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Original Paper

Audiology
Audiol Neurotol 2011;16:145–157 Received: November 12, 2009
Neurotology Accepted after revision: June 1, 2010
DOI: 10.1159/000316674
Published online: July 29, 2010

The Actions of Dopamine Receptors in


the Guinea Pig Cochlea
Andrew R. Garrett Donald Robertson Peter M. Sellick
Wilhelmina H.A.M. Mulders
Auditory Laboratory, Discipline of Physiology M 311, School of Biomedical, Biomolecular and Chemical Sciences,
University of Western Australia, Crawley, W.A., Australia

Key Words tion product otoacoustic emission amplitudes, suggesting


Cochlea ⴢ Compound action potential ⴢ Electrophysiology ⴢ that D2 receptor action is not confined to afferent dendrites.
Lateral efferents ⴢ Summating potential Perfusion with D3 agonists and antagonists had no effect.
Copyright © 2010 S. Karger AG, Basel

Abstract
Dopamine, a major lateral olivocochlear efferent neurotrans- Introduction
mitter, exerts both excitatory and inhibitory effects on the
central nervous system depending on the receptor involved. Medial and lateral olivocochlear efferent systems orig-
We investigated the effects of different dopamine receptors inate in the brainstem and project to the mammalian
on the cochlea by perilymphatic perfusion with D1/5, D2 and cochlea [Warr and Guinan, 1979]. While a considerable
D3 receptor agonists and antagonists and recording neural amount is known regarding the neurochemistry and
and hair cell responses (compound action potential – CAP; physiology of the medial system, no clear picture exists
summating potential – SP) before, during and after perfu- for the lateral system. Lateral efferents contain a wide
sions. The D1/5 agonist resulted in marked suppression of CAP range of neurotransmitters including dopamine [Alt-
amplitudes whilst leaving SP amplitudes unchanged, sug- schuler et al., 1984, 1985; Eybalin et al., 1993; Fex and
gesting an inhibitory action of these receptors on afferent Altschuler, 1984; Fex et al., 1986; Gil-Loyzaga et al., 1997;
dendrites. The D1/5 antagonist had little or no effect, suggest- Jones et al., 1987; Maison et al., 2003; Safieddine et al.,
ing that there is no influence of tonic dopamine release on 1997; Sliwinska-Kowalska et al., 1989]. Excitatory [Le
these receptors. In contrast, perfusing a D2 receptor antago- Prell et al., 2003, 2005] and inhibitory actions [Darrow et
nist resulted in marked suppression of CAP suggesting an ex- al., 2006] attributed to the lateral innervation have been
citatory action of the receptors and a strong influence of ton- inferred from lesion studies in guinea pigs and mice. Al-
ic dopamine release on the D2 receptors. The D2 agonist had though species differences may be involved [Le Prell,
little effect, implying that tonic dopamine release is maximal- 2007], divergent effects have also been found within one
ly activating this class of dopamine receptors. D2 antagonists species following putative lateral efferent stimulation
resulted in reduction of SP, cochlear microphonic and distor- [Groff and Liberman, 2003].

