Cells can die by two distinct pathways: apoptosis and necrosis. To explore
whether intense noise can induce hair cell (HC) death via the apoptotic pat
hway, we systematically examined morphological changes in guinea pig cochle
ar HC nuclei stained with Hoechst 33342, a fluorescent dye specifically lab
elling the nuclear DNA. A narrow band noise centred at 4 kHz with levels at
110 dB, 115 dB or 120 dB (SPL) was applied for 4 h and the exposed cochlea
e were collected at various intervals (3 h, 3 or 14 days) after the noise e
xposure. Auditory function was monitored by measuring thresholds of auditor
y brain stem responses. In the noise-damaged cochleae, there were two major
types of nuclear changes, nuclear condensation appeared as karyorrhexis or
karyopyknosis and nuclear swelling. Karyorrhexis and karyopyknosis predomi
nately appeared in the severely damaged cochlear region in the animals expo
sed to 120 dB noise and examined 3 h after the noise exposure. In contrast,
swelling of nuclei occurred in all of the noise-exposed cochleae. and was
the feature change in the animals exposed to 110 and 115 dB noise. This pat
hological change persisted at least for 14 days after the noise exposure. T
he typical changes of karyorrhexis and karyopyknosis noted in the animals e
xposed to 120 dB noise were morphologically similar to those nuclear change
s described in previous studies for apoptosis, suggesting that the apoptoti
c process may be involved in intense noise-induced HC death.