Sensory transduction in the inner ear (FIGURE 1) is the job of hair cells that are grouped into three types of sensory epithelia. The organ of Corti is the epithelium of the mammalian cochlea (hearing); the maculae and the cristae are the epithelia of the vestibular system (balance). The epithelia are polarized in that sensory hair cells as well as nonsensory (supporting) cells are divided into apical and basolateral domains. Diffusion of proteins between these subcellular domains is prevented by tight junctions between neighboring cells, which also serve to insulate endolymph, an extracellular fluid low in Na + and Ca 2+ but rich in K + , from perilymph, the normal extracellular fluid that bathes the basolateral membrane of the cells (FIGURE 1A).Mechanical stimuli that can be ultimately ascribed to sound, for the cochlea, or acceleration, for the vestibular system, are applied to the hair cell mechanoreceptor organelle, composed of 20-300 actin-filled stiff microvilli, called the stereocilia, that reach into endolymph from the cell's apical surface and are arranged in three to four rows of increasing height. Stimulation of sensory transduction results in an increased flux of K + from endolymph through the hair cells, for hair bundle deflection modulates the open probability of specialized cation-selective mechanosensitive transduction (MET) channels found in the stereocilia (FIGURES 1A AND 2A). By altering the ratio of apical to basolateral membrane impedance, MET channel opening (closing) decreases (increases) the potential difference across the basolateral membrane of the hair cell. The ensuing graded receptor potential (i.e., the analog modulation of the hair cell resting potential) follows the movements of the stereocilia. Electrical activity in the hair cell is signaled to the central nervous system by afferent fibers of the acoustic or vestibular nerve that synapse to several active zones in the cell basolateral membrane.With few exceptions, hair cells of the vestibular system in all animals respond to subacoustic frequencies, rarely in excess of a few tens of Hertz, whereas distinct mechanisms have evolved in the auditory periphery to extract sound frequency information over a far broader range. Thus, in the mammalian cochlea primed by sound, hydromechanical interactions excite specific vibration patterns on the basilar membrane, the elastic structure that supports the organ of Corti (FIGURE 1A).Basilar membrane vibrations are enhanced by a physiologically vulnerable mechanism, known as the cochlear amplifier, permitting frequency discrimination with ~1% accuracy over a range that, in humans, covers seven octaves from 40 Hz to 18 kHz. Frequency limits are species specific, and in other mammals the upper boundary may extend beyond a dazzling 100 kHz. In a subset of these frequencies, what might rightfully be defined as the energetic miracle of sound perception enables the detection of just-audible sounds corresponding to pressure changes as small as ~20 Pa (hearing threshold), i.e., 1 part in 5 ϫ 10 9 of ...