A Tmc1 mutation reduces calcium permeability and expression of mechanoelectrical transduction channels in cochlear hair cells.

Mechanoelectrical transducer (MET) currents were recorded from cochlear hair cells in mice with mutations of transmembrane channel-like protein TMC1 to study the effects on MET channel properties. We characterized a Tmc1 mouse with a single-amino-acid mutation (D569N), homologous to a dominant human deafness mutation. Measurements were made in both Tmc2 wild-type and Tmc2 knockout mice. By 30 d, Tmc1 pD569N heterozygote mice were profoundly deaf, and there was substantial loss of outer hair cells (OHCs). MET current in OHCs of Tmc1 pD569N mutants developed over the first neonatal week to attain a maximum amplitude one-third the size of that in Tmc1 wild-type mice, similar at apex and base, and lacking the tonotopic size gradient seen in wild type. The MET-channel Ca2+ permeability was reduced 3-fold in Tmc1 pD569N homozygotes, intermediate deficits being seen in heterozygotes. Reduced Ca2+ permeability resembled that of the Tmc1 pM412K Beethoven mutant, a previously studied semidominant mouse mutation. The MET channel unitary conductance, assayed by single-channel recordings and by measurements of current noise, was unaffected in mutant apical OHCs. We show that, in contrast to the Tmc1 M412K mutant, there was reduced expression of the TMC1 D569N channel at the transduction site assessed by immunolabeling, despite the persistence of tip links. The reduction in MET channel Ca2+ permeability seen in both mutants may be the proximate cause of hair-cell apoptosis, but changes in bundle shape and protein expression in Tmc1 D569N suggest another role for TMC1 apart from forming the channel.

Sound stimuli are converted into electrical signals by the opening of mechanoelectrical transducer (MET) channels in the stereocilia projecting from the top of each hair cell. The MET channels are thought to be located at the lower ends of extracellular tip links connecting adjacent stereocilia (1–3). These channels are cation channels with high permeability to Ca2+ (4–6). There has been much controversy over the molecular underpinning of the channel, but the current view is that the transmembrane channel-like protein isoforms 1 and 2 (TMC1 and TMC2) play a pivotal role in MET channel function (7, 8). Both TMC isoforms have been localized to the site of the MET channels at the tips of the shorter stereocilia (9), and mutation in either alters ion conduction through the channels (10–12). TMC2 is expressed early in postnatal development of the mouse cochlea and is replaced by TMC1 by the end of the first postnatal week (8, 13). Tmc1 knockout mice lack MET currents in outer hair cells (OHCs) after postnatal day (P)8 and are deaf (8, 10). However, TMC1 may not be the sole member of the MET channel: other components proposed to interact with TMC1 at the transduction site include LHFPL5 (14, 15), TMIE (16, 17), and CIB2 (18).

Neither the configuration nor the role of TMC family members has been clear because of past inability to express the protein in a heterologous system and have it transported to the plasma membrane (19). However, a recent success was reported, but without production of mechanosensitivity (20). Some insight was derived from a possible evolutionary relationship between TMC1 and TMEM16 (ANO1), a Ca2+-activated chloride channel (21, 22). Modeling based on homology between TMC1 and TMEM16A proposed dimeric TMC1 channels, each component having 10 transmembrane domains, with an ion-conducting cavity generated by transmembrane domains 4 to 7 (23, 24). According to this modeling, the ion-conducting cavity of a hypothetical TMC1 channel contains several critical residues the mutations of which are linked to human genetic deafness. These mutations include D572N (7), D572H (25), M418K (26), and G417R (27). All mutations are associated with dominant deafness DFNA36 and substitute a positively charged residue (lysine or arginine) or remove a negatively charged residue (aspartate), which may influence Ca2+ binding within the channel pore. We shall focus on the properties of the mouse mutation Tmc1 p.D569N (25) and compare it with Tmc1 p.M412K, known as Beethoven (11, 12, 28, 29), these being the sites in the mouse TMC1 homologous to the D572 and M418 human mutations. Both are semidominant mutations linked to progressive hearing loss, but they have subtly different effects on MET channel properties.

