Inner ear hair cells convert the mechanical stimuli of sound, gravity, and head movement into electrical signals. This mechanotransduction process is initiated by opening of cation channels near the tips of hair cell stereocilia. Since the identity of these ion channels is unknown, and mutations in the gene encoding transmembrane channel-like 1 (TMC1) cause hearing loss without vestibular dysfunction in both mice and humans, we investigated the contribution of Tmc1 and the closely related Tmc2 to mechanotransduction in mice. We found that Tmc1 and Tmc2 were expressed in mouse vestibular and cochlear hair cells and that GFP-tagged TMC proteins localized near stereocilia tips. Tmc2 expression was transient in early postnatal mouse cochlear hair cells but persisted in vestibular hair cells. While mice with a targeted deletion of Tmc1 (Tmc1 Δ mice) were deaf and those with a deletion of Tmc2 (Tmc2 Δ mice) were phenotypically normal, Tmc1 Δ Tmc2 Δ mice had profound vestibular dysfunction, deafness, and structurally normal hair cells that lacked all mechanotransduction activity. Expression of either exogenous TMC1 or TMC2 rescued mechanotransduction in Tmc1 Δ Tmc2 Δ mutant hair cells. Our results indicate that TMC1 and TMC2 are necessary for hair cell mechanotransduction and may be integral components of the mechanotransduction complex. Our data also suggest that persistent TMC2 expression in vestibular hair cells may preserve vestibular function in humans with hearing loss caused by TMC1 mutations.

The molecular mechanisms dictating the morphogenesis and differentiation of the mammalian inner ear are largely unknown. To better elucidate the normal development of this organ, two approaches were taken. First, the membranous labyrinths of mouse inner ears ranging from 10.25 to 17 d postcoitum (dpc) were filled with paint to reveal their gross development. Particular attention was focused on the developing utricle, saccule, and cochlea. Second, we used bone morphogenetic protein 4 (BMP4) and lunatic fringe (Fng) as molecular markers to identify the origin of the sensory structures. Our data showed that BMP4 was an early marker for the superior, lateral, and posterior cristae, whereas Fng served as an early marker for the macula utriculi, macula sacculi, and the sensory portion of the cochlea. The posterior crista was the first organ to appear at 11.5 dpc and was followed by the superior crista, the lateral crista, and the macula utriculi at 12 dpc. The macula sacculi and the cochlea were present at 12 dpc but became distinguishable from each other by 13 dpc. Based on the gene expression patterns, the anterior and lateral cristae may share a common origin. Similarly, three sensory organs, the macula utriculi, macula sacculi, and cochlea, seem to arise from a single region of the otocyst.

The mammalian inner ear is a complex sensory organ comprised of auditory and vestibular structures that serve to coordinate the senses of hearing and balance, respectively. The inner ear develops over a protracted period originating from a thickening of surface ectoderm, the otic placode, which forms at the level of the prospective hindbrain upon inductive influences from neighboring tissues (Groves and Bronner-Fraser 2000;Ladher et al. 2000). Once induced, the otic placode invaginates to form the otic cup and shortly thereafter pinches off from the surface ectoderm to give rise to the otic vesicle. Over the next several days the otic vesicle undergoes an intense period of proliferation, differentiation, and morphogenesis culminating in the establishment of the ventrally derived auditory component of the inner ear, the cochlea, as well as the more dorsally derived vestibular apparatus, comprising the semicircular canals, utricle, and saccule (for review, see Torres and Giraldez 1998).Grafting and lineage tracing experiments performed in the chick, in addition to mutational analyses performed in the mouse, have confirmed that the fate of inner ear progenitors is specified early in development (Baker and Bronner-Fraser 2001). By the otic vesicle stage, numerous genes showing restricted patterns of expression compartmentalize the otic epithelium along its three major axes (Fekete and Wu 2002). With respect to the auditory component of the inner ear, the expression of several genes in the ventral and ventromedial regions of the otocyst, including the overlapping expression of the homeobox transcription factors Otx1 and Otx2 as well as the paired-box gene Pax2 mark the location of cochlear duct outgrowth (Fekete and Wu 2002). For vestibular development, the homeobox transcription factors Hmx2, Hmx3, and Dlx5 in the dorsolateral region of the otocyst mark the territory contributing to semicircular canal formation (Fekete and Wu 2002). Loss-of-function studies in the mouse confirm that each of these genes participates actively in establishing regional identity within the inner ear (Acampora et al. 1996(Acampora et al. , 1999Torres et al. 1996;Hadrys et al. 1998;Wang et al. 1998Wang et al. , 2001Depew et al. 1999;Morsli et al. 1999).In addition to the establishment of regional identity, a number of genes have also been identified that have an impact on the specification of distinct cell fates within the otocyst. The inner ear is a self-contained organ in that the majority of cell types contributing to its development including sensory, nonsensory, and neurogenic are derived from the otic epithelium (Torres and Giraldez 1998). For instance, within the anteroventral region of the otic vesicle, cells expressing the bHLH transcription factors Neurogenin-1 (Ngn1) and NeuroD form the neuronal lineage, giving rise to the cochleovestibular

Following the positional cloning of PDS, the gene mutated in the deafness/goitre disorder Pendred syndrome (PS), numerous studies have focused on defining the role of PDS in deafness and PS as well as elucidating the function of the PDS-encoded protein (pendrin). To facilitate these efforts and to provide a system for more detailed study of the inner-ear defects that occur in the absence of pendrin, we have generated a Pds-knockout mouse. Pds(-/-) mice are completely deaf and also display signs of vestibular dysfunction. The inner ears of these mice appear to develop normally until embryonic day 15, after which time severe endolymphatic dilatation occurs, reminiscent of that seen radiologically in deaf individuals with PDS mutations. Additionally, in the second postnatal week, severe degeneration of sensory cells and malformation of otoconia and otoconial membranes occur, as revealed by scanning electron and fluorescence confocal microscopy. The ultrastructural defects seen in the Pds(-/-) mice provide important clues about the mechanisms responsible for the inner-ear pathology associated with PDS mutations.

Tight junctions in the cochlear duct are thought to compartmentalize endolymph and provide structural support for the auditory neuroepithelium. The claudin family of genes is known to express protein components of tight junctions in other tissues. The essential function of one of these claudins in the inner ear was established by identifying mutations in CLDN14 that cause nonsyndromic recessive deafness DFNB29 in two large consanguineous Pakistani families. In situ hybridization and immunofluorescence studies demonstrated mouse claudin-14 expression in the sensory epithelium of the organ of Corti.