Despite recent advances, a better understanding of the complexity of gap-junctional communication in the inner ear and the structure-function relationships of connexin proteins is required for the development of mechanism-based treatments of connexin-associated hearing loss.

Mutations in the genes for three different isotypes of the gap junction channel protein connexin are associated with deafness. This indicates an important role for gap junctions in auditory function and provides an opportunity to explore structure-function relationships in the connexin molecule. We have been examining the distribution of gap junctions and the pattern of connexin expression in the mature inner ear and during development, and the effect of specific mutations on the processing and functionality of the expressed connexin proteins in an in vitro system.

Mutations in the GJB2 gene are a major cause of nonsyndromic recessive hearing loss in many countries. In a significant fraction of patients, only monoallelic GJB2 mutations known to be either recessive or of unclear pathogenicity are identified. This paper reports a novel GJB2 mutation, 23438CRT, found in the basal promoter of the gene, in trans with V84M, in a patient with profound hearing impairment. This novel mutation can abolish the basal promoter activity of GJB2. These results highlight the importance of extending the mutational screening to regions outside the coding region of GJB2.

Cochlear microphonics (CMs), which represent the electrical activity of hair cells, and compound action potentials (CAPs), which represent the activity of the auditory nerve, were recorded from the round window of the inner ear, in owlets aged between 5 and 97 days posthatching, i.e., from soon after hatching to beyond fledgling. At the earliest ages examined, animals showed very insensitive CM and virtually no CAP responses. Thus, hearing in barn owls develops entirely posthatching and the birds appear to be profoundly deaf well into the second week. Thresholds improved gradually after that and CMs reached their adult sensitivity at 5 weeks posthatching at all frequencies. Compound action potential responses appeared progressively later with increasing frequency. Adult neural sensitivity was achieved about 1 week later than for the CM responses at most frequencies, but took until 9-10 weeks posthatching at the highest frequencies (8-10 kHz). This indicates an apex-to-base maturation sequence of neural sensitivity within the cochlea, with a disproportionately long period to maturity for the most basal regions. Compound action potential amplitudes matured even later, at about 3 months posthatching, at all frequencies. This suggests a prolonged immaturity in the temporal synchrony of spiking in the auditory nerve.