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/frorr,ry 127 Krsrtrrc~h. I9 ( 19X5) 127 - 134 F.lsevier HRR 00630 Effects of sympathetic stimulation on the round window compound potential in the rat action Albert H. Lee and Aage R. Mdller Depttrtntent of Nrurologtd Surge<v, Unrrwsr!,~ CIJPlttshurgh (Received 29 November The effect on the ear of stimulating potentials (N,N?) the sympathetic School of ,Mrd~crw nervous system was studied than at moderate stimulation animals varied in their responses to stimulation ms at approximately as a result of sympathetic stimulation (0.07 systematrcally related before sympathetic autonomic to sympathetrc stimulation. After the adminstration in three rats there was no effect on the latency of the N, Individual Further. of hexamethonium potential and although the change in the amplitude (which from sympathetic block.\ not studled of N, was not transmiswn stimulation In as recorded stimulation. nervous system. auditory nerve. compound action potential Introduction The hypothesis that sympathetic activity can influence sensory receptors is not new. Sympathetic stimulation has been shown to enhance the response of muscle spindles [5,8]. taste receptors, and touch and pressure receptors [2]. and Nilsson [ 151 showed that sympathetic stimulation of the mechanoreceptors of cat vibrissae can lead to an increase in the latency of dynamic responses. In addition. the cochlea has been shown to be innervated sympathetically [3,19.20,24]. with two different groups of adrenergic fibers having been identified: perivascular. around the labyrinthine artery and its branches [22], and vessel-independent fibers in the lamina spiralis ossea where a plexus is formed in the area of the habenula perforata at the point where the afferent auditory nerve fibers become myelinated [3,4,19]. The results of studies designed to examine these 037%5955/X5/$03.30 In addition. of the response. In one of the twelve animals there was a low frequencies seemed to be affected more than high frequencies. ganglia) dB above threshold). ms (LE.) with little change in some animals evidencing a great change I” the ms at 5 dB ahove threshold). systematically. autonomic of the and others showing very little change in latency. This variabilit> could not be related to the condition of the animal at the time of observation in latency 25-30 action of the superior cervical ganglion \~a\ ms at 15 dB above threshold). of the superior cervical ganghon. wth latency of the response (0.4 ms increase at 10 dB above threshold) the compound at low stimulus intensities (mean value 0.09+0.04 intensities (0.08*0.04 latency occurring at the highest intensity tested (0.02+0.01 alight decrease in rats by recording rats before. during. and after electrical strmulatlon the changes in N, latency which resulted. Stimulation found to cause an increase in the N, latency which was more pronounced at 5 dB above threshold) P.4 /52/_~. C X.4 19X4; accepted 26 June 1985) in response to 2 kHz tonebursts presented to anesthetized superior cervical ganglion. and evaluating Pttt.~htrrgh. ’ neural interactions in the ear prompted researchera to investigate the role of the sympathetic nervous system in controlling ear function, and to perform experiments in which the sympathetic ganglia were stimulated electrically and in which the superior cervical ganglion and the stellate ganglion were transected so that autonomic control of auditory function could be studied. Seymour and Tappin [18] found that the amplitude of cochlear microphonics (CM) decreased by 3OG50% during electrical stimulation of the cervical sympathetic trunk. but Krejci and Bornschein [9] found that stimulation of the cervical sympathetic trunk had no effect on the CM, and Baust et al. [l] found that sympathetic stimulation had no effect on either the CM or the compound action potential (CAP) in curarized cats. However, while Pickles [16] reported that sympathetic stimulation had no effect on CM. he did find that it caused a 16% increase in the amplitude of the N, peak of the CAP 19X5 Elsevier Science Publishers 1S.V. (Biomedical Di\i\ion) evoked by clicks. Along the same lines, Hultcrantz et al. [7] found that cervical sympathectomy resulted in a 30% decrease in the amplitude of the CAP. Other investigators have studied the effects on cochlear blood flow of stimulating the cervical sympathetic trunk electrically. Rambo et al. [17] found that sympathetic denervation did not affect labyrinthine vessels, and Todd et al. [23] found that sympathetic stimulation had no significant effect on cochlear blood flow. Further. Hultcrantz et al. [6] found that sympathetic stimulation changed cochlear blood flow only at low blood pressures. Thus, despite