[Truncated abstract] The mammalian inner ear is innervated by the efferent olivocochlear system which is divided into medial and lateral systems. In anaesthetised animals, medial olivocochlear (MOC) axons can be electrically stimulated at the floor of the IVth ventricle. MOC stimulation suppresses the spontaneous activity and sound-evoked responses of primary afferents by its actions on outer hair cells. Effects of MOC stimulation have been also reported on responses of neurons in the cochlear nucleus, the first central auditory center receiving cochlear input. However, very little is known about the net results of MOC effects in higher order neurons. This issue was investigated by electrically stimulating MOC axons at the IVth ventricle and recording extracellular single unit activities in the central nucleus of the inferior colliculus (CNIC) of anaesthetised guinea pigs. For the first part of the study, anatomical and neurophysiological studies were carried out to establish that the focal midline MOC stimulation can selectively stimulate MOC axons without any current spread to adjacent ascending fibers. The MOC stimulation and CNIC recordings were then carried out in a series of experiments that included normal hearing animals, animals treated acutely with gentamicin (in which the acetylcholine-mediated peripheral suppression of the olivocochlear efferents is selectively eliminated) and partially deafened animals. ... However, in other CNIC neurons, effects could not be so explained, showing either additional suppression or even marked excitatory effects. (4) MOC stimulation also suppressed the spontaneous activity of CNIC neurons in normal hearing animals. When similar efferent stimulation was carried out in partially deafened animals, the abnormally high spontaneous activity of some CNIC neurons in the deafened frequency regions was also transiently suppressed by MOC shocks. The results from this study clearly demonstrate that the MOC system can modulate the responses of midbrain neurons in a more complex manner compared to the effects seen in the periphery. The more complex effects seen for responses to tones in quiet and in noisy background are likely to result from a complex interplay between altered afferent input in the cochlea and central circuitry. In addition, the ability of MOC efferents in suppressing the normal and abnormal spontaneous activity in the midbrain also could have implications for the role of the descending system in the pathophysiology and treatment of tinnitus.

Le système auditif ascendant est constitué d’étages multiples procédant chacun à un traitement complexe du signal, traitement qui est modulé par un système descendant, formant de multiples boucles corticales et sous-corticales de rétroaction : le système efférent auditif. La boucle la plus longue de ce système serait capable de moduler directement le fonctionnement des cellules sensorielles de l’organe périphérique de l’audition. Le but de ce travail était d’étudier pour la première fois chez le sujet sain, l’effet d’une modulation corticale expérimentale sur le fonctionnement périphérique auditif. Nous avons donc recueilli, dans le cadre d’un protocole en double aveugle contre placebo, chez 34 sujets sains, l’activité des cellules ciliées externes de l’organe de Corti (cellules sensorielles directement en contact avec les fibres nerveuses efférentes), par le recueil d’otoémissions acoustiques (OEAs), avant et après stimulation du cortex auditif par une stimulation magnétique transcrânienne répétitive (SMTr). Une diminution de l’amplitude d’un type d’OEA a été obtenue du côté controlatéral à une stimulation du cortex auditif par SMTr à 10 Hz, effet qui ne peut être expliqué seulement par une action non-spécifique liée au bruit de la SMTr mais qui reste extrêmement variable d’un sujet à un autre. De plus, nous avons montré, du côté ipsilatéral à la SMTr, une diminution de l’amplitude des OEAs immédiatement après la SMTr, et uniquement pour les fortes intensités d’utilisation de la SMTr (donc, pour des niveaux de bruit plus importants), reflétant un effet direct du bruit de la SMTr sur les mécanismes cochléaires actifs, effet présent chez nos sujets même en cas de protections auditives de bonne qualité / The ascending auditory system involves multiples stages where the auditory information is processed and modulated by a top-down influence involving multiple cortico sub-cortical loops: the efferent auditory system. It is hypothesized that the longest loop of this efferent system is able to modulate directly the sensory cells of the peripheral auditory organ. The aim of this work was to study this system, to our knowledge for the first time in healthy humans, and to show a direct cortical influence on the auditory periphery. In a double blind randomized procedure, we recorded, in 34 healthy subjects, the activity of outer hair cells of the organ of Corti (sensory cells, that are in direct synaptic contact with medial efferent fibers), by means of evoked otoacoustic emissions (OAEs), before and after auditory cortex stimulation by repetitive transcranial magnetic stimulation (rTMS). We showed an inhibitory influence of the auditory cortical stimulation by 10 Hz rTMS on OAE amplitudes, predominantly in the ear contralateral to the rTMS, effect that cannot be attributed to a non-specific effect linked to the impulse noise associated with the rTMS technique, but that remains highly variable across subjects. In addition, we showed a decrease in OAE amplitude on the ipsilateral side, immediately after the rTMS session and only for high rTMS intensities (and hence, higher noise levels), that reflect a direct influence of the rTMS noise on the auditory periphery, effect that is present even in well ear-protected subjects