Cochlear amplifier

The cochlear amplifier is a positive feedback mechanism within the cochlea that provides acute sensitivity in the mammalian auditory system. The main component of the cochlear amplifier is the Outer Hair Cell (OHC) which increases the amplitude and frequency selectivity of sound vibrations using electromechanical feedback.

Discovery
The cochlear amplifier was first proposed in 1948 by T. Gold. This was around the time when Georg von Békésy was publishing articles observing the propagation of passive travelling waves in the dead Cochlea.

Thirty years later the first recordings of emissions from the ear were captured by D.T. Kemp. This was confirmation that such an active mechanism was present in the ear. These emissions are now termed otoacoustic emissions and are produced by what we call the Cochlear amplifier.

The first modeling effort to define the Cochlear amplifier was a simple augmentation of Georg von Békésy's passive traveling wave with an active component. In such a model, a lop sided pressure about the Organ of Corti is hypothesized which actively adds to the passive traveling wave to form the active traveling wave. Perhaps the most popular example of this model was defined by Neely, S.T. and Kim, D.O. The definition of the active traveling waves require forward and backward traveling waves to be generated in the Cochlea, as proposed by Shera, C.A. and Guinan, J.J.

Contention still surrounds the existence of the active traveling wave. Recent experiments conducted by T. Ren show that emissions from the ear occur with such a fast response that the slowly propagating active traveling waves can not exist. The only explanation for fast emission propagation is the dual of the active traveling wave, the active compression wave. Active compression waves were proposed as early as 1980 by P.J. Wilson due to older experimental data. However, they were widely disregarded by the research community until stronger experimental proof confirming these early experiments against the active traveling wave was produced.

Thirty years after Kemp's experimental proof of the existence of Gold's Cochlear amplifier and sixty years after the proposal of Gold's Cochlear amplifier, the active compression wave Cochlear amplifier was defined by M.R. Flax and W.H. Holmes. In this model the active pressure is equal on both sides of the Organ of Corti and this produces very fast propagating pressure waves which generate extra activity within the Cochlea and emissions through the middle/outer ear. This original OHC compression model was taken further to explain a 'mixed mode' Cochlear amplifier in 2011, where the apex and base of the Cochlear are modelled by the same system proposed by Flax and Holmes, however experimentally capture different modes of stimulation as proposed by Guinan.

Other explanations for the active processes in the inner ear exist  however these explanations are not as popular and old as the active traveling wave and active compression wave Cochlear amplifier models.

Effect of sound waves on the cochlea
In the mammalian cochlea, amplification occurs in the outer hair cells of the Organ of Corti. These cells sit directly above a basilar membrane (BM) that has high sensitivity for differences in frequency. Sound waves enter the scala vestibuli of the cochlear and travel throughout it, carrying with them various sound frequencies. These waves exert a pressure on the basilar and tectorial membranes of the cochlea which vibrate in response to sound waves of different frequencies. When these membranes vibrate and are deflected upward (rarefaction phase of sound wave), the stereocilia of the OHC’s are deflected toward the tallest stereocilia. This causes the tip links of the OHC hair bundle to open allowing inflow of Na+ and K+ which depolarize the OHC. Upon depolarization, the OHC can then begin its process of amplification through positive feedback.

This positive feedback mechanism is achieved through a somatic motor and a hair bundle motor which operate independently of one another.

The somatic motor
The somatic motor is the OHC cell body and its ability to elongate or contract longitudinally due to changes in membrane potential. This function is aptly associated with the OHC structure within the Organ of Corti. As seen through scanning electron micrograph imagery, the apical side of the OHC is mechanically coupled to the reticular lamina while the basal side of the OHC is coupled to the Deiter's cell cupula. Because the cell body is not in direct contact with any structure and is surrounded by the fluid-like endolymph, the OHC is considered dynamic and able to support electromotility.

Prestin is the transmembrane protein underlying the OHC's ability to elongate and contract, a process essential for OHC electromotility. This protein is voltage-sensitive. Contrary to previous research, prestin has also been shown to transport anions; the exact role of anion-transport in the somatic motor is still under investigation.

Under resting conditions, it is thought that chloride is bound to allosteric sites in prestin. Upon deflection of the BM upwards and subsequent deflection of the hair bundles toward the tallest steroecilia, channels within the stereocilia open allowing the inflow of ions and depolarizing the OHC results. Intracellular chloride dissociates from the allosteric binding sites in prestin, causing contraction of prestin. Upon BM deflection downwards hyperpolarization of the OHC results, and intracellular chloride ions bind allosterically causing prestin expansion. The binding or dissociation of chloride causes a shift in prestin's membrane capacitance. A nonlinear capacitance (NLC) results which leads to a voltage-induced mechanical displacement of prestin into an elongated or contracted state as described above. The larger the voltage nonlinearity, the larger prestin's response; this shows a concentration specific voltage-sensitivity of prestin.

