Elsevier

Hearing Research

Volume 419, June 2022, 108207
Hearing Research

Olivocochlear efferent effects on perception and behavior

https://doi.org/10.1016/j.heares.2021.108207Get rights and content

Highlights

  • Efferent auditory pathways reach the cochlea through the olivocochlear (OC) system.

  • The OC system plays a role in hearing in noise and selective attention.

  • Methodological limitations and compensatory processes limit observed effects.

  • Additional studies of the effects of the OC system on behavior are necessary.

Abstract

The role of the mammalian auditory olivocochlear efferent system in hearing has long been the subject of debate. Its ability to protect against damaging noise exposure is clear, but whether or not this is the primary function of a system that evolved in the absence of industrial noise remains controversial. Here we review the behavioral consequences of olivocochlear activation and diminished olivocochlear function. Attempts to demonstrate a role for hearing in noise have yielded conflicting results in both animal and human studies. A role in selective attention to sounds in the presence of distractors, or attention to visual stimuli in the presence of competing auditory stimuli, has been established in animal models, but again behavioral studies in humans remain equivocal. Auditory processing deficits occur in models of congenital olivocochlear dysfunction, but these deficits likely reflect abnormal central auditory development rather than direct effects of olivocochlear feedback. Additional proposed roles in age-related hearing loss, tinnitus, hyperacusis, and binaural or spatial hearing, are intriguing, but require additional study. These behavioral studies almost exclusively focus on medial olivocochlear effects, and many relied on lesioning techniques that can have unspecific effects. The consequences of lateral olivocochlear and of corticofugal pathway activation for perception remain unknown. As new tools for targeted manipulation of olivocochlear neurons emerge, there is potential for a transformation of our understanding of the role of the olivocochlear system in behavior across species.

Introduction

Our ability to effectively perceive and interact with the environment integrates the activity of efferent pathways that can modulate the signals transmitted by the afferent sensory systems. In the auditory system, the efferent pathways form a neural network comprised of several feedback loops with numerous subcortical nuclei, including the thalamus, inferior colliculus, superior olivary complex, and cochlear nucleus (Malmierca and Ryugo, 2011). The auditory efferent pathways extend from auditory cortex to the peripheral sensory organ via the olivocochlear (OC) system (Fig. 1). The OC system, originally described by Rasmussen (1946), is formed by two neuronal groups: (i) the medial olivocochlear neurons (MOC) and (ii) the lateral olivocochlear neurons (LOC) (Warr and Guinan, 1979).

Even though the precise anatomical location of these two groups varies depending on the species, in general MOC neurons can be found in the medial periolivary regions, while the LOCs originate in or around the lateral superior olive (Brown, 2011). The MOC synapses are organized along a tonotopic gradient in the periphery, with greater density in the middle regions of the cochlea (Guinan, 1996; Maison et al., 2003). In addition, most of the MOC neurons send collaterals that reach the CN of the same side as the target cochlea (Benson and Brown, 1990). MOC neurons primarily release acetylcholine, leading to the hyperpolarization of the OHCs and, consequently, a reduction of the gain of the cochlear amplifier (Blanchet et al., 1996; Dallos et al., 1997; Evans et al., 2000).

LOC neurons are on average smaller and more numerous than MOCs and are characterized by having fine, non-myelinated fibers (Guinan, 1996). As with the MOCs, they also project via the vestibular nerve, but synapse with the dendrites of type I cochlear afferents just below the inner hair cells (Guinan, 1996). These projections are tonotopically organized and almost all of them (95–100%) are ipsilateral (Schofield, 2010). LOC neurons express a greater diversity of neurotransmitters than MOCs. While the majority of LOC neurons are cholinergic, they have been observed to express other neurotransmitters within the same synaptic terminal including dopamine (DA), calcitonin gene-related peptide (CGRP), GABA and opioid peptides such as enkephalin (Ciuman, 2010; Eybalin et al., 1993; Reijntjes and Pyott, 2016; Wu et al., 2020b). Furthermore, in mice there is some evidence of subgroups of dopaminergic LOC neurons that are not cholinergic (Darrow et al., 2006b).

