons in animal models has the potential to provide more definitive information. Lesions of the OC neurons triggers accelerated loss of ribbon synapses and auditory brainstem response (ABR) threshold shifts with age and increase susceptibility to damage from chronic noise exposure (Maison et al., <xref ref-type="bibr" rid="B43">2013</xref>; Liberman et al., <xref ref-type="bibr" rid="B40">2014</xref>). Loss of MOC neurons induced by sectioning the crossed OC bundle primarily affects lower to mid frequency regions of the cochlea, whereas damaging LOC neurons with a neurotoxin primarily affects higher frequency regions (Liberman et al., <xref ref-type="bibr" rid="B40">2014</xref>). These findings demonstrate a role for OC protection of hearing with age, but nonspecific effects may complicate the interpretation of lesion studies if other neurons are affected by the surgical procedures or the lesions are incomplete. An alternative approach is to measure hearing loss in genetically modified mouse strains with abnormal OC strength.</p>
<p>Mice missing the alpha9 nicotinic acetylcholine receptor subunit in MOC synapses (&#x003B1;9KO) lack efferent cochlear suppression of distortion product otoacoustic emissions and compound action potentials (Vetter et al., <xref ref-type="bibr" rid="B66">1999</xref>), but have intact outer and inner hair cells, intact but morphologically and functionally abnormal efferent synapses, normal cochlear nucleus innervation by MOC axon collaterals, and normal hearing thresholds in young adulthood (May et al., <xref ref-type="bibr" rid="B48">2002</xref>; Brown and Vetter, <xref ref-type="bibr" rid="B2">2009</xref>; Lauer and May, <xref ref-type="bibr" rid="B37">2011</xref>). The MOC dysfunction in this strain leads to auditory processing deficits that are exacerbated by exposure to elevated environmental noise levels (Lauer and May, <xref ref-type="bibr" rid="B37">2011</xref>; May et al., <xref ref-type="bibr" rid="B47">2011</xref>). &#x003B1;9KO mice also show abnormal axonal pruning and response properties in the lateral superior olive (Clause et al., <xref ref-type="bibr" rid="B6">2014</xref>). In the present study, we used this mouse model to test the hypotheses that mice with dysfunctional MOC activity would show accelerated onset of hearing loss with age, and that the hearing loss would be further accelerated by exposure to elevated environmental noise levels that challenge the MOC system.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Subjects</title>
<p>Fifty-five adult male and female homozygous &#x003B1;9KO (CBACaJ;129S-<italic>Chrna9</italic><sup><italic>tm</italic>1<italic>Bedv</italic></sup>/J, strain &#x00023;005696) and from our breeding colony originally established from founders obtained from the Jackson Laboratory cryopreservation store (&#x003B1;9KO) 47 homozygous wild type (WT) mice generated as F1 CBA/CaJ and 129/SvEvTac were used in the study. Homozygous breeding pairs from our breeding colony were randomly selected for housing in filter top shoebox cages quiet or noisy animal housing areas to ensure an adequate number of animals of each genotype (Lauer et al., <xref ref-type="bibr" rid="B38">2009</xref>). Background sound levels were below 40 dB APL in 1/3 octave bands with frequencies between 1 and 20 kHz in the quiet room, whereas sound levels were 40&#x02013;45 dB SPL in much of this range due to cage ventilation systems in this room. The largest differences in sound levels occurred below 10 kHz. Very little ultrasonic sound existed in the room. Additional transient sounds that exceeded the background by 20&#x02013;30 dB were generated during the day by experimenters and animal care staff, and activity was more frequent in the noisy room due to high-density housing. After weaning, mice were housed in same-sex groups of 3&#x02013;5. Mice has access to <italic>ad libitum</italic> food and water and were kept on a 12:12 h light cycle in rooms maintained at 70&#x02013;79&#x000B0;F and 30&#x02013;50% humidity. Animals were tested up to 15 months of age. The &#x003B1;9KO mice frequently developed dermatitis at mid-to-older ages, requiring treatment with ototoxic substances (not conducive to further hearing studies) or euthanasia. Thus, animals could not be tested in large numbers at older ages as the sample was limited to those not treated with antibiotics or euthanized for tissue harvest. In addition, we observed that the strain was resistant to anesthesia and developed rapid tolerance with repeated testing. Though some animals were tested repeatedly, some could only be tested at one age. The four main subject groups are denoted as follows: wild type housed in the quiet room (WT-Q), &#x003B1;9KO housed in the quiet room (&#x003B1;9KO-Q), wild type housed in the noisy room (WT-N), &#x003B1;9KO housed in the noisy room (&#x003B1;9KO-N). Sound levels in the room were periodically monitored using a data-logging sound level meter with 1/3 octave band measurement capabilities (Larson-Davis LxT2) and were detailed in our previous studies (Lauer et al., <xref ref-type="bibr" rid="B38">2009</xref>; Lauer and May, <xref ref-type="bibr" rid="B37">2011</xref>). All procedures were approved and performed in accordance with the Guide for the Care and Use of Laboratory Animals and the Johns Hopkins University Animal Care and Use Committee.</p>
</sec>
<sec>
<title>Auditory brainstem response (ABR) recordings and analysis</title>
<p>Recording procedures were similar to those previously described (Lauer and May, <xref ref-type="bibr" rid="B37">2011</xref>; Lina and Lauer, <xref ref-type="bibr" rid="B41">2013</xref>; McGuire et al., <xref ref-type="bibr" rid="B49">2015</xref>). Mice were anesthetized with 100 mg/kg ketamine and 20 mg/kg xylazine (i. p.) and placed on an electronically controlled heating pad inside a small sound-attenuating chamber 30 cm from a pair of Radio Shack Supertweeters in front of the animal. The animals&#x00027; core temperature was maintained at 37&#x000B0;C &#x000B1; 1&#x000B0;. ABRs were differentially recorded from the scalp using subcutaneous platinum needle electrodes (G.R.A.S.) placed over the left bulla and at the vertex of the skull, with a ground electrode inserted into the leg muscle. Responses were amplified (ISO-80, World Precision Instruments) and bandpass filtered from 30 to 3,000 Hz (Krohn-Hite). Stimulus generation and ABR measurements were controlled and collected using Tucker Davis technologies programming modules, custom Matlab-based software, and a PC. Responses were averaged over 300 stimulus presentations. Stimuli were clicks and 5-ms tone pips (8, 16, 32 kHz) with a rise/fall time of 0.5 ms played at a rate of 10/s. Stimuli were calibrated with a &#x000BC;&#x02033; Bruel &#x00026; Kjaer microphone placed at the location normally occupied by the mouse&#x00027;s head during testing using a custom Mathworks Matlab-based program.</p>
<p>Thresholds and suprathreshold responses were measured by presenting a descending series of stimulus levels beginning with &#x02212;10 dB of the maximum possible output of the speaker and continuing in 5 or 10 dB steps until no response could be discerned from the noise. Threshold was defined as the sound level at which the ABR amplitude (any wave) was 2 standard deviations above the average level of a 5 ms window of baseline noise collected at the end of a 30-ms recording epoch (Figure <xref ref-type="fig" rid="F1">1</xref>). Responses to clicks were measured first to ensure an optimal signal-to-noise ratio and the presence of at least four distinct peaks. Responses to tones were measured in a pseudorandom order. A second method of testing age-related hearing loss was not used because operant conditioning procedures require months of training and testing for each frequency, precluding repeated screening across frequency in three age groups.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>Example of a click-evoked ABR recorded from a wild type mouse housed in quiet. Thresholds were estimated by recording responses to a descending level series of stimuli, calculating the maximum peak-to-peak amplitude (any peak) within a 10-ms window starting at 2-ms after the onset of the stimuli, and determining the sound level that produced a response that was 2 standard deviations about the average baseline noise recorded in a 5-ms window at the end of each recording epoch. The waveform latency is not corrected for the travel time between the speaker and the ear. The amplitude of the first positive (p1) to the first negative (n1) peaks were also calculated.</p></caption>
<graphic xlink:href="fnins-11-00304-g0001.tif"/>
</fig>