© 2010 S. Karger AG, Basel Wilhelmina H.A.M. Mulders


1420–3030/11/0163–0145$38.00/0 Auditory Laboratory, Discipline of Physiology M 311
Fax +41 61 306 12 34 School of Biomedical, Biomolecular and Chemical Sciences
E-Mail karger@karger.ch Accessible online at: University of Western Australia, 35 Stirling Highway, Crawley, W.A. 6009 (Australia)
www.karger.com www.karger.com/aud Tel. +61 8 6488 3321, Fax +61 8 6488 1025, E-Mail hmulders @ cyllene.uwa.edu.au
In the central nervous system, dopamine can exert Table 1. Affinity binding constants (K i; in nM) for all agonists and
both excitatory and inhibitory effects depending on the antagonists
receptor class activated [Civelli et al., 1993; Missale et al.,
D1/5 D2 D3 D4
1998], and several studies have identified diverse dopa-
mine receptor subtypes in the cochlea [Inoue et al., 2006; Agonists
Karadaghy et al., 1997; Niu and Canlon, 2006]. Real-time SKF 81297 5.9 d7d >1000d >1000d >1000d
polymerase chain reaction (RT-PCR) studies in rat co- SKF 38393 18d >1000d >1000d >1000d
chlear homogenates identified only the mRNA for the (+)PHNO 80h 0.14 /0.24 0.6f
e f
79j
PD 128907 6428l 620b 0.99b 720b
D2L and D3 receptor subtypes [Karadaghy et al., 1997], but
a more recent study identified all dopamine receptors in Antagonists
spiral ganglion cells and in regions beneath inner hair SCH 23390 0.3c 760i 480k 3560j
L 741626 ND 11.2a 163a 1520a
cells (IHCs) consistent with receptors being localized to U 99194A 100000m 1572g 78g *
neural elements [Inoue et al., 2006]. Niu and Canlon
[2006] used immunocytochemical methods and Western ND = No data available; * = no measurable affinity [Waters et
blot analysis to show that dopamine D1 receptor protein al., 1993, cited by LaHoste et al., 2000].
a Grundt et al. [2007]. b This is for the D isoform [Bowery et
is located both on spiral ganglion cells and underneath 2S
al., 1996]. c Sunahara et al. [1991]. d Nielsen et al. [1989]. e Seeman
IHCs. The data of Niu and Canlon [2006] and Inoue et al. et al. [1993]. f Seeman et al. [2005] calculated with spiperone dis-
[2006] suggest that dopamine receptors reside postsynap- placement. g Waters et al. [1993]. h Cited in Nobrega and Seeman
tically on the primary afferent dendrites and spiral gan- [1994]. i Spiperone binding [Andersen et al., 1985]. j Van Tol et al.
glion neurons. It remains unknown whether dopamine [1991]. k Freedman et al. [1994]. l K i calculated using IC50 = 10000
receptors also reside presynaptically (on lateral efferent nM from Pugsley et al. [1995]. m Chen et al. [2006].
membranes) within the cochlea.
A number of previous studies have used pharmaco-
logical agents directed at dopamine receptors. These
studies suffer from several defects that the present study pride, which was reported to decrease nerve activity [Ruel
seeks to address. Niu and Canlon [2006] used the spe- et al., 2001], acts on D2 and D4 receptors [Missale et al.,
cific D1/5 agonist (SKF 38393) and reported an excitatory 1998; Sokoloff et al., 1990].
effect on cochlear neural responses. SKF 38393 is, how- Hence the results of all previous investigations may be
ever, only a partial agonist of D1/5 receptors and it is there- due to co-activation or co-blockade of several different
fore not clear whether the full repertoire of D1/5 effects receptor subtypes. Therefore, in the present study we em-
would have been observed at the concentrations used. No ployed a range of specific agonists and antagonists for the
previous studies have employed a highly selective D2 ago- D1/5, D2 and D3 receptor subtypes in the guinea pig co-
nist or antagonist. For example, the agonist piribedil, re- chlea [Andersen et al., 1985; Bowery et al., 1996; Chen et
ported to reduce cochlear nerve responses and increase al., 2006; Freedman et al., 1994; Grundt et al., 2007; La-
release of dopamine [d’Aldin et al., 1995a; Gaborjan et al., Hoste et al., 2000; Nielsen et al., 1989; Nobrega and See-
1999], has similar affinities for D2, D3 and D4 receptors man, 1994; Pugsley et al., 1995; Seeman et al., 1993, 2005;
[Millan et al., 2002]. The agonist bromocriptine, reported Sunahara et al., 1991; Van Tol et al., 1991; Waters et al.,
to be inhibitory on cochlear neural responses and to en- 1993] and monitored sound-evoked cochlear potentials
hance dopamine release [Halmos et al., 2002; Oestreicher in anaesthetized animals before and after perilymphatic
et al., 1997; Sun and Salvi, 2001], has similar affinity for perfusion of these compounds. The available details on
D2 and D3 though lower for D4 receptors [Missale et al., specificity are summarised in table 1.
1998]. Sun and Salvi [2001] reported that the agonist
quinpirole increases inward currents in spiral ganglion
neurons, an effect that is blocked by the antagonist eticlo- Materials and Methods
pride. Quinpirole binds with greater affinity to D3 and D4
than to D2 receptor subtypes [Burris et al., 1995]. The an- Animals
tagonist sulpiride, which blocks dopamine-mediated ef- Adult pigmented guinea pigs of either sex weighing between
300 and 450 g were used in this study. Animals were pre-treated
fects on single unit activity and increases dopamine re- with atropine (0.1 ml s.c.) and anaesthetized with Nembutal (30
lease in the cochlea [Halmos et al., 2002; Oestreicher et mg/kg, i.p.) and Hypnorm (0.15 ml/animal, i.m.). This anaesthe-
al., 1997], acts on D2, D3 and D4 receptors, while eticlo- sia protocol was maintained by bi-hourly injections of Nembutal

