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Cochlear anatomy, function and pathology I Professor Dave Furness Keele University [email protected]

Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University [email protected]

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Page 1: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Cochlear anatomy, function and pathology I

Professor Dave FurnessKeele University

[email protected]

Page 2: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Aims and objectives of these lectures

• Introduction to gross anatomy of the cochlea

• Focus (1) on the sensory epithelium:– Hair cells and the organ of Corti– The mechanism of mechanoelectrical

transduction

Page 3: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Aims and objectives of these lectures

• Focus (2) on the biophysics of the cochlea, the dual roles of hair cells and their innervation:– Cochlear frequency selectivity– The cochlear amplifier– Neurotransmission and innervation of the

hair cells– Spiral ganglion and the structure of the

auditory nerve

Page 4: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Aims and objectives of these lectures

• Focus (3) on the cochlear lateral wall and Reissner’s membrane:– The spiral ligament– The stria vascularis

– The endolymphatic potential and potassium recycling

– Reissner’s membrane

Page 5: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Aims and objectives of these lectures

• Focus (4) on cochlear pathology:– Presbyacusis– Ototoxicity– Noise trauma– Genetic hearing loss– Molecular mechanisms of cell loss– Regeneration and repair

Page 6: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Inner ear

From Bear, Connors and Paradiso, Neuroscience: exploring the brain (Lippincott Williams and Wilkins)

Page 7: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Cochlea• The main functions of the cochlea are to

analyse and convert the vibrations caused by sound into a pattern of electrical signals that can be conveyed along the auditory nerve fibres to the brain

• This process involves three main steps:– sensory transduction– processing of the signal– neurotransmission

Page 8: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

The bony and membraneouslabyrinths

From Furness and Hackney, Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery 7

Page 9: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk
Page 10: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

scala vestibuli

scala media

scala tympani

Page 11: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Cross sections of the cochlear duct

Left: Mahendrasingam et al., 2011, JARO; Right Hackney and Furness, Noise and its Pathophysiology (eds Luxon and Prasher, 2007, Wiley)

3 week old mouse8 week old guinea pig

Page 12: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Fluid segregation

• The three chambers contain different fluids• Endolymph, high in potassium, in scala

media

• Perilymph, high in sodium, in scala

vestibuli and scala tympani

Page 13: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

The cochlea is a frequency analyser

Low frequencies

High frequencies

Basilar membrane andorgan of Corti

cochlear nerve

Increasingmass

Increasingstiffness

Page 14: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Frequency mapping on the basilar membrane

• Discovered by Georg von Békésy who was awarded the Nobel Prize for Physiology or Medicine, 1961

• Used human cadavers and played sounds to them, whilst observing the motion of the basilar membrane

• Measured the travelling wave and noted peaks of tuning

• However, the peaks were not sharp enough to account for human frequency selectivity

• Active physiological mechanisms are also required

Page 15: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Frequency analysis in the cochlea• Sound sets up a travelling wave along the

basilar membrane• The peak of motion determines the frequency

selectivity (tuning) of the cochlea at that point• The peak moves further along as frequency

gets lower

Page 16: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Basilar membrane animation

YouTube video Copyright: Howard Hughes Institute (under license)

Page 17: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk
Page 18: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Cross sections of the cochlear duct

From Furness and Hackney, Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery 7

Page 19: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Organ of Corti• Organ of Corti consists of a sensory epithelium with

hair cells and supporting cells

Nervefibres

Striavascularis

tectorial membrane

From Furness and Hackney, Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery 7

Page 20: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

The reticular lamina by scanning electron microscopy

IHCOHC

Page 21: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

The reticular lamina by scanning electron microscopy

IHCOHC

Supporting cells: inner pillar, outer pillar, Deiter’s cell 1, Deiter’s cell 2, Deiters cell 3.