The physiological effects of activating the OC system have been reviewed in detail in recent reviews (e.g., Terreros and Delano 2015; Guinan 2018; Lopez-Poveda 2018; Fuchs and Lauer 2018). In spite of the fact that the OC system is composed of both MOC and LOC neurons, most of the knowledge about OC physiology has been obtained by electrical stimulation of MOC fibers (e.g., Galambos 1956; Fex 1959; Guinan and Gifford 1988, Cooper and Guinan, 2006; Elgueda et al., 2011). The electrical activation of MOC fibers at the floor of the fourth ventricle reduced the amplitude of auditory nerve responses (Galambos, 1956) and increases the magnitude of cochlear microphonics (CM) potentials (Fex, 1959; Elgueda et al., 2011). MOC neurons can be reflexively activated by ipsilateral and contralateral sounds (Buño, 1978; Liberman, 1989) through a brainstem circuit that includes auditory nerve, cochlear nucleus and MOC neurons (Thompson and Thompson 1991; DeVenecia et al., 2005). In contrast to the middle ear muscle reflexes (stapedius and tensor tympani), the MOC reflex can be elicited by lower level sounds (< 60 dB), producing a suppression of cochlear responses that can be measured non-invasively with otoacoustic emissions or with electrocochleography (Liberman and Guinan, 1998; Aedo et al., 2015). One important caveat is that this reflex is highly variable among different individuals, ranging from large suppressions (up to 10 dB of effective attenuation) to no effect or even enhancements, although most studies show a limited range of otoacoustic suppression effects within only 1–2 dB in humans (Puria et al., 1996; Maison and Liberman, 2000). This may be due to the relatively weak innervation of outer hair cells by MOC neurons in humans compared to common laboratory species (Liberman and Liberman 2019). The inter-individual variability has been correlated with levels of resistance to acoustic injury and to different capacities to suppress auditory distractors during selective attention (Maison and Liberman 2000; Bowen et al., 2020). Otoacoustic suppression effects may underestimate the true size of the effect. Some studies measuring MOC-induced CAP suppression in humans show much larger effects (Smith et al., 2017), whereas other studies have only shown small suppressive effects only after many hours of testing (Lichtenhan et al., 2016). The size of the observed effects likely depends on the specific testing parameters used (Verschooten et al., 2017).

Much of what we know about how the OC system affects behavior comes from studies of its dysfunction. Conflicting results have sometimes been reported in behavioral studies performed in humans and animals. Here we focus on the behavioral effects of OC efferent activation, de-efferentation, and genetic manipulation. We include evoked potential studies in cases where little or no behavioral evidence is available, as these data are useful in making predictions about behavioral function.

Section snippets

Detection and discrimination of sounds in quiet and noisy backgrounds

Physiological effects of OC bundle stimulation in animals suggest that the system should enhance detection and discrimination of sounds in noise and enhance frequency discrimination (Geisler 1974; Dolan and Nutall 1988; Winslow and Sachs 1987, 1988; Kawase and Liberman 1993; Kawase et al., 1993; Seluakumaran et al., 2008; Smalt et al., 2014). An early study in guinea pigs showed that the electrical stimulation of MOC fibers at the floor of the fourth ventricle increases auditory nerve responses

LOC effects

The perceptual/behavioral effects of LOC efferent activation are completely unknown. At present, there is no assay that provides a specific measurement of LOC activity in an awake, behaving organism. We do not even have much of an understanding of how these neurons function at the cellular level because of the technical difficulty of performing recordings from unmyelinated axons. Because LOC neurons are unmyelinated, any effects on the perception of sounds presumably occur on a slow scale.