<p>Previous studies have linked auditory nerve damage to reduced ABR wave 1 amplitude in the absence of threshold shifts (Sergeyenko et al., <xref ref-type="bibr" rid="B59">2013</xref>; Kujawa and Liberman, <xref ref-type="bibr" rid="B35">2015</xref>). Thus, wave 1 amplitudes for the highest level stimuli were measured manually offline for the 1&#x02013;5 month and 11&#x02013;15 month old groups by marking the positive and negative peaks and measuring the difference between each positive peak and the immediately following negative deflection as demarcated in Figure <xref ref-type="fig" rid="F1">1</xref>. Sound levels were 94 dB for clicks, 101 dB for 8 kHz, 99 dB for 16 kHz, and 76 dB for 32 kHz.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Nonparametric statistical tests were performed on the data because some of the distributions were non-normal, the sample sizes were not equal across all groups, and these tests are more robust because they rely on fewer assumptions than parametric statistics. We performed Kruskal-Wallis rank sum tests to identify significant main effects of group at a particular age and frequency, or effects of age within a particular group using a criterion of <italic>p</italic> &#x0003C; 0.05. If the main effect was significant, <italic>post-hoc</italic> Mann-Whitney <italic>U</italic>-tests were performed with a <italic>P</italic>-value adjusted for multiple comparisons by dividing <italic>p</italic> &#x0003D; 0.05 by the number of pairwise comparisons performed. <italic>Post-hoc</italic> comparisons were performed on the following group pairs: WT-Q v. &#x003B1;9KO-Q, WT-N v. &#x003B1;9KO-N, WT-Q v. WT-N, &#x003B1;9KO-Q v. &#x003B1;9KO-N, with an adjusted significance criterion of <italic>p</italic> &#x0003C; 0.0125. <italic>P</italic>-values of &#x0003C; 0.001 could not be computed by the statistics software and are therefore reported as <italic>p</italic> &#x0003C; 0.001. Data distributions are represented as box plots (Krzywinski and Altman, <xref ref-type="bibr" rid="B34">2014</xref>), and the median is depicted by a line. Dots represent the 5th and 95th percentiles.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>ABR thresholds</title>
<p>The distributions of ABR thresholds measured for four frequencies in 1&#x02013;5 month old mice from each of the four groups (<italic>n</italic> &#x0003D; 14 WT-Q, <italic>n</italic> &#x0003D; 20 &#x003B1;9KO-Q, <italic>n</italic> &#x0003D; 20 WT-N, <italic>n</italic> &#x0003D; 15 &#x003B1;9KO-N) are shown in Figure <xref ref-type="fig" rid="F2">2</xref>. There was no significant main effect of group for clicks (<italic>H</italic> &#x0003D; 5.238, <italic>p</italic> &#x0003D; 0.155), 16 kHz (<italic>H</italic> &#x0003D; 5.754, <italic>p</italic> &#x0003D; 0.124), and 32 kHz (<italic>H</italic> &#x0003D; 5.703, <italic>p</italic> &#x0003D; 0.127). There was a significant main effect of group for 8 kHz (<italic>H</italic> &#x0003D; 28.174, <italic>p</italic> &#x0003C; 0.001). <italic>Post-hoc</italic> comparisons revealed significant differences between the 8 kHz thresholds of &#x003B1;9KO-Q and &#x003B1;9KO-N (<italic>p</italic> &#x0003C; 0.001) and &#x003B1;9KO-N and WT-N (<italic>p</italic> &#x0003C; 0.001). Thresholds were higher in &#x003B1;9KO-N than WT-N and &#x003B1;9KO-Q for 8 kHz.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Distribution of ABR click and tone thresholds in four groups of 1&#x02013;5 month old mice: wild type mice housed in quiet (WT-Q), wild type mice housed in noisy conditions (WT-N), olivocochlear-deficient alpha9 nicotinic acetylcholine receptor knockout mice housed in quiet (&#x003B1;9KO-Q), alpha9 nicotinic acetylcholine receptor knockout mice housed in noisy conditions (&#x003B1;9KO-N). Horizontal lines inside the boxplots represent the median. Dots represent the 5th and 95th percentiles. Thick black lines and asterisks indicate statistically significant differences identified with <italic>post-hoc</italic> analysis. Thresholds are shown for click <bold>(A)</bold>, 8 kHz <bold>(B)</bold>, 16 kHz <bold>(C)</bold>, and 32 kHz <bold>(D)</bold>.</p></caption>
<graphic xlink:href="fnins-11-00304-g0002.tif"/>
</fig>
<p>The distributions of ABR thresholds measured for four frequencies in 6&#x02013;10 month old mice from each of the four groups (<italic>n</italic> &#x0003D; 19 WT-Q, <italic>n</italic> &#x0003D; 16 &#x003B1;9KO-Q, <italic>n</italic> &#x0003D; 8 WT-N, <italic>n</italic> &#x0003D; 6 &#x003B1;9KO-N) are shown in Figure <xref ref-type="fig" rid="F3">3</xref>. There were significant main effects of group for click (<italic>H</italic> &#x0003D; 12.569, <italic>p</italic> &#x0003D; 0.006) and 8 kHz (<italic>H</italic> &#x0003D; 9.202, <italic>p</italic> &#x0003D; 0.027). Main effects were not significant for 16 kHz (<italic>H</italic> &#x0003D; 6.671, <italic>p</italic> &#x0003D; 0.083) and 32 kHz (<italic>H</italic> &#x0003D; 0.934, <italic>p</italic> &#x0003D; 0.817). <italic>Post-hoc</italic> comparisons did not reveal any significant differences for any of the pairwise comparisons tested. The significant main effects were likely driven by differences between WT-Q and &#x003B1;9KO-N, but these group comparisons were not of interest in the present study.</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Distribution of ABR click and tone thresholds in four groups of 6&#x02013;10 month old mice: wild type mice housed in quiet (WT-Q), wild type mice housed in noisy conditions (WT-N), olivocochlear-deficient alpha9 nicotinic acetylcholine receptor knockout mice housed in quiet (&#x003B1;9KO-Q), alpha9 nicotinic acetylcholine receptor knockout mice housed in noisy conditions (&#x003B1;9KO-N). Horizontal lines inside the boxplots represent the median. Dots represent the 5th and 95th percentiles. Thresholds are shown for click <bold>(A)</bold>, 8 kHz <bold>(B)</bold>, 16 kHz <bold>(C)</bold>, and 32 kHz <bold>(D)</bold>.</p></caption>
<graphic xlink:href="fnins-11-00304-g0003.tif"/>
</fig>
<p>The distributions of ABR thresholds measured for four frequencies in 11&#x02013;15 month old mice from each of the four groups (<italic>n</italic> &#x0003D; 6 WT-Q, <italic>n</italic> &#x0003D; 7 &#x003B1;9KO-Q, <italic>n</italic> &#x0003D; 6 WT-N, <italic>n</italic> &#x0003D; 4 &#x003B1;9KO-N) are shown in Figure <xref ref-type="fig" rid="F4">4</xref>. Main effects were not significant for click (<italic>H</italic> &#x0003D; 4.262, <italic>p</italic> &#x0003D; 0.234), 8 kHz (<italic>H</italic> &#x0003D; 1.376, <italic>p</italic> &#x0003D; 0.711), 16 kHz (<italic>H</italic> &#x0003D; 7.052, <italic>p</italic> &#x0003D; 0.07) and 32 kHz (<italic>H</italic> &#x0003D; 5.967, <italic>p</italic> &#x0003D; 0.113). <italic>Post-hoc</italic> analyses were not performed due to the non-significant main effects. Due to the small sample sizes that we were able to obtain because of complications from dermatitis in the older &#x003B1;9KO mice and the lack of a statistically significant effect, we performed a sample size calculation that indicated a sample size of 23 animals per group would have been required to detect a minimum 5 dB threshold difference with a power of 0.8, alpha &#x0003D; 0.05. Obtaining this number of 11&#x02013;15 month old animals from each group would have required using animals that had to be treated with potentially ototoxic antibiotics to treat their dermatitis. The use of potentially ototoxic antibiotics could have confounded the results; therefore, the small samples size was the preferable option.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Distribution of ABR click and tone thresholds in four groups of 11&#x02013;15 month old mice: wild type mice housed in quiet (WT-Q), wild type mice housed in noisy conditions (WT-N), olivocochlear-deficient alpha9 nicotinic acetylcholine receptor knockout mice housed in quiet (&#x003B1;9KO-Q), alpha9 nicotinic acetylcholine receptor knockout mice housed in noisy conditions (&#x003B1;9KO-N). Horizontal lines inside the boxplots represent the median. Dots represent the 5th and 95th percentiles. Thresholds are shown for click <bold>(A)</bold>, 8 kHz <bold>(B)</bold>, 16 kHz <bold>(C)</bold>, and 32 kHz <bold>(D)</bold>.</p></caption>
<graphic xlink:href="fnins-11-00304-g0004.tif"/>
</fig>
</sec>
<sec>
<title>ABR wave amplitudes</title>
<p>Wave 1 amplitudes for 1&#x02013;5 month old mice were similar across groups as shown in Figure <xref ref-type="fig" rid="F5">5</xref>. No significant effects were observed for any frequency: click (<italic>H</italic> &#x0003D; 3.82, <italic>p</italic> &#x0003D; 0.282), 8 kHz (<italic>H</italic> &#x0003D; 7.527, <italic>p</italic> &#x0003D; 0.057), 16 kHz (<italic>H</italic> &#x0003D; 4.78, <italic>p</italic> &#x0003D; 0.189), and 32 kHz (<italic>H</italic> &#x0003D; 1.963, <italic>p</italic> &#x0003D; 0.58). Wave 1 amplitudes for 11&#x02013;15 month old mice are shown in Figure <xref ref-type="fig" rid="F6">6</xref>. Wave amplitudes were not smaller in &#x003B1;9KO mice than in WTs, but WT-N mice tended to have larger wave 1 amplitudes than the other groups. Wave 1 amplitudes were not significantly different between &#x003B1;9KO-Q and WT-Q, between WT-Q and WT-N, or between &#x003B1;9KO-Q and &#x003B1;9KO-N. However, wave 1 was significantly different between WT-N and &#x003B1;9KO-N for clicks (<italic>p</italic> &#x0003D; 0.01) and 32 kHz (<italic>p</italic> &#x0003D; 0.01).</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>Distribution of ABR wave 1 amplitudes for clicks and tones in four groups of 1&#x02013;5 month old mice: wild type mice housed in quiet (WT-Q), wild type mice housed in noisy conditions (WT-N), olivocochlear-deficient alpha9 nicotinic acetylcholine receptor knockout mice housed in quiet (&#x003B1;9KO-Q), alpha9 nicotinic acetylcholine receptor knockout mice housed in noisy conditions (&#x003B1;9KO-N). Horizontal lines inside the boxplots represent the median. Dots represent the 5th and 95th percentiles. Wave amplitudes are shown for click <bold>(A)</bold>, 8 kHz <bold>(B)</bold>, 16 kHz <bold>(C)</bold>, and 32 kHz <bold>(D)</bold>.</p></caption>
<graphic xlink:href="fnins-11-00304-g0005.tif"/>
</fig>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>Distribution of ABR wave 1 amplitudes for clicks and tones in four groups of 11&#x02013;15 month old mice: wild type mice housed in quiet (WT-Q), wild type mice housed in noisy conditions (WT-N), olivocochlear-deficient alpha9 nicotinic acetylcholine receptor knockout mice housed in quiet (&#x003B1;9KO-Q), alpha9 nicotinic acetylcholine receptor knockout mice housed in noisy conditions (&#x003B1;9KO-N). Horizontal lines inside the boxplots represent the median. Dots represent the 5th and 95th percentiles. Thick black lines and asterisks indicate statistically significant differences identified with <italic>post-hoc</italic> analysis. Wave amplitudes are shown for click <bold>(A)</bold>, 8 kHz <bold>(B)</bold>, 16 kHz <bold>(C)</bold>, and 32 kHz <bold>(D)</bold>.</p></caption>