146 Audiol Neurotol 2011;16:145–157 Garrett/Robertson/Sellick/Mulders


(15 mg/kg) and hourly injections of Hypnorm (0.15 ml). The elec- Table 2. Concentrations of the various dopamine receptor ago-
trocardiogram was monitored on an oscilloscope following an- nists and antagonists used in this study
aesthesia as well as during surgical procedures. All procedures
conformed to the Code of Practice of the National Health and Dopamine receptor Compound Concentrations, M
Medical Research Council of Australia and were approved by the
Animal Ethics Committee of the University of Western Australia. Agonist
D1/5 SKF 38393 200, 100, 20
Surgery and Cochlear Perfusion SKF 81297 160, 16, 1.6
Animals were transferred to a sound-attenuating room, tra- D2 (+)PHNO 200, 2
cheotomised and artificially respired with Carbogen (95% O2/5% D3 PD 128907 200, 20, 2
CO2). They were then fixed into a head holder with hollow ear Antagonist
bars. The external pinna was removed and the auditory bulla was D1/5 SCH 23390 20
exposed by gentle reflection of the temporalis muscle and shaving D2 L 741626 70
of the temporal bone. Animals were then supinated and the ven- D3 U 99194A 20
tral bulla was approached through the neck. Gentle shaving of the
ventral temporal bone revealed the cochlear apex and a small hep-
arinised insect pin was gently pressed into the cochlear apex re-
sulting in the formation of a small hole at the helicotrema (Ø 100
m). A tissue wick was inserted into the bulla to absorb excess grams) or the silver wire inserted into the perfusion pipette with-
fluid from the cochlear perfusion. The animals were then re- in scala tympani. The sound-evoked cochlear response was am-
turned to a prone position and a small hole (100 m) was made in plified (!1000, WPI DAM 50) and filtered (1-Hz high-pass/3-
the basal turn of the cochlea with a fine hand drill (Titex, 0.1 mm). kHz low-pass filters) and then displayed on a computer monitor
Single-barrel perfusion pipettes were pulled from borosilicate for online analysis. A chlorided silver reference electrode was in-
glass with a laser glass puller (P2000, Brown Flaming). An etched serted into the temporalis muscle.
silver wire was inserted into the perfusion pipette. This electrode A custom-made program (courtesy G. Yates) was used to gen-
was in contact with the perilymph within scala tympani and re- erate sinusoidal tone bursts of 10 ms duration (1 ms rise/fall time,
corded sound-evoked cochlear potentials. To prevent insertion of cosine gated) presented every 166 ms and the sound-evoked co-
the pipette too far into scala tympani and to provide a seal, a bead chlear response was averaged 20 times. Sound stimuli were pre-
of silicone (Dow Corning, RTV 734) was made 60–80 m from sented to the animals via a reverse-driven Brüel and Kjær micro-
the pipette tip. The pipette was attached to a pressure pump (KD phone (type 4134). Initial assessments of cochlear function in-
scientific, 100 A) and cochleae were perfused at 2.5 l/min for 15 volved the estimation of N1 audiograms between 4 and 20 kHz.
min. Artificial perilymph contained (in mM) NaCl 137, KCl 5, Animals with normal acoustic thresholds were accepted for fur-
MgCl2 1, NaH2PO4 1, NaHCO3 12, CaCl2 2 and glucose 11 [Zhang ther study [Johnstone et al., 1979]. CAP and SP input-output (I/O)
et al., 1999]. This solution was made every 2 weeks and stored at functions were generated by a custom software program which
–20 ° C. Prior to use, pH and osmolarity of the working solution
    presented a 16-kHz tone burst (10 ms duration, 1 ms rise/fall time)
was adjusted to 7.3–7.5 and 285–315 mosm, respectively. between 30 and 84 dB SPL (86 dB SPL randomly presented) and
With the exception of the D2 agonist (+)PHNO, which was averaged 20 times. I/O functions were recorded before (0 min)
provided by Merck Sharp and Dome, all chemicals were pur- perfusion, immediately after perfusion (18 min) and then every
chased from Sigma. Test compounds (table 2) had to be dissolved 10 min for 30 min after perfusion (28, 38 and 48 min). The ampli-
in either ddH2O or ethanol (D2 antagonist, L 741626 only) before tude of the CAP was measured as the potential difference between
they could be made up in artificial perilymph. Control perfusions the N1 and P1 components of the gross cochlear waveform. Acous-
therefore were performed using artificial perilymph modified to tic thresholds were defined as the minimum sound pressure level
contain the same amount of either ddH2O or ethanol (0.1%). In required to evoke an N1 amplitude of approximately 10 V. In or-
the majority of perfusions, the control perfusion preceded the test der to evaluate hair cell function, we also monitored the ampli-
perfusion. In one cochlea in every group, the test perfusate was tude of the SP. Although traditional measures of SP (see for ex-
presented before the control and the order of perfusion did not ample Durrant et al. [1998]) have used the sustained baseline shift
influence the changes seen in compound action potential (CAP) during the tone presentation, it has been shown more recently that
or summating potential (SP) responses (data not shown). In the this measure is contaminated by firing of the auditory nerve fibres
experiments using the D2 antagonist (L 741626) vehicle effects [Sellick et al., 2003]. We therefore used the SP measure described
were found to be substantial. Therefore in order to quantitatively by Sellick et al. [2003] and McMahon et al. [2004], which involved
assess any possible confounding effect of the preceding vehicle measuring the peak of the initial positive deflection of the gross
perfusion, an additional 3 animals were used to measure the effect cochlear responses. Monitoring of the CAP and SP amplitudes
of the drug on CAP amplitudes without a preceding vehicle (eth- can help to determine if the effects are confined to neural and/or
anol) perfusion. In all experiments, effects were evaluated by sta- synaptic elements only (a change in CAP) or if hair cell responses
tistical comparison of drug perfusions and their appropriate are also being disrupted (CAP and SP changes).
matched controls. In some of the D2 antagonist perfusions, the endocochlear
potential (EP) and the maximum (saturation) amplitude of the
Sound Generation and Electrophysiological Recording cochlear microphonic (CM) generated in response to a 207-Hz
Cochlear responses were recorded via either a small silver wire probe tone were monitored at the same time as CAP responses to
in contact with the cochlear round window (for initial audio- a 16-kHz tone burst presented at 82 dB SPL. In a separate series