Materials and Methods

Mouse Mutants.

The care and use of animals for all experiments described conformed to NIH guidelines and were approved by the Institutional Animal Care and Use Committee at the University of Wisconsin, Madison. The Tmc2 knockout (B6.129S5-Tmc2/Mmucd) was obtained from the Mutant Mouse Regional Resource Center (University of California, Davis, CA). Tmc1 p.D569N mice were made by Applied StemCell Inc. (Milpitas, CA) using CRISPR/Cas9 technology with a single-stranded oligonucleotide donor of the sequence given in ; the desired mutation was verified by 500-bp sequencing around the targeted site in F0 and in F1 pups. Mice were subsequently bred for 5 generations, after which any unlikely off-target effects should have been eliminated. Tmc1 pM412K (Beethoven) mice were a gift from Karen Steel (Kings College London, UK). Both Tmc1 M412K and Tmc1 D569N mice were bred onto a similar CD1 background and then crossed with Tmc2−/−. For mutants, a mixture of male and female mice was used, and no sex-specific effects were noted. Both C57Bl6 and CD1 mice were used as controls. Acoustic brainstem responses (ABRs) were measured on 4-wk-old mutant and wild-type mice of both sexes using Tucker-Davis Technology (Alachua, FL) Auditory Workstation with an RZ6 Processor equipped with BioSigRZ software. For all ABRs, mice were anesthetized with 10 mg/mL ketamine and 1 mg/mL xylazine.

Electrophysiology and Stimulation.

MET currents were recorded from OHCs and inner hair cells (IHCs) in isolated organs of Corti of mice between P0 and P10 with methods described previously (10, 30). Excised cochlear turns were immobilized in a recording chamber on a fixed-stage microscope (Leica DMFS) and perfused with saline of composition (in mM): 152 NaCl, 6 KCl, 1.5 CaCl2, 2 Na–pyruvate, 8 D-glucose, and 10 Na–Hepes, pH 7.4, at room temperature of 21° to 23 °C. Electrical recordings were made with patch electrodes filled with the following solution (in mM): 128 CsCl, 3.5 MgCl2, 5 Na2ATP, 10 Tris phosphocreatine, 1 BAPTA (1,2-bis(o-aminophenoxy)ethane-N,N,N′,N′-tetracetic acid), 10 Cs–Hepes, pH 7.2, and connected to an Axopatch 200B amplifier; recording time constants were 25 to 50 µs. Stereociliary bundles were stimulated with a fluid jet or a stiff glass probe driven by a piezoactuator and bundle displacements were calibrated (31). Single MET-channel events were characterized as previously described (12, 13). Single-channel amplitudes were also determined from MET-channel nonstationary current noise (32, 33). MET currents in response to prolonged near-maximal bundle stimuli were low-pass-filtered at 10 kHz; currents were analyzed by subtracting the mean current, I, from each of 40 or more individual traces and squaring the difference to yield the current variance, σI2, which was then corrected by subtracting the variance attributable to the background noise. A plot of σI2 against I was fit with the following parabolic equation: σI2 = io·I − I2/NMET, where io is the single-channel current and NMET is the number of channels (33). The Ca2+ selectivity of the MET channel was determined (5, 10) by measuring the Ca2+ reversal potential (Vrev) using the following CsCl-based intracellular solution of composition (in mM): 135 CsCl, 3 MgATP, 10 Tris phosphocreatine, 1 EGTA–CsOH, 10 Hepes (pH 7.2) and an extracellular solution (in mM): 100 CaCl2, 20 N-methylglucamine, 6 Tris, 10 D-glucose (pH 7.4). MET current reversal potentials were corrected for a −9-mV junction potential, and the permeability ratio, PCa/PCs, was calculated from the Goldman–Hodgkin–Katz equation using activity coefficients for Cs+ and Ca2+ as described previously (10).

Immunolabeling and Electron Microscopy.

