Usher syndrome is a group of diseases with autosomal recessive inheritance, congenital hearing loss, and the development of retinitis pigmentosa, a progressive retinal degeneration characterized by night blindness and visual field loss over several decades. The causes of Usher syndrome are unknown and no animal models have been available for study. Four human gene sites have been reported, suggesting at least four separate forms of Usher syndrome. We report a mouse model of type I Usher syndrome, rd5, whose linkage on mouse chromosome 7 to Hbb and tub has homology to human Usher I reported on human chromosome lipl5. The electroretinogram in homozygous rd5/rd5 mouse is never normal with reduced amplitudes that extinguish by 6 months. Auditoryevoked response testing demonstrates increased hearing thresholds more than control at 3 weeks of about 30 decibels (dB) that worsen to about 45 dB by 6 months.Usher syndrome is the most common retinitis pigmentosa syndrome. The incidence in the general population is estimated to be 4.4 per 100,000, and within the deaf population, the prevalence rate has been reported to range from 3% to 6% (1-3). There are two clinical forms of Usher syndrome: types I and II. Type I patients have congenital profound hearing loss with auditory thresholds typically >100 decibels (dB) and marked hypoactivity of vestibular function (4, 5). There are three human gene linkage sites reported for Usher type I, chromosomes liplS (6), 11q14 (7), and 14q32 (8) stimuli repetitions were averaged to obtain threshold values, by decreasing the intensity by 10-dB intervals to subthreshold and then by increasing or decreasing the intensity by 5-dB intervals until repeated waveforms for at least two peaks were identified. Normal controls were 6-month-old C57BL/6J mice.Electroretinography and Indirect Ophthalmoscopy. Electroretinograms were performed as reported (17,19). A range of intensity flash levels over four orders of magnitude with a Grass photostimulator and neutral density filters (Kodak) was used to evoke the electroretinogram. For the natural history study, a 10-,tsec single flash intensity (73 foot-lamberts-sec; 1 footlambert = 3.426 cd/mi2) was used to follow the retinal degeneration. Indirect ophthalmoscopy was performed by using a 40-or 60-diopter aspheric lens and retinal biomicroscopy was performed by using a 90-diopter lens.Histology. Light microscopic examination was performed on 15 eyes, ages 3, 4, 6, 7, 8, 10, 11, 18, and 24 weeks, which were enucleated immediately after anesthetic overdose with Avertin and immersed in ice-cold fixative [1% paraformaldehyde/2% (vol/vol) glutaldehyde/0.1 M cacodylate buffer, pH 7.4] for 24 h, embedded in hydroxyethylmethacrylate, and sectioned along the temporal-nasal axis.For ultrastructural studies, eyes from rd5/rd5 mutants at 3, 5, 7, 9, and 11 postnatal weeks old were fixed with 0.5x Karnovsky's fixative (pH 7.4) for 24 h, rinsed in 100 mM sodium cacodylate buffer (pH 7.4), and fixed secondarily in 2.0% (wt/vol) osmium tetroxide for 1-2 h. T...