Objective:The current study aims to investigate the possible mechanism of auditory nerve injury at the spiral ganglion of the cochlea induced by apolipoprotein E(ApoE)gene deficiency in mice. Methods:Auditory brainstem response(ABR)were measured in ApoE knockout(ApoE-/-)mice,and the amplitude and latency of the wave groups were analyzed. Immunofluorescence and H&E staining were used to analyze the pathological damage of auditory nerve and ribbon synapsesin the spiral ganglion. Western blot and qRT - PCR were used to detect the protein expression and phosphorylation levels of LIM kinase 1(Limk1)and cofilin1,and to detect the phosphatidylinositide 3-kinases(PI3K)pathway activation. Results:The amplitude of wave Ⅰ in ApoE-/- mice by ABR was shortened and the latency was prolonged. The spiral ganglion staining showed that the number of ribbon synapses and auditory nerve fibers were reduced in ApoE-/- mice,accompanied by the structural damage. Western blotting,qRT - PCR and immunofluorescence staining revealed that Limk1 and cofilin1 showed a significant decrease in protein phosphorylation levels after ApoE knockdown,while the PI3K pathway activation was inhibited. Conclusion:ApoE gene deficiency could damage the ribbon synapse and auditory nerve at the spiral ganglion of the cochlea,which might be related to the actin cytoskeleton of theauditory nerve.