To document hair-cell survival in mutants, P14 and P30 cochleas were fixed in 4% paraformaldehyde for 1 h at room temperature. Cochleas were decalcified in 0.12 M EDTA in 0.1 M Na phosphate buffer at pH 7.4 for 15 to 27 h; blocked in goat serum for 1 h and immunolabeled with rabbit polyclonal anti-calbindinD28k (Swant, Bellinoza Switzerland, 1:500, 2 h), secondary Alexafluor488 antibody, and Alexa-568 phalloidin (1:500, 1 h); mounted with Fluoromount G; and viewed on an Nikon A1 confocal. TMC1 labeling was performed (15) by fixing cochleas in 4% paraformaldehyde for 10 min at room temperature and then by secondary fixation and permeabilization in an equi-volume mixture of methanol and acetone at −20 °C for 10 min, washed and labeled with TMC1 antibody (HPA 044166, Sigma Chemical Co., 1:50 dilution, for 16 h at 4 °C). Bundles were counter-labeled with espin (monoclonal anti-ESPN, BD Biosciences, 1:100 dilution). Fluorescence intensity was measured with ImageJ software. Scanning electron micrographs of cochlear hair bundles were obtained (34) using the OTOTO technique (35). Isolated cochleas were fixed in 2.5% glutaraldehyde in 0.1 M Na cacodylate buffer (pH 7.4) plus 2 mM CaCl2 for 2 h, postfixed for 1 h in 1% osmium tetroxide in cacodylate buffer, washed, and incubated in a saturated filtered solution of thiocarbohydrazide for 20 min. Tissue was dehydrated through an ethanolic series, critical-point-dried from liquid CO2, mounted, and examined in a Hitachi S-4500 field emission scanning electron microscope at 5 kV.

Results

TMC1 p.D569N Is Associated with OHC Loss and Deafness.

The Tmc1 p.D572N mutation has been reported in humans to cause dominant nonsyndromic hearing loss, but the equivalent mutation in mice has not been characterized. Acoustic brainstem responses showed that Tmc1 p.D569N mutant mice were completely deaf by P30 (Fig. 1 ). At this age, there was major loss of OHCs proceeding from the base to the apex, with cell death being greater in homozygotes than in heterozygotes (Fig. 1 ). However, there was much smaller loss of IHCs at the same time point. OHC loss was already visible at P14, especially at the base, in Tmc1 p.D569N/D569N homozygotes but not in Tmc1 p.D569N/+ heterozygotes. It should be emphasized that results illustrated in Fig. 1 were for Tmc2 mice as in the human mutation, but the TMC2 isoform would have disappeared by P30, and consistent with this, the hair-cell counts were similar in the Tmc2 mutant background (Fig. 1). Nevertheless, subsequent results will delineate the effects of the Tmc1 p.D569N mutation in the presence and in the absence of TMC2. The genotypes will be referred to as Tmc1 p.D569N/D569N; Tmc2 and Tmc1 p.D569N/D569N; Tmc2.

Fig. 1.

Deafness and hair-cell loss in Tmc1 p.D569N mutants. (A) Acoustic brainstem responses (ABRs) in P30 Tmc1 wild-type and P30 Tmc1 D569N/+; Tmc2 mice for 80-dB clicks and 80-dB 16-kHz tones. (B) Mean threshold for tone stimuli versus frequency in 5 wild-type mice, 4 Tmc1 D569N/+; Tmc2 mice, and 3 Tmc1 D569N/D569N; Tmc2 mice. For both p.D569N mutants no response was evident at 95 dB sound pressure level. (C) Middle turn cochleas labeled with phalloidin (red) and calbindinD-28k antibody (green) for P30 Tmc1 wild-type (Top) and Tmc1 pD569N/+; Tmc2 mice (Bottom) showing OHC loss in a heterozygote. (D) Surviving hair cells (percent) at 3 cochlear locations for IHC (black), and OHC stereociliary row 1 (R1, red), stereociliary row 2 (R2, blue), and stereociliary row 3 (R3, green) of P30 Tmc1 D569N/+; Tmc2. (E) Percentage of survival at 3 cochlear locations for IHC (black), row 1 (red), row 2 (blue), and row 3 (green) OHCs of P30 Tmc1 D569N/D569N; Tmc2. (F) Percentage of survival at 3 cochlear locations for IHC (black), and OHC stereociliary row 1 (R1, red), stereociliary row 2 (R2, blue), and stereociliary row 3 (R3, green) of P30 Tmc1 D569N/D569N; Tmc2-/-. In D–F, mean ± SD of 300 cells in 3 mice.