Dopamine Receptors in the Cochlea Audiol Neurotol 2011;16:145–157 147


84 dB SPL 60 dB SPL 36 dB SPL
100 100 100

80 80 80
CAP (%)

CAP (%)

CAP (%)
60 60 60

40 40 40
SKF 38393
20 SKF 81297 20 20
(+)PHNO
0 0 0
1 2 5 10 20 50 100 200 1 2 5 10 20 50 100 200 1 2 5 10 20 50 100 200
a Agonist (μM) b Agonist (μM) c Agonist (μM)

Fig. 1. CAP dose-response function for the D1/5 and D2 agonists be 170  M for SKF 81297 and 118  M for SKF 38393. IC50 was not
perfused through the cochlea. The reduction in CAP amplitudes calculated for (8)PHNO. Data points represent the average
evoked by a 16-kHz tone burst presented at 60 dB SPL were calcu- (n = 5) 8 SEM compared to 0 min. Maximum dose for each com-
lated immediately after perfusion. IC50 values were calculated to pound was determined by solubility.

of experiments involving D2 antagonist perfusions, we also mea- Statistical Analysis


sured distortion product otoacoustic emissions (DPOAEs) to- Statistical comparisons were made between vehicle and test
gether with CAP thresholds at a range of frequencies (1–20 kHz) perfusates using paired t test analysis. Comparisons were made
and 207 Hz CM amplitude. In all these experiments, sound stim- immediately after perfusion and at 10-min intervals for 30 min
uli were presented by a Beyer DT 48 headphone connected to the after the cessation of perfusion for one intermediate intensity only
ear bar via a short length of plastic tubing. The CM and CAP (60 dB SPL). ANOVA with Tukey post hoc analysis was used to
waveforms were recorded via the electrode within the perfusion compare the changes for low (36 dB SPL)-, medium (60 dB SPL)-
pipette or from an insulated silver wire placed on the round win- and high-intensity (84 dB SPL) sound stimuli. Normalised CAP
dow membrane. EP was recorded using a borosilicate glass mi- responses (expressed as a percentage of pre-perfusion values) were
croelectrode inserted through the round window and basilar used to generate IC50 values for the D1/5 receptor agonists in
membrane into the scala media. The result was amplified (Cyto GraphPad prism v5.0. Dose-response plots were modelled with
721, WPI) and filtered (DC coupled, 5.0 kHz low pass, Stanford the following equation. %CAP = 100/(1 + 10[agonist] – logIC 50) and the
Research Systems) and sent to a LabVIEW data acquisition card. IC50 values were calculated as the concentration of agonist which
A LabVIEW program (courtesy Dr. G. O’Beirne) was used to in- resulted in a 50% reduction in percent CAP responses.
terleave the CM and CAP stimulus presentations as well as to
record the EP during each perfusion trial. For DPOAE measure-
ments in the external ear canal, primary tones (f1 and f2) were
delivered using two separate Beyer DT48 headphones coupled to Results
the hollow ear bar with two 1-cm-long probe tubes. The 2f1-f2
distortion product sound pressures were measured using a tech- Where agonists caused a significant change in cochle-
nique similar to that of Marcon and Patuzzi [2008]. Sound pres- ar potentials, there was a clear dose dependence of the
sure in the external ear canal was measured using a Brüel and magnitude of effects observed (fig. 1). There was, how-
Kjær 0.5-inch condenser microphone coupled tightly to the ear
bar using a 4-mm probe tube ending approximately 3 mm from ever, no qualitative difference in the effects at different
the tympanic membrane. The output of the 0.5-inch microphone concentrations and for simplicity all subsequent data
was amplified 20 dB by a Brüel and Kjær 2660 low-noise pre- shown are for the highest drug concentrations employed
amplifier and then passed through a Brüel and Kjær type 2609 (table 2).
measuring amplifier. DPOAE and primary tone levels were mea-
sured by averaging the spectrum of the 0.5-inch microphone out-
put for 32 presentations of each level of the primary tones (50 ms Effects of D1/5 Receptor Compounds on CAP and SP
duration, 5 ms rise/fall time, 5 ms interval). I/O functions for Amplitudes
DPOAEs were constructed using f1 = 15 kHz and f2 = 18 kHz. The Both of the D1/5 receptor agonists resulted in the sup-
relative intensities of the primary tones were chosen in each ani- pression of CAP amplitudes immediately following per-
mal to maximize DPOAE amplitudes, and ranged from a ratio of
fusion (fig. 2a). Figure 2a shows the effect of the full D1/5
1.04–1.21. Noise floor was estimated using the same averaging
procedure in the absence of primary tones and was approximate- receptor agonist SKF 81297 (160 M) at three sound in-
ly 2 dB SPL. tensities. CAP was significantly suppressed at low (t test,
p = 0.0015), medium (p = 0.0024) and high sound pres-

148 Audiol Neurotol 2011;16:145–157 Garrett/Robertson/Sellick/Mulders


SKF 81297 SCH 23390
0 0

–20 –20
*

 CAP (%)

