Although homomeric channels assembled from the ␣9 nicotinic acetylcholine receptor (nAChR) subunit are functional in vitro, electrophysiological, anatomical, and molecular data suggest that native cholinergic olivocochlear function is mediated via heteromeric nAChRs composed of both ␣9 and ␣10 subunits. To gain insight into ␣10 subunit function in vivo, we examined olivocochlear innervation and function in ␣10 null-mutant mice. Electrophysiological recordings from postnatal (P) days P8 -9 inner hair cells revealed ACh-gated currents in ␣10 ؉/؉ and ␣10 ؉/؊ mice, with no detectable responses to ACh in ␣10 ؊/؊ mice. In contrast, a proportion of ␣10 ؊/؊ outer hair cells showed small ACh-evoked currents. In ␣10 ؊/؊ mutant mice, olivocochlear fiber stimulation failed to suppress distortion products, suggesting that the residual ␣9 homomeric nAChRs expressed by outer hair cells are unable to transduce efferent signals in vivo. Finally, ␣10 ؊/؊ mice exhibit both an abnormal olivocochlear morphology and innervation to outer hair cells and a highly disorganized efferent innervation to the inner hair cell region. Our results demonstrate that ␣9 ؊/؊ and ␣10 ؊/؊ mice have overlapping but nonidentical phenotypes. Moreover, ␣10 nAChR subunits are required for normal olivocochlear activity because ␣9 homomeric nAChRs do not support maintenance of normal olivocochlear innervation or function in ␣10 ؊/؊ mutant mice.cochlea ͉ electrophysiology ͉ inner hair cells ͉ outer hair cells T he sensory epithelia responsible for hearing (cochlea) and balance (saccule, utricle, and cristae ampullaris) share a unique subset of cells that respond to mechanical cues. These hair cells possess apical mechanoreceptors and specialized basolateral membranes that act in concert to transduce mechanical stimuli into electrical signals (1). In mammals, cochlear hair cells are anatomically and functionally divided into inner and outer hair cells (IHCs and OHCs, respectively). IHCs are responsible for transducing acoustic stimuli and exciting the fibers of the cochlear nerve, whereas OHC are involved in the mechanical amplification and fine tuning of cochlear vibrations via their electromotile response (2, 3).Both OHCs and type-I spiral ganglion cell processes receive descending cholinergic innervation, which originates in the superior olivary complex (4). Although the precise role of the olivocochlear (OC) system in hearing remains uncertain, the effects of activating efferent terminals forming synapses with OHCs have been well described (5-7). Acetylcholine (ACh), the principal neurotransmitter released by OC terminals (8), binds to postsynaptic nicotinic acetylcholine receptors (nAChRs) leading to calcium influx, activation of small-conductance calciumactivated potassium channels, and subsequent hair cell hyperpolarization (9 -17). As with electrical stimulation of the olivocochlear bundle (10), the result of OHC hyperpolarization is to reduce auditory afferent output via suppression of basilar membrane motion (18).Combined immunohistochemical (19,20),...