The MET current in cochlear hair cells develops over the first few neonatal days and initially flows through TMC2-containing channels, but after approximately the first week, TMC2 is down-regulated and the MET current is attributable to TMC1-containing channels (13). In Tmc1; Tmc2, expression of the MET channel was delayed relative to the Tmc1; Tmc2; the base of the cochlea preceded the apex by about 2 d to reach a greater maximal amplitude (Fig. 2 ), consistent with the tonotopic organization of the MET channel (13). Despite the profound effects on hearing in Tmc1 p.D569N mutant mice, whether heterozygote or homozygote, OHCs still displayed MET currents during the first neonatal week. The MET channel in Tmc1 p.D569N/D569N; Tmc2 developed over the same time period as the Tmc1+/+; Tmc2, but reached a maximum size about one-third of the wild type at the apex (Fig. 2); more importantly, there was no difference between apex and base: the OHC current amplitude at the base (P4) was not significantly different from that at the apex (P6) (2-sided t test, P = 0.87). Equivalent results were obtained from IHCs and, in the absence of TMC2, the mean current at P6 was 0.52 ± 0.01 nA (n = 7) in the Tmc1; Tmc2 and was reduced to one-third, 0.14 ± 0.01 nA (n = 3), in the Tmc1 p.D569N/D569N; Tmc2 mutant. In contrast to the OHC currents in the Tmc1 p.D569N mutant mouse, those in the Tmc1 M412K mutant developed along a similar trajectory (although slightly earlier) to attain the same amplitude as in the wild-type mouse at both apex and base (Fig. 2); indeed, even at P10 there was little reduction in MET current in Tmc1 p.M412K/M412K; Tmc2 compared to wild-type Tmc1; Tmc2 (29). Furthermore, the Tmc1 p.M412K accelerates expression of the MET channel relative to the Tmc1 p.D569N. The comparison between Tmc1 p.D569N and Tmc1 p.M412K mutations suggests that they have different initial consequences for MET channel expression.

Fig. 2.

MET currents in OHCs of Tmc1 D569N; Tmc2 and Tmc1 M412K; Tmc2 mice. (A) Examples of maximal MET currents in apical OHCs of Tmc1, Tmc1 D569N/D569N, and Tmc1 M412K/M412K at P6. (B) Maximal MET currents in basal OHCs of Tmc1 and Tmc1 D569N/D569N and Tmc1 M412K/M412K at P5. At both cochlear locations, the maximal MET current is smaller in D569N. (C) Development of MET current (mean ± SEM) with postnatal age. Number of OHCs with points of increasing age—Tmc1Tmc2: base, open circles, 4, 5, 5, 4, 4, 3; Tmc1Tmc2: apex, open triangles, 3, 3, 3, 5, 7, 5, 6, 3; Tmc1 M412K/M412K; Tmc2: base, red circles, 3, 3, 4, 4, 5, 2; Tmc1 M412K/M412K; Tmc2: apex, red triangles, 2, 5, 11, 9, 10, 6; Tmc1 D569N/D569N; Tmc2: base, green circles, 2, 4, 5, 7, 4; and Tmc1 D569N/D569N; Tmc2: apex, blue triangles, 3, 3, 6, 9, 5.

We also documented the effects on the MET current of the mutation on the Tmc2+/+ wild-type background. In Tmc1 p.D569N/D569N; Tmc2, the time course of the OHC MET current was complex, increasing to a peak and then declining (). This time course reflects the initial transient expression of TMC2, followed by the appearance of the TMC1 p.D569N. The expression of the TMC1 mutant at each age was determined by subtracting the expected time course of TMC2 (13) (, dashed line) from that measured in Tmc1 D569N/D569N; Tmc2+/+ mice. The results of the subtraction are consistent with the measurements in Fig. 2, confirming that there is a substantial reduction in current size in the Tmc1 p.D569N mutant.