 CAP (%)
–40 –40
**
–60 –60
** Vehicle Vehicle
** D1/5 agonist D1/5 antagonist
–80 –80
36 60 84 36 60 84
a Stimulus intensity (dB SPL) d Stimulus intensity (dB SPL)

SKF 81297 SCH 23390


50 30

30 10
 SP (%)

 SP (%)
10 –10

****
–10 –30 ***

–30 –50
36 60 84 36 60 84
b Stimulus intensity (dB SPL) e Stimulus intensity (dB SPL)

120 140
***
100 120

100
80
CAP (%)

80
SP (%)

60
60
40
40 Vehicle
20
*** D1/5 agonist
20 Vehicle
D1/5 antagonist
0 0
0 12 24 36 48 0 12 24 36 48
c Time (min) f Time (min)

Fig. 2. Percentage changes (re 0 min) in CAP and SP amplitudes 0 min. Shaded areas indicate length of perfusion. Statistical an-
after cochlear perfusion with the D1/5 receptor agonist SKF alysis was performed at all time points shown, and effects of
81297 (a, b) or the antagonist SCH 23390 (d, e) compared with agonist and antagonist against the matched control were as-
the effects of perfusion of the matched vehicle. a, b, d, e Data sessed using paired t test (**** p ! 0.0001, *** p ! 0.001, ** p !
were measured immediately after perfusion. c, f Time course of 0.01, *  p ! 0.05). Data points represent the average (n = 5) 8
effects on the CAP and SP amplitude (60 dB SPL) compared to SEM.

sure levels (p = 0.001) compared to the matched vehicle ter perfusion (fig. 2c). SP amplitudes were not significant-
perfusates. There were no significant differences in the ly altered at any intensity or time for either the full or
magnitude of CAP suppression across the three intensi- partial agonist (fig. 2b, f).
ties (ANOVA, p = 0.151). Although there was partial re- Perfusion with the D1/5 receptor antagonist (SCH
covery, CAP was still significantly suppressed 30 min af- 23390, 20 M) caused a small reduction in CAP ampli-

Dopamine Receptors in the Cochlea Audiol Neurotol 2011;16:145–157 149


Vehicle
D2 antagonist
(+)PHNO L 741626
0 0

–20 –20

–40 –40
 CAP (%)

 CAP (%)
**
–60 –60

–80 –80

–100 Vehicle –100


D2 agonist *** **** ****
–120 –120
36 60 84 36 60 84
a Stimulus intensity (dB SPL) d Stimulus intensity (dB SPL)

60 10

–10

40 –30
 SP (%)

 SP (%)
–50 ***
20 –70

–90 ***
–110
**
0
36 60 84 36 60 84
b Stimulus intensity (dB SPL) e Stimulus intensity (dB SPL)

120 140
Vehicle Vehicle
100 120 D2 agonist D2 antagonist

100
80
CAP (%)

80
SP (%)

60
60
40
40
20
***
20 *
0 0
*** **
0 12 24 36 48 0 12 24 36 48
c Time (min) f Time (min)

Fig. 3. Percentage change (re 0 min) in CAP and SP amplitudes ing perfusion with the D2 receptor antagonist. Shaded areas indi-
after cochlear perfusion with the D2 receptor agonist (+)PHNO (a, cate length of perfusion. Statistical analysis was performed at all
b) or D2 receptor antagonist L 741626 (d, e). a, b, d, e Data were time points shown, and effects of agonist and antagonist against
measured immediately after perfusion. c, f Time course of effects the matched control were assessed using paired t test (**** p !
on the CAP and SP amplitude (60 dB SPL). Of particular interest 0.0001, *** p ! 0.001, ** p ! 0.01, * p ! 0.05). Data points represent
is the marked suppression of both CAP and SP amplitudes follow- the average (n = 5) 8 SEM.

tudes. Compared to vehicle perfusions (fig. 2d), this effect by the vehicle perfusion at medium (p = 0.004) and high
was significant only at the highest sound intensity (t test, sound intensities (p = 0.007). However, similar to the ef-
p = 0.015) and only immediately after perfusion (fig. 2f). fects of the antagonist on the CAP amplitudes, this effect
SP amplitudes following D1/5 receptor blockade were sig- was only significant immediately after perfusion (fig. 2f)
nificantly enhanced (15–25%) relative to changes caused and was not present at later time points.

