Abstract
Autism spectrum disorder (ASD) is a neurodevelopmental disorder mainly characterized by social-communication impairments, repetitive behaviors and altered sensory perception. Auditory hypersensitivity is the most common sensory-perceptual abnormality in ASD, however, its underlying neurobiological mechanisms remain elusive. Consistently with reports in ASD patients, animal models for ASD present sensory-perception alterations, including auditory processing impairments. Here we review the current knowledge regarding auditory dysfunction in rodent models of ASD, exploring both shared and distinct features among them, mechanistic and molecular underpinnings, and potential therapeutic approaches. Overall, auditory dysfunction in ASD models seems to arise from impaired central processing. Depending on the model, impairments may arise at different steps along the auditory pathway, from auditory brainstem up to the auditory cortex. Common defects found across models encompass atypical tonotopicity in different regions of the auditory pathway, temporal and spectral processing impairments and histological differences. Imbalance between excitation and inhibition (E/I imbalance) is one of the most well-supported mechanisms explaining the auditory phenotype in the ASD models studied so far and seems to be linked to alterations in GABAergic signaling. Such E/I imbalance may have a large impact on the development of the auditory pathway, influencing the establishment of connections responsible for normal sound processing.
Introduction
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder with a poorly understood etiology. A recent whole-exome sequencing study identified 102 candidate genes mainly responsible for regulation of gene expression and synaptic neuronal communication (). But besides its clear genetic origins, some environmental factors can increase the risk of ASD, especially during critical periods of embryonic development (). In accordance, most candidate genes from the whole-exome sequencing study are expressed exactly during development and display cortical enrichment in maturing excitatory and inhibitory neuronal lineages.
Regarding clinical manifestations, ASD is characterized by deficits in social communication and interaction, and repetitive patterned behaviors or restricted interests (). Recently, abnormal sensory sensitivity was also included in ASD diagnosis. This comprises hyper- or hyposensitivity to sensory inputs from vision, audition, touch, smell and taste, or unusual interest in sensory aspects of the environment (; ). These sensory-perceptual abnormalities are present in approximately 90% of individuals (; Tomchek and Dunn, 2007; ), being auditory hypersensitivity the most common sensory-perceptual abnormality (). By perceiving auditory inputs as noxious or unpleasant, patients may instinctively learn to avoid them (), which could potentially be the root for the communication, socialization and learning impairments observed in ASD. Given the pertinence of understanding how these auditory-perceptual alterations may contribute to ASD, animal models are crucial tools not only to study its neurobiological underpinnings but also to dissect potentially shared mechanisms across different ASD models from multiple origins.
Upon an auditory stimulus, the nervous impulse travels through the auditory nerve (AN) until a relay center in the brainstem, the cochlear nucleus (CN), which is mainly divided in dorsal (DCN) and ventral (VCN) regions. The superior olivary complex (SOC) receives input from the CN and has three nuclei involved in auditory input processing: the lateral superior olive (LSO), the medial superior olive (MSO), and the medial nucleus of the trapezoid body (MNTB). The SOC then projects to the inferior colliculus (IC) through the fibers of the lateral lemniscus (LL), synapsing in the LL nucleus (LLN). From the IC, information travels to the medial geniculate body (MGB), which lies in the thalamus and is the last auditory center before reaching the auditory cortex (AC), conveying information from several regions of the auditory system (Figure 1; ; ; ).
FIGURE 1
Given the broad etiology of ASD, many animal models have been developed to uncover ASD’s molecular underpinnings. These models are based in genetic and non-genetic factors associated with increased risk for autism. Other models not specifically conceived to study ASD display some ASD-like behaviors and may be useful for clarifying potentially shared mechanisms. In this review, we will summarize the current knowledge regarding auditory alterations that have been found through multiple experimental approaches (Figure 2), as well as physiological, anatomical, and functional alterations identified in several rodent models of ASD (Supplementary Table 1).
