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Ganong's Review of Medical Physiology, 23rd Edition

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208 SECTION III Central & Peripheral Neurophysiology<br />

Tip link<br />

K+<br />

Ca2+ FIGURE 13–6 Schematic representation <strong>of</strong> the role <strong>of</strong> tip links in the responses <strong>of</strong> hair cells. When a stereocilium is pushed toward a<br />

taller stereocilium, the tip line is stretched and opens an ion channel in its taller neighbor. The channel next is presumably moved down the taller<br />

stereocilium by a molecular motor, so the tension on the tip link is released. When the hairs return to the resting position, the motor moves back<br />

up the stereocilium. (Modified from Kandel ER, Schwartz JH, Jessel TM [editors]: Principles <strong>of</strong> Neuroscience, 4th ed. McGraw-Hill, 2000.)<br />

pushed toward the higher, the open time <strong>of</strong> these channels increases.<br />

K + —the most abundant cation in endolymph—and<br />

Ca 2+ enter via the channel and produce depolarization. There is<br />

still considerable uncertainty about subsequent events. However,<br />

one hypothesis is that a molecular motor in the higher neighbor<br />

next moves the channel toward the base, releasing tension<br />

in the tip link (Figure 13–6). This causes the channel to close<br />

and permits restoration <strong>of</strong> the resting state. The motor apparently<br />

is myosin-based. Depolarization <strong>of</strong> hair cells causes them<br />

to release a neurotransmitter, probably glutamate, which initiates<br />

depolarization <strong>of</strong> neighboring afferent neurons.<br />

The K + that enters hair cells via the mechanically sensitive<br />

cation channels is recycled (Figure 13–7). It enters supporting<br />

Scala vestibuli<br />

Cl− Na<br />

125<br />

+ 150<br />

K + 5<br />

Organ <strong>of</strong> Corti<br />

Scala tympani<br />

Cl− Na<br />

130<br />

+ 1<br />

K + 150<br />

Cl− Na<br />

125<br />

+ 150<br />

K + 3<br />

SL and<br />

SV<br />

FIGURE 13–7 Ionic composition <strong>of</strong> perilymph in the scala<br />

vestibuli, endolymph in the scala media, and perilymph in the<br />

scala tympani. SL, spiral ligament. SV, stria vascularis. The dashed arrow<br />

indicates the path by which K + recycles from the hair cells to the<br />

supporting cells to the spiral ligament and is then secreted back into<br />

the endolymph by cells in the stria vascularis.<br />

cells and then passes on to other supporting cells by way <strong>of</strong><br />

tight junctions. In the cochlea, it eventually reaches the stria<br />

vascularis and is secreted back into the endolymph, completing<br />

the cycle.<br />

The processes <strong>of</strong> the hair cells project into the endolymph<br />

whereas the bases are bathed in perilymph. This arrangement<br />

is necessary for the normal production <strong>of</strong> generator potentials.<br />

The perilymph is formed mainly from plasma. On the<br />

other hand, endolymph is formed in the scala media by the<br />

stria vascularis and has a high concentration <strong>of</strong> K + and a low<br />

concentration <strong>of</strong> Na + (Figure 13–7). Cells in the stria vascularis<br />

have a high concentration <strong>of</strong> Na + –K + pump. In addition,<br />

it appears that a unique electrogenic K + pump in the stria<br />

vascularis accounts for the fact that the scala media is electrically<br />

positive by 85 mV relative to the scala vestibuli and<br />

scala tympani.<br />

HEARING<br />

SOUND WAVES<br />

Myosin<br />

Sound is the sensation produced when longitudinal vibrations<br />

<strong>of</strong> the molecules in the external environment—that is, alternate<br />

phases <strong>of</strong> condensation and rarefaction <strong>of</strong> the molecules—strike<br />

the tympanic membrane. A plot <strong>of</strong> these<br />

movements as changes in pressure on the tympanic membrane<br />

per unit <strong>of</strong> time is a series <strong>of</strong> waves (Figure 13–8); such<br />

movements in the environment are generally called sound<br />

waves. The waves travel through air at a speed <strong>of</strong> approximately<br />

344 m/s (770 mph) at 20 °C at sea level. The speed <strong>of</strong> sound<br />

increases with temperature and with altitude. Other media in<br />

which humans occasionally find themselves also conduct<br />

sound waves but at different speeds. For example, the speed <strong>of</strong><br />

sound is 1450 m/s at 20 °C in fresh water and is even greater in<br />

salt water. It is said that the whistle <strong>of</strong> the blue whale is as loud<br />

as 188 decibels and is audible for 500 miles.

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