150 Audiol Neurotol 2011;16:145–157 Garrett/Robertson/Sellick/Mulders


EP CM change
120 120

100 100

80 80

CM (%)
EP (%)
60 60

40 40
Vehicle 20
20
L 741626
0 0
–600 0 600 1200 1800 2400 3000 3600 0 1000 2000 3000 4000
a Time (s) d Time (s)

CM amplitude N1 threshold change


120 0

100 20

CAP threshold (dB SPL)


80 40
CM (%)

60 60

40 80

20 100

0 120
–600 0 600 1200 1800 2400 3000 3600 0 1000 2000 3000 4000
b Time (s) e Time (s)

CAP Threshold vs. CM change


120 0
Experimental data
100
Theoretical OHC
20 kHz HL (dB SPL)
CAP amplitude (%)

80 20 contribution

60

40 40

20
16 kHz 82 dB SPL
0 60
–600 0 600 1200 1800 2400 3000 3600 0 20 40 60 80 100
c Time (s) f CM (%)

Fig. 4. a–c Simultaneous recording of the EP, CM and CAP reveals kHz CAP threshold (e) shows that the loss of cochlear sensitivity
that the D2 receptor antagonist suppresses both the CM and CAP cannot be explained solely by altered OHC mechanics (f). f Theo-
without altering the EP. The antagonist (n = 3, grey line) or etha- retical data were derived from Patuzzi et al. [1989]. b, d Compared
nol vehicle (n = 2, black line) were perfused for 15 min (vertical to values at 0 min.
lines). d–f Comparison between the CM amplitude (d) and 20-

Effects of a D2 Receptor Agonist/Antagonist on CAP immediately after perfusion at the highest sound inten-
and SP Amplitude sity (84 dB SPL, p = 0.005; fig. 3a, c). SP amplitudes re-
Perfusion of the cochlea with a selective D2 agonist mained unchanged following perfusion with the D2 ago-
(+) PHNO (200 M) had no effect on CAP amplitudes nist (fig. 3b, c). In contrast, perfusion with the D2 antago-
except for a small and short-lasting significant reduction nist L 741626 (70 M) resulted in a marked and persistent

Dopamine Receptors in the Cochlea Audiol Neurotol 2011;16:145–157 151


25
120 140

2f1-f2 DPOAE level (dB SPL)


CAP threshold (dB SPL)
100 120 20
100
80 15

CM (%)
80
60
60 10
40 Average
40 noise floor
5
20 20
0 0 0
–200 0 200 400 600 800 1000 1200 30 40 50 60 70 80
a Time (s) b f1 primary level (dB SPL)

50 18
Reduction in CM amplitude (%)

Before
45 16 After
Before
40

amplitude (dB SPL)


14
35

Mean DPOAE
12 After
30 10 ***
25
8
20
15 6
10 4
5 2
0 0
Vehicle perfusion D2 antagonist Vehicle perfusion D2 antagonist
c perfusion d perfusion

Fig. 5. Effects of the D2 antagonist L 741626 (70  M) on measures c Average reduction (%) in low-frequency CM amplitude (n = 7)
of outer hair cell and neural function. a Example in 1 animal of caused by perfusion of vehicle alone and vehicle with D2 antago-
continuous recording of low-frequency CM (S) and CAP thresh- nist. d Average amplitude of 2f1-f2 DPOAE before and after perfu-
old to tones at 4 (!), 15 () ) and 20 kHz (U). CM amplitude ex- sion with vehicle (n = 6) and vehicle with D2 antagonist (n = 7).
pressed as change relative to the start of perfusion at 0 min in- Difference between DPOAE amplitude before and after drug per-
dicated by a solid bar. b I/O function of 2f1-f2 DPOAE in the same fusion was highly significant (*** p ! 0.001, paired t test).
animal as in a before (U) and after (S) antagonist perfusion.

reduction in CAP across all intensities (fig.  3c, d). Al- In addition to the changes in CAP, SP amplitudes were
though the average CAP changes following the ethanol also suppressed following D2 blockade (fig. 3e). SP ampli-
vehicle trials were found to be significant on their own tudes were suppressed by between 80% at 36 dB SPL and
compared to pre-perfusion values (paired t test, p ! 35% at the higher sound intensities. The differences be-
0.0001), there was a dramatic and sustained additional tween vehicle and antagonist perfusions were significant
reduction during the antagonist trials (fig.  3c, d). This (36 dB SPL, p = 0.0009; 60 dB SPL, p = 0.002; 84 dB SPL,
CAP reduction was significant compared to the ethanol p = 0.0009) up to 20 min after perfusion had ceased
vehicle effects at low (p = 0.0007), medium (p ! 0.0001) (fig. 3f).
and high sound pressure levels (p ! 0.0001). There were The marked suppression of SP following D2 receptor
no significant differences in the magnitude of CAP sup- blockade suggests that dopamine D2 receptors may be
pression across the three intensities (ANOVA, p = 0.06). influencing cochlear structures other than the primary
It is possible that an interaction could occur between afferents or the synapse between IHCs and afferents. We
preceding ethanol vehicle effects and that of the subse- therefore made simultaneous measurements of the CAP
quent drug perfusions. For this reason, in 4 animals ef- and CM amplitudes as well as the EP (fig. 4a–c). There
fects of drug perfusion were measured without a preced- were no changes in EP amplitude during or following
ing vehicle perfusion. The average CAP amplitude de- perfusion with vehicle or D2 antagonist (fig. 4a). In con-
crease was 76.6 8 5.3% without and 86.9 8 4.1% with a trast, the CM amplitude was appreciably suppressed to-
preceding vehicle perfusion. This difference was not sig- gether with the CAP amplitude during and following
nificant (unpaired t test, p = 0.17). perfusion of the D2 antagonist (fig. 4b, c). During perfu-

