Significance

Tinnitus, a prevalent hearing disorder linked to dysregulated serotonergic system, has poorly understood neural circuits. Using cutting-edge neuroscience tools, our study reveals a discrete 5-HTDRN→DCN circuit driving tinnitus in hyperserotonergic states. These findings highlight serotonin’s role in modulating sensory brain regions and identify circuit-level mechanisms of neurological disorders. Our work advances understanding of tinnitus and suggests targeted interventions.

Abstract

Although dysregulated serotonergic neurotransmission has been implicated in the pathophysiology of tinnitus, the precise neural circuit mechanisms underlying this complex sensory neurological disorder remain elusive. In the current study, we investigated whether a serotonergic input from the dorsal raphe nucleus (DRN) to the dorsal cochlear nucleus (DCN), a key auditory brain region whose hyperactivity is associated with tinnitus, modulates behaviors in mice consistent with the presence of tinnitus. Using neural tracing and viral-genetic methods, we identified an anatomically and functionally defined serotonergic subpopulation in the DRN that projects to the DCN (5-HTDRN→DCN neurons). Optogenetic activation of 5-HTDRN→DCN circuit increased spike activity in DCN fusiform cells, exhibiting characteristics consistent with tinnitus-like electrical hyperactivity. Chemogenetic activation of 5-HTDRN→DCN circuit induced tinnitus-related behaviors in mice, which was largely reversed by blocking 5-HT2A receptors. Additionally, we found that noise exposure increased 5-HT levels in the DCN and the activity of 5-HTDRN→DCN neurons in mice with noise-induced tinnitus-related behaviors. Importantly, chemogenetic inhibition of 5-HTDRN→DCN circuit ameliorated significantly noise-induced tinnitus–related behavior in mice. These results reveal that activation of 5-HTDRN→DCN circuit induces hyperactivity in the DCN sufficient for the perceptual generation and modulation of tinnitus. These findings provide direct evidence that 5-HT neurons in the DRN play an important role in tinnitus and facilitate our understanding of the circuit mechanisms of pathophysiology in sensory neurological disorders.

Get full access to this article

Purchase, subscribe, or recommend this article to your librarian.

Data, Materials, and Software Availability

All study data are included in the article and/or supporting information.

Acknowledgments

We thank Professor Stephen V. David for his technical assistance with extracellular single-unit recordings and Wen-Jun An and Yan-Lin Wu for their support with ABR testing. This work was supported by the Natural Science Foundation of China (Grants 32271059 and 82071061), NIH grant RO1DC004450, Anhui Province Clinical Medicine Research and Transformation Special Project (202304295107020125), Anhui Provincial Natural Science Foundation (2408085QH277), and by Natural Science Research Project of Anhui Educational Committee (2024AH050075).

Author contributions

Q.-W.W., L.O.T., and Z.-Q.T. designed research; M.-T.Y., Z.-Y.D., S.-X.W., K.-J.W., C.-H.Q., Y.-M.Z., X.-T.G., and C.-C.P. performed research; J.-Q.S., J.-W.S., W.-H.C., and Y.J. contributed new reagents/analytic tools; M.-T.Y., Z.-Y.D., S.-X.W., K.-J.W., C.-H.Q., Y.-M.Z., X.-T.G., and C.-C.P. analyzed data; and M.-T.Y., Z.-Y.D., S.-X.W., Q.-W.W., L.O.T., and Z.-Q.T. wrote the paper.

Competing interests

The authors declare no competing interest.

Supporting Information

Appendix 01 (PDF)
Dataset S01 (XLSX)

References

1
A. J. Heller, Classification and epidemiology of tinnitus. Otolaryngol. Clin. North Am. 36, 239–248 (2003).
2
Y. C. Kumbul, Ü. Işik, F. Kiliç, M. E. Sivrice, V. Akin, Evaluation of anxiety sensitivity, anxiety, depression, and attention deficit hyperactivity disorder in patients with tinnitus. Noise Health 24, 13–19 (2022).
3
B. Hackenberg et al., Tinnitus and its relation to depression, anxiety, and stress-a population-based cohort study. J. Clin. Med. 12, 1169 (2023).
1800
1801
1802
1803
1804