<graphic xlink:href="fnins-11-00304-g0006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Several studies in animals and humans have hypothesized that weakened MOC feedback results in accelerated hearing loss with age and chronic environmental noise exposure. We tested for hearing loss by measuring ABRs at a range of ages and with exposure to quiet and noisy environmental in &#x003B1;9KO mice (Vetter et al., <xref ref-type="bibr" rid="B66">1999</xref>). Our results did not find accelerated onset of hearing loss in &#x003B1;9KO mice compared to WT mice up to 15 months of age. All groups showed &#x0007E;5&#x02013;15 dB ABR threshold increases with age, but the &#x003B1;9KO mice did not show larger threshold increases than WTs. Increased environmental noise exposure also did not result in substantially accelerated hearing loss in &#x003B1;9KO mice. Young adult &#x003B1;9KO mice housed in a high-traffic, noisy vivarium showed mild threshold impairments at 8 kHz, but this difference was not maintained at later ages. ABR wave 1 amplitude measurements also did not show accelerated impairments with age in &#x003B1;9KO mice housed in quiet. Housing in a noisy environment resulted in smaller ABR wave 1 amplitudes in older &#x003B1;9KO mice compared to WTs housed in noise, but not between &#x003B1;9KO housed in quiet and noise. This difference was primarily due to the unusually large wave 1 amplitudes in WTs housed in noise, even compared to WTs housed in quiet, possibly due to upregulation of efferent protective mechanisms by noise in this group. In aggregate, the present results suggest that impaired cholinergic suppression of outer hair cell activity by the medial OC efferent synapse does not result in early onset of hearing loss in &#x003B1;9KO mice.</p>
<p>The present results from &#x003B1;9KO mice are in contrast to what has been reported following OC lesions in mice (Maison et al., <xref ref-type="bibr" rid="B43">2013</xref>; Liberman et al., <xref ref-type="bibr" rid="B40">2014</xref>), as well as some of the contralateral suppression studies in mice and humans linking increased thresholds with reduced or absent MOC feedback (Parthasarathy, <xref ref-type="bibr" rid="B53">2001</xref>; Kim et al., <xref ref-type="bibr" rid="B32">2002</xref>; Jacobson et al., <xref ref-type="bibr" rid="B28">2003</xref>; Varghese et al., <xref ref-type="bibr" rid="B65">2005</xref>; Zhu et al., <xref ref-type="bibr" rid="B71">2007</xref>). De-efferentation increases loss of auditory nerve ribbon synapses with age, and loss of MOC fibers most strongly affects mid to low frequencies (Liberman et al., <xref ref-type="bibr" rid="B40">2014</xref>). These observations were made at ages corresponding to our older age group (&#x0007E;13 months). Functional discrepancies between lesioned animals and &#x003B1;9KO mice have also been shown in behavioral studies. Lesioned animals show hearing in noise deficits under certain stimulus conditions, whereas &#x003B1;9KO mice show normal hearing in noise capabilities (Dewson, <xref ref-type="bibr" rid="B11">1968</xref>; Trahiotis and Elliott, <xref ref-type="bibr" rid="B64">1970</xref>; Igarashi et al., <xref ref-type="bibr" rid="B23">1972</xref>, <xref ref-type="bibr" rid="B25">1977</xref>, <xref ref-type="bibr" rid="B24">1979a</xref>,<xref ref-type="bibr" rid="B26">b</xref>; Hienz et al., <xref ref-type="bibr" rid="B22">1998</xref>; May et al., <xref ref-type="bibr" rid="B48">2002</xref>, <xref ref-type="bibr" rid="B46">2004</xref>). An additional factor to consider is that most previous sound-driven assays of medial olivocochlear strength are now thought to be dominated by the middle ear muscle reflex or combined pathways in mice and rabbits (Whitehead et al., <xref ref-type="bibr" rid="B67">1991</xref>; Chambers et al., <xref ref-type="bibr" rid="B4">2012</xref>; Maison et al., <xref ref-type="bibr" rid="B44">2012</xref>; Xu et al., <xref ref-type="bibr" rid="B68">2017</xref>), thereby calling into question the role of the olivocochlear system in many previous studies of hearing protection. A limitation of the present study is the smaller sample size of &#x003B1;9KO mice tested at 11&#x02013;15 months. It remains possible that differences in age-related hearing loss could emerge at older ages in &#x003B1;9KO mice, or with different noise exposure conditions, but health concerns precluded testing animals at ages older than 15 months or a larger sample size of animals in the 11&#x02013;15 month age group. However, a trend toward increased thresholds relative to WT mice was not observed. Future studies may circumvent this issue by using a different background strain or more intense noise exposures. It is possible that background strains that are more susceptible to age-related or noise-induced hearing loss may reveal interesting interactions with the deficient olivocochlear activity.</p>
<p>Loss of MOC synapses from the outer hair cells may accelerate hearing loss due to loss of trophic factors. Several studies in mutant mouse strains have associated loss of MOC synapses from outer hair cells with accelerated age-related hearing loss. A transgenic reporter mouse strain generated on the C57BL/6J background, a strain with early onset hearing loss (Mikaelian, <xref ref-type="bibr" rid="B50">1979</xref>; Hequembourg and Liberman, <xref ref-type="bibr" rid="B20">2001</xref>; Prosen et al., <xref ref-type="bibr" rid="B54">2003</xref>), shows a loss of YFP-positive MOC synapse labeling at 12 months of age (Fu et al., <xref ref-type="bibr" rid="B13">2010</xref>). At this age, these mice show hearing loss of about 30&#x02013;45 dB at all frequencies compared to 2 month old mice of the same strain, with only scattered outer hair cell loss. Heterozygous mice with an IsL1 transgene also show accelerated age-related hearing loss, partial outer hair cell loss, and partial MOC terminal loss (Chumak et al., <xref ref-type="bibr" rid="B5">2016</xref>). These mice exhibit a number of other abnormalities, including hyperactivity, circling behavior, and a reduced complement of spiral ganglion neurons, so it is difficult to tease apart the various central and peripheral factors contributing to loss of MOC terminals and hearing loss in this strain. Thymine-deficient mice also show hearing loss corresponding to some loss of MOC terminals and ribbon synapses, particularly in the apex (Maison et al., <xref ref-type="bibr" rid="B45">2016</xref>).</p>
<p>In all of these studies, it is difficult to know if the hearing loss results from MOC terminal loss or if the terminal loss occurs in response to the hearing loss. Smaller alpha-synuclein and synaptophysin labeled terminals have been observed in the mid and apical cochlear regions in young adult C57 mice compared to CBA mice (mice obtained in Korea, full strain information not specified), suggesting that the C57 strains may have pre-existing MOC deficiencies (Park et al., <xref ref-type="bibr" rid="B52">2011</xref>). Whether or not this is directly related to the early age-related hearing loss cadherin23 mutation (Di Palma et al., <xref ref-type="bibr" rid="B12">2001</xref>), or is triggered by early ribbon synapse loss (Stamataki et al., <xref ref-type="bibr" rid="B60">2006</xref>) in this strain is unknown. Aging C57BL6 mice also experience an increase in inner hair cell efferent innervation that inhibits hair cell activity (Lauer et al., <xref ref-type="bibr" rid="B36">2012</xref>; Zachary and Fuchs, <xref ref-type="bibr" rid="B69">2015</xref>).</p>
<p>The data from mutant mouse strains suggests that hearing loss resulting from MOC synapse loss is possible, but it is not necessarily a characteristic of accelerated onset of age-related hearing loss and may involve other forms of OC reorganization. At present it is unclear how MOC or LOC synapses change with age in humans or other strains of mice. Substantial reorganization of efferent synapses may serve to minimize excitotoxic damage to auditory nerve dendrites, which could prevent accumulated damage from everyday noise exposures (Nouvian et al., <xref ref-type="bibr" rid="B51">2015</xref>).</p>
</sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusions</title>
<p>The results of the present study do not support the hypothesis that weakened MOC feedback contributes to early onset age-related hearing loss. Much remains to be explored regarding the compensatory and protective capacity for plasticity in the adult OC system. It remains possible that deficient MOC activity may result in age-related suprathreshold perceptual deficits, especially in noise. The largest effects of MOC feedback are reported to occur on low spontaneous rate, high threshold auditory nerve fibers (Guinan and Stankovic, <xref ref-type="bibr" rid="B19">1996</xref>). These fibers are especially vulnerable to acoustic overexposure (Furman et al., <xref ref-type="bibr" rid="B16">2013</xref>). Damage to these fibers may manifest as deficient spectral representation of sounds in noise, which could be further exacerbated by deficient MOC noise suppression (Reiss et al., <xref ref-type="bibr" rid="B57">2011</xref>). Consistent with this hypothesis, behaviorally trained &#x003B1;9KO mice showed some age-related changes in intensity discrimination and tone detection in noise around 8&#x02013;12 months of age, but the small sample size dictated by the labor-intensive nature of operant conditioning studies may have obscured the magnitude of the changes (May et al., <xref ref-type="bibr" rid="B48">2002</xref>). Future studies of the role of MOC feedback in age-related hearing decline should consider more complex stimulus paradigms to identify deficits that are not reflected in conventional tone- or click-evoked ABR measures.</p>
