May 13, 2024

Tinnitus Linked to Hidden Undetected Auditory Nerve Damage – A Step Towards a Cure

Scientists at Mass Eye and Ear have actually linked tinnitus, a condition impacting over 10% of adults worldwide, to undetected acoustic nerve loss. Their research study recommends that even individuals with typical hearing tests can struggle with this surprise hearing loss, leading the way for brand-new treatments focused on nerve regeneration.
An innovative research study by Mass Eye and Ear associates tinnitus with undetected acoustic nerve damage, challenging previous beliefs and opening new paths for treatment through acoustic nerve regrowth.
A new study from Mass Eye and Ear investigators reveals that people who report ringing in the ears, which presents as a ringing in the ears in more than one out of 10 adults worldwide, are experiencing acoustic nerve loss that is not picked up by traditional hearing tests. This work is part of a P50 grant awarded by the National Institutes of Health (NIH) to Mass Eye and Ear researchers within the Eaton-Peabody Laboratories (EPL) for their work on cochlear synaptopathy, which is commonly referred to as “concealed hearing loss.” The arise from this study supply a better understanding of the origins of tinnitus and are released today (November 30th) in the journal Scientific Reports.
Effect of Tinnitus on Quality of Life
” Beyond the annoyance of having persistent ringing or other noises in the ears, tinnitus symptoms are crippling in lots of patients, triggering sleep deprivation, social seclusion, anxiety and anxiety, negatively affecting work performance, and reducing substantially their quality of life,” said senior author Stéphane F. Maison, PhD, CCC-A, a principal detective at Mass Eye and Ear, a member of Mass General Brigham, and scientific director of the Mass Eye and Ear Tinnitus Clinic. “We wont be able to cure ringing in the ears until we totally comprehend the mechanisms underlying its genesis. This work is an initial step towards our ultimate objective of silencing ringing in the ears.”

Reassessing Tinnitus and Hearing Loss
Stéphane F. Maison, PhD, CCC-A, a detective at Mass Eye and Ears Eaton-Peabody Laboratories, and clinical director of the Tinnitus Center at Mass Eye and Ear Credit: Mass Eye and Ear.
Lots of individuals with hearing loss report a buzzing, humming, ringing, or even roaring sound in their ears. Its been a longstanding idea that these signs, understood as tinnitus, emerge as an outcome of a maladaptive plasticity of the brain. In other words, the brain tries to compensate for the loss of hearing by increasing its activity, resulting in the understanding of a phantom sound, ringing in the ears. Until recently however, this concept was challenged as some tinnitus victims have regular hearing tests.
The discovery of cochlear synaptopathy back in 2009 by Mass Eye and Ear investigators brought back to life this hypothesis as it was evidenced that clients with a normal hearing test can have a substantial loss to the auditory nerve. In view of this paradigm shift in the way scientists and clinicians think of hearing loss, Maison and his team sought to identify if such hidden damage might be associated with the tinnitus signs experienced by a cohort of regular hearing participants. By determining the action of their acoustic nerve and brainstem, the researchers discovered that persistent ringing in the ears was not only related to a loss of acoustic nerve but that participants showed hyperactivity in the brainstem.
Towards a Potential Cure for Tinnitus
” Our work reconciles the idea that ringing in the ears might be triggered by a loss of auditory nerve, consisting of in people with normal hearing,” said Maison.
In terms of future instructions, the investigators aim to capitalize on recent work tailored towards the regeneration of acoustic nerve through making use of drugs called neurotrophins.
” The idea that a person day, scientists might be able to bring back the missing noise to the brain and, perhaps, minimize its hyperactivity in combination with retraining, certainly brings the hope of a cure more detailed to truth,” Maison added.
Referral: “Evidence of cochlear neural degeneration in normal-hearing subjects with tinnitus” by Vasilkov, V et al., 30 November 2023, Scientific Reports.DOI: 10.1038/ s41598-023-46741-5.
Financing: This work was supported by a grant from the NIDCD (P50 DC015857) and the Lauer Tinnitus Research Center at the Mass Eye and Ear.

A new study from Mass Eye and Ear detectives reveals that individuals who report ringing in the ears, which provides as a ringing in the ears in more than one out of 10 grownups worldwide, are experiencing acoustic nerve loss that is not picked up by standard hearing tests. In other words, the brain tries to compensate for the loss of hearing by increasing its activity, resulting in the understanding of a phantom sound, ringing in the ears. In view of this paradigm shift in the method scientists and clinicians think about hearing loss, Maison and his team sought to determine if such concealed damage might be associated with the ringing in the ears symptoms experienced by an accomplice of typical hearing participants. By measuring the reaction of their auditory nerve and brainstem, the scientists discovered that persistent ringing in the ears was not only associated with a loss of auditory nerve however that participants revealed hyperactivity in the brainstem.