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Crossmodal plasticity effects of hearing loss and ageing in the human auditory cortex
Pan Z, Połeć M, Avgerinos A, Bi K, Green T, Cardin V.. bioRxiv, 2026-06-10
Topic: Brain imaging, connectivity and assessment
Plain-language summary
Crossmodal plasticity refers to the phenomenon by which typical sensory areas respond to stimulation in other sensory modalities when their main input is absent or reduced. In this study, we examined the effect of age-related hearing loss (ARHL) on crossmodal plasticity in auditory brain regions. ARHL is prevalent in a large proportion of older adults, and it is associated with an increased risk of cognitive decline and dementia. Understanding how the brain adapts to ARHL is essential in aiding the development of adequate therapies and interventions for a phenomenon experienced by most adults aged 65 and over. Previous research in congenitally deaf adults has shown that crossmodal plasticity effects are stronger for conditions that require higher executive demands. We conducted an fMRI experiment in older adults to determine whether crossmodal recruitment of auditory cortical regions during higher executive demands also occurs following ARHL. In the MRI scanner, participants with and without ARHL completed a visual task-switching paradigm and a visual working memory task, each comprising high and low executive-demand conditions. Results from both groups of participants showed that the high-demand conditions reliably activated canonical frontoparietal regions involved in executive function and cognitive control. Crucially, we also observed significant recruitment of auditory regions during these visual tasks, particularly under the higher executive demands condition of the task-switching paradigm. Crossmodal activations in auditory areas occurred in both groups, with no significant effects of hearing level or age. These findings indicate that auditory regions are involved in high executive demand visual processing, and that crossmodal plasticity effects are not restricted to early sensitive periods. We propose that reduced auditory input and age-related changes in cortical processing jointly contribute to the reorganisation of the auditory cortex in later life. Understanding these mechanisms is critical for clarifying the neural consequences of ARHL and their impact on cognitive decline.
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APA 7th
Pan, Z., Połeć, M., Avgerinos, A., Bi, K., Green, T., & Cardin, V. (2026). Crossmodal plasticity effects of hearing loss and ageing in the human auditory cortex. bioRxiv. https://doi.org/10.64898/2026.06.08.730968
Vancouver
Pan Z, Połeć M, Avgerinos A, Bi K, Green T, Cardin V. Crossmodal plasticity effects of hearing loss and ageing in the human auditory cortex. bioRxiv. 2026. doi:10.64898/2026.06.08.730968.
BibTeX
@article{pan2026-1aad7f20,
author = {Pan, Z. and Połeć, M. and Avgerinos, A. and Bi, K. and Green, T. and Cardin, V.},
title = {{Crossmodal plasticity effects of hearing loss and ageing in the human auditory cortex}},
journal = {bioRxiv},
year = {2026},
doi = {10.64898/2026.06.08.730968},
url = {https://doi.org/10.64898/2026.06.08.730968}
}
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Key findings
- ARHL is prevalent in a large proportion of older adults, and it is associated with an increased risk of cognitive decline and dementia.
- Previous research in congenitally deaf adults has shown that crossmodal plasticity effects are stronger for conditions that require higher executive demands.
- Results from both groups of participants showed that the high-demand conditions reliably activated canonical frontoparietal regions involved in executive function and cognitive control.
- Crucially, we also observed significant recruitment of auditory regions during these visual tasks, particularly under the higher executive demands condition of the task-switching paradigm.
- Crossmodal activations in auditory areas occurred in both groups, with no significant effects of hearing level or age.
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Study details
- Evidence strengthLow
How this study scored 16/100
Preprint — not yet peer-reviewed. It scored 21 on the same rubric, but non-peer-reviewed sources are capped at 16, so it shows as 16. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it. We have no data on times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multicenter collaboration, so those were left out: it earned 13 of the 62 points we could judge it on, which is 21 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 2 / 10 | Tier 4 — not a peer-reviewed journal (bioRxiv) |
| Journal's citation record | 0 / 4 | Not a journal article, so the journal's record does not count |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 4 / 10 | Preprint — not yet peer-reviewed. Hosted on a preprint server. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multicenter collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 13 / 62 | Scored on 12 of 20 parts. We have no data for the rest, so they are left out: 13 of the 62 points we could judge it on is 21 out of 100. |
| Total | 21 / 100 | Capped to 16 because this is not a peer-reviewed article. |
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