Vestibular neurectomy/Meniere's patients

Animal studies have shown that the OC bundle is routed from brainstem to the cochlea through the inferior vestibular nerve, crossing to the auditory nerve in the Oort anastomosis located in the internal ear canal (Liberman and Brown, 1986; Warren and Liberman, 1989). The Oort anastomosis has also been found in human temporal bones (Arnesen and Osen, 1984), however it is important to highlight that a histological demonstration of the brainstem origin of olivocochlear neurons crossing through the

Neurological, psychological, developmental, and sensory disorders

The knowledge about the involvement of the auditory efferent system in neuropsychiatric conditions is largely limited to the use of the available non-invasive tool for assessing MOC reflex function in humans: contralateral sounds with otoacoustic emissions. Again, most of what it is known is about MOC reflex function, while the involvement of LOC function and of the corticofugal projections in neuropsychiatric disorders is largely unknown.

Conclusions and areas for future investigation

Despite sometimes conflicting evidence, the OC system seems to play a role in optimizing hearing under a number of challenging conditions and in selective attention to sensory stimuli. In some cases, these effects may not be apparent because compensatory or redundant processes are likely in play. A more complete understanding of OC-mediated effects on behavior is important in light of emerging hearing regenerative and reparative therapies, since normal OC connectivity may be required for normal

Author statement

AML: conceptualization, writing (original, review & editing), supervision, funding acquisition; SVJ: conceptualization, writing (original, review & editing); PHD: conceptualization, writing (original, review & editing), funding acquisition

Acknowledgments

Funding: NIH DC017620, NIH DC006476, ANID BASAL FB008, Iniciativa Científica Milenio ICN09_015 Vicerrectoría de Investigación y Desarrollo de la Universidad de Chile ENL 19/20, Fundación Guillermo Puelma, David M. Rubenstein Fund for Hearing Research.

References (164)

  • P. Froehlich et al.

    Transiently evoked otoacoustic emission amplitudes change with changes of directed attention

    Physiol. Behav.

    (1993)
  • A.L. Giraud et al.

    Evidence of a medial olivocochlear involvement in contralateral suppression of otoacoustic emissions in humans

    Brain Res.

    (1995)
  • R.L. Goldberg et al.

    Changes in cochlear mechanics during vocalization: evidence for a phasic medial efferent effect

    Hear. Res.

    (1998)
  • J.J. Guinan

    Olivocochlear efferents: their action, effects, measurement and uses, and the impact of the new conception of cochlear mechanical responses

    Hear. Res.

    (2018)
  • J.J. Guinan et al.

    Effects of electrical stimulation of efferent olivocochlear neurons on cat auditory-nerve fibers. III. Tuning curves and thresholds at CF

    Hear. Res.

    (1988)
  • S.A. Hamed et al.

    Assessment of cochlear and auditory pathways in patients with migraine

    Am. J. Otolaryngol.

    (2012)
  • R.D. Hienz et al.

    Effects of bilateral olivocochlear lesions on vowel formant discrimination in cats

    Hear. Res.

    (1998)
  • T. Kitahara

    Evidence of surgical treatments for intractable Meniere's disease

    Auris Nasus Larynx

    (2018)
  • A. Kobrina et al.

    Linking anatomical and physiological markers of auditory system degeneration with behavioral hearing assessments in a mouse (Mus musculus) model of age-related hearing loss

    Neurobiol. Aging

    (2020)
  • M. Labrousse et al.

    Anatomohistologic study of von Oort's vestibulocochlear anastomosis

    Ann. Otolaryngol. Chir. Cervicofac.

    (2004)
  • E. Larsen et al.

    Contralateral cochlear effects of ipsilateral damage: no evidence for interaural coupling

    Hear. Res.

    (2010)
  • A.M. Lauer et al.

    Effects of non-traumatic noise and conductive hearing loss on auditory system function

    Neurosci

    (2019)
  • A.M. Lauer et al.

    Efferent synapses return to inner hair cells in the aging cochlea

    Neurobiol. Aging

    (2012)
  • M.C. Liberman et al.

    Physiology and anatomy of single olivocochlear neurons in the cat

    Hear. Res.

    (1986)
  • M.C. Liberman

    Rapid assessment of sound-evoked olivocochlear feedback: suppression of compound action potentials by contralateral sound

    Hear. Res.

    (1989)
  • E.A. Lopez-Poveda et al.

    Lateralization of virtual sound sources with a binaural cochlear-implant sound coding strategy inspired by the medial olivocochlear reflex

    Hear. Res.

