The restoration of planar cell polarity is an essential but poorly understood step toward physiological recovery during sensoryorgan regeneration. Investigating this issue in the lateral line of the zebrafish, we found that hair cells regenerate in pairs along a single axis established by the restricted localization and oriented division of their progenitors. By analyzing mutants lacking the planar-polarity determinant Vangl2, we ascertained that the uniaxial production of hair cells and the subsequent orientation of their hair bundles are controlled by distinct pathways, whose combination underlies the establishment of hair-cell orientation during development and regeneration. This mechanism may represent a general principle governing the long-term maintenance of planar cell polarity in remodeling epithelia.auditory system ͉ balance ͉ hearing ͉ lateral line ͉ vestibular system E pithelial cells are polarized along the apicobasal axis and often also perpendicularly to this axis, within the plane of the epithelium. The latter type of cellular organization, termed planar cell polarity, has been studied extensively during development in Drosophila (1, 2). Because the epithelia of adult fruit flies harden and, consequently, cannot undergo repair after mechanical damage or cell death, they are not amenable to studies of the postembryonic recovery of planar cell polarity. In vertebrates, the orientation of the hair bundle that projects from the apical surface of a sensory hair cell represents a striking example of planar cell polarity (3, 4). Because the hair bundle's axis of morphological polarization defines the cell's axis of responsiveness to mechanical stimuli, the senses of hearing and equilibrium rely on the coordinated orientation of hair cells across the sensory epithelium (5, 6).The loss of cochlear hair cells in mammals is irreversible. However, other vertebrates can regenerate hair cells (7-9). In birds, for example, regenerated hair cells appear normal and regain their proper orientation (10-12). The mechanisms that underlie the establishment of hair-cell orientation during development remain poorly understood, however, and those active during hair-cell regeneration are unknown. Direct and continuous observation of hair-cell development and regeneration has not yet been achieved, for live imaging of the ear's mechanosensory epithelium is hampered by the inaccessibility of the cochlea within the skull. Furthermore, the long periods needed by some animals to regenerate hair cells pose severe limitations to analyzing the process continuously. Attempts to monitor cellular behavior in neuromasts after hair-cell ablation in salamanders suffered from the absence of cellular and molecular markers (13), which prevented the unambiguous identification of cellular types and the analysis of the recovery of epithelial architecture upon regeneration. In this study, we used the lateral-line system of the zebrafish to circumvent these limitations and to acquire time-lapse sequences of hair-cell formation and regeneration....