TMC1 Labeling and Hair Bundle Shape in the Mutant.

The reduced MET current in the Tmc1 p.D569N mutant may be caused by a diminished expression of TMC1 at the transduction site. We examined this possibility by labeling for TMC1 with an anti-TMC1 antibody (15). OHC bundles in Tmc1 showed clear labeling for the protein, but in the Tmc1 p.D569N/D569N there was a significant reduction in the label (Fig. 3 ). Quantification in apical OHCs showed about a 3-fold reduction in fluorescence intensity in the mutant (Fig. 3), comparable to the reduction in the OHC MET current. The hair bundle structure in OHCs was also examined in scanning electron micrographs, and showed a rounded U-shaped contour (Fig. 3) similar to that seen in Tmc1; Tmc2 (34). There was also a distortion of the stereociliary tips (Fig. 3, asterisks), as though the stereocilium had shrunk and been drawn down from its attachment point; this deformation is also prominent in Cib2 (18). Associated with the rounding of the OHC bundles, there was a reduction in bundle height. The height of the tallest stereociliary row, measured in isolated unfixed cochleas, was 4.3 ± 0.2 µm (n = 9) in Tmc1+/+; Tmc2−/− and 2.8 ± 0.1 µm (n = 11) in Tmc1 p.D569N/D569N; Tmc2−/−, the difference being significant (t test, P < 0.0001). Despite the changes in appearance of the hair bundles and component stereocilia, there was evidence for the presence of tip links, which was unsurprising as we have previously shown the tip links to remain even in the absence of both TMC1 and TMC2 (34).

Fig. 3.

TMC1 expression and OHC bundle shape in the D569N mutant. (A) Immunolabeling for TMC1 in the apical region of a P7 Tmc1; Tmc2 mouse cochlea. One row of OHCs is shown, the bundle structure (red fluorescence) revealed by an antibody against the actin cross-linker ESPN. (B) Immunolabeling in the apical region of a P7 Tmc1 p.D569N/D569N; Tmc2 mouse cochlea, showing reduced TMC1 expression. (C) Quantification of fluorescence (mean ± SD) evaluated form 24 OHCs in each of 2 mice of each strain. TMC1 label is reduced 3.1-fold from 1,870 to 611 counts (t test, P < 0.0001). (D) Scanning electron micrograph of apical OHC bundles in a P7 Tmc1 p.D569N/D569N; Tmc2 mouse cochlea. (E) Scanning electron micrograph of OHC stereocilia from P7 Tmc1 p.D569N/D569N; Tmc2 mouse cochlear apex; arrowheads indicate tip links, and asterisks denote 2 distorted stereocilia with unusual elongated tips. (F) Higher power of OHC stereocilia in Tmc1 p.D569N/D569N; Tmc2 mutant showing persistence of tip links (arrowheads).

Ca2+ Influx in TMC1 Mutants.

The amino acid D569 has been proposed from modeling to lie in the TMC1 channel pore region at the cytoplasmic face of transmembrane domain 7 (23, 24). Because of loss of the negatively charged residue, mutation at this location might affect the Ca2+ permeability of the MET channel. Reversal potentials for the MET current in 100 mM of extracellular Ca2+ saline were measured in controls and in Tmc1 p.D569N homozygous and heterozygous mutant mice. The permeability results (Fig. 4 ) showed that there was a more than 3-fold reduction in Ca2+ permeability from PCa/PCs = 4.20 ± 0.7 (n = 10) for the Tmc1; Tmc2 to PCa/PCs = 1.25 ± 0.1 (n = 7) for the Tmc1 p.D569N/D569N; Tmc2 homozygote; an intermediate value of PCa/PCs = 2.11 ± 0.5 (n = 6) was measured for the Tmc1 p.D569N/+; Tmc2, heterozygote. The heterozygote and homozygote were significantly different (t test, p < 0.01), as were the heterozygote and control (P < 0.001). Similar results were seen with the Tmc1 p.M412K in OHCs (Fig. 4), as previously reported (12, 29). The Tmc1 p.M412K/M412K; Tmc2 homozygote and the Tmc1 p.M412K/+; Tmc2 heterozygote were significantly different (t test, P < 0.006), as were the heterozygote and the control (P < 0.001). For both Tmc1 mutants, the reduction in Ca2+ permeability, even in heterozygotes, may offer an explanation for the semidominance of the mutation: even with a single-mutant copy of the gene, ion conduction through the MET channel is modified. Measurements were made in Tmc2 mice as well as in Tmc2, but these 2 genotypes showed similar values (Fig. 4), since at the age used (P7), the TMC2 would have almost disappeared ().

