Future optical implant in the cochlea with dozens of micro-LEDs; © University Medical Center Göttingen
Cochlear implants (CI) enable open speech comprehension in most users, but the quality of hearing is low. This results from low frequency and intensity resolution of coding due to the wide spread of electrical current from each electrode contact.
CI users have problems to understand speech in background noise and typically do not appreciate music. An international research team led by scientists of the University Medical Center Göttingen proposes to overcome this fundamental problem of CI by establishing many independent coding channels via spatially confined optical stimulation of channelrhodopsin (ChR)-expressing SGNs by tens of microscale light emitters along the tonotopic axis of the cochlea (cochlear optogenetics).
They obtained proof of principle in rodents where they activated the auditory pathway with blue light stimulation of ChR-expressing SGNs and this way could restore auditory activity in deaf mice.
The WHO estimated that in 2005 there were 278 million people in the world with disabling hearing impairment (HI). So far, a causal treatment is not available for its most common form: sensorineural HI. Therefore, hearing aids and auditory prostheses represent the only means to restore auditory function in most hearing impaired subjects. Cochlear implants (CIs) bypass the dysfunctional sensory organ of Corti in the cochlea via direct electric stimulation of spiral ganglion neurons (SGNs). CIs enable open speech comprehension in the majority of deaf or profoundly hearing impaired users. However, users of current CIs suffer from poor comprehension of speech in noisy environments and typically do not appreciate music.
This is largely attributed to the wide-spread current around an electrode contact which leads to channel-crosstalk and limits the number of useful frequency channels to less than ten. Information coding by CIs is also limited with respect to sound intensity: the dynamic range of their output is typically below 10 dB. Increasing the frequency and intensity resolution of auditory coding with CIs is a crucial objective for improving speech comprehension. Optical stimulation is expected to dramatically increase the frequency resolution of CIs, because light enables spatially confined stimulation of SGNs, and therefore promises to overcome the limitations of current CIs (Fig. 1). In addition, activation of smaller populations of neurons can also enhance the dynamic range of coding e.g. by varying recruitment of neighboring channels.
"Because light can be conveniently focused, optical stimulation promises the use of tens to hundreds of independent stimulation channels. This innovation has the potential to fundamentally improve the discrimination of sound frequency and intensity by CI users. However, before translation into the clinic can be achieved, cochlear optogenetics will already be of enormous use in auditory research.", says Dr. Tobias Moser of the Department of Otolaryngology at the University Medical Center Göttingen, the corresponding author and team leader.
In order to render the neurons light sensitive the scientist used the novel optogenetic approach of expressing the light-gated microbial ion channel channelrhodopsin. To do so the team also used harmless viral vectors similar to those presently used in clinical trials on gene-therapy of blindness. They then implanted micro-light emitting diodes (µLED) and laser-coupled micro-fibers for optical stimulation.
Working prinicple of the cochlear implant. Right: electrical implant in the cochlea, the current spreads widely. Left: future optical implant with dozens of micro-LEDs; © University Medical Center Göttingen
COMPAMED.de; Source: University Medical Center Göttingen