Sensory hair cells of the mammalian organ of Corti in the inner ear do not regenerate when lost as a consequence of injury, disease, or age-related deafness. This contrasts with other vertebrates such as birds, where the death of hair cells causes surrounding supporting cells to re-enter the cell cycle and give rise to both new hair cells and supporting cells. It is not clear whether the lack of mammalian hair cell regeneration is due to an intrinsic inability of supporting cells to divide and differentiate or to an absence or blockade of regenerative signals. Here we show that post-mitotic supporting cells purified from the postnatal mouse cochlea retain the ability to divide and trans-differentiate into new hair cells in culture. Furthermore, we show that age-dependent changes in supporting cell proliferative capacity are due in part to changes in the ability to downregulate the cyclin-dependent kinase inhibitor p27(Kip1) (also known as Cdkn1b). These results indicate that postnatal mammalian supporting cells are potential targets for therapeutic manipulation.

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Summary The organ of Corti, the auditory organ of the inner ear, contains two types of sensory hair cells and at least seven types of supporting cells. Most of these supporting cell types rely on Notch-dependent expression of Hes/Hey transcription factors to maintain the supporting cell fate. Here we show that Notch signaling is not necessary for the differentiation and maintenance of pillar cell fate, that pillar cells are distinguished by Hey2 expression, and that – unlike other Hes/Hey factors – Hey2 expression is Notch-independent. Hey2 is activated by FGF and blocks hair cell differentiation, while mutation of Hey2 leaves pillar cells sensitive to the loss of Notch signaling and allows them to differentiate as hair cells. We speculate that co-option of FGF signaling to render Hey2 Notch-independent, also liberated pillar cells from the need for direct contact with surrounding hair cells, and enabled evolutionary remodeling of the complex cellular mosaic of the inner ear.

The chromatin of eukaryotic cells is organized in nucleosomes. This organization allows the efficient packaging of chromosomal DNA into the nucleus but limits the access of highmolecular-weight protein complexes of the transcription machinery. At least two different mechanisms enable the eukaryotic cell to relieve nucleosomal repression: the chromatinremodeling complexes (reviewed in references 55 and 57) and reversible histone acetylation. Two recent reports indicate a direct link between these two activities (60, 67). Posttranslational acetylation on conserved lysine residues within the Nterminal regions of nucleosomal histones is assumed to lead to a reduced attraction between chromosomal DNA and histone tails and changed interactions with neighboring nucleosomes or other nonhistone proteins. The resulting local chromatin decondensation increases the accessibility of particular DNA regions for RNA polymerase complexes. Consistent with this idea, transcriptionally active chromatin correlates with histone hyperacetylation (reviewed in references 18, 30, 47, 49, 61, and 62). This model predicts that histone acetyltransferases would promote transcription, while histone deacetylases (HDACs) should act as repressors. In accordance with this model, several transcriptional adapters and coactivators, such as GCN5 (8, 31), p300/CBP (4, 46), TAFII250 (40), SRC-1 (54), and ACTR (10), have been classified as histone acetyltransferases. Five HDACs have been identified in mammalian cells (12,14,56,58,63,64). Three of them, HDAC1, HDAC2, and HDAC3, have significant homology to yeast Rpd3 (44,50,59). HDAC4 and HDAC5 belong to the histone deacetylase A (HDA) family (9, 58). HDAC1 and HDAC2 are found in high-molecularweight complexes associated with adapter proteins like SIN3, SAP18, and SAP30 and nuclear corepressors like N-CoR, SMRT, and 24,32,42,65,66). Recently it was demonstrated that several mammalian transcription factors, such as Mad (21, 24, 32, 52), YY1 (64), hormone-dependent nuclear receptors (24, 42), MeCP2 (26, 43), CBF (27), retinoblastoma protein (Rb) (7, 38, 39), and related pocket proteins (16), can repress transcription by recruiting HDACs to specific promoters. In addition, the aberrant recruitment of HDACs by PLZF, PML, and ETO fusion proteins can interfere with the differentiation of hematopoietic precursor cells in acute promyelocytic leukemia (13,17,19,35).In this study we investigated the potential function of HDACs as transcriptional repressors during the growth arrest of mammalian cells. Using the S-phase-specific mouse thymidine kinase (TK) promoter as a model system, we show that HDAC1 can mediate transcriptional repression via the Sp1 binding site. HDAC1 is associated with Sp1 and binds directly to the C-terminal part of Sp1 that was previously identified as interacting domain for E2F1 (28). Sp1 and E2F1 cooperate in the activation of S-phase-specific promoters (28, 36). Here we show that E2F1 but not E2F4 can compete with HDAC1 binding to Sp1, thereby relieving HDAC1-mediated repression of the TK...