Fig. 4.

MET channel Ca2+ permeability of apical OHCs in Tmc1 mutants. (A) Ca2+ permeability determined from reversal potential (arrow) for continuous sinusoidal hair bundle stimulation (Top) during membrane potential sweeps from −50 to +50 mV: Tmc1+/+; Tmc2; Tmc1 pD569N/+; Tmc2; and Tmc1 p.D569N/D569N; Tmc2 mice. Note the negative shift in reversal potential (arrows) in the mutants. (B) Current–voltage relationships for 3 TMC1 variants from A. (C) Collected results of reversal potential and calculated PCa/PCs (mean ± SEM) for Tmc1+/+, Tmc1 p.D569N, and Tmc1 p.M412K in a Tmc2 background (open bars) and Tmc2 background (filled bars). Numbers of OHCs measured, from left to right—Tmc2: 5, 3, 6, 12 and Tmc2: 10, 4, 7, 10, 10. Note reduced Ca2+ permeability in homozygotes and intermediate reduction in heterozygotes in both mutants. All measurements on P7 mice.

Single MET Channel Currents.

Another possibility is that the D569 site contributes to the conductance of cations other than Ca2+. We therefore determined whether the mutation affects the single-channel conductance; this was measured in low, 0.04 mM, extracellular Ca2+ to maximize current amplitudes and to improve signal to noise. Single channels were isolated after brief BAPTA exposure as previously described (5, 13), the mechanical probe was moved around the bundle until isolated channels were seen, and recordings were selected in which only single-channel events were observed. The mean principal unitary current was −8.0 ± 0.4 pA based on 96 records in 3 apical OHCs (Fig. 5). Of all channel events visible, this amplitude constituted 71% of all traces and was the most long-lived (Fig. 5). Other brief conductance states were also seen: −4.2 pA and −11.5 pA. The distribution of event sizes accords well with that documented for apical OHCs from TMC1 wild-type mice (Tmc1; Tmc2) (13), indicating that the p.D569N mutation caused no reduction in the MET channel conductance. Measurements from OHCs in the Tmc1 p.D569N/D569N; Tmc2 mutant at the base gave a mean principal unitary current of −7.9 ± 0.3 pA based on 100 events in 4 OHCs. Of all channel events visible, a −8 pA channel size constituted 67% of all events. Other brief conductance states were −4.0 pA, −11.0 pA, and −14.0 pA, which are evident in the recordings in Fig. 5; however, in this cell the predominant level was still 8.0 to 8.5 pA (Fig. 5), although the histograms all have a small −14 pA component. There were, however, no substantial large-amplitude channels as seen in controls (13). Based upon these various levels, the mean equivalent conductance G is given by the following: G = Σ (niIi)/VH, where Ii are the current levels and ni are there relative proportions (13). G has a value of 95 ± 5 pS at the apex and 107 ± 6 pS at the base. While these values are different, the gradient is smaller than reported in wild type, where the base conductance is at least twice that at the apex. Measurements were also made in apical IHCs of Tmc1 p.D569N/D569N; Tmc2 mutant mice (Fig. 6) and gave no evidence of a reduction in the MET channel conductance in the mutant. The principal unitary current (measured in 0.04 mM external Ca2+) was −7.2 ± 0.5 pA based on 60 records in 3 IHCs. As with the OHCs, there were brief additional levels at −4.2 pA, −11.3 pA, and −14.6 pA. Similar levels were seen in the control (see figure 4 of ref. 13).

Fig. 5.