FIGURE 2

Examples of some experimental approaches to study auditory alterations in rodents. Auditory brainstem response (ABR): Schematic representation of electrodes placement for ABR recording (inset; top left). Representation of the auditory pathway and corresponding ABR waves generated upon sound stimulation. Measuring ABR is a non-invasive to assess the sum of evoked potentials that occur in the first milliseconds after sound stimulation across the auditory system (
Non-genetic Models of Autism Spectrum Disorder
Some of the most relevant environmental risk factors for ASD are: parental age, maternal nutrition, diseases, and infections; fetal exposure to teratogenic drugs, alcohol or other toxic compounds; and complications during delivery (e.g., perinatal hypoxia) (
Valproic Acid
Prenatal exposure to the antiemetic drug thalidomide, the anticonvulsant drug valproic acid (VPA), and the antidepressant drug citalopram, affect neurodevelopment and behavior (
Valproic acid-exposed mice show delayed ear opening (Zimmerman et al., 2018) and reduced ultrasonic vocalizations (USVs), both in early-life stages (decreased pup distress calls) and after sexual maturation (pre-mating vocalization) (
Their primary and non-primary regions of the AC show alterations according to stimulus type (speech sound, noise burst, or pure tone) (
Observations from ASD patients and VPA-exposed rodents both indicate hypoplasia and dysmorphology of the brainstem (
Prenatal VPA exposure also seems to induce deficits in the expression of calbindin (CB) in principal neurons and octopus cells of the MNTB, as well as deficits in the expression of calretinin (CR) in the globular bushy cells of the VCN (Zimmerman et al., 2018). This may destabilize calcium signaling on those cells, leading to problems in sound localization and temporal coding (Zimmerman et al., 2018).
Valproic acid-induced alterations in the brainstem seem to arise from developmental differences in synaptic maturation with decreased inhibition (GABAergic signaling) or increased excitation (glutamatergic signaling). Other possibility is an excitatory hyperconnectivity promoted by abnormal axonal projections (
Lastly, VPA model presents reduced proportion of neurons sending ascending projections from NLL, SOC, and CN to the central nucleus of the IC (CNIC). This impacts connectivity between brainstem and midbrain, hence, sound processing in the midbrain (Zimmerman et al., 2020), which seems to be particularly susceptible to VPA damage. The CNIC and NLL present reduced size, reduced neuronal density, and abnormal neuronal morphology. A reduction in CB+ neurons was also reported in the dorsal nucleus of the LL (DNLL) and reduced dopaminergic input to the CNIC can be assumed based on reduced TH+ (tyrosine hydroxylase positive) labeling in this region (
Thalidomide
Many of the findings from the VPA model are also true for the thalidomide model, although fewer studies are available and focus essentially on MNTB alterations. MNTB is reported to be functionally impaired and diminished in size, with decreased projecting neuronal fibers, and increased c-Fos expression (expanded responsive area), upon tone stimulation (
Monogenic Models of Autism Spectrum Disorder
Despite the apparently diverse genomic landscape behind ASD (
Fmr1 Knockout
Mutations in the FMR1 gene are responsible for fragile X syndrome (FXS) and contribute to 8% of ASD cases (Zhang et al., 2019). The FMR1 gene encodes the fragile X mental retardation protein (FMRP), which is an RNA-interacting protein that shuttles RNA from the nucleus to neuronal dendrites. FMRP seems to be a key player in dendritic spine formation (
When exposed to high intensity sounds, Fmr1-KO mice present increased tendency to audiogenic seizures that increases with age (
Regarding auditory fear conditioning, Fmr1-KO mice show lower freezing response to conditioned-unconditioned paired stimulus and to tone recalling (
Further evidence for the presence of auditory deficits in the Fmr1 model has been obtained from electrophysiological studies where functional cortical impairments have been found (
Fmr1-KO mice are reported to have higher ABR thresholds for click sounds and pure tone frequencies, and reduced peak I and III amplitudes, suggesting defects in AN and brainstem. Response latency to sound stimulation and inter-peak latency are not altered (
Histological assessments in the auditory brainstem of adult Fmr1-KO mice further reveal that neuronal cell size is reduced in VCN, MSO, and MNTB (not in LSO) (
Focusing on two important auditory nuclei of the SOC (MNTB and LSO), one study found a greater strengthening of excitatory input from the VCN to the LSO in Fmr1-KO, likely due to an increased number of synaptic connections (
Auditory stimulation with tone bursts and amplitude-modulated tones leads to increased activation of IC in Fmr1-KO mice, especially in neurons that respond to lower frequencies (<20 kHz). Broader tuning frequency is generally observed in individual neurons (
