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Loud sound exposure sufficient to induce permanent hearing damage causes cochlear blood flow reduction, which may contribute to hearing loss. However, sensory epithelium involvement in the cochlear blood flow regulation pathway is not fully described. We hypothesize that genetic manipulation of the mechanoelectrical transducer complex will abolish sound induced cochlear blood flow regulation. We used <jats:italic>salsa<\/jats:italic> mice, a <jats:italic>Chd23<\/jats:italic> mutant with no mechanoelectrical transduction, and deafness before p56. Using optical coherence tomography angiography, we measured the cochlear blood flow of <jats:italic>salsa<\/jats:italic> and wild-type mice in response to loud sound (120\u2009dB SPL, 30\u2009minutes low-pass filtered noise). An expected sound induced decrease in cochlear blood flow occurred in CBA\/CaJ mice, but surprisingly the same sound protocol induced cochlear blood flow increases in <jats:italic>salsa<\/jats:italic> mice. Blood flow did not change in the contralateral ear. Disruption of the sympathetic nervous system partially abolished the observed wild-type blood flow decrease but not the <jats:italic>salsa<\/jats:italic> increase. Therefore sympathetic activation contributes to sound induced reduction of cochlear blood flow. Additionally a local, non-sensory pathway, potentially therapeutically targetable, must exist for cochlear blood flow regulation.<\/jats:p>","DOI":"10.1038\/s41598-020-66192-6","type":"journal-article","created":{"date-parts":[[2020,6,8]],"date-time":"2020-06-08T10:05:16Z","timestamp":1591610716000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The mechanoelectrical transducer channel is not required for regulation of cochlear blood flow during loud sound exposure in mice"],"prefix":"10.1038","volume":"10","author":[{"given":"George W. 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