Age-related hearing loss is one of the world's most prevalent diseases that affects more than one-third of the world's population aged 65 years and older1. The underlying causes are still under debate and actively being investigated but may include the loss of the specialized synapses connecting inner hair cells (IHCs) with afferent auditory nerve fibers2. These ribbon synapses comprise a presynaptic structure that has vesicles filled with the neurotransmitter glutamate tethered to it, as well as postsynaptic α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) glutamate receptors3,4,5. In the gerbil, ~20 afferent auditory nerve fibers contact one IHC6,7,8. Fibers on the IHC facing the modiolus are opposed to large synaptic ribbons, while the fibers connecting on the pillar side of the IHC face small synaptic ribbons (i.e., in cats9, gerbils7, guinea pigs10, and mice3,11,12,13,14). Furthermore, in the gerbil, the size of the presynaptic ribbons and the postsynaptic glutamate patches are positively correlated7,14. Fibers that are opposed to large ribbons on the modiolar side of the IHC are small in caliber and have low spontaneous rates and high thresholds15. There is evidence that low spontaneous rate fibers are more vulnerable to noise exposure10 and ototoxic drugs16 than high-spontaneous low-threshold fibers, which are located on the pillar side of IHCs15.
The loss of ribbon synapses is the earliest degenerative event in cochlear neural age-related hearing loss, while the loss of spiral ganglion cells and their afferent auditory nerve fibers lags behind17,18. Electrophysiological correlates include recordings of auditory brainstem responses17 and compound action potentials8; however, these do not reflect the subtleties of synapse loss, since low spontaneous rate fibers do not contribute to these measures16. More promising electrophysiological metrics are the mass potential-derived neural index19 and the peristimulus time response20. However, these are only reliable if the animal has no other cochlear pathologies, beyond auditory nerve fiber loss, that affect the activity of the remaining auditory nerve fibers8. Furthermore, behaviorally assessed thresholds in the gerbil were not correlated with synapse numbers21. Therefore, reliable quantification of surviving ribbon synapses and, thus, the number of functional auditory nerve fibers is only possible by direct examination of the cochlear tissue.
The Mongolian gerbil (Meriones unguiculatus) is a suitable animal model for studying age-related hearing loss. It has a short life span, has low-frequency hearing similar to humans, is easy to maintain, and shows similarities to human pathologies related to age-related hearing loss2,22,23,24. Gerbils are considered aged when they reach 36 months of age, which is near the end of their average life span22. Importantly, an age-related loss of ribbon synapses has been demonstrated in gerbils raised and aged in quiet environments8,21.
Here, a protocol to immunolabel, dissect, and analyze cochleae from gerbils of different ages, from young adults to aged, is presented. Antibodies directed against components of the presynapse (CtBP2), postsynaptic glutamate receptor patches (GluA2), and IHCs (myoVIIa) are used. An autofluorescence quencher is applied that reduces the background in aged cochleae and leaves the fluorescence signal intact. Further, a description is given of how to dissect the cochlea to examine both the sensory epithelium and the stria vascularis. The cochlear length is measured to enable the selection of distinct cochlear locations that correspond to specific best frequencies25. Quantification of synapse numbers is carried out with the freely available software ImageJ26. Additional quantification of synapse volumes and locations within the individual HC is performed with software custom written in Matlab. This software is not made publicly available, as the authors lack the resources to provide professional documentation and support.