Single MET channel currents in apical and basal OHCs of Tmc1 pD569N/D569N; Tmc2 mice. (A) Three examples of single-channel records. (Bottom) The ensemble average current of 100 stimuli for a P5 apical OHC. (B) Amplitude histograms for each trace shown in A were fit with single Gaussians, giving channel amplitudes of −7.8, −8.2, and −9.0 pA. (C) Single-channel records and ensemble average of 30 presentations for a P4 basal OHC; red dashed lines indicate multiple current levels (pA). (D) Amplitude histograms for each trace shown in C were fit with single Gaussians, giving channel amplitudes of −8.5 and −14 pA; −8.5 and −14.5 pA; and −7.7 and −14.5 pA. The components at −14 or −14.5 pA were included in the fitting, but the other levels were too small to appear in the histograms. In both apical and basal hair cells, the extracellular Ca2+ around the bundle was 0.04 mM, and the holding potential was −84 mV.

Fig. 6.

Single MET channel current amplitudes are unaltered in hair cells of Tmc1 p.D569N/D569N mice. (A) Single-channel records in the Tmc1; Tmc2 mouse, ensemble average of 40 stimuli, and amplitude histogram with channel of −6.9 pA. (B) Single-channel records, ensemble average of 100 presentations, and amplitude histogram of Tmc1 p.D569N/D569N; Tmc2 with channel of −7.1 pA. A and B are for P6 mouse apical IHCs. (C) OHC MET currents in the Tmc1; Tmc2 mouse with mean current (red) with individual responses (gray) for 50 stimuli superimposed. (Bottom) Plot of current variance σI2 versus current amplitude I, fit with parabolic equation () giving single-channel current io = −6.0 pA and number of channels NMET = 123. (D) OHC MET currents in Tmc1 p.D569N/D569N; Tmc2 mouse with mean current (red) with individual responses (gray) for 40 stimuli superimposed. (Bottom) Plot of current variance σI2 versus current I, gives io = −6.1 pA) and NMET = 59. C and D are for P6 mouse apical OHCs; extracellular Ca2+ was 0.04 mM (A and B) and 1.5 mM (C and D).

Analysis of nonstationary current noise has sometimes been employed to derive the properties of a number of ion channels including the hair-cell MET channel (24, 32). We applied this technique to apical OHCs to confirm the lack of effect of the p.D569N mutation (Fig. 6). The bundle displacement step was chosen so that it evoked a near maximal current but displayed adaptation, so the probability of channel opening ranged from near 0 to 1.0. Each 200-ms positive displacement of the bundle was preceded by a negative deflection to close those channels open at rest. The measurements gave similar values for the single-channel current of ∼6.0 pA in the wild type and mutant. The experiments were performed with 1.5 mM extracellular Ca2+ bathing the hair bundle in order to prevent run-down and optimize stationarity during prolonged data collection. Owing to Ca2+ block of the channel, the channel amplitude will be about 30% smaller than those in direct measurements of single-channel events, all of which were done in 0.04 mM Ca2+. For apical OHCs, the mean unitary current (±SD) inferred from the noise analysis was −6.5 ± 1.2 pA (n = 6) for Tmc1; Tmc2 and 6.0 ± 0.8 pA (n = 7) for Tmc1 p.D569N/D569N; Tmc2. There was no significant difference between these current amplitudes (t test, P = 0.3). The analysis also yielded the number of channels per cell: 185 ± 40 channels for the Tmc1; Tmc2 control and 62 ± 20 for the Tmc1 p.D569N/D569N; Tmc2. The result supports the conclusion that the D569N mutation substantially reduces channel expression, as found with the macroscopic current, without a change in channel conductance (Fig. 2).

Discussion

Our study highlights possible mechanisms for the autosomal dominant human deafness DFNA36 caused by the single-amino-acid substitution D572N (7) (equivalent to D569N in mice). It should be emphasized that the acoustic brainstem responses and hair-cell counts (Fig. 1) were done on a Tmc2 background as appropriate for comparison with the human mutation. However, hair-cell recordings could be made only before about P9, so most measurements of current amplitude (Fig. 2) and single-channel recordings (Figs. 5 and 6) were performed on a Tmc2 background to circumvent contamination from TMC2-containing MET channels, which are down-regulated after P8. Nevertheless, the main conclusions were verified by some results with TMC2 present (). Moreover, the effects on channel Ca2+ permeability were documented in the presence and absence of TMC2 (Fig. 4).