Page 22: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Supporting cells are rich in actin and tubulin (cytoskeletal proteins) to provide mechanical support to the organ of Corti

From Furness and Hackney, Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery 7

Page 23: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Supporting cells are rich in actin and tubulin (cytoskeletal proteins) to provide mechanical support to the organ of Corti

From Furness and Hackney, Scott-Brown’s Otorhinolaryngology: Head and Neck Surgery 7

Page 24: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Immunogold shows sorting of different actin isoforms in different organ of Corti cell types

From Furness et al Hear Res. 2005 Sep;207(1-2):22-34

Page 25: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Hair cells• Auditory stimuli are received in the form of

mechanical energy• Hair cells are mechanosensory receptors of

the inner ear and are found in the cochlear and vestibular epithelia

• They share common characteristics which underlie their sensitivity to mechanical stimuli

Page 26: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Hair cells in auditory epitheliumOuter hair

cellsInner hair

cellsCochlea +

organ of Corti

Page 27: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Comparing the inner and outer hair cells

IHCs flask shaped; mitochondria dispersed; nucleus centralOHCs cylindrical; mitochondria mostly lateral, nucleus basal

Page 28: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Hair cells in the organ of Corti

• Two types, structurally and functionally distinct

• A number of similarities and differences• Bundle structure – similar rows of

stereocilia but different shapes• Both can perform mechanoelectrical

transduction• Innervation differs between the two

Page 29: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk
Page 30: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Overview of bundle structure

• Stereocilia form precise rows

• They are coupled by various extracellular filaments

From Hackney and Furness J Cell Sci 2013; 126(Pt 8):1721-1731

Page 31: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

The hair bundle is the hair cell’s transducing element

• Composed of stereocilia linked together by extracellular filaments

• Contains many different proteins• The core of the stereocilium is actin• It also contains myosins and a variety of

scaffolding and calcium modulating proteins

• Extracellular filaments composed of other proteins

Page 32: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Other important proteins required for transduction

• Transducer elements– TMC1 (transmembrane

channel 1)– TMC2 (transmembrane

channel 2)– LHFPL5 (TMHS)

(tetraspan membrane protein of hair cell stereocilia)

– Protocadherin 15– Cadherin 23– TMIE (transmembrane

inner ear protein)

• Structural and regulatory components– Harmonin– Sans– Whirlin– Usherin– Stereocilin– EPS8, EPS8L2– PTPRQ– VLGR1– Calmodulin– PMCA2A (calcium

ATPase)

Page 33: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Links

• The composition of links is becoming better understood

• Their distributions tend to follow a particular pattern

Page 34: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Hair bundles are the site of mechanoelectrical transduction

• Hair cells are sensitive to deflections of the hair bundle along the axis of sensitivity

plus (excitation)

minus (inhibition)

0 0

Page 35: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Transduction occurs when the stereocilia are deflected

positive negative

+

--

+

Page 36: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Hair cell responses

Moving stereocilia

Cell electrical response

Page 37: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

The tip-links

• Excitatory deflections of stereocilia open transduction channels by means of a gating spring

• The spring is represented by thetip link

Page 38: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

A model of mechanosensitivityA single tip link

Page 39: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Tip links and transduction channels

TMHS

From Hackney and Furness J Cell Sci 2013; 126(Pt 8):1721-1731

Page 40: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Immunolocalization of TMHS/LHFPL5

Actin (green), TMHS (red)

Page 41: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Hair-cell transduction and neurotransmission

stimulus

response

+80 mV

-70 mV

Page 42: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Glutamate transporters around IHCs but not OHCs confirm glutamatergic transmission

Inner phalangeal cells around IHCs

FibrocytesOHC area

Page 43: Cochlear anatomy, function and pathology I - UConn Health · Cochlear anatomy, function and pathology I Professor Dave Furness Keele University d.n.furness@keele.ac.uk

Summary

• In this lecture we have looked at the gross structural anatomy of the cochlea

• We have examined the organisation and function of the organ of Corti

• We have described and explained mechanoelectrical transduction – how the hair cells detect mechanical stimulation