the fact that much of our knowledge of the effects of sympathetic stimulation on cochlear electrophysiology is fragmentary and often contradictory, the fact that cochlear blood flow does not change as a result of sympathetic stimulation seems to suggest that the mechanism for autonomic modulation of cochlear potentials is neural. For this reason, the present study was conducted to measure the shifts in latency and amplitude of the N, peak of the CAP that result from electrical stimulation of the superior cervical ganglion. Materials and Methods Each of 12 female Sprague Dawley rats, weighing 250-350 g apiece, was anesthetized with urethane (1.5 g/kg body weight, i.p.), which is known not to interfere with ganglionic transmission [ll]. The animal was maintained at a constant rectal temperature of 37°C and a tracheotomy was performed in order to facilitate ventilation. The bulla was exposed using a ventral approach, opened, and a silver wire electrode was placed on or near the round window. A gold cup electrode was placed on exposed neck muscles, serving as a reference. After the round window electrode had been sutured securely in place, the hole in the bulla was closed with petroleum jelly. Next, the superior cervical ganglion was approached through an incision caudal to the pinna. Muscle was dissected bluntly until the internal carotid artery and vagus nerve could be identified in the carotid sheath, and the sympathetic trunk and the superior cervical ganglion were sought near the carotid sheath. The ganglion was identified positively by observation of dilatation of the ipsilateral pupil in response to electrical stimulation of the nerve tihsue. Stimulation was applied using bipolar xilver wire electrodes placed on the ganglion or on the sympathetic trunk adjacent to the ganglion. and rarely (1 in 13 animals) was the response accompanied by protrusion of the entire eye. A Grass SD9 stimulator was used to deliver 3.5 V (constant voltage) rectangular pulses with zero net charge. 20/s and 1 ms in duration, to the ganglion. These stimulus parameters were chosen to give a consistent widening of the pupil but a minimum of changes in respiration and heart rate. The stimulation was applied for an average of 30 min. Sound was delivered through the hollow earbars of a headholder using a condenser earphone (Briiel and Kjaer, Type 4131) [12], and consisted of 2 kHz tonebursts, 3 ms in duration, with a rise time of 0.5 ms to 90% of maximal amplitude and a fall time of 0.5 ms to 10% of the maximal amplitude. The tonebursts were presented with an interstimulus interval of 100 ms. The potentials were amplified and filtered (30 Hz highpass and 3000 Hz lowpass) using a Grass P5 amplifier. 2000 responses were averaged on a PDP 1 l/73 minicomputer using artifact rejection based upon the amplitude of the response. The rejection level was set to reject all responses that included an electrical stimulus. The recorded potentials were sampled every 20 ~LSand the resultant averaged potentials were digitally filtered off-line using a zero-phase shift filter [14] which suppresses low-frequency components without causing any shift in the latency of the peaks. The latencies were determined using a program that automatically identified the peaks and printed the latency values. Responses to 2 kHz tonebursts were recorded using tones of different intensities during sympathetic stimulation beginning with high intensities. Control experiments in which the tones of low sound intensities were presented first showed no discernible difference in the results. A similar scheme of sound stimulation was used for a period of 30 min after the termination of the sympathetic stimulation. In addition, short epochs of 50 auditory responses each were recorded immediately before and immediately after the onset of the stimulation and averaged in order to estimate the IZY 2.9 time of onset of any effect. Finally, the responses of some animals to 20 kHz tones were recorded before and after sympathetic stimulation, and three rats in the study were given hexamethonium bromide (Sigma Chemical Co.), a ganglionic blocker, before electrical stimulation of the supe- C 2.7 2.5 8 E 2.6 L 5 2.4 2.3 zi z -I 2.1 2.2 : E z > 0 1.9 2.0 i 6 z -I ? 1.1’ 40 1.6 D 50 dB SPL 70 60 l 2.5 1.6 2.3 1.1 40 50 60 70 8 E z 2.1 dB SPL 2.9 B 2.7 O-._ 5 5 5 1.9 0\ 1.7 1.1 40 50 -60~ -70 dB SPL Fig. 1. Latency of the N, response as a function of stimulus durintensity (in dB relative to threshold) before (0 -0). X ) electrical stimulation mg (O---O) and after (Xof the superior cervical ganglion. The stimuli were 2 kH[ tonebursts and the results are from 4 different animals. 