“…Since suramin blocked Ca 2+ waves in wildtype cochleae but had no effect on local Ca 2+ transients in cKO mice, the effect of TMEM16A on the propagation of Ca 2+ transients along Kölliker’s organ clearly involves the activation of purinergic receptors. ATP release by ISCs seems to occur through the opening of connexin hemichannels triggered by Cl - efflux-mediated osmotic cell shrinkage (Mazzarda, D’Elia et al 2020). Given the presence of mechanically induced ATP release and purinergic receptor activation in the generation of Ca 2+ waves in other tissues expressing TMEM16A such as the airway and submandibular gland epithelium (Sanderson, Charles et al 1990, Felix, Woodruff et al 1996, Grygorczyk and Hanrahan 1997, Watt, Lazarowski et al 1998, Homolya, Watt et al 1999, Homolya, Steinberg et al 2000, Romanenko, Catalan et al 2010, Ryu, Peixoto et al 2010), the olfactory epithelium (Hegg, Irwin et al 2009, Henriques, Agostinelli et al 2019), and the biliary epithelium (Dutta, Woo et al 2013), it will be interesting to investigate whether ATP/TMEM16A-mediated propagation of Ca 2+ waves is a wide-spread feature in many tissues.…”