Beruflich Dokumente
Kultur Dokumente
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
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].
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.
–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)
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-
–20 –20
–40 –40
CAP (%)
CAP (%)
**
–60 –60
–80 –80
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.
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)
100 20
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)
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
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
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-
–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.