152 Audiol Neurotol 2011;16:145–157 Garrett/Robertson/Sellick/Mulders


PD 128907 U 99194A
0 0

–10 –10

 CAP (%)

 CAP (%)
–20 –20

–30 –30
Vehicle Vehicle
D3 agonist D3 antagonist
–40 –40
36 60 84 36 60 84
a Stimulus intensity (dB SPL) d Stimulus intensity (dB SPL)

40 60

40 *

 SP (%)
 SP (%)

20 20

0 –20
36 60 84 36 60 84
b Sound intensity (dB SPL) e Sound intensity (dB SPL)

120 140 *
100 120
100
80
CAP (%)

SP (%)

Vehicle 80
60
D3 agonist 60
40 Vehicle
D3 antagonist 40
20 20
0 0
0 12 24 36 48 0 12 24 36 48
c Time (min) f Time (min)

Fig. 6. Percentage changes (re 0 min) in CAP and SP amplitudes indicate length of perfusion. Statistical analysis was performed at
after cochlear perfusion with the D3 receptor agonist PD 128907 all time points shown, and the effects of agonist and antagonist
(a, b) or D3 receptor antagonist U 99194A (d, e). a, b, d, e Data against the matched control was performed using paired t test
were measured immediately after perfusion. c, f Time course of (* p ! 0.05). Data points represent the average (n = 5) 8 SEM.
effects on the CAP and SP amplitude (60 dB SPL). Shaded areas

sion of the control vehicle, the CM amplitude was found the expected marked and sustained suppression during
to increase and this may reflect the action of the ethanol and following perfusion with the D2 antagonist (fig. 4c).
on the outer hair cell (OHC) transduction process, or a Although there was an appreciable change in the CAP
change in cochlear sensitivity following displacement of amplitude during perfusion with the ethanol vehicle,
the cochlear partition [Patuzzi et al., 1984] which can this effect was short-lived and the CAP amplitude rap-
happen during pressure perfusions. The CAP amplitude idly returned to pre-perfusion values when perfusion
in response to a fixed-intensity 16-kHz tone burst showed ceased.

Dopamine Receptors in the Cochlea Audiol Neurotol 2011;16:145–157 153


In order to investigate the quantitative relationship be- cochlear structures other than the primary afferent den-
tween CM amplitude and cochlear neural sensitivity, the drites. In contrast to earlier studies, we have employed a
16-kHz CAP threshold was also monitored during some full D1/5 receptor agonist [Arnt et al., 1992; Nielsen et al.,
trials with the D2 antagonist at the same time as the CM 1989] and other agonists and antagonists for either the D2
(fig.  4c–f). CM amplitude fell by approximately 35%, or D3 receptors (table 1). This approach enabled for the
whereas CAP thresholds were elevated by up to 55 dB. In first time a distinction between the roles of the latter two
figure 4f the percentage change in CM is plotted against receptor subtypes in the cochlea, since all previous com-
CAP threshold and is compared to the theoretical curve pounds employed activated both these receptors [d’Aldin
that describes the relationship between OHC current et al., 1995b; Gaborjan et al., 1999; Halmos et al., 2002;
(drive to OHC active process) and sensorineural hearing Oestreicher et al., 1997; Ruel et al., 2001; Sun and Salvi,
loss [Patuzzi et al., 1989a]. 2001].
Further evidence for an effect of the D2 antagonist on Although D3 receptor mRNA and protein have been
OHC was obtained by measuring DPOAEs. Figure 5a, b shown to be present in the mouse and rat cochlea [Inoue
show the change in CM and CAP thresholds at three dif- et al., 2006; Karadaghy et al., 1997], in the present study we
ferent frequencies (4, 15 and 20 kHz) as well as the DPOAE found no change in the sound-evoked responses following
I/O function in 1 animal. As in figure 4, there was a perfusion of the D3 receptor compounds. This finding,
marked reduction in the low-frequency CM amplitude however, does not exclude the possibility of more subtle
and CAP thresholds at all frequencies tested. In addition, interactions between the different receptor subtypes [Zeng
there was a significant reduction in DPOAE amplitudes. et al., 2006]. Future experiments are needed to confirm the
In figure 5c, d, mean data for CM and DPOAE ampli- presence of the D3 receptor in the guinea pig cochlea and
tudes are presented, comparing the results of vehicle and to investigate the effects of perfusions combining agents
antagonist perfusions. The effect of the D2 antagonist on acting on the different receptor subtypes.
CM amplitude (fig. 5c) was similar to that shown in the The D1/5 receptor agonist reduced CAP amplitudes
previous set of experiments (fig. 4). The average reduction which suggests that these receptors are inhibitory on the
in DPOAE amplitude (fig. 5d) caused by the antagonist sound-evoked response. This finding is consistent with
perfusion was approximately 6 dB (p ! 0.001; paired t previous work [d’Aldin et al., 1995b; Ruel et al., 2001] that
test). Vehicle perfusions caused no significant change. also showed CAP suppression following perfusion with
dopamine (which acts at all receptor subtypes), quin-
Effects of a D3 Receptor Agonist/Antagonist on CAP pirole (D2/D3 agonist) and piribedil (D2/D3 agonist). We
and SP Amplitudes were unable to replicate the more recent findings by Niu
Perfusing scala tympani with the D3 agonist PD and Canlon [2006], who reported enhancement of the
128907 (200 M) did not alter the amplitude of the CAP CAP amplitudes using the specific D1/5 receptor partial
or SP at any sound intensity compared to vehicle perfus- agonist SKF 38393, suggesting an excitatory role for do-
ates (fig. 6a–c). Similarly, the D3 antagonist U 99194A (20 pamine D1/5 receptors in the cochlea. It may be that a re-
M) did not change the amplitudes of the CAP and SP duction in CAP is actually caused by an increased resting
compared to vehicle (fig. 6d–f), with the sole exception of firing rate at the single-neuron level, since this will lead
a small relative suppression of the SP amplitude at a single to adaptation and a reduced synchronous response. How-
intensity (60 dB SPL, p ! 0.05) immediately after perfu- ever, it is worth noting that previous studies revealed that
sion. elevated dopamine concentration in the cochlea sup-
presses CAP as well as single-unit firing rates both at rest
and during sound stimulation [Ruel et al., 2001, 2006].
Discussion Our dopamine D1/5 receptor antagonist data showed
no significant change in CAP amplitudes at intensities
In this study, we observed marked suppression of the where the CAP was markedly affected by the D1/5 agonist.
sound-evoked cochlear response following perilymphat- The simplest interpretation of this finding is that there is
ic perfusion of specific D1/5 and D2 receptor agonists and little or no tonic dopamine release onto the D1/5 receptors.
antagonists but not D3 receptor compounds. Further- There was a small suppression of CAP amplitudes caused
more, we observed sustained suppression of the SP, CM by the antagonist at the highest sound intensity, but the
and DPOAE amplitudes following D2 receptor blockade transient nature of this effect suggests it may be related to
which suggests that dopamine receptors may influence non-specific perturbations caused by the perfusion.

