Mouse deafness mutations provide valuable models of human hearing disorders and entry points into molecular pathways important to the hearing process. A newly discovered mouse mutation named hurry-scurry (hscy) causes deafness and vestibular dysfunction. Scanning electron microscopy of cochleae from 8-dayold mutants revealed disorganized hair bundles, and by 50 days of age, many hair cells are missing. To positionally clone hscy, 1,160 F 2 mice were produced from an intercross of (C57BL͞6-hscy ؋ CAST͞EiJ) F 1 hybrids, and the mutation was localized to a 182-kb region of chromosome 17. A missense mutation causing a critical cysteine to phenylalanine codon change was discovered in a previously undescribed gene within this candidate interval. The gene is predicted to encode an integral membrane protein with four transmembrane helices. A synthetic peptide designed from the predicted protein was used to produce specific polyclonal antibodies, and strong immunoreactivity was observed on hair bundles of both inner and outer hair cells in cochleae of newborn ؉͞؉ controls and ؉͞hscy heterozygotes but was absent in hscy͞ hscy mutants. Accordingly, the gene was given the name ''tetraspan membrane protein of hair cell stereocilia,'' symbol Tmhs. Two related proteins (>60% amino acid identity) are encoded by genes on mouse chromosomes 5 and 6 and, together with the Tmhsencoded protein (TMHS), comprise a distinct tetraspan subfamily. Our localization of TMHS to the apical membrane of inner ear hair cells during the period of stereocilia formation suggests a function in hair bundle morphogenesis.mouse ͉ hair cell ͉ stereocilia ͉ tetraspan H earing loss is the most prevalent sensory disorder in human populations, occurring in Ϸ0.2-0.3% of all live births. More than half of these childhood cases are thought to be genetic (1). The development and maintenance of the intricate structures and complex mechanisms of the mammalian inner ear require the proper functioning and concerted interactions of hundreds of genes and their products. To date, Ͼ100 forms of human nonsyndromic deafness have been genetically mapped (Hereditary Hearing Loss Homepage (http:͞͞dnalab-www.uia.ac.be͞ dnalab͞hhh), and many of the genes responsible have been identified and characterized (2). More than 200 mouse mutations are known to affect hearing and balance, and mouse models have been developed for Ͼ50 human hearing disorders (Hearing Impairment in Mice, www.jax.org͞hmr͞index.html). Because of the complex nature of the ear, it is likely that many more deafness-related genes remain to be discovered.The inner ear is comprised of the vestibular region, which controls balance, and the cochlea, which is important in detecting, amplifying, and transmitting auditory information to the brain. In the organ of Corti of the cochlea, two distinct types of sensory cells, inner and outer hair cells, are essential for the transduction of sound into nerve impulses. Stereocilia are modified microvilli that project from the apical membranes of inner ear hair cells. The acti...