    (2019)
  • J.T. Lichtenhan et al.

    Medial olivocochlear efferent reflex inhibition of human cochlear nerve responses

    Hear. Res.

    (2016)
  • C. Abdala et al.

    Considering distortion product otoacoustic emission fine structure in measurements of the medial olivocochlear reflex

    J. Acoust. Soc. Am.

    (2009)
  • C. Aedo et al.

    The corticofugal effects of auditory cortex microstimulation on auditory nerve and superior olivary complex responses are mediated via alpha-9 nicotinic receptor subunit

    PLoS ONE

    (2016)
  • C. Aedo et al.

    Stronger efferent suppression of cochlear neural potentials by contralateral acoustic stimulation in awake than in anesthetized chinchilla

    Front. Sys. Neurosci.

    (2015)
  • P.D. Allen et al.

    Reflex modification audiometry reveals dual roles for olivocochlear neurotransmission

    Front. Cell. Neurosci.

    (2017)
  • G. Andeol et al.

    Auditory efferents facilitate sound localization in noise in humans

    J. Neurosci.

    (2011)
  • A.R. Arnesen et al.

    Fibre population of the vestibulocochlear anastomosis in the cat

    Acta Otolaryngol

    (1984)
  • J. Attias et al.

    Hyperactive auditory efferent system and lack of acoustic reflexes in Williams syndrome

    J. Basic Clin. Physiol. Pharmacol.

    (2008)
  • J. Attias et al.

    Dysfunction of the auditory efferent system in patients with traumatic brain injuries with tinnitus and hyperacusis

    J. Basic Clin. Physiol. Pharmacol.

    (2005)
  • D.M. Baguley et al.

    The effect of vestibular nerve section upon tinnitus

    Clin. Otolaryngol. Allied Sci.

    (2002)
  • T.E. Benson et al.

    Synapses formed by olivocochlear axon branches in the mouse cochlear nucleus

    J. Comp. Neurol.

    (1990)
  • C. Blanchet et al.

    Acetylcholine-induced potassium current of guinea pig outer hair cells: its dependence on a calcium influx through nicotinic-like receptors

    J. Neurosci.

    (1996)
  • L.E. Boero et al.

    Enhancement of the medial olivocochlear system prevents hidden hearing loss

    J. Neurosci.

    (2018)
  • L.E. Boero et al.

    Preventing presbycusis in mice with enhanced medial olivocochlear feedback

    Proc. Natl. Acad. Sci. U. S. A.

    (2020)
  • H. Bolay et al.

    Subclinical dysfunction of cochlea and cochlear efferents in migraine: an otoacoustic emission study

    Cephalalgia

    (2008)
  • S. Boothalingam et al.

    The medial olivocochlear reflex Is unlikely to play a role in listening difficulties in children

    Trends Hear

    (2019)
  • S. Boothalingam et al.

    Click-evoked auditory efferent activity: rate and level effects

    J. Assoc. Res. Otolaryngol.

    (2018)
  • M. Bowen et al.

    The olivocochlear reflex strength in awake chinchillas is relevant for behavioural performance during visual selective attention with auditory distractors

    Scientific Rep

    (2020)
  • M.C. Brown

    Anatomy of olivocochlear neurons

  • B.J. Ceranic et al.

    Tinnitus after head injury: evidence from otoacoustic emissions

    J. Neurol. Neurosurg. Psychiatry.

    (1998)
  • L.H. Cheng et al.

    Evaluating the function of the medial olivocochlear bundle in patients with bilateral tinnitus

    J. Speech, Lang., Hear. Res.

    (2020)
  • S. Chery-Croze et al.

    Medial olivo-cochlear system and tinnitus

    Acta Otolaryngol

    (1993)
  • S. Chery-Croze et al.

    Is the test of medial efferent system function a relevant investigation in tinnitus?

    Br. J. Audiol.

    (1994)
  • R.R. Ciuman

    The efferent system or olivocochlear function bundle–fine regulator and protector of hearing perception

    Int. J. Biomed. Sci.: IJBS

    (2010)
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