hearing ͉ ion transport ͉ potassium

Cochlear endolymph, an extracellular solution containing 150 mM K(+), exhibits a positive potential of +80 mV. This is called the endocochlear potential (EP) and is essential for audition. The mechanism responsible for formation of the EP has been an enigma for the half century since its first measurement. A key element is the stria vascularis, which displays a characteristic tissue structure and expresses multiple ion-transport apparatus. The stria comprises two epithelial layers: a layer of marginal cells and one composed of intermediate and basal cells. Between the two layers lies an extracellular space termed the intrastrial space (IS), which is thus surrounded by the apical membranes of intermediate cells and the basolateral membranes of marginal cells. The fluid in the IS exhibits a low concentration of K(+) and a positive potential similar to the EP. We have demonstrated that the IS is electrically isolated from the neighboring extracellular fluids, perilymph, and endolymph, which allows the IS to sustain its positive potential. This IS potential is generated by K(+) diffusion across the apical membranes of intermediate cells, where inwardly rectifying Kir4.1 channels are localized. The low K(+) concentration in the IS, which is mandatory for the large K(+)-diffusion potential, is maintained by Na(+),K(+)-ATPases and Na(+),K(+),2Cl(-)-cotransporters expressed at the basolateral membranes of marginal cells. An additional K(+)-diffusion potential formed by KCNQ1/KCNE1-K(+) channels at the apical membranes of marginal cells also contributes to the EP. Therefore, the EP depends on an electrically isolated space and two K(+)-diffusion potentials in the stria vascularis.

Key points• The endocochlear potential (EP) of +80 mV in cochlear endolymph is essential for audition and controlled by K + transport across the lateral cochlear wall composed of two epithelial barrier layers, the syncytium containing the fibrocytes and the marginal cells.• The EP depends upon the diffusion potential elicited by a large K + gradient across the apical surface of the syncytium.• We examined by electrophysiological approaches an involvement of Na + ,K + -ATPase, which occurs at the syncytium's basolateral surface comprising the fibrocytes' membranes and would mediate K + transport across the lateral wall, in maintenance of the EP.• We show that the Na + ,K + -ATPase sustains the syncytium's high [K + ] that is crucial for the K + gradient across the apical surface of the syncytium.• The results help us better understand the mechanism underlying the establishment of the EP as well as the pathophysiological process for deafness induced by dysfunction of the ion transport apparatus.Abstract The endocochlear potential (EP) of +80 mV in the scala media, which is indispensable for audition, is controlled by K + transport across the lateral cochlear wall. This wall includes two epithelial barriers, the syncytium and the marginal cells. The former contains multiple cell types, such as fibrocytes, which are exposed to perilymph on their basolateral surfaces. The apical surfaces of the marginal cells face endolymph. Between the two barriers lies the intrastrial space (IS), an extracellular space with a low K + concentration ([K + ]) and a potential similar to the EP. This intrastrial potential (ISP) dominates the EP and represents the sum of the diffusion potential elicited by a large K + gradient across the apical surface of the syncytium and the syncytium's potential, which is slightly positive relative to perilymph. Although a K + transport system in fibrocytes seems to contribute to the EP, the mechanism remains uncertain. We examined the electrochemical properties of the lateral wall of guinea pigs with electrodes sensitive to potential and K + while perfusing into the perilymph of the scala tympani blockers of Na + ,K + -ATPase, the K + pump thought to be essential to the system. Inhibiting Na