In a broader picture, there is evidence consistent with both an increase in excitation mediated by strengthening of excitatory inputs and decrease in inhibition due to impairments on GABA-related neurotransmission. Thus, the E/I imbalance often described as a hallmark of ASD seems to hold true in the Fmr1-KO model. At the molecular level, one of the possible candidates underlying this imbalance and contributing to auditory hypersensitivity in Fmr1-KO is matrix metalloproteinase-9 (MMP-9). This enzyme is upregulated in the AC of Fmr1-KO mice and has been associated with its reduced ERP habituation (event related potentials) (
Shank3 Knockout
The SHANK3 gene encodes a scaffold protein (SHANK3) enriched in the post-synaptic density of excitatory synapses and is currently one of the best characterized risk genes in ASD (
Being SHANK3 haploinsufficiency a clear monogenic cause of ASD, dozens of mouse lines carrying different Shank3 mutations have been generated so far (
Impairments in cortical sound processing are reported for heterozygous Shank3-deficient rats carrying a 68 bp deletion in exon six with a premature stop codon (
α7-nAChR Knockout
CHRNA7 is a gene encoding for α7-nicotinic acetylcholine receptor (α7-nAChR), an homopentameric transmembranar protein highly expressed in the brain (
In rodents, α7-nAChR loss is associated with developmental impairments that affect auditory processing. ABR hearing thresholds and peak amplitudes are unaffected, but peak IV latency is increased, suggestive of impairments in the midbrain. Accordingly, single unit responses recorded in the IC revealed that KO animals have a subset of neurons with an atypical response to pure tones, presenting also deficits in spike timing, forward masking, and silent gap detection (
Cntnap2 Knockout
Contactin-associated protein-like 2 (CNTNAP2) is an ASD-related gene implicated in language impairments (
Conclusions regarding sensory-motor gating ability of Cntnap2-KO mice are not consensual. Different studies report either unchanged (
Analysis of ABR to click sounds and pure tones in Cntnap2-KO rats shows altered peak amplitudes and latencies but overall unaffected hearing thresholds. In more detail, peaks II, III, and IV latencies were observed to be consistently increased in juvenile rats, although this trait was recovered in adulthood. The amplitude of peak IV was decreased across development and in adulthood. Interpeak latencies were also affected, mostly the latency between peaks I and II which was decreased both during development and adulthood (
Histological data shows reduced neuronal count and size in the MGB, which may help explain sound processing abnormalities. Given the results from ABR testing, further histological data would be useful to clarify the extent of changes in this model, similarly to other ASD models presented in this review (Truong et al., 2015;
Pten Conditional Knockout
PTEN mutations have been identified in individuals diagnosed with ASD and also displaying macrocephaly (Zhou and Parada, 2012). Accordingly, PTEN-KO mice present several alterations namely increased neuronal soma size, hypertrophic dendrites, higher excitatory spontaneous activity, and hypertrophic and ectopic dendrites (Xiong et al., 2012). Such alterations are also consistent with the known role of this gene, which is required for normal brain wiring and development.
Pten-KO pups tend to present increased frequency of USVs when separated from their mothers, a result interpreted as evidence of higher anxiety (
Mecp2 Transgenic Mouse
The MECP2 gene encodes methyl-CpG binding protein (MeCP2) that acts as a regulator of gene expression, playing an important role in prenatal neurogenesis and postnatal synaptic development, function, and plasticity (
Altered sound-evoked cortical responses have been reported in Mecp2-overexpressing transgenic mice (Mecp2-TG). Although displaying normal CF distribution, thresholds to trigger tone-evoked cortical responses are increased. In contrast, cortical responses to noise are stronger, but delayed. Such abnormalities indicate a noise sensitivity phenotype associated to fast-spiking neurons that might be due to lack of cortical inhibition (Zhou C. et al., 2019). Unlike many other ASD models, ABR is normal in Mecp2 overexpressing mice and cortical tonotopy does not seem to be affected (Zhou C. et al., 2019).
Other Autism Spectrum Disorder Models Displaying Auditory-Related Impairments
Although far less explored, there are other animal models that potentially display auditory processing abnormalities. The Cyfip1± mouse model presents a lower PPI, evidencing sensory-motor gating impairments (
Conclusion and Future Perspectives
Increasing evidence from animal models demonstrates that auditory-perceptual alterations found in ASD patients can be recapitulated in several animal models. Such neurodivergent processing of auditory inputs, translated into hypo- or hypersensitivity to sensory stimulation, may have a strong impact on behavior and impose limitations in the quality of life for individuals diagnosed with ASD. In particular, auditory processing abnormalities may underlie deficits in communication and social interaction. Tackling the neurobiological mechanisms causing such alterations becomes of utmost importance to design strategies to attenuate or prevent sensory impairments. Rodent models are a powerful resource to better understand behavioral and neurobiological alterations in ASD, holding tremendous translational potential.
