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      Analyzing efficacy, stability, and safety of AAV-mediated optogenetic hearing restoration in mice

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          Abstract

          This longitudinal study revealed stable expression of the fast-gating channelrhodopsin f-Chrimson in cochlear neurons of mice over at least 2 yr upon a single postnatal AAV dosing of the cochlea.

          Abstract

          AAV-mediated optogenetic neural stimulation has become a clinical approach for restoring function in sensory disorders and feasibility for hearing restoration has been indicated in rodents. Nonetheless, long-term stability and safety of AAV-mediated channelrhodopsin (ChR) expression in spiral ganglion neurons (SGNs) remained to be addressed. Here, we used longitudinal studies on mice subjected to early postnatal administration of AAV2/6 carrying fast gating ChR f-Chrimson under the control of the human synapsin promoter unilaterally to the cochlea. f-Chrimson expression in SGNs in both ears and the brain was probed in animals aged 1 mo to 2 yr. f-Chrimson was observed in SGNs at all ages indicating longevity of ChR-expression. SGN numbers in the AAV-injected cochleae declined with age faster than in controls. Investigations were extended to the brain in which viral transduction was observed across the organ at varying degrees irrespective of age without observing viral spread-related pathologies. No viral DNA or virus-related histopathological findings in visceral organs were encountered. In summary, our study demonstrates life-long (24 mo in mice) expression of f-Chrimson in SGNs upon single AAV-dosing of the cochlea.

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          Millisecond-timescale, genetically targeted optical control of neural activity.

          Temporally precise, noninvasive control of activity in well-defined neuronal populations is a long-sought goal of systems neuroscience. We adapted for this purpose the naturally occurring algal protein Channelrhodopsin-2, a rapidly gated light-sensitive cation channel, by using lentiviral gene delivery in combination with high-speed optical switching to photostimulate mammalian neurons. We demonstrate reliable, millisecond-timescale control of neuronal spiking, as well as control of excitatory and inhibitory synaptic transmission. This technology allows the use of light to alter neural processing at the level of single spikes and synaptic events, yielding a widely applicable tool for neuroscientists and biomedical engineers.
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            Age-related cochlear synaptopathy: an early-onset contributor to auditory functional decline.

            Aging listeners experience greater difficulty understanding speech in adverse listening conditions and exhibit degraded temporal resolution, even when audiometric thresholds are normal. When threshold evidence for peripheral involvement is lacking, central and cognitive factors are often cited as underlying performance declines. However, previous work has uncovered widespread loss of cochlear afferent synapses and progressive cochlear nerve degeneration in noise-exposed ears with recovered thresholds and no hair cell loss (Kujawa and Liberman 2009). Here, we characterize age-related cochlear synaptic and neural degeneration in CBA/CaJ mice never exposed to high-level noise. Cochlear hair cell and neuronal function was assessed via distortion product otoacoustic emissions and auditory brainstem responses, respectively. Immunostained cochlear whole mounts and plastic-embedded sections were studied by confocal and conventional light microscopy to quantify hair cells, cochlear neurons, and synaptic structures, i.e., presynaptic ribbons and postsynaptic glutamate receptors. Cochlear synaptic loss progresses from youth (4 weeks) to old age (144 weeks) and is seen throughout the cochlea long before age-related changes in thresholds or hair cell counts. Cochlear nerve loss parallels the synaptic loss, after a delay of several months. Key functional clues to the synaptopathy are available in the neural response; these can be accessed noninvasively, enhancing the possibilities for translation to human clinical characterization.
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              Partial recovery of visual function in a blind patient after optogenetic therapy

              Optogenetics may enable mutation-independent, circuit-specific restoration of neuronal function in neurological diseases. Retinitis pigmentosa is a neurodegenerative eye disease where loss of photoreceptors can lead to complete blindness. In a blind patient, we combined intraocular injection of an adeno-associated viral vector encoding ChrimsonR with light stimulation via engineered goggles. The goggles detect local changes in light intensity and project corresponding light pulses onto the retina in real time to activate optogenetically transduced retinal ganglion cells. The patient perceived, located, counted and touched different objects using the vector-treated eye alone while wearing the goggles. During visual perception, multichannel electroencephalographic recordings revealed object-related activity above the visual cortex. The patient could not visually detect any objects before injection with or without the goggles or after injection without the goggles. This is the first reported case of partial functional recovery in a neurodegenerative disease after optogenetic therapy.
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                Author and article information

                Contributors
                Role: Formal analysisRole: InvestigationRole: VisualizationRole: MethodologyRole: Writing—original draft
                Role: Formal analysisRole: ValidationRole: InvestigationRole: VisualizationRole: MethodologyRole: Writing—original draft, review, and editing
                Role: Data curationRole: ValidationRole: Writing—review and editing
                Role: ConceptualizationRole: Data curationRole: SupervisionRole: InvestigationRole: Methodology, Writing—original draft, Project administration
                Role: ConceptualizationRole: ResourcesRole: SupervisionRole: Funding acquisitionRole: Project administrationRole: Writing—original draft, review, and editing
                Journal
                Life Sci Alliance
                Life Sci Alliance
                lsa
                lsa
                Life Science Alliance
                Life Science Alliance LLC
                2575-1077
                5 May 2022
                August 2022
                5 May 2022
                : 5
                : 8
                : e202101338
                Affiliations
                [1 ] Institute for Auditory Neuroscience and InnerEarLab, University Medical Center Göttingen, Göttingen, Germany
                [2 ] Göttingen Graduate School for Neurosciences and Molecular Biosciences, University of Göttingen, Göttingen, Germany
                [3 ] Restorative Cochlear Genomics Group, Auditory Neuroscience and Optogenetics Laboratory, German Primate Center, Göttingen, Germany
                [4 ] Pathology Unit, German Primate Center, Göttingen, Germany
                [5 ] Functional Auditory Genomics, Auditory Neuroscience and Optogenetics Laboratory, German Primate Center, Göttingen, Germany
                [6 ] Auditory Neuroscience and Optogenetics Laboratory, German Primate Center, Göttingen, Germany
                [7 ] Auditory Neuroscience and Synaptic Nanophysiology Group, Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany
                [8 ] Cluster of Excellence “Multiscale Bioimaging: from Molecular Machines to Networks of Excitable Cells” (MBExC), University of Goettingen, Göttingen, Germany
                Author notes
                [*]

                Burak Bali and Eva Gruber-Dujardin contributed equally to this work.

                Author information
                https://orcid.org/0000-0001-6150-8770
                https://orcid.org/0000-0002-5079-502X
                https://orcid.org/0000-0003-0285-5232
                https://orcid.org/0000-0001-7145-0533
                Article
                LSA-2021-01338
                10.26508/lsa.202101338
                9258265
                35512833
                e31a1d71-fe49-4727-9643-800b3ad531ec
                © 2022 Bali et al.

                This article is available under a Creative Commons License (Attribution 4.0 International, as described at https://creativecommons.org/licenses/by/4.0/).

                History
                : 14 December 2021
                : 11 April 2022
                : 12 April 2022
                Funding
                Funded by: European Research Council;
                Award ID: 670759
                Award Recipient :
                Funded by: Deutsche Forschungsgemeinschaft;
                Award ID: EXC 2067/1
                Award ID: 390729940
                Award Recipient :
                Funded by: Fondation Pour l’Audition;
                Award ID: FPA RD-2020-10
                Funded by: Deutsche Forschungsgemeinschaft;
                Award ID: MO896/5
                Award Recipient :
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