154 Audiol Neurotol 2011;16:145–157 Garrett/Robertson/Sellick/Mulders


Our D2 receptor antagonist data indicate a strong ex- IHC region. In addition, a dopamine transporter has
citatory influence of tonic dopamine release on these re- been shown to be present in the vicinity of Deiter’s cells
ceptors. The lack of an enhancement of CAP after perfu- underneath the OHC [Ruel et al., 2006]. Furthermore,
sion of the D2 agonist could be explained if the levels of one cannot rule out the possibility that dopamine re-
endogenous dopamine release are sufficient to keep the leased by lateral efferents could diffuse to the OHCs, act-
D2 receptors at, or close to, their maximum activation ing in a paracrine fashion, as has been suggested for uro-
state. In view of the large and sustained changes caused cortin [Vetter et al., 2002]. In a previous study, inhibiting
by the antagonist, the small suppression of CAP ampli- dopamine reuptake and thus increasing circulating do-
tude after perfusion of the D2 receptor agonist is most pamine concentrations did not significantly alter hair cell
likely to be a small artifact of perfusion, since it dissipates potentials such as the SP and CM [Ruel et al., 2006]. How-
rapidly. ever, increasing dopamine levels in the cochlea will acti-
In addition to the suppression on the CAP, perfusion vate all dopamine receptors present, the end result being
with the D2 antagonist also caused changes in SP, CM and possibly different from manipulating a single receptor
DPOAEs, suggesting a separate action of tonic dopamine subtype, especially as the current data suggest competing
release on hair cells. The data plotted in figure 4f show effects of the different receptor subtypes.
that these hair cell effects contribute to some, although In summary, our data are consistent with dopamine
by no means all, of the changes in neural thresholds being tonically released into the cochlea, presumably
[Patuzzi et al., 1989]. from the lateral efferent terminals. Our data also suggest
The mechanism by which the D2 antagonist causes divergent actions of dopamine dependent on the subclass
changes in hair cell responses is unclear. Our measure- of receptor involved. In addition, the effects on hair cell
ments of EP show that there is no change in this compo- measures suggest that these receptors are not solely con-
nent of the electrical drive on ions through the transduc- fined to the primary afferent dendrites.
tion channels of the IHCs or OHCs. The drop in the sat-
uration value of the low-frequency CM therefore suggests
either a fall in OHC membrane potential or a disruption Acknowledgements
to the OHC mechano-electrical transduction process.
A.R.G. was a recipient of a UPA scholarship provided by the
This could result in an SP change in two possible ways.
University of Western Australia. This work was also supported by
The SP is thought to emanate largely from the IHCs, es- grants from the National Health and Medical Research Council,
pecially for low and moderate sound intensities [Russell the Medical Health Research Infrastructure Fund (W.A., Austra-
and Sellick, 1983], but it is the OHC active electrome- lia) and the University of Western Australia.
chanical feedback process that determines the drive to
the IHCs. Hence actions of a D2 antagonist on the OHC
could alter SP by affecting this active process. This inter-
pretation is supported by the DPOAE data. The situation
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