</sec>
<sec id="s6">
<title>Author contributions</title>
<p>AL: designed and performed the experiments, analyzed the data, and wrote the manuscript.</p>
<sec>
<title>Conflict of interest statement</title>
<p>The author declares 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>
</sec>
</sec>
</body>
<back>
<ack><p>The author thanks Elisabeth Glowatzki for comments on an earlier version of this manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The author declares no competing financial interests.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abdala</surname> <given-names>C.</given-names></name> <name><surname>Dhar</surname> <given-names>S.</given-names></name> <name><surname>Ahmadi</surname> <given-names>M.</given-names></name> <name><surname>Luo</surname> <given-names>P.</given-names></name></person-group> (<year>2014</year>). <article-title>Aging of the medial olivocochlear reflex and associations with speech perception</article-title>. <source>J. Acoust. Soc. Am.</source> <volume>135</volume>, <fpage>754</fpage>&#x02013;<lpage>765</lpage>. <pub-id pub-id-type="doi">10.1121/1.4861841</pub-id><pub-id pub-id-type="pmid">25234884</pub-id></citation></ref>
<ref id="B2">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brown</surname> <given-names>M. C.</given-names></name> <name><surname>Vetter</surname> <given-names>D. E.</given-names></name></person-group> (<year>2009</year>). <article-title>Olivocochlear neuron central anatomy is normal in &#x003B1;9 knockout mice</article-title>. <source>J. Assoc. Res. Otolaryngol.</source> <volume>10</volume>, <fpage>64</fpage>&#x02013;<lpage>75</lpage>. <pub-id pub-id-type="doi">10.1007/s10162-008-0144-9</pub-id><pub-id pub-id-type="pmid">18941837</pub-id></citation></ref>
<ref id="B3">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Castor</surname> <given-names>X.</given-names></name> <name><surname>Veuillet</surname> <given-names>E.</given-names></name> <name><surname>Morgon</surname> <given-names>A.</given-names></name> <name><surname>Collet</surname> <given-names>L.</given-names></name></person-group> (<year>1994</year>). <article-title>Influence of aging on active cochlear micromechanical properties and on the medial olivocochlear system in humans</article-title>. <source>Hear. Res.</source> <volume>77</volume>, <fpage>1</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1016/0378-5955(94)90248-8</pub-id><pub-id pub-id-type="pmid">7928721</pub-id></citation></ref>
<ref id="B4">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chambers</surname> <given-names>A. R.</given-names></name> <name><surname>Hancock</surname> <given-names>K. E.</given-names></name> <name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name> <name><surname>Polley</surname> <given-names>D. B.</given-names></name></person-group> (<year>2012</year>). <article-title>Sound-evoked olivocochlear activation in unanesthetized mice</article-title>. <source>J. Assoc. Res. Otolaryngol.</source> <volume>13</volume>, <fpage>209</fpage>&#x02013;<lpage>217</lpage>. <pub-id pub-id-type="doi">10.1007/s10162-011-0306-z</pub-id><pub-id pub-id-type="pmid">22160753</pub-id></citation></ref>
<ref id="B5">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chumak</surname> <given-names>T.</given-names></name> <name><surname>Bohuslavova</surname> <given-names>R.</given-names></name> <name><surname>Macova</surname> <given-names>I.</given-names></name> <name><surname>Dodd</surname> <given-names>N.</given-names></name> <name><surname>Buckiova</surname> <given-names>D.</given-names></name> <name><surname>Fritzsch</surname> <given-names>B.</given-names></name> <etal/></person-group>. (<year>2016</year>). <article-title>Deterioration of the medial olivocochlear efferent system accelerates age-related hearing loss in Pax2-Isl1 transgenic mice</article-title>. <source>Mol. Neurobiol.</source> <volume>53</volume>, <fpage>2368</fpage>&#x02013;<lpage>2383</lpage>. <pub-id pub-id-type="doi">10.1007/s12035-015-9215-1</pub-id><pub-id pub-id-type="pmid">25990412</pub-id></citation></ref>
<ref id="B6">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Clause</surname> <given-names>A.</given-names></name> <name><surname>Kim</surname> <given-names>G.</given-names></name> <name><surname>Sonntag</surname> <given-names>M.</given-names></name> <name><surname>Weisz</surname> <given-names>C. J.</given-names></name> <name><surname>Vetter</surname> <given-names>D. E.</given-names></name> <name><surname>R&#x000FC;bsamen</surname> <given-names>R.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>The precise temporal pattern of prehearing spontaneous activity is necessary for tonotopic map refinement</article-title>. <source>Neuron</source> <volume>82</volume>, <fpage>822</fpage>&#x02013;<lpage>835</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuron.2014.04.001</pub-id><pub-id pub-id-type="pmid">24853941</pub-id></citation></ref>
<ref id="B7">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Clause</surname> <given-names>A.</given-names></name> <name><surname>Nguyen</surname> <given-names>T.</given-names></name> <name><surname>Kandler</surname> <given-names>K.</given-names></name></person-group> (<year>2011</year>). <article-title>An acoustic startle-based method of assessing frequency discrimination in mice</article-title>. <source>J. Neurosci. Methods</source> <volume>200</volume>, <fpage>63</fpage>&#x02013;<lpage>67</lpage> <pub-id pub-id-type="doi">10.1016/j.jneumeth.2011.05.027</pub-id><pub-id pub-id-type="pmid">21672556</pub-id></citation></ref>
<ref id="B8">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Darrow</surname> <given-names>K. N.</given-names></name> <name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2006</year>). <article-title>Cochlear efferent feedback balances interaural sensitivity</article-title>. <source>Nat. Neurosci.</source> <volume>9</volume>, <fpage>1474</fpage>&#x02013;<lpage>1476</lpage>. <pub-id pub-id-type="doi">10.1038/nn1807</pub-id><pub-id pub-id-type="pmid">17115038</pub-id></citation></ref>
<ref id="B9">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Darrow</surname> <given-names>K. N.</given-names></name> <name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2007</year>). <article-title>Selective removal of lateral olivocochlear efferents increases vulnerability to acute acoustic injury</article-title>. <source>J. Neurophysiol.</source> <volume>97</volume>, <fpage>1775</fpage>&#x02013;<lpage>1785</lpage>. <pub-id pub-id-type="doi">10.1152/jn.00955.2006</pub-id><pub-id pub-id-type="pmid">17093118</pub-id></citation></ref>
<ref id="B10">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>de Boer</surname> <given-names>J.</given-names></name> <name><surname>Thornton</surname> <given-names>A. R.</given-names></name></person-group> (<year>2008</year>). <article-title>Neural correlates of perceptual learning in the auditory brainstem: efferent activity predicts and reflects improvement at a speech-in-noise discrimination task</article-title>. <source>J. Neurosci.</source> <volume>28</volume>, <fpage>4929</fpage>&#x02013;<lpage>4937</lpage> <pub-id pub-id-type="doi">10.1523/JNEUROSCI.0902-08.2008</pub-id><pub-id pub-id-type="pmid">18463246</pub-id></citation></ref>
<ref id="B11">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dewson</surname> <given-names>J. H.</given-names></name></person-group> (<year>1968</year>). <article-title>Efferent olivocochlear bundle: some relationships to stimulus discrimination in noise</article-title>. <source>J. Neurophysiol</source>. <volume>34</volume>, <fpage>4599</fpage>&#x02013;<lpage>4607</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.4923-13.2014</pub-id></citation></ref>
<ref id="B12">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Di Palma</surname> <given-names>F.</given-names></name> <name><surname>Pellegrino</surname> <given-names>R.</given-names></name> <name><surname>Noben-Trauth</surname> <given-names>K.</given-names></name></person-group> (<year>2001</year>). <article-title>Genomic structure, alternative splice forms and normal and mutant alleles of cadherin 23 (Cdh23)</article-title>. <source>Gene</source> <volume>281</volume>, <fpage>31</fpage>&#x02013;<lpage>41</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-1119(01)00761-2</pub-id><pub-id pub-id-type="pmid">11750125</pub-id></citation></ref>
<ref id="B13">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fu</surname> <given-names>B.</given-names></name> <name><surname>Le Prell</surname> <given-names>C.</given-names></name> <name><surname>Simmons</surname> <given-names>D.</given-names></name> <name><surname>Lei</surname> <given-names>D.</given-names></name> <name><surname>Schrader</surname> <given-names>A.</given-names></name> <name><surname>Chen</surname> <given-names>A. B.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>Age-related synaptic loss of the medial olivocochlear efferent innervation</article-title>. <source>Mol. Neurodegener.</source> <volume>5</volume>:<fpage>53</fpage>. <pub-id pub-id-type="doi">10.1186/1750-1326-5-53</pub-id><pub-id pub-id-type="pmid">21110869</pub-id></citation></ref>
<ref id="B14">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fuchs</surname> <given-names>P. A.</given-names></name></person-group> (<year>2014</year>). <article-title>A &#x02018;calcium capacitor&#x02019; shapes cholinergic inhibition of cochlear hair cells</article-title>. <source>J. Physiol.</source> <volume>592</volume>, <fpage>3393</fpage>&#x02013;<lpage>3401</lpage>. <pub-id pub-id-type="doi">10.1113/jphysiol.2013.267914</pub-id><pub-id pub-id-type="pmid">24566542</pub-id></citation></ref>
