Abstract

Author SummaryA large proportion of age-related hearing loss is caused by loss or damage to outer hair cells in the organ of Corti. The organ of Corti is a highly specialized structure in the inner ear that is composed of inner hair cells, outer hair cells, and associated supporting cells. Although we understand some of the mechanisms that regulate hair cell versus supporting cell differentiation, the mechanisms that regulate differentiation of inner versus outer hair cells are not known. One potential candidate is fibroblast growth factor (FGF) signaling, which is known to regulate the morphogenesis of many sensory organs, including the organ of Corti. In this study, we find that FGF20 signaling is required at a specific time during development to initiate differentiation of cells in the mouse lateral cochlear compartment (which contains outer hair cells and supporting cells, but not inner hair cells). In the absence of FGF20, mice are deaf, and lateral compartment cells remain undifferentiated and unresponsive to mechanisms that regulate the final stages of differentiation. These findings are significant given the importance of outer hair cells during age-related hearing loss. Our studies also suggest that genetic mutations in FGF20 may result in deafness in humans and that FGF20 may be an important factor for the repair or regeneration of sensory cells in the inner ear.

Highlights

  • Congenital hearing loss is one of the most common hereditary diseases, affecting 2–3 infants per 1,000 live births [1]

  • The OC is the sensory transducing apparatus in the cochlea and is composed of one row of inner hair cells (IHC) and three rows of outer hair cells (OHC) that are separated by two pillar cells (PCs) that form the tunnel of Corti

  • A large proportion of age-related hearing loss is caused by loss or damage to outer hair cells in the organ of Corti

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Summary

Introduction

Congenital hearing loss is one of the most common hereditary diseases, affecting 2–3 infants per 1,000 live births [1]. Acquired age-related hearing loss affects one-third of people over the age of 65 [2]. A large proportion of age-related hearing loss is sensorineural and is caused by loss or damage to outer hair cells (OHC) in the organ of Corti (OC) [3,4]. The OC is the sensory transducing apparatus in the cochlea and is composed of one row of inner hair cells (IHC) and three rows of OHCs that are separated by two pillar cells (PCs) that form the tunnel of Corti. There has been progress in understanding mechanisms of hair cell (HC) and SC differentiation [5,6], the cellular signals that specify the distinct phenotypes of cochlear IHCs and OHCs are not known [7]

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