According to recent modeling (23, 24), the D572 site could lie near the cytoplasmic end of the ion-conducting cavity of a hypothetical channel formed by TMC1. The mouse mutational deficits fall into 2 categories: those similar to Tmc1 p.M412K and those unique to Tmc1 p.D569N. The former category includes decreased Ca2+ permeability, misshapen hair bundles, and ultimately OHC apoptosis proceeding from base to apex. Some of these have been reported previously for Tmc1 p.M412K (11, 12, 28, 29, 36). The latter category unique to Tmc1 p.D569N is a substantial reduction in the maximum MET current and loss of its tonotopic gradient in OHCs. Thus, the p.D569N mutation may affect the expression and trafficking of the MET channel, possibly by impaired interaction of TMC1 with other constituents of the mechanotransduction complex, whereas the p.M412K mutation does not. Reduction in the maximum current in Tmc1 p.D569N (but not in Tmc1 p.M412K) (12) will further diminish the influx of Ca2+, which could be a key change ultimately triggering cell death. With regard to the misshapen or U-shaped hair bundles and reduced bundle height, one hypothesis is that the hair bundle, which matures over the first neonatal week, may require Ca2+ influx to preserve actin polymerization and also the shape of the top of the OHC and cuticular plate. Ca2+ influx is likely to be reduced in Tmc1; Tmc2 and Cib2 where there is no normal MET current (18, 30) and in both Tmc1 mutations described here. It is noteworthy that some protection is afforded by the early presence of TMC2, which will permit Ca2+ to enter the cell over the first postnatal week. Ca2+ influx via the MET channels has been shown to be essential for maintaining stereociliary structure and the stability of the cytoskeleton (37). Despite the reduction in Ca2+ permeability associated with the Tmc1 p.D569N and Tmc1 p.M412K mutations, the lack of change in channel conductance in either mutant raises the concern that TMC1 does not on its own form the pore. Other contributors may include TMIE (16, 17) and CIB2 (18), as well as currently unidentified components. For the OHCs, we previously concluded that the tonotopic size gradient reflects differential expression of TMC1 molecules at the transduction site, with more molecules at the base than at the apex (13). The absence of a OHC tonotopic gradient in the Tmc1 p.D569N may partly reflect an overall reduction in the number of TMC1 molecules at the transduction site at both apex and base, rather than any change in the unitary conductance of individual subunits. No such reduction in TMC1 expression is expected for Tmc1 p.M412K (Fig. 1), and the tonotopic gradient in channel conductance persists (12).

An important unanswered question is why the p.D569N mutation causes hair-cell death and deafness. Is it a direct consequence of the reduced Ca2+ influx, linked to downstream signaling via, for example, a Ca2+/calmodulin-stimulated protein kinase? Features of hair-cell death in this circumstance, as with gentamicin toxicity, are its delayed onset (38) and progression in OHCs from cochlear base to apex (39). Our results demonstrate a major difference between the effects of the 2 mutants, p.D569N and p.M412K, with reduction in the MET current and loss of tonotopy in the former but not in the latter. Nevertheless, both mutations show hair-cell loss by P30 (36) [although, curiously, the relative loss of IHCs and OHCs in Tmc1 p.M412K depends on background strain (40)]. It is possible that the Tmc1 p.D569N channel is less stable than the Tmc1 M412K, thus accounting for the reduction in current, but that alone cannot explain the hair-cell death. It is also conceivable that TMC1 has some other regulatory effect perhaps linked to reduced Ca2+ influx in the endoplasmic reticulum (22), and it is this aspect which is disrupted in both mutants. Thus protein synthesis, folding, and quality control may all be modulated by Ca2+ in the endoplasmic reticulum lumen (41). Such a regulatory role of TMC1 was implied by its effect on development and sexual behavior in the worm (42), and the topic will be worth future study to fully elucidate the various roles of TMC1.