<ref id="B15">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fuente</surname> <given-names>A.</given-names></name></person-group> (<year>2015</year>). <article-title>The olivocochlear system and protection from acoustic trauma: a mini literature review</article-title>. <source>Front. Syst. Neurosci.</source> <volume>9</volume>:<fpage>94</fpage>. <pub-id pub-id-type="doi">10.3389/fnsys.2015.00094</pub-id><pub-id pub-id-type="pmid">26157366</pub-id></citation></ref>
<ref id="B16">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Furman</surname> <given-names>A. C.</given-names></name> <name><surname>Kujawa</surname> <given-names>S. G.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2013</year>). <article-title>Noise-induced cochlear neuropathy is selective for fibers with low spontaneous rates</article-title>. <source>J. Neurophysiol.</source> <volume>110</volume>, <fpage>577</fpage>&#x02013;<lpage>586</lpage>. <pub-id pub-id-type="doi">10.1152/jn.00164.2013</pub-id><pub-id pub-id-type="pmid">23596328</pub-id></citation></ref>
<ref id="B17">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Giraud</surname> <given-names>A. L.</given-names></name> <name><surname>Collet</surname> <given-names>L.</given-names></name> <name><surname>Ch&#x000E9;ry-Croze</surname> <given-names>S.</given-names></name> <name><surname>Magnan</surname> <given-names>J.</given-names></name> <name><surname>Chays</surname> <given-names>A.</given-names></name></person-group> (<year>1995</year>). <article-title>Evidence of a medial olivocochlear involvement in contralateral suppression of otoacoustic emissions in humans</article-title>. <source>Brain Res.</source> <volume>705</volume>, <fpage>15</fpage>&#x02013;<lpage>23</lpage>. <pub-id pub-id-type="doi">10.1016/0006-8993(95)01091-2</pub-id><pub-id pub-id-type="pmid">8821728</pub-id></citation></ref>
<ref id="B18">
<citation citation-type="book"><person-group person-group-type="author"><name><surname>Guinan</surname> <given-names>J. J.</given-names> <suffix>Jr.</suffix></name></person-group> (<year>2014</year>). <article-title>Cochlear mechanics, otoacoustic emissions, and medial olivocochlear efferents: twenty years of advances and controversies along with areas ripe for new work</article-title>, in <source>Perspectives on Auditory Research</source>, eds <person-group person-group-type="editor"><name><surname>Popper</surname> <given-names>A. N.</given-names></name> <name><surname>Fay</surname> <given-names>R. R.</given-names></name></person-group> (<publisher-loc>New York, NY</publisher-loc>: <publisher-name>Springer</publisher-name>), <fpage>229</fpage>&#x02013;<lpage>246</lpage>.</citation></ref>
<ref id="B19">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Guinan</surname> <given-names>J. J.</given-names> <suffix>Jr.</suffix></name> <name><surname>Stankovic</surname> <given-names>K. M.</given-names></name></person-group> (<year>1996</year>). <article-title>Medial efferent inhibition produces the largest equivalent attenuations at moderate to high sound levels in cat auditory-nerve fibers</article-title>. <source>J. Acoust. Soc. Am.</source> <volume>100</volume>, <fpage>1680</fpage>&#x02013;<lpage>1690</lpage>. <pub-id pub-id-type="doi">10.1121/1.416066</pub-id><pub-id pub-id-type="pmid">8817894</pub-id></citation></ref>
<ref id="B20">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hequembourg</surname> <given-names>S.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2001</year>). <article-title>Spiral ligament pathology: a major aspect of age-related cochlear degeneration in C57BL/6 mice</article-title>. <source>J. Assoc. Res. Otolaryngol.</source> <volume>2</volume>, <fpage>118</fpage>&#x02013;<lpage>129</lpage>. <pub-id pub-id-type="doi">10.1007/s101620010075</pub-id><pub-id pub-id-type="pmid">11550522</pub-id></citation></ref>
<ref id="B21">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hickman</surname> <given-names>T. T.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name> <name><surname>Jacob</surname> <given-names>M. H.</given-names></name></person-group> (<year>2015</year>). <article-title>Adenomatous polyposis coli protein deletion in efferent olivocochlear neurons perturbs afferent synaptic maturation and reduces the dynamic range of hearing</article-title>. <source>J. Neurosci.</source> <volume>35</volume>, <fpage>9236</fpage>&#x02013;<lpage>9245</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.4384-14.2015</pub-id><pub-id pub-id-type="pmid">26085645</pub-id></citation></ref>
<ref id="B22">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hienz</surname> <given-names>R. D.</given-names></name> <name><surname>Stiles</surname> <given-names>P.</given-names></name> <name><surname>May</surname> <given-names>B. J.</given-names></name></person-group> (<year>1998</year>). <article-title>Effects of bilateral olivocochlear lesions on vowel formant discrimination in cats</article-title>. <source>Hear. Res.</source> <volume>116</volume>, <fpage>10</fpage>&#x02013;<lpage>20</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-5955(97)00197-4</pub-id><pub-id pub-id-type="pmid">9508024</pub-id></citation></ref>
<ref id="B23">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Igarashi</surname> <given-names>M.</given-names></name> <name><surname>Alford</surname> <given-names>B.</given-names></name> <name><surname>Nakai</surname> <given-names>Y.</given-names></name> <name><surname>Gordon</surname> <given-names>W.</given-names></name></person-group> (<year>1972</year>). <article-title>Behavioral auditory function after transection of crossed olivo-cochlear bundle in the cat: I. pure-tone threshold and perceptual signal-to-noise ratio</article-title>. <source>Acta Otolaryngol.</source> <volume>73</volume>, <fpage>455</fpage>&#x02013;<lpage>466</lpage>. <pub-id pub-id-type="doi">10.3109/00016487209138966</pub-id><pub-id pub-id-type="pmid">5047110</pub-id></citation></ref>
<ref id="B24">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Igarashi</surname> <given-names>M.</given-names></name> <name><surname>Cranford</surname> <given-names>J.</given-names></name> <name><surname>Allen</surname> <given-names>E.</given-names></name> <name><surname>Alford</surname> <given-names>B.</given-names></name></person-group> (<year>1979a</year>). <article-title>Behavioral auditory function after transection of crossed olivo-cochlear bundle in the cat, V. Pure-tone intensity discrimination</article-title>. <source>Acta Otolaryngol.</source> <volume>87</volume>, <fpage>429</fpage>&#x02013;<lpage>433</lpage>. <pub-id pub-id-type="doi">10.3109/00016487909126446</pub-id><pub-id pub-id-type="pmid">463513</pub-id></citation></ref>
<ref id="B25">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Igarashi</surname> <given-names>M.</given-names></name> <name><surname>Cranford</surname> <given-names>J.</given-names></name> <name><surname>Nakai</surname> <given-names>Y.</given-names></name> <name><surname>Alford</surname> <given-names>B.</given-names></name></person-group> (<year>1977</year>). <article-title>Behavioral auditory function after transectlon of crossed olivo-cochlear bundle in the cat</article-title>. <source>Acta Otolaryngol.</source> <volume>83</volume>, <fpage>410</fpage>&#x02013;<lpage>416</lpage>. <pub-id pub-id-type="doi">10.3109/00016487709128865</pub-id><pub-id pub-id-type="pmid">888676</pub-id></citation></ref>
<ref id="B26">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Igarashi</surname> <given-names>M.</given-names></name> <name><surname>Cranford</surname> <given-names>J.</given-names></name> <name><surname>Nakai</surname> <given-names>Y.</given-names></name> <name><surname>Alford</surname> <given-names>B.</given-names></name></person-group> (<year>1979b</year>). Behavioral auditory function after transection of crossed olivo-cochlear bundle in the cat IV.: s<italic>tudy on pure-tone frequency discrimination. Acta Otolaryngol</italic>. <volume>87</volume>, <fpage>79</fpage>&#x02013;<lpage>83</lpage>. <pub-id pub-id-type="doi">10.3109/00016487909126390</pub-id></citation></ref>
<ref id="B27">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Irving</surname> <given-names>S.</given-names></name> <name><surname>Moore</surname> <given-names>D. R.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name> <name><surname>Sumner</surname> <given-names>C. J.</given-names></name></person-group> (<year>2011</year>). <article-title>Olivocochlear efferent control in sound localization and experience-dependent learning</article-title>. <source>J. Neurosci.</source> <volume>31</volume>, <fpage>2493</fpage>&#x02013;<lpage>2501</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.2679-10.2011</pub-id><pub-id pub-id-type="pmid">21325517</pub-id></citation></ref>
<ref id="B28">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jacobson</surname> <given-names>M.</given-names></name> <name><surname>Kim</surname> <given-names>S.</given-names></name> <name><surname>Romney</surname> <given-names>J.</given-names></name> <name><surname>Zhu</surname> <given-names>X.</given-names></name> <name><surname>Frisina</surname> <given-names>R. D.</given-names></name></person-group> (<year>2003</year>). <article-title>Contralateral suppression of distortion-product otoacoustic emissions declines with age: a comparison of findings in CBA mice with human listeners</article-title>. <source>Laryngoscope</source> <volume>113</volume>, <fpage>1707</fpage>&#x02013;<lpage>1713</lpage>. <pub-id pub-id-type="doi">10.1097/00005537-200310000-00009</pub-id><pub-id pub-id-type="pmid">14520094</pub-id></citation></ref>
