“…Efferent MOC fibers project to outer hair cells (OHCs) in the cochlea and activation of these fibers alters OHC activity, effectively reducing cochlear gain (reviews: Guinan, 2006Guinan, , 2018. Efferent MOC-fiber activity can be modulated in a 'topdown' manner: electric microstimulation or deactivation of the auditory cortex alters OHC activity as measured with cochlear microphonics or otoacoustic emissions (OAEs) (Perrot et al, 2006;Dragicevic et al, 2015;Terreros and Delano, 2015;Jager and Kossl, 2016). Similarly, changes in arousal or endogenous (interor intramodal) attention may lead to OHC-activity changes as measured with OAEs (Puel et al, 1988;Froehlich et al, 1990Froehlich et al, , 1993Giard et al, 1994;Ferber-Viart et al, 1995;Maison et al, 2001;de Boer and Thornton, 2007;Harkrider and Bowers, 2009;Smith et al, 2012;Srinivasan et al, 2012Srinivasan et al, , 2014Walsh et al, 2014Walsh et al, , 2015Wittekindt et al, 2014;Smith and Cone, 2015), although the existence and direction of these top-down attention effects are still debated (Picton et al, 1971;Avan and Bonfils, 1992;Michie et al, 1996;Beim et al, 2018Beim et al, , 2019Francis et al, 2018;Lopez-Poveda, 2018).…”