1. Protection of Cochlear Ribbon Synapses and Prevention of Hidden Hearing Loss
- Author
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Xiang Mao, Peng Lin, Tai Sheng Chen, Wei Wang, Mei Wei, and Yao Liu
- Subjects
Hearing loss ,Auditory neuropathy ,Neurosciences. Biological psychiatry. Neuropsychiatry ,Review Article ,Ribbon synapse ,Biology ,Synaptic vesicle ,Synapse ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Hair Cells, Auditory ,otorhinolaryngologic diseases ,medicine ,Animals ,Humans ,Auditory system ,Hearing Loss ,Spiral ganglion ,030304 developmental biology ,0303 health sciences ,medicine.disease ,Cochlea ,medicine.anatomical_structure ,Neurology ,Synapses ,Synaptopathy ,sense organs ,Neurology (clinical) ,medicine.symptom ,Spiral Ganglion ,Neuroscience ,030217 neurology & neurosurgery ,RC321-571 - Abstract
In the auditory system, ribbon synapses are vesicle-associated structures located between inner hair cells (IHCs) and spiral ganglion neurons that are implicated in the modulation of trafficking and fusion of synaptic vesicles at the presynaptic terminals. Synapse loss may result in hearing loss and difficulties with understanding speech in a noisy environment. This phenomenon happens without permanent hearing loss; that is, the cochlear synaptopathy is “hidden.” Recent studies have reported that synapse loss might be critical in the pathogenesis of hidden hearing loss. A better understanding of the molecular mechanisms of the formation, structure, regeneration, and protection of ribbon synapses will assist in the design of potential therapeutic strategies. In this review, we describe and summarize the following aspects of ribbon synapses: (1) functional and structural features, (2) potential mechanisms of damage, (3) therapeutic research on protecting the synapses, and (4) the role of synaptic regeneration in auditory neuropathy and the current options for synapse rehabilitation.
- Published
- 2020