<ref id="B29">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Johnson</surname> <given-names>S. L.</given-names></name> <name><surname>Wedemeyer</surname> <given-names>C.</given-names></name> <name><surname>Vetter</surname> <given-names>D. E.</given-names></name> <name><surname>Adachi</surname> <given-names>R.</given-names></name> <name><surname>Holley</surname> <given-names>M. C.</given-names></name> <name><surname>Elgoyhen</surname> <given-names>A. B.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Cholinergic efferent synaptic transmission regulates the maturation of auditory hair cell ribbon synapses</article-title>. <source>Open Biol.</source> <volume>3</volume>:<fpage>130163</fpage>. <pub-id pub-id-type="doi">10.1098/rsob.130163</pub-id><pub-id pub-id-type="pmid">24350389</pub-id></citation></ref>
<ref id="B30">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kawase</surname> <given-names>T.</given-names></name> <name><surname>Delgutte</surname> <given-names>B.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>1993</year>). <article-title>Antimasking effects of the olivocochlear reflex. II. Enhancement of auditory-nerve response to masked tones</article-title>. <source>J. Neurophysiol.</source> <volume>70</volume>, <fpage>2533</fpage>&#x02013;<lpage>2549</lpage>. <pub-id pub-id-type="pmid">8120597</pub-id></citation></ref>
<ref id="B31">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Keppler</surname> <given-names>H.</given-names></name> <name><surname>Dhooge</surname> <given-names>I.</given-names></name> <name><surname>Corthals</surname> <given-names>P.</given-names></name> <name><surname>Maes</surname> <given-names>L.</given-names></name> <name><surname>D&#x00027;haenens</surname> <given-names>W.</given-names></name> <name><surname>Bockstael</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2010</year>). <article-title>The effects of aging on evoked otoacoustic emissions and efferent suppression of transient evoked otoacoustic emissions</article-title>. <source>Clin. Neurophysiol.</source> <volume>121</volume>, <fpage>359</fpage>&#x02013;<lpage>365</lpage>. <pub-id pub-id-type="doi">10.1016/j.clinph.2009.11.003</pub-id><pub-id pub-id-type="pmid">20005159</pub-id></citation></ref>
<ref id="B32">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>S.</given-names></name> <name><surname>Frisina</surname> <given-names>D. R.</given-names></name> <name><surname>Frisina</surname> <given-names>R. D.</given-names></name></person-group> (<year>2002</year>). <article-title>Effects of age on contralateral suppression of distortion product otoacoustic emissions in human listeners with normal hearing</article-title>. <source>Audiol. Neurootol.</source> <volume>7</volume>, <fpage>348</fpage>&#x02013;<lpage>357</lpage> <pub-id pub-id-type="doi">10.1159/000066159</pub-id><pub-id pub-id-type="pmid">12401966</pub-id></citation></ref>
<ref id="B33">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Konomi</surname> <given-names>U.</given-names></name> <name><surname>Kanotra</surname> <given-names>S.</given-names></name> <name><surname>James</surname> <given-names>A. L.</given-names></name> <name><surname>Harrison</surname> <given-names>R. V.</given-names></name></person-group> (<year>2014</year>). <article-title>Age related changes to the dynamics of contralateral DPOAE suppression in human subjects</article-title>. <source>J. Otolaryngol. Head Neck Surg.</source> <volume>43</volume>:<fpage>15</fpage>. <pub-id pub-id-type="doi">10.1186/1916-0216-43-15</pub-id><pub-id pub-id-type="pmid">24934087</pub-id></citation></ref>
<ref id="B34">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Krzywinski</surname> <given-names>M.</given-names></name> <name><surname>Altman</surname> <given-names>N.</given-names></name></person-group> (<year>2014</year>). <article-title>Points of significance: visualizing samples with box plots</article-title>. <source>Nat. Methods</source> <volume>11</volume>, <fpage>119</fpage>&#x02013;<lpage>120</lpage>. <pub-id pub-id-type="doi">10.1038/nmeth.2813</pub-id><pub-id pub-id-type="pmid">24645192</pub-id></citation></ref>
<ref id="B35">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kujawa</surname> <given-names>S. G.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2015</year>). <article-title>Synaptopathy in the noise-exposed and aging cochlea: primary neural degeneration in acquired sensorineural hearing loss</article-title>. <source>Hear. Res.</source> <volume>330</volume>, <fpage>191</fpage>&#x02013;<lpage>199</lpage>. <pub-id pub-id-type="doi">10.1016/j.heares.2015.02.009</pub-id><pub-id pub-id-type="pmid">25769437</pub-id></citation></ref>
<ref id="B36">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lauer</surname> <given-names>A. M.</given-names></name> <name><surname>Fuchs</surname> <given-names>P. A.</given-names></name> <name><surname>Ryugo</surname> <given-names>D. K.</given-names></name> <name><surname>Francis</surname> <given-names>H. W.</given-names></name></person-group> (<year>2012</year>). <article-title>Efferent synapses return to inner hair cells in the aging cochlea</article-title>. <source>Neurobiol. Aging</source> <volume>33</volume>, <fpage>2892</fpage>&#x02013;<lpage>2902</lpage>. <pub-id pub-id-type="doi">10.1016/j.neurobiolaging.2012.02.007</pub-id><pub-id pub-id-type="pmid">22405044</pub-id></citation></ref>
<ref id="B37">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lauer</surname> <given-names>A. M.</given-names></name> <name><surname>May</surname> <given-names>B. J.</given-names></name></person-group> (<year>2011</year>). <article-title>The medial olivocochlear system attenuates the developmental impact of early noise exposure</article-title>. <source>J. Assoc. Res. Otolaryngol.</source> <volume>12</volume>, <fpage>329</fpage>&#x02013;<lpage>343</lpage>. <pub-id pub-id-type="doi">10.1007/s10162-011-0262-7</pub-id><pub-id pub-id-type="pmid">21347798</pub-id></citation></ref>
<ref id="B38">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lauer</surname> <given-names>A. M.</given-names></name> <name><surname>May</surname> <given-names>B. J.</given-names></name> <name><surname>Hao</surname> <given-names>Z. J.</given-names></name> <name><surname>Watson</surname> <given-names>J.</given-names></name></person-group> (<year>2009</year>). <article-title>Analysis of environmental sound levels in modern rodent housing rooms</article-title>. <source>Lab. Anim.</source> <volume>38</volume>, <fpage>154</fpage>&#x02013;<lpage>160</lpage> <pub-id pub-id-type="doi">10.1038/laban0509-154</pub-id><pub-id pub-id-type="pmid">19384312</pub-id></citation></ref>
<ref id="B39">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Le Prell</surname> <given-names>C. G.</given-names></name> <name><surname>Hughes</surname> <given-names>L. F.</given-names></name> <name><surname>Bledsoe</surname> <given-names>S. C.</given-names></name></person-group> (<year>2014</year>). <article-title>Dynorphin release by the lateral olivocochlear efferents may inhibit auditory nerve activity: a cochlear drug delivery study</article-title>. <source>Neurosci. Lett.</source> <volume>571</volume>, <fpage>17</fpage>&#x02013;<lpage>22</lpage>. <pub-id pub-id-type="doi">10.1016/j.neulet.2014.04.024</pub-id><pub-id pub-id-type="pmid">24780562</pub-id></citation></ref>
<ref id="B40">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liberman</surname> <given-names>M. C.</given-names></name> <name><surname>Liberman</surname> <given-names>L. D.</given-names></name> <name><surname>Maison</surname> <given-names>S. F.</given-names></name></person-group> (<year>2014</year>). <article-title>Efferent feedback slows cochlear aging</article-title>. <source>J. Neurosci.</source> <volume>34</volume>, <fpage>4599</fpage>&#x02013;<lpage>4607</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.4923-13.2014</pub-id><pub-id pub-id-type="pmid">24672005</pub-id></citation></ref>
<ref id="B41">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lina</surname> <given-names>I. A.</given-names></name> <name><surname>Lauer</surname> <given-names>A. M.</given-names></name></person-group> (<year>2013</year>). <article-title>Rapid measurement of auditory filter shape in mice using the auditory brainstem response and notched noise</article-title>. <source>Hear. Res.</source> <volume>298</volume>, <fpage>73</fpage>&#x02013;<lpage>79</lpage>. <pub-id pub-id-type="doi">10.1016/j.heares.2013.01.002</pub-id><pub-id pub-id-type="pmid">23347916</pub-id></citation></ref>
<ref id="B42">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2000</year>). <article-title>Predicting vulnerability to acoustic injury with a noninvasive assay of olivocochlear reflex strength</article-title>. <source>J. Neurosci.</source> <volume>20</volume>, <fpage>4701</fpage>&#x02013;<lpage>4707</lpage>. <pub-id pub-id-type="pmid">10844039</pub-id></citation></ref>
<ref id="B43">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Usubuchi</surname> <given-names>H.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2013</year>). <article-title>Efferent feedback minimizes cochlear neuropathy from moderate noise exposure</article-title>. <source>J. Neurosci.</source> <volume>33</volume>, <fpage>5542</fpage>&#x02013;<lpage>5552</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.5027-12.2013</pub-id><pub-id pub-id-type="pmid">23536069</pub-id></citation></ref>
<ref id="B44">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Usubuchi</surname> <given-names>H.</given-names></name> <name><surname>Vetter</surname> <given-names>D. E.</given-names></name> <name><surname>Elgoyhen</surname> <given-names>A. B.</given-names></name> <name><surname>Thomas</surname> <given-names>S. A.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2012</year>). <article-title>Contralateral-noise effects on cochlear responses in anesthetized mice are dominated by feedback from an unknown pathway</article-title>. <source>J. Neurophysiol.</source> <volume>108</volume>, <fpage>491</fpage>&#x02013;<lpage>500</lpage>. <pub-id pub-id-type="doi">10.1152/jn.01050.2011</pub-id><pub-id pub-id-type="pmid">22514298</pub-id></citation></ref>