1.9 -- 1.1 40 50 dB SPL 60 70 rior cervical ganglion, which presumably makes the ganglion less sensitive to electrical stimulation. The drug was given in a dose of 10 mg/kg body weight via a femoral vein catheter. In addition, several pilot experiments were conducted in order to provide adequate control information. Four animals were tested with the same protocol after the administration of tubocurarine were mechanically venti(0.2 ml, i.m.; animals lated) in order to assure that middle ear muscle contraction played no part. Two animals were tested after sectioning of the sympathetic chain, approximately at the level of the superior cervical ganglion, in order to assure that vascular changes induced by the electrical stimulation played no part in any observed effects. tive latency--il~tensity curves from 4 rats are reproduced. In 1 of these 4 animals sympathetic stimulation produced a substantial increase in the latency of the N, peak of the CAP evoked by 2 kHz tones (A), in 2 animals a moderate change was evoked (B and C), and in 1 rat there was very little change in response to sympathetic stimulation (Df. However, it is evident from Fig. I that in all cases in which latency increased the increase was greatest at low stimulus intensities. In addition, the latency values approach pre-stimulus values when recorded at least l-2 h after the end of the stimulation. Table I gives the data for the average change in latency with sympathetic stimulation at different stimulus intensities. At stimulus Levels of 5- 10 dB above threshold the latency of the N, response increased by approximately 0.1 ms, which corresponds to the latency change which occurs with approximately a 5 dB change in sound intensity. Little or no increase in latency was observed at high intensities (approximately 25-30 dB above Results In 9 of the 12 rats the latency of the N, potential increased in response to stimulation of the superior cervical ganglion, while in 2 rats the latency of N, remained the same, and in 1 rat the latency decreased with stimulation. There was great individual variation in the magnitude of the change in N, latency, as shown in Fig. 1 where representa- FILTERED UNFILT. 1 0 I I I I I 1 I I I I I I I 1 2 3 4 5 6 0 1 2 3 4 5 6 TIME IN t.&LLlSECONDS TIME IN MILLISECONDS Fig. 2. Examples of actual recordings before (A), during (6) and after (C) stimulation of the superior cervical ganglion. The stimuli were 2 kHz tonebursts, presented at an intensity of 10 dB above threshold. The latency measurements were based upon the filtered recordings shown to the right. 131 TABLE 2.1 I 1 A DIFFERENCE IN N, LATENCY AS A RESULT OF STIMULATION OF THE SUPERIOR CERVICAL GANGLION IN THE RAT + 5 dB above threshold + 10 dB above threshold + 15 dB above threshold Highest Intensity tested u + SE. (ms) n 0.09 0.11 0.08 0.02 12 I2 12 12 f i * * 0.04 0.042 0.04 0.01 threshold) so that the latency-intensity curves are steeper during sympathetic activation. The difference between the results obtained at +5 dB above threshold as well as the difference between the results obtained at the highest intensity tested were significant (P < 0.05 using Student’s t-test). The second peak in the auditory potentials recorded from the round window in the rat is often the largest of the two peaks, and the general morphology of the response seemed to be unchanged by sympathetic stimulation; both of the negative peaks of the CAP were clearly present throughout the experiment. Fig. 2 shows examples of actual responses that were recorded before, during, and after sympathetic stimulation. From evaluation of several recordings of a small number of sweeps it was apparent that the N, latency began to lengthen from 1 to 5 min after sympathetic stimulation was begun, and returned to baseline values fairly slowly, sometimes over a period of 30 min to 1 h after the stimulation was discontinued. This indicates that the mechanism by which sympathetic activation affects the ear is a slow process, which may explain why N, latencies [POKHZ] 1.1 I-L.__, 30 40 50 60 70 dB SPL 2.1 t 1.9 I20KHz 8 E z 1.7. 4 p 4 ] 1.5 1.3 I / l.lL 30 40 50 60 70 d0 SPL TABLE II DIFFERENCE IN N, AMPLITUDE STIMULATION OF THE SUPERIOR GLION IN THE RAT (in ?? of initial) + 5 dB above threshold + IO dB above threshold + 15 dB above threshold Highest Intensity tested AS A RESULT OF CERVICAL GAN- u + SE.