“…Ribbon synapse number and function are refined throughout development by numerous mechanisms, including the following: transient and sustained innervation of neonatal IHCs and SGN dendrites, respectively, by efferent olivocochlear (OC) neurons; purinergic and neurotrophic signals from supporting cells; thyroid hormone; and differential influx of Ca 2ϩ into IHCs (Johnson et al, 2005;Sendin et al, 2007;Tritsch et al, 2007;Roux et al, 2011;Zuccotti et al, 2012;Wong et al, 2013Wong et al, , 2014. In the adult cochlea, OC-SGN synapses are required for maintenance of SR range and ribbon size gradients, particularly large modiolar ribbons, as shown by surgical de-efferentiation (Liberman, 1990;Yin et al, 2014).…”