The olivocochlear efferent system of the mammalian cochlea, which is divide
d into two lateral and medial bundles, contains numerous neuroactive substa
nces (acetylcholine, GABA, dopamine, enkephalins, dynorphins and CGRP). The
se have been located at the brainstem in neurons belonging to the lateral s
uperior olive (lateral efferent system) or in neurons of the periolivary re
gion around the medial superior olive and the trapezoid body (medial effere
nt system). All of these substances were found in weil-characterized projec
tions corresponding to lateral and medial nerve fibres and terminals which
connect to the type I afferent dendrites and the outer hair cells, respecti
vely. All could be involved in the modulation of the auditory process, as i
s suggested by the cochlear turnover increases observed in some of them (i.
e. enkephalins or dopamine) induced by sound stimulation. Recently, the pre
sence and distribution of serotonin-containing fibres has been included in
the long list of cochlear neuroactive substances. However, its highly parti
cular peripheral pattern of distribution together with the lack of response
to sound stimulation could suggest that serotonergic fibres constitute a p
reviously unknown cochlear innervation.