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1 Anatomy & Physiology, Kansas State University, Manhattan, Kansas, United States
2 Anatomy & Physiology, Kansas State University, Kansas, United States
* To whom correspondence should be addressed. E-mail: wange{at}vet.ksu.edu.
Pendred syndrome, characterized by childhood deafness and post-puberty goiter, is caused by mutations of SLC26A4, which codes for the anion exchanger pendrin. The goal of the present study was to determine how loss of pendrin leads to hair cell degeneration and deafness. We evaluated pendrin function by ratiometric micro-fluorometry, hearing by auditory brain stem recordings and expression of K+ and Ca2+ channels by confocal immunohistochemistry. Cochlear pH and Ca2+ concentrations and the endocochlear potential (EP) were measured with double-barreled ion-selective microelectrodes. Pendrin in the cochlea was characterized as a formate-permeable and DIDS-sensitive anion exchanger that is likely to mediate HCO3- secretion into endolymph. Hence endolymph in Slc26a4+/- mice was more alkaline than perilymph and loss of the pendrin in Slc26a4-/- lead to an acidification of endolymph. Stria vascularis of Slc26a4-/- expressed the K+ channel Kcnj10 and generated a small endocochlear potential before the normal onset of hearing at postnatal day 12. This small potential and the expression of Kcnj10 were lost during further development and Slc26a4-/- mice did not acquire hearing. Endolymphatic acidification may be responsible for inhibition of Ca2+ reabsorption from endolymph via the acid-sensitive epithelial Ca2+ channels Trpv5 and Trpv6. Hence, the endolymphatic Ca2+ concentration was found elevated in Slc26a4-/- mice. This elevation may inhibit sensory transduction necessary for hearing and promote the degeneration of the sensory hair cells. Degeneration of the hair cells closes a window of opportunity to restore the normal development of hearing in Slc26a4-/- mice and possibly human patients suffering from Pendred syndrome.
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