<ref id="B45">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Yin</surname> <given-names>Y.</given-names></name> <name><surname>Liberman</surname> <given-names>L. D.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name></person-group> (<year>2016</year>). <article-title>Perinatal thiamine deficiency causes cochlear innervation abnormalities in mice</article-title>. <source>Hear. Res.</source> <volume>335</volume>, <fpage>94</fpage>&#x02013;<lpage>104</lpage>. <pub-id pub-id-type="doi">10.1016/j.heares.2016.02.006</pub-id><pub-id pub-id-type="pmid">26944177</pub-id></citation></ref>
<ref id="B46">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>May</surname> <given-names>B. J.</given-names></name> <name><surname>Budelis</surname> <given-names>J.</given-names></name> <name><surname>Niparko</surname> <given-names>J. K.</given-names></name></person-group> (<year>2004</year>). <article-title>Behavioral studies of the olivocochlear efferent system: learning to listen in noise</article-title>. <source>Arch. Otolaryngol. Head Neck Surg.</source> <volume>130</volume>, <fpage>660</fpage>&#x02013;<lpage>664</lpage>. <pub-id pub-id-type="doi">10.1001/archotol.130.5.660</pub-id><pub-id pub-id-type="pmid">15148194</pub-id></citation></ref>
<ref id="B47">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>May</surname> <given-names>B. J.</given-names></name> <name><surname>Lauer</surname> <given-names>A. M.</given-names></name> <name><surname>Roos</surname> <given-names>M. J.</given-names></name></person-group> (<year>2011</year>). <article-title>Impairments of the medial olivocochlear system increase the risk of noise-induced auditory neuropathy in laboratory mice</article-title>. <source>Otol. Neurotol.</source> <volume>32</volume>, <fpage>1568</fpage>&#x02013;<lpage>1578</lpage>. <pub-id pub-id-type="doi">10.1097/MAO.0b013e31823389a1</pub-id><pub-id pub-id-type="pmid">21956602</pub-id></citation></ref>
<ref id="B48">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>May</surname> <given-names>B. J.</given-names></name> <name><surname>Prosen</surname> <given-names>C. A.</given-names></name> <name><surname>Weiss</surname> <given-names>D.</given-names></name> <name><surname>Vetter</surname> <given-names>D.</given-names></name></person-group> (<year>2002</year>). <article-title>Behavioral investigation of some possible effects of the central olivocochlear pathways in transgenic mice</article-title>. <source>Hear. Res.</source> <volume>171</volume>, <fpage>142</fpage>&#x02013;<lpage>157</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-5955(02)00495-1</pub-id><pub-id pub-id-type="pmid">12204358</pub-id></citation></ref>
<ref id="B49">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>McGuire</surname> <given-names>B.</given-names></name> <name><surname>Fiorillo</surname> <given-names>B.</given-names></name> <name><surname>Ryugo</surname> <given-names>D. K.</given-names></name> <name><surname>Lauer</surname> <given-names>A. M.</given-names></name></person-group> (<year>2015</year>). <article-title>Auditory nerve synapses persist in ventral cochlear nucleus long after loss of acoustic input in mice with early-onset progressive hearing loss</article-title>. <source>Brain Res.</source> <volume>1605</volume>, <fpage>22</fpage>&#x02013;<lpage>30</lpage>. <pub-id pub-id-type="doi">10.1016/j.brainres.2015.02.012</pub-id><pub-id pub-id-type="pmid">25686750</pub-id></citation></ref>
<ref id="B50">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mikaelian</surname> <given-names>D. O.</given-names></name></person-group> (<year>1979</year>). <article-title>Development and degeneration of hearing in the C57/b16 mouse: relation of electrophysiologic responses from the round window and cochlear nucleus to cochlear anatomy and behavioral responses</article-title>. <source>Laryngoscope</source> <volume>89</volume>, <fpage>1</fpage>&#x02013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1288/00005537-197901000-00001</pub-id><pub-id pub-id-type="pmid">423642</pub-id></citation></ref>
<ref id="B51">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nouvian</surname> <given-names>R.</given-names></name> <name><surname>Eybalin</surname> <given-names>M.</given-names></name> <name><surname>Puel</surname> <given-names>J.</given-names></name></person-group> (<year>2015</year>). <article-title>Cochlear efferents in developing adult and pathological conditions</article-title>. <source>Cell Tissue Res.</source> <volume>361</volume>, <fpage>301</fpage>&#x02013;<lpage>309</lpage>. <pub-id pub-id-type="doi">10.1007/s00441-015-2158-z</pub-id><pub-id pub-id-type="pmid">25810366</pub-id></citation></ref>
<ref id="B52">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Park</surname> <given-names>S.</given-names></name> <name><surname>Back</surname> <given-names>S.</given-names></name> <name><surname>Choung</surname> <given-names>Y.</given-names></name> <name><surname>Kim</surname> <given-names>H.</given-names></name> <name><surname>Akil</surname> <given-names>O.</given-names></name> <name><surname>Lustig</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2011</year>). <article-title>alpha-Synuclein deficiency and efferent nerve degeneration in the mouse cochlea: a possible cause of early-onset presbycusis</article-title>. <source>Neurosci. Res.</source> <volume>71</volume>, <fpage>303</fpage>&#x02013;<lpage>310</lpage>. <pub-id pub-id-type="doi">10.1016/j.neures.2011.07.1835</pub-id><pub-id pub-id-type="pmid">21840348</pub-id></citation></ref>
<ref id="B53">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Parthasarathy</surname> <given-names>T. K.</given-names></name></person-group> (<year>2001</year>). <article-title>Aging and contralateral suppression effects on transient evoked otoacoustic emissions</article-title>. <source>J. Am. Acad. Audiol.</source> <volume>12</volume>, <fpage>80</fpage>&#x02013;<lpage>85</lpage>. <pub-id pub-id-type="pmid">11261461</pub-id></citation></ref>
<ref id="B54">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Prosen</surname> <given-names>C. A.</given-names></name> <name><surname>Dore</surname> <given-names>D. J.</given-names></name> <name><surname>May</surname> <given-names>B. J.</given-names></name></person-group> (<year>2003</year>). <article-title>The functional age of hearing loss in a mouse model of presbycusis. I. Behavioral assessments</article-title>. <source>Hear. Res.</source> <volume>183</volume>, <fpage>44</fpage>&#x02013;<lpage>56</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-5955(03)00211-9</pub-id><pub-id pub-id-type="pmid">13679137</pub-id></citation></ref>
<ref id="B55">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Quaranta</surname> <given-names>N.</given-names></name> <name><surname>Debole</surname> <given-names>S.</given-names></name> <name><surname>Di Girolamo</surname> <given-names>S.</given-names></name></person-group> (<year>2001</year>). <article-title>Effect of ageing on otoacoustic emissions and efferent suppression in humans: efectos de la edad en las emisiones otoac&#x000FA;sticas y (EN LA) supresi&#x000F3;n eferente en humanos</article-title>. <source>Audiology</source> <volume>40</volume>, <fpage>308</fpage>&#x02013;<lpage>312</lpage>. <pub-id pub-id-type="doi">10.3109/00206090109073127</pub-id><pub-id pub-id-type="pmid">11781043</pub-id></citation></ref>
<ref id="B56">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rajan</surname> <given-names>R.</given-names></name></person-group> (<year>1988</year>). <article-title>Effect of electrical stimulation of the crossed olivocochlear bundle on temporary threshold shifts in auditory sensitivity. I. Dependence on electrical stimulation parameters</article-title>. <source>J. Neurophysiol.</source> <volume>60</volume>, <fpage>549</fpage>&#x02013;<lpage>568</lpage>. <pub-id pub-id-type="pmid">3171641</pub-id></citation></ref>
<ref id="B57">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Reiss</surname> <given-names>L. A.</given-names></name> <name><surname>Ramachandran</surname> <given-names>R.</given-names></name> <name><surname>May</surname> <given-names>B. J.</given-names></name></person-group> (<year>2011</year>). <article-title>Effects of signal level and background noise on spectral representations in the auditory nerve of the domestic cat</article-title>. <source>J. Assoc. Res. Otolaryngol.</source> <volume>12</volume>, <fpage>71</fpage>&#x02013;<lpage>88</lpage>. <pub-id pub-id-type="doi">10.1007/s10162-010-0232-5</pub-id><pub-id pub-id-type="pmid">20824483</pub-id></citation></ref>
<ref id="B58">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scharf</surname> <given-names>B.</given-names></name> <name><surname>Magnan</surname> <given-names>J.</given-names></name> <name><surname>Chays</surname> <given-names>A.</given-names></name></person-group> (<year>1997</year>). <article-title>On the role of the olivocochlear bundle in hearing: 16 case studies</article-title>. <source>Hear. Res.</source> <volume>103</volume>, <fpage>101</fpage>&#x02013;<lpage>122</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-5955(96)00168-2</pub-id><pub-id pub-id-type="pmid">9007578</pub-id></citation></ref>