Prestin densely lines the lipid bilayer of the outer hair cell membranes. Therefore, a change in the shape of many prestin proteins, which tend to conglomerate together, will ultimately lead to a change in shape of the OHC. A lengthening of prestin lengthens the hair cell while prestin contraction leads to a decrease in OHC length. Because the OHC is tightly associated with the reticular lamina and the Deiter's cell, shape change of the OHC leads to movement of these upper and lower membranes, causing changes in vibrations detected in the cochlear partition. Upon initial deflection of the BM causing positive hair bundle deflection, the reticular lamina is pushed downward, resulting in a negative deflection of the hair bundles. This causes stereocilia channel closing which leads to hyperpolarization and OHC elongation.

Below the hair bundle is an actin-rich cuticular plate. It has been hypothesized that the role of actin depolymerization is crucial for regulation of the cochlear amplifier. Upon actin polymerization, electromotile amplitude and OHC length increase. These changes in actin polymerization do not alter NLC, showing that actin's role in the cochlear amplifier is separate from that of prestin.

The hair bundle motor
The hair bundle motor is the force generated from a mechanical stimulus. This is done through the use of the mechanoelectrical transduction (MET) channel, which allows for the passage of Na+, K+, and Ca2+. The hair bundle motor operates by deflecting hair bundles in the positive direction and providing positive feedback of the basilar membrane, increasing the movement of the basilar membrane which increases the response to a signal. Two mechanisms have been proposed for this motor: fast adaptation, or channel re-closure, and slow adaptation.

Fast adaptation
This model relies upon a calcium gradient generated by the opening and closing of the MET channel. Positive deflection of the tip links stretches them in the direction of the tallest stereocilia, causing MET channel opening. This allows the passage of Na+, K+, and Ca2+. Additionally, Ca2+ briefly binds to a cytostolic site on the MET channel which is estimated to be only 5 nm from the channel pore. Because of close proximity to the channel opening, it is suspected that Ca2+ binding affinty can be relatively low. When calcium binds to this site, the MET channels begin to close. Channel closure ceases the transduction current and increases the tension in the tip links, forcing them back in the negative direction of the stimulus. Binding of calcium is short-lived, because the MET channel must participate in additional cycles of amplification. When calcium dissociates from the binding site, calcium levels fall rapidly. Due to the differences in calcium concentration at the cytostolic binding site when calcium is bound to the MET channel versus when calcium dissocates, a calcium gradient is created, generating chemical energy. The oscillation of calcium concentration and force generation contributes to amplification. The timecourse of this mechanism is on the order of hundreds of microseconds, which reflects the speed that is necessary for amplification of high frequencies.

Slow adaptation
As oppose to the fast adaptation model, slow adaptation relies on the myosin motor to alter the stiffness of the tip links leading to alterations of channel current. First, the stereocilia are deflected in the positive direction opening the MET channels and allowing for inflow of Na+, K+, and Ca2+. The entering current first increases and then quickly decreases due to myosin's release of tension of the tip link and subsequent closing of channels. It is hypothesized that the tip link is attached to the myosin motor which moves along actin filaments. Again the polymerization of actin could play a crucial role in this mechanism, as it does in OHC electromotility.

Calcium has also been shown to play a crucial role in this mechanism. Experiments have shown that in reduced extracellular calcium, the myosin motor tightens, resulting in more open channels. Then, when additional channels are opened, the inflow of calcium acts to relax the myosin motor, which returns the tip links to their resting state, causing channels to close. This is hypothesized to occur via the binding of calcium to the myosin motor. The timecourse of this event is 10-20 milliseconds. This time scale reflects the time that is needed to amplify low frequencies. Although the largest contributor to slow adaptation is the tension-dependence, calcium-dependence acts as a useful feedback mechanism.

This mechanism of myosin's reaction to hair bundle deflection imparts sensitivity to small changes in hair bundle position.

Integration of electromotility and hair bundle dynamics
Electromotility of the OHC by prestin modulation produces significantly larger forces than the forces generated by deflection of the hair bundle. One experiment showed that the somatic motor produced a 40-fold greater force at the apical membrane and a sixfold greater force at the basilar membrane than the hair bundle motor. The difference in these two motors is that there are different polarities of hair bundle deflection for each motor. The hair bundle motor uses a positive deflection leading to a generation of force, while the somatic motor uses negative deflection to generate force. However, both the somatic motor and the hair bundle motor produce significant displacements of the basilar membrane. This, in turn, leads to augmentation of bundle movement and signal amplification.

The mechanical force that is generated by these mechanisms increases the movement of the basilar membrane. This, in turn, influences the deflection of the hair bundles of the inner hair cells. These cells are in contact with afferent fibers that are responsible for transmitting signals to the brain.