The cyclin-dependent kinase inhibitor p21/WAF1/CIP1 is an important regulator of cell cycle progression, senescence, and differentiation. Genotoxic stress leads to activation of the tumor suppressor p53 and subsequently to induction of p21 expression. Here we show that the tumor suppressor p53 cooperates with the transcription factor Sp1 in the activation of the p21 promoter, whereas histone deacetylase 1 (HDAC1) counteracts p53-induced transcription from the p21 gene. The p53 protein binds directly to the C terminus of Sp1, a domain which was previously shown to be required for the interaction with HDAC1. Induction of p53 in response to DNA-damaging agents resulted in the formation of p53-Sp1 complexes and simultaneous dissociation of HDAC1 from the C terminus of Sp1. Chromatin immunoprecipitation experiments demonstrated the association of HDAC1 with the p21 gene in proliferating cells. Genotoxic stress led to recruitment of p53, reduced binding of HDAC1, and hyperacetylation of core histones at the p21 promoter. Our findings show that the deacetylase HDAC1 acts as an antagonist of the tumor suppressor p53 in the regulation of the cyclin-dependent kinase inhibitor p21 and provide a basis for understanding the function of histone deacetylase inhibitors as antitumor drugs.The tumor suppressor p53 can induce cell cycle arrest or apoptosis in response to a variety of stress signals, such as DNA damage, oncogenic stimuli, or hypoxia (reviewed in reference 49). Activation of p53 occurs by several mechanisms including protein stabilization and modification of the protein by phosphorylation and acetylation. p53 is a transcription factor that recognizes specific binding sites within numerous target genes including mdm2, cyclin G, bax, and p21/WAF1/CIP1 (for reviews see references 5 and 12). While multiple downstream targets are involved in the mediation of apoptotic effects, the main target for p53-induced cell cycle arrest seems to be the p21 gene. p21 has been identified by virtue of its activation by p53 (13), its association with cyclin/cyclin-dependent kinase (CDK) complexes (23, 66), and its up-regulation during senescence (47). Furthermore, the p21 protein was shown previously to interact with the proliferating cell nuclear antigen (PCNA), thereby preventing DNA replication (10). Induction of p21 expression by genotoxic stress and its role during terminal differentiation of various cell types have been investigated intensively. While p21 is activated by p53-dependent mechanisms in response to DNA damage to ensure cell cycle arrest and repair, a variety of agents that promote differentiation, like phorbol ester or okadaic acid, can up-regulate p21 independently of p53 (for a review see reference 16). Similarly, the p21 gene can be activated by transforming growth factor ␤, Ca 2ϩ , lovastatin, or nerve growth factor (16).Recently, a number of reports demonstrated the induction of p21 by inhibitors of histone deacetylases (HDACs), such as sodium butyrate (46), trichostatin A (TSA) (56), suberoylanilide hydroxamic a...

Sensory hair cells of the auditory organ are generated during embryogenesis and remain postmitotic throughout life. Previous work has shown that inactivation of the cyclin-dependent kinase inhibitor (CKI) p19Ink4d leads to progressive hearing loss attributable to inappropriate DNA replication and subsequent apoptosis of hair cells. Here we show the synergistic action of another CKI, p21 Cip1 , on cell cycle reactivation. The codeletion of p19Ink4d and p21 Cip1 triggered profuse S-phase entry of auditory hair cells during a restricted period in early postnatal life, leading to the transient appearance of supernumerary hair cells. In addition, we show that aberrant cell cycle reentry leads to activation of a DNA damage response pathway in these cells, followed by p53-mediated apoptosis. The majority of hair cells were absent in adult cochleas. These data, together with the demonstration of changing expression patterns of multiple CKIs in auditory hair cells during the stages of early postnatal maturation, show that the maintenance of the postmitotic state is an active, tissue-specific process, cooperatively regulated by several CKIs, and is critical for the lifelong survival of these sensory cells.

Mechano-sensory hair cells within the inner ear cochlea are essential for the detection of sound. In mammals, cochlear hair cells are only produced during development and their loss, due to disease or trauma, is a leading cause of deafness. In the immature cochlea, prior to the onset of hearing, hair cell loss stimulates neighboring supporting cells to act as hair cell progenitors and produce new hair cells. However, for reasons unknown, such regenerative capacity (plasticity) is lost once supporting cells undergo maturation. Here, we demonstrate that the RNA binding protein LIN28B plays an important role in the production of hair cells by supporting cells and provide evidence that the developmental drop in supporting cell plasticity in the mammalian cochlea is, at least in part, a product of declining LIN28B-mammalian target of rapamycin (mTOR) activity. Employing murine cochlear organoid and explant cultures to model mitotic and nonmitotic mechanisms of hair cell generation, we show that loss of LIN28B function, due to its conditional deletion, or due to overexpression of the antagonistic miRNA let-7g, suppressed Akt-mTOR complex 1 (mTORC1) activity and renders young, immature supporting cells incapable of generating hair cells. Conversely, we found that LIN28B overexpression increased Akt-mTORC1 activity and allowed supporting cells that were undergoing maturation to de-differentiate into progenitor-like cells and to produce hair cells via mitotic and nonmitotic mechanisms. Finally, using the mTORC1 inhibitor rapamycin, we demonstrate that LIN28B promotes supporting cell plasticity in an mTORC1-dependent manner.

In mammals, auditory hair cells are generated only during embryonic development and loss or damage to hair cells is permanent. However, in non-mammalian vertebrate species, such as birds, neighboring glia-like supporting cells regenerate auditory hair cells by both mitotic and non-mitotic mechanisms. Based on work in intact cochlear tissue, it is thought that Notch signaling might restrict supporting cell plasticity in the mammalian cochlea. However, it is unresolved how Notch signaling functions in the hair cell-damaged cochlea and the molecular and cellular changes induced in supporting cells in response to hair cell trauma are poorly understood. Here we show that gentamicin-induced hair cell loss in early postnatal mouse cochlear tissue induces rapid morphological changes in supporting cells, which facilitate the sealing of gaps left by dying hair cells. Moreover, we provide evidence that Notch signaling is active in the hair cell damaged cochlea and identify Hes1, Hey1, Hey2, HeyL, and Sox2 as targets and potential Notch effectors of this hair cell-independent mechanism of Notch signaling. Using Cre/loxP based labeling system we demonstrate that inhibition of Notch signaling with a γ- secretase inhibitor (GSI) results in the trans-differentiation of supporting cells into hair cell-like cells. Moreover, we show that these hair cell-like cells, generated by supporting cells have molecular, cellular, and basic electrophysiological properties similar to immature hair cells rather than supporting cells. Lastly, we show that the vast majority of these newly generated hair cell-like cells express the outer hair cell specific motor protein prestin.