It is a central tenet of cochlear neurobiology that mammalian ears rely on a local, mechanical amplification process for their high sensitivity and sharp frequency selectivity. While it is generally agreed that outer hair cells provide the amplification, two mechanisms have been proposed: stereociliary motility and somatic motility. The latter is driven by the motor protein prestin. Electrophysiological phenotyping of a prestin knockout mouse intimated that somatic motility is the amplifier. However, outer hair cells of knockout mice have significantly altered mechanical properties, making this mouse model unsatisfactory. Here, we study a mouse model without alteration to outer hair cell and organ of Corti mechanics or to mechanoelectric transduction, but with diminished prestin function. These animals have knockout-like behavior, demonstrating that prestin-based electromotility is required for cochlear amplification.

ABSTRACTthat underlie normal hearing. Auditory neuropathy is a hearing disorder in which peripheral hearing The neural representation of sensory events depends appears normal, but the eighth nerve and brainstem upon neural synchrony. Auditory neuropathy, a disorare abnormal (Davis and Hirsh 1979;; der of stimulus-timing-related neural synchrony, proStarr et al. 1991). By clinical definition, patients with vides a model for studying the role of synchrony in this disorder have normal otoacoustic emissions auditory perception. This article presents electrophysi-(OAEs) and cochlear microphonic (CM) potentials, ological and behavioral data from a rare case of audibut exhibit an absent or severely abnormal auditory tory neuropathy in a woman with normal hearing brainstem response (ABR) (Starr et al. 1996). Because thresholds, making it possible to separate audibility a normal ABR is recorded only when multiple neurons from neuropathy. The experimental results, which fire synchronously at stimulus onset, patients with audiencompass a wide range of auditory perceptual abilitory neuropathy provide an opportunity to examine ties and neurophysiologic responses to sound, provide the role of synchrony in perception. new information linking neural synchrony with audiThe electrophysiological tests for diagnosing auditory perception. Findings illustrate that optimal eighth tory neuropathy can be used in very young children, nerve and auditory brainstem synchrony do not allowing this disorder to be identified early in life. The appear to be essential for understanding speech in functional ramifications remain unclear, with reports quiet listening situations. However, synchrony is critiranging from functional deafness to relatively intact cal for understanding speech in the presence of noise.speech perception in quiet but severely impaired per-

Gross-potential recordings in mice lacking the Prestin gene indicate that compound action potential (CAP) thresholds are shifted by ∼45 dB at 5 kHz and by ∼60 dB at 33 kHz. However, in order to conclude that outer hair cell (OHC) electromotility is associated with the cochlear amplifier, frequency selectivity must be evaluated and the integrity of the OHC's forward transducer ascertained. The present report demonstrates no frequency selectivity in CAP tuning curves recorded in homozygotes. In addition, CAP input-output functions indicate that responses in knockout mice approach those in controls at high levels where the amplifier has little influence. Although the cochlear microphonic in knockout mice remains ∼12 dB below that in wild-type mice even at the highest levels, this deficit is thought to reflect hair cell losses in mice lacking prestin. A change in OHC forward transduction is not implied because knockout mice display non-linear responses similar to those in controls. For example, homozygotes exhibit a bipolar summating potential (SP) with positive responses at high frequencies; negative responses at low frequencies. Measurement of intermodulation distortion also shows that the cubic difference tone, 2f 1 -f 2 , is ∼20 dB down from the primaries in both homozygotes and their controls. Because OHCs are the sole generators of the negative SP and because 2f 1 -f 2 is also thought to originate in OHC transduction, these data support the idea that forward transduction is not degraded in OHCs lacking prestin. Finally, application of AM1-43, which initially enters hair cells through their transducer channels, produces fluorescence in wild-type and knockout mice indicating transducer channel activity in both inner and outer hair cells.

Prestin, a member of the solute carrier family 26, is expressed in the basolateral membrane of outer hair cells. This protein provides the molecular basis for outer hair cell somatic electromotility, which is crucial for the frequency selectivity and sensitivity of mammalian hearing. It has long been known that there are abundantly expressed ϳ11-nM protein particles present in the basolateral membrane. These particles were hypothesized to be the motor proteins that drive electromotility. Because the calculated size of a prestin monomer is too small to form an ϳ11-nM particle, the possibility of prestin oligomerization was examined. We investigated possible quaternary structures of prestin by lithium dodecyl sulfate-PAGE, perfluoro-octanoate-PAGE, a membrane-based yeast two-hybrid system, and chemical cross-linking experiments. Prestin, obtained from different host or native cells, is resistant to dissociation by lithium dodecyl sulfate and behaves as a stable oligomer on lithium dodecyl sulfate-PAGE. In the membrane-based yeast two-hybrid system, homo-oligomeric interactions between prestin-bait/prestinprey suggest that prestin molecules can associate with each other. Chemical cross-linking experiments, perfluoro-octanoate-PAGE/Western blot, and affinity purification experiments all indicate that prestin exists as a higher order oligomer, such as a tetramer, in prestin-expressing yeast, mammalian cell lines and native outer hair cells. Our data from experiments using hydrophobic and hydrophilic reducing reagents suggest that the prestin dimer is connected by a disulfide bond embedded in the prestin hydrophobic core. This stable dimer may act as the building block for producing the higher order oligomers that form the ϳ11-nM particles in the outer hair cell's basolateral membrane.Hearing impairment, the most common congenital sensory defect, affects millions of people from newborns to senior citizens, resulting in large hearing-related health care costs (1). Causes of hearing impairment are often associated with damage to outer hair cells (OHCs). 2 These sensory receptor cells, located in the mammalian organ of Corti, rapidly change their length (2) and stiffness (3) at acoustic frequencies when their transmembrane voltage is altered. Corresponding to this somatic cell-length change, OHCs exhibit voltage-dependent non-linear capacitance (4). This unique somatic electromotility is thought to provide active mechanical amplification of the cochlear response to sound (5). It has long been known that large (ϳ11-nM diameter) membrane protein particles constitute a substantial portion of the lateral membrane in OHCs (6). It is suspected that these abundantly expressed particles are the "motor proteins" responsible for somatic electromotility (7).Prestin, the OHC motor protein (8), is located at the same location where the 11-nM protein particles are found, i.e. in the lateral membrane of OHCs (9 -11). When prestin is heterologously expressed in several mammalian cell lines, the prestinexpressing cells demonstrate all of...