Despite the great diversity of ASD models, mirroring the great heterogeneity in the etiology of ASD, it is possible to identify shared features across models. Auditory impairments seem to arise from deficits in central processing rather than from periphery. Along the auditory pathway, multiple defects are observed, such as decreased tonotopicity, altered thresholds to sound stimuli, and abnormal spectral and temporal processing (especially in the auditory regions of the brainstem and cortex). The origin of these differences is still not fully understood, but E/I imbalances during postnatal development seem to be contributing to these defects, mainly due to impairments in GABAergic signaling.
Future work is needed to better support these observations and unveil specific regions, neuronal circuits, and molecular players that are determinant for the auditory phenotype. Since ASD is a neurodevelopmental disorder, clarifications on critical developmental stages will be crucial, together with the establishment of novel molecular targets that might be particularly effective during those developmental windows. Together, this knowledge will hopefully help defining efficient therapeutic approaches in the near future.
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Statements
Author contributions
AC conceptualized and wrote the manuscript. PM conceptualized and revised the manuscript. Both authors contributed to the article and approved the submitted version.
Funding
This work has been funded by Society in Science, The Branco Weiss fellowship, administered by Eidgenössische Technische Hochschule (ETH) Zürich, FEBS (Federation of European Biochemical Societies) Excellence Awards 2021, and Fundação para a Ciência e a Tecnologia (FCT; grant number PTDC/MED-NEU/28073/2017 and POCI-01-0145-FEDER-028073). This work has also been supported by National funds through the Foundation for Science and Technology (FCT)—project UIDB/50026/2020 and UIDP/50026/2020; and by the projects NORTE-01-0145-FEDER-000013 and NORTE-01-0145-FEDER-000023, through Norte Portugal Regional Operational Programme (NORTE 2020), under the PORTUGAL 2020 Partnership Agreement, by the European Regional Development Fund (ERDF).
Acknowledgments
We thank all lab members for their continuous support and helpful discussions. Mouse drawings were obtained from https://scidraw.io/.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fnmol.2022.845155/full#supplementary-material
Glossary
| A1 | Primary auditory cortex | ERP | Event related potentials | PAF | Posterior auditory field |
| AAF | Anterior auditory field | FM | Frequency modulated | PNN | Perineuronal net |
| ABR | Auditory brainstem response | FMRP | Fragile X mental retardation protein | PPI | Prepulse inhibition |
| AC | Auditory cortex | FXS | Fragile X syndrome | PV | Parvalbumin |
| AN | Auditory nerve | IC | Inferior colliculus | SES | Startle eliciting stimulus |
| ASD | Autism Spectrum Disorder | LFP | Local field potential | SG | Silent gap |
| ASR | Acoustic startle response | LL | Lateral lemniscus | SOC | Superior olivary complex |
| CB | Calbindin | LLN | Lateral lemniscus nucleus | SPON | Superior paraolivary nucleus |
| CF | Characteristic sound frequency | LSO | Lateral superior olive | TH | Tyrosine hydroxylase |
| CN | Cochlear nucleus | MeCP2 | Methyl-CpG binding protein | USV | Ultrasonic vocalization |
| CNIC | Central nucleus of the inferior colliculus | Mecp2-TG | Mecp2-overexpressing transgenic mice | VAF | Ventral auditory field |
| CNTNAP2 | Contactin-associated protein-like 2 | MGB | Medial geniculate body | VCN | Ventral cochlear nucleus |
| CR | Calretinin | MMP-9 | Matrix metalloproteinase-9 | VNLL | Ventral nucleus of the LL |
| DCN | Dorsal cochlear nucleus | MNTB | Medial nucleus of the trapezoid body | VPA | Valproic acid |
| DNLL | Dorsal nucleus of the lateral lemniscus | MSO | Medial superior olive | α7-nAChR | α7-nicotinic acetylcholine receptor |
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Summary
Keywords
autism spectrum disorder (ASD), sensory perception, sound processing, rodent models, auditory dysfunction
Citation
Castro AC and Monteiro P (2022) Auditory Dysfunction in Animal Models of Autism Spectrum Disorder. Front. Mol. Neurosci. 15:845155. doi: 10.3389/fnmol.2022.845155
Received
29 December 2021
Accepted
17 March 2022
Published
13 April 2022
Volume
15 - 2022
Edited by
Christos G. Gkogkas, Biomedical Research Institute (BRI), Greece
Reviewed by
Kyriaki Sidiropoulou, University of Crete, Greece; Charalampos Labrakakis, University of Ioannina, Greece
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© 2022 Castro and Monteiro.
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*Correspondence: Patricia Monteiro, patriciamonteiro@med.uminho.pt
This article was submitted to Neuroplasticity and Development, a section of the journal Frontiers in Molecular Neuroscience
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