(%) II 105.7*13.7 9n.4+ 14.3 98.4+ 10.9 96.8 f 7.7 11 12 12 12 Fig. 3. Responses of 2 rats to electrical stimulation of the superior cervical ganglion. Latency was measured as a function of stimulus intensity before (Ol), during (O------O) X) stimulation with 20 kHz tonehurst\. and after ( x ~ The responses in A are from the same rat as that shown in Fig. 1A. failed to return completely to baseline in some cases, although they did return to near baseline in most experiments. This variability in results from individual animals could not be correlated with the condition of the animal. although the dif- l.l’_ 50 60 70 dB SPL I B 2.5 9, ‘\\ \ I 2.3 1 : E \ \ ~,~~ i \\ 3 2.1& \ - e % t5 2, ‘\ ;1.9- \ l \ \ t 1.7 ‘0, X ‘\ ‘\ ‘\ \ 0 x % ; / 1.1’ 40 50 60 70 dB SPL Fig. 4. (A) Graph similar to that in Fig. 1, showing the effect of hexamethonium on the effect of electrical stimulation superior cervical ganglion on the latency of the N, O---O, results obtained before stimulation cervical ganglion and before administration O----O. results obtained during stimulation of the superior of hexamethonium. x .results obtained after sympathetic stimulation. (B) The effect of administering and of the superior of hexamethonium. cervical ganglion and after administration x ~ of the response. of administering hexamethonium hexamethonium ference in latency before and after sympathetic stimulation may have been smaller if a longer time had been allowed between the end of sympathetic stin~uiation and recording. caused by symChanges in N, amplitude pathetic stimulation were much less consistent than were changes in N, latency. In 2 rats N, amplitude increased upon stimulation, in 4 rats the amplitude remained the same, and in 6 rats the N, amplitude decreased with sympathetic stimulation. There was also considerable variability in the magnitude of the amplitude changes. Overall. however. as Table II illustrates, sympathetic stimulation caused no significant changes in N, amplitude at any 2 kHz toneburst intensity used. The difference between the result obtained at + 5 dB above threshold and that obtained at the highest intensity tested is not significant (P > 0.05 using Student’s t-test). The dependence of the effect of sympathetic stimulation on the frequency of the stimulus was not studied systematically in this series of experiments. However, the results of previous experiments show that the greatest effect is obtained when relatively low-frequency stimuli are used. In this series of experiments the effect of sympathetic stimuli on the response to 2 kHz tones was compared to the response to 20 kHz tonebursts in two rats (Fig. 3). The N, latency. upon sympathetic stimulation, was either smaller than the increase found with 2 kHz tonebursts (Fig. 3A) or it was not increased at all (Fig. 3B). Hexamethonium, which blocks transmission in sympathetic ganglia, was administered to 3 rats in order to confirm that the changes introduced by the stimulation were indeed autonomically induced. Fig. 4 shows the results of administering the drug in 2 of these rats: application of sympathetic stimulation resulted in no significant change in either N, latency or amplitude, but administration of hexamethonium increased the baseline N, latencies. This may be a result of reducing the sympathetic resting activity or it may be a result of altering respiration or blood pressure [IO]. In Fig. 4B, in which the responses obtained immediately after the administration of hexa- atone (O----O) in conjunction with stimulation O--O. ill~th~~niunl. of the superior results obtained cervical ganglion before (x - administering x ). hexa- methonium and after stimulation of the superior cervical ganglion alone are shown separately, it is evident that stimulation of the superior cervical ganglion does not increase the N, latency when the ganglion is blocked. In animals that were paralyzed with curare, in order to exclude middle ear muscle activation, the N, latency to 2 kHz tonebursts was unchanged upon sympathetic stimulation. In the animals that had sectioning of the sympathetic chain, the sectioning itself seemed to have little effect on the latency of the N,. However. stimulation of the proximal cut portion of the chain showed an increase in N, latency of approximately 0.1-0.2 ms upon stimulation. Discussion The results of these experiments show that stimulation of the superior cervical ganglion delays the N, response to 2 kHz tonebursts. However, although the change in latency is always largest at low stimulus intensities, there is substantial individual variation in the magnitude of the shift. The effect of sympathetic stimulation on the latency of N, is abolished by the administration of hexamethonium. Several control experiments were performed to ensure that the latency change was due to autonomic activation and not to other factors. For example, in order to exclude activation of the middle ear muscles as a possible explanation, some animals were paralyzed with curare. Because curare blocks transmission through the autonomic ganglia. the latency of N, during sympathetic stimulation was unaffected. However, the