<ref id="B59">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sergeyenko</surname> <given-names>Y.</given-names></name> <name><surname>Lall</surname> <given-names>K.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name> <name><surname>Kujawa</surname> <given-names>S. G.</given-names></name></person-group> (<year>2013</year>). <article-title>Age-related cochlear synaptopathy: an early-onset contributor to auditory functional decline</article-title>. <source>J. Neurosci.</source> <volume>33</volume>, <fpage>13686</fpage>&#x02013;<lpage>13694</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.1783-13.2013</pub-id><pub-id pub-id-type="pmid">23966690</pub-id></citation></ref>
<ref id="B60">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Stamataki</surname> <given-names>S.</given-names></name> <name><surname>Francis</surname> <given-names>H. W.</given-names></name> <name><surname>Lehar</surname> <given-names>M.</given-names></name> <name><surname>May</surname> <given-names>B. J.</given-names></name> <name><surname>Ryugo</surname> <given-names>D. K.</given-names></name></person-group> (<year>2006</year>). <article-title>Synaptic alterations at inner hair cells precede spiral ganglion cell loss in aging C57BL/6J mice</article-title>. <source>Hear. Res.</source> <volume>221</volume>, <fpage>104</fpage>&#x02013;<lpage>118</lpage>. <pub-id pub-id-type="doi">10.1016/j.heares.2006.07.014</pub-id><pub-id pub-id-type="pmid">17005343</pub-id></citation></ref>
<ref id="B61">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tadros</surname> <given-names>S. F.</given-names></name> <name><surname>Frisina</surname> <given-names>S. T.</given-names></name> <name><surname>Mapes</surname> <given-names>F.</given-names></name> <name><surname>Kim</surname> <given-names>S.</given-names></name> <name><surname>Frisina</surname> <given-names>D. R.</given-names></name> <name><surname>Frisina</surname> <given-names>R. D.</given-names></name></person-group> (<year>2005</year>). <article-title>Loss of peripheral right-ear advantage in age-related hearing loss</article-title>. <source>Audiol. Neurootol.</source> <volume>10</volume>, <fpage>44</fpage>&#x02013;<lpage>52</lpage> <pub-id pub-id-type="doi">10.1159/000082307</pub-id><pub-id pub-id-type="pmid">15567914</pub-id></citation></ref>
<ref id="B62">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Taranda</surname> <given-names>J.</given-names></name> <name><surname>Maison</surname> <given-names>S. F.</given-names></name> <name><surname>Ballestero</surname> <given-names>J. A.</given-names></name> <name><surname>Katz</surname> <given-names>E.</given-names></name> <name><surname>Savino</surname> <given-names>J.</given-names></name> <name><surname>Vetter</surname> <given-names>D. E.</given-names></name> <etal/></person-group>. (<year>2009</year>). <article-title>A point mutation in the hair cell nicotinic cholinergic receptor prolongs cochlear inhibition and enhances noise protection</article-title>. <source>PLoS Biol.</source> <volume>7</volume>:<fpage>e1000018</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pbio.1000018</pub-id><pub-id pub-id-type="pmid">19166271</pub-id></citation></ref>
<ref id="B63">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Terreros</surname> <given-names>G.</given-names></name> <name><surname>Jorratt</surname> <given-names>P.</given-names></name> <name><surname>Aedo</surname> <given-names>C.</given-names></name> <name><surname>Elgoyhen</surname> <given-names>A. B.</given-names></name> <name><surname>Delano</surname> <given-names>P. H.</given-names></name></person-group> (<year>2016</year>). <article-title>Selective attention to visual stimuli using auditory distractors is altered in alpha-9 nicotinic receptor subunit knock-out mice</article-title>. <source>J. Neurosci.</source> <volume>36</volume>, <fpage>7198</fpage>&#x02013;<lpage>7209</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.4031-15.2016</pub-id><pub-id pub-id-type="pmid">27383594</pub-id></citation></ref>
<ref id="B64">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Trahiotis</surname> <given-names>C.</given-names></name> <name><surname>Elliott</surname> <given-names>D. N.</given-names></name></person-group> (<year>1970</year>). <article-title>Behavioral investigation of some possible effects of sectioning the crossed olivocochlear bundle</article-title>. <source>J. Acoust. Soc. Am.</source> <volume>47</volume>, <fpage>592</fpage>&#x02013;<lpage>596</lpage>. <pub-id pub-id-type="doi">10.1121/1.1911934</pub-id><pub-id pub-id-type="pmid">5439659</pub-id></citation></ref>
<ref id="B65">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Varghese</surname> <given-names>G. I.</given-names></name> <name><surname>Zhu</surname> <given-names>X.</given-names></name> <name><surname>Frisina</surname> <given-names>R. D.</given-names></name></person-group> (<year>2005</year>). <article-title>Age-related declines in distortion product otoacoustic emissions utilizing pure tone contralateral stimulation in CBA/CaJ mice</article-title>. <source>Hear. Res.</source> <volume>209</volume>, <fpage>60</fpage>&#x02013;<lpage>67</lpage>. <pub-id pub-id-type="doi">10.1016/j.heares.2005.06.006</pub-id><pub-id pub-id-type="pmid">16061336</pub-id></citation></ref>
<ref id="B66">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vetter</surname> <given-names>D. E.</given-names></name> <name><surname>Liberman</surname> <given-names>M. C.</given-names></name> <name><surname>Mann</surname> <given-names>J.</given-names></name> <name><surname>Barhanin</surname> <given-names>J.</given-names></name> <name><surname>Boulter</surname> <given-names>J.</given-names></name> <name><surname>Brown</surname> <given-names>M. C.</given-names></name> <etal/></person-group>. (<year>1999</year>). <article-title>Role of &#x003B1;9 nicotinic ACh receptor subunits in the development and function of cochlear efferent innervation</article-title>. <source>Neuron</source> <volume>23</volume>, <fpage>93</fpage>&#x02013;<lpage>103</lpage>. <pub-id pub-id-type="doi">10.1016/S0896-6273(00)80756-4</pub-id><pub-id pub-id-type="pmid">10402196</pub-id></citation></ref>
<ref id="B67">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Whitehead</surname> <given-names>M.</given-names></name> <name><surname>Martin</surname> <given-names>G.</given-names></name> <name><surname>Lonsbury-Martin</surname> <given-names>B.</given-names></name></person-group> (<year>1991</year>). <article-title>Effects of the crossed acoustic reflex on distortion-product otoacoustic emissions in awake rabbits</article-title>. <source>Hear. Res.</source> <volume>51</volume>, <fpage>55</fpage>&#x02013;<lpage>72</lpage>. <pub-id pub-id-type="doi">10.1016/0378-5955(91)90007-V</pub-id><pub-id pub-id-type="pmid">2013546</pub-id></citation></ref>
<ref id="B68">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname> <given-names>Y.</given-names></name> <name><surname>Cheatham</surname> <given-names>M. A.</given-names></name> <name><surname>Siegel</surname> <given-names>J. H.</given-names></name></person-group> (<year>2017</year>). <article-title>Identifying the origin of effects of contralateral noise on transient evoked otoacoustic emissions in unanesthetized mice</article-title>. <source>J. Assoc. Res. Otolaryngol</source>. [Epub ahead of print]. <pub-id pub-id-type="doi">10.1007/s10162-017-0616-x</pub-id><pub-id pub-id-type="pmid">28303411</pub-id></citation></ref>
<ref id="B69">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zachary</surname> <given-names>S. P.</given-names></name> <name><surname>Fuchs</surname> <given-names>P. A.</given-names></name></person-group> (<year>2015</year>). <article-title>Re-Emergent inhibition of cochlear inner hair cells in a mouse model of hearing loss</article-title>. <source>J. Neurosci.</source> <volume>35</volume>, <fpage>9701</fpage>&#x02013;<lpage>9706</lpage>. <pub-id pub-id-type="doi">10.1523/JNEUROSCI.0879-15.2015</pub-id><pub-id pub-id-type="pmid">26134652</pub-id></citation></ref>
<ref id="B70">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zeng</surname> <given-names>F.</given-names></name> <name><surname>Martino</surname> <given-names>K. M.</given-names></name> <name><surname>Linthicum</surname> <given-names>F. H.</given-names></name> <name><surname>Soli</surname> <given-names>S. D.</given-names></name></person-group> (<year>2000</year>). <article-title>Auditory perception in vestibular neurectomy subjects</article-title>. <source>Hear. Res.</source> <volume>142</volume>, <fpage>102</fpage>&#x02013;<lpage>112</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-5955(00)00011-3</pub-id><pub-id pub-id-type="pmid">10748333</pub-id></citation></ref>
<ref id="B71">
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhu</surname> <given-names>X.</given-names></name> <name><surname>Vasilyeva</surname> <given-names>O. N.</given-names></name> <name><surname>Kim</surname> <given-names>S.</given-names></name> <name><surname>Jacobson</surname> <given-names>M.</given-names></name> <name><surname>Romney</surname> <given-names>J.</given-names></name> <name><surname>Waterman</surname> <given-names>M. S.</given-names></name> <etal/></person-group>. (<year>2007</year>). <article-title>Auditory efferent feedback system deficits precede age-related hearing loss: contralateral suppression of otoacoustic emissions in mice</article-title>. <source>J. Comp. Neurol.</source> <volume>503</volume>, <fpage>593</fpage>&#x02013;<lpage>604</lpage>. <pub-id pub-id-type="doi">10.1002/cne.21402</pub-id><pub-id pub-id-type="pmid">17559088</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn fn-type="financial-disclosure"><p><bold>Funding.</bold> Research reported in this publication was supported by the National Institute of Deafness and Other Communication Disorders of the National Institutes of Health under award numbers P30DC005211, R03DC012352, and F32DC009353, grants from National Organization for Hearing Research and the Capita Foundation, and the David M. Rubenstein Fund for Hearing Research.</p>
</fn>
</fn-group>
</back>
</article>