Prestin is a transmembrane motor protein localized at the outer hair cells (OHCs) of the mammalian inner ear. Voltage-dependent conformational changes in prestin generate changes in the length of OHCs. A loss of prestin function is reported to induce severe auditory deficiencies, suggesting prestin-dependent changes of OHC length may be at least a part of cochlear amplification. Here we expressed the recombinant FLAG-fused prestin proteins in Sf9 cells and purified to particles of a uniform size in EM. The square-shaped top view of purified prestin, the binding of multiple anti-FLAG antibodies to each prestin particle, the native-PAGE analysis, and the much larger molecular weight obtained from size exclusion chromatography than the estimation for the monomer all support that prestin is a tetramer (Zheng, J., Du, G. G., Anderson, C. T., Keller, J. P., Orem, A., Dallos, P., and Cheatham, M. (2006) J. Biol. Chem. 281, 19916 -19924). From negatively stained prestin particles, the three-dimensional structure was reconstructed at 2 nm resolution assuming 4-fold symmetry. Prestin is shown to be a bulletshaped particle with a large cytoplasmic domain. The surface representation demonstrates indentations on the molecule, and the slice images indicate the inner cavities of sparse densities. The dimensions, 77 ؋ 77 ؋ 115 Å , are consistent with the previously reported sizes of motor proteins on the surface of OHCs.The mammalian ear has specialized function in collecting sound signals and transmitting them to the nerve. Several amplifying systems are developed for sound collection. The pinna and ear canal funnel have suitable shapes for effective sound collection and condensation. The bones of the middle ear (malleus, incus, and stapes) convert the sound energy in the eardrum to the pressure waves in the fluid of the cochlea with 20 -40-fold amplification.In the inner ear, a positive feedback loop generates synchronous force by sensing the vibrations within the organ of Corti, which amplifies gained sound signals more than 100 times, although the mechanisms are not clearly understood (1, 2). One of the hypotheses is that voltage-dependent changes in the length of the outer hair cells (OHCs) 2 generate the lateral membrane motility and amplify the sound (3-5). These changes are proposed to be caused by prestin (SLC26A5) (6, 7), which is a membrane integral protein and is categorized to the solute linked carrier (SLC) 26 family of anion transporters. It has been also reported that prestin responds to the membrane potential by harboring cytoplasmic anions (Cl Ϫ or HCO 3 Ϫ ), as extrinsic voltage sensors, and changes its structure (8). Because prestin is densely embedded in the plasma membrane of the OHCs, the total length of the cell also changes as much as 5% as follows: decreases by depolarization and increases by hyperpolarization (9, 10). A voltage-dependent structural change was also observed in heterologously expressed cells, which strongly supports that prestin is a motor protein (6).The prestin gene (81.4 kDa, 744 a...