effect of contractions of the middle ear on N, latency should take the form of a parallel shift in the stimulus latency curve (because contraction of the middle ear muscles causes a change in the way sound is conducted to the cochlea and thus is effectively the same as changing the sound intensity); this effect was then sought. What was observed as the result of sympathetic stimulation was a change in latency of N, equivalent to a decrease in sensitivity of approximately 5 dB near threshold, approximately 4 dB at 15 dB above threshold, and 0 dB at the highest intensity tested (approximately 25-30 dB above threshold). Thus. no parallel shift in the stimulus latency curve occurred. and therefore, it is unlikely that the results are due to contraction of the middle ear muscles. Further. the fact that the effects of electrical stimulation appear only after a period of minutes makes it highly unlikely that these results could be due to contraction of the middle ear muscles. Another possibility is that the effect observed was mediated through activation of the olivocochlear bundle. However. this is also unlikely. and the fact that an autonomic ganglion blocker (hexamethonium) abolishes the effect of electrical stimulation supports the assumption that the results of such stimulation are indeed mediated by the sympathetic nervous system. However, how sympathetic activation affects the ear is unclear. Since results of studying inner ear circulation make it unlikely that the effect is vascular [21]. it may seem more likely that the effect is exerted directly upon the auditory nerve fibers where they leave the hair cells. It has been shown that there is an abundant autonomic innervation in the area where the afferent auditory nerve fibers become myelinated [19]. The effect of hexamethonium itself is an increase in the latency, which is in agreement with results by Hultcrantz et al. [7]. II hexamethonium decreased the tonic resting activity of the sympathetic system, one would expect that an increased activity (as, e.g., through electrical stimulation of the sympathetic ganglia) would have the opposite effect. However, we found in this study that electrical stimulation increased the latency. When the stimulus intensity is changed or the sensitivity of the ear varies. the amplitude of the N, response and its latency are expected to vary. Thus, if stimulation of the sympathetic nervous system leads to a decrease in sensitivity. we would expect to see a decrease in amplitude of the N, response compatible with the observed increase in latency. In fact, although the amplitude of the N, peaks is more affected by such factors as changes in shunting of the recording electrode than are changes in latency, the results of this study seem to show that indeed the amplitude of the N, changes very little as a result of sympathetic activation. The change in amplitude that corresponds to a decrease in latency of 0.1 ms is about 15%. enough to be detected readily, and no such change wa\ observed. Thus this change in latency is probably not caused by a simple decrease in sensitivity. In order to explain the observed results, then, it is necessary to focus upon the results of a change in conduction time. A shift in the location of the envelope of the traveling wave on the basilar membrane towards the apex will cause an increase in latency because of added travel time. but will cause little change in amplitude. Such a change in the location of the envelope has been inferred to occur when the stimulus intensity is increased. although in the opposite direction [13,14]. It was seen to occur in conjunction with widening of basilar membrane tuning and is assumed to be the result of a change in the stiffness of the hairs on the hair cells. How stimulation of the autonomic nervous system affects the auditory system depends not only upon the level of stimulation but also upon the level of activity of the sympathetic nervous system which explains how even prior to stimulation, animals of inbred strains may vary in their responses to such electrical stimulation. However, although the results of the present study show that stimulation of the sympathetic nervous system clearly affects the ear, how the autonomic nervous system exerts control over the ear under physiological conditions remains unclear. For this reason, further investigation of the effects of such stimulation is warranted. Acknowledgements This work was supported by a grant from the National Institutes of Health (No. 1 ROl NS21378-01). The authors thank Cleat Szczepaniak for her assistance in preparing this article. References Baust, W., Berlucchi, G. and Moruzzi, G. 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