A Mouse Model for Nonsyndromic Deafness (DFNB12) Links Hearing Loss to Defects in Tip Links of Mechanosensory Hair Cells
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A mouse model for nonsyndromic deafness (DFNB12) links hearing loss to defects in tip links of mechanosensory hair cells Martin Schwandera,b, Wei Xionga,b, Joshua Tokitac, Andrea Lellid, Heather M. Elledgea,b, Piotr Kazmierczaka,b, Anna Sczanieckaa,b, Anand Kolatkara, Tim Wiltshiree,1, Peter Kuhna, Jeffrey R. Holtd, Bechara Kacharc, Lisa Tarantinoe,1, and Ulrich Mu¨ llera,b,2 aDepartment of Cell Biology and bInstitute of Childhood and Neglected Disease, The Scripps Research Institute, La Jolla, CA 92037; cLaboratory of Cellular Biology, National Institute of Deafness and Other Communication Disorders, National Institutes of Health, Bethesda, MD 20892; dDepartment of Neuroscience, University of Virginia School of Medicine, Charlottesville, VA 22908; and eGenomics Institute of the Novartis Research Foundation, San Diego, CA 92121 Communicated by Bruce A. Beutler, The Scripps Research Institute, La Jolla, CA, January 26, 2009 (received for review January 9, 2009) Deafness is the most common form of sensory impairment in mechanism by which such mutations cause disease is unclear. humans and is frequently caused by single gene mutations. Inter- In an N-ethyl-N-nitrosourea (ENU) mutagenesis screen (35), estingly, different mutations in a gene can cause syndromic and we have now identified salsa mice, which suffer from progres- nonsyndromic forms of deafness, as well as progressive and sive hearing loss and carry a Cdh23 missense mutation that is age-related hearing loss. We provide here an explanation for the predicted to affect Ca2ϩ binding by the extracellular CDH23 phenotypic variability associated with mutations in the cadherin 23 domain. Similar mutations in the human CDH23 gene cause gene (CDH23). CDH23 null alleles cause deaf-blindness (Usher DFNB12 (1, 5, 6, 10, 13, 36). Unlike in mice with predicted syndrome type 1D; USH1D), whereas missense mutations cause Cdh23 null alleles, hair bundle development appears unaf- nonsyndromic deafness (DFNB12). In a forward genetic screen, we fected in salsa mice. Instead, tip links are progressively lost, have identified salsa mice, which suffer from hearing loss due to a suggesting that similar mutations in DFNB12 patients lead to Cdh23 missense mutation modeling DFNB12. In contrast to waltzer deafness by affecting tip links. mice, which carry a CDH23 null allele mimicking USH1D, hair cell development is unaffected in salsa mice. Instead, tip links, which Results are thought to gate mechanotransduction channels in hair cells, are Progressive Hearing Loss in salsa Mice. In an ENU mutagenesis progressively lost. Our findings suggest that DFNB12 belongs to a screen, we identified salsa mice, which show no auditory startle new class of disorder that is caused by defects in tip links. We response (35). Recordings of the auditory brainstem response propose that mutations in other genes that cause USH1 and (ABR) revealed that salsa mice suffer from progressive hearing nonsyndromic deafness may also have distinct effects on hair cell loss. Wild-type mice at 3 weeks and 2 months of age had ABR development and function. thresholds to click stimuli at 20 Ϯ 5 dB. Thresholds in salsa mice were by 3 weeks at 78 Ϯ 15 dB and by 2 months at 100 Ϯ 5dB cadherin 23 ͉ Cdh23 ͉ Usher syndrome ͉ progressive hearing loss (Fig. 1 C and D). salsa mice were hearing-impaired across all frequencies (Fig. 1E). No defect was observed in heterozygous ramatic progress has been made in the identification of gene salsa mice, demonstrating recessive mode of inheritance (35). Dmutations that cause hearing loss, but we know compara- Distortion product otoacoustic emissions were not detected in tively little about the mechanisms by which the mutations lead to salsa mice (Fig. S1), indicating that outer hair cell function was disease. Interestingly, different mutations in a gene can cause perturbed. Movement and the ability to swim were unaffected distinct disease outcomes. The cadherin 23 gene (CDH23) (Fig. 1F) (35), indicating that the vestibular system of salsa mice provides a striking example. Predicted CDH23 null mutations was intact. lead to deaf-blindness (USH1D), whereas missense mutations cause nonsyndromic deafness (DFNB12) (1–13). A polymor- salsa Mice Carry a Cdh23 Point Mutation. salsa mice were derived on phism in Cdh23 is linked to age-related hearing loss (14). a C57BL/6J background (35). To identify the affected gene, we Similarly, mutations in the genes for myosin VIIa (MYO7A) and crossed salsa mice to 129S1/SvImJ mice. Offspring were inter- protocadherin 15 (PCDH15) cause USH1 and nonsyndromic crossed to obtain F2 mice for ABR measurements and DNA deafness (http://webh01.ua.ac.be/hhh/). preparation. By using single-nucleotide polymorphisms (SNPs), Recent studies in mice suggest that USH1 is caused by defects the affected genomic locus was mapped to a 4-MB interval on in hair cell development. Each developing hair cell contains at chromosome 10 containing Cdh23 (Fig. S2A). Sequencing re- the apical surface a single kinocilium and rows of stereocilia, vealed a single point mutation, A2210T, in exon 22 of Cdh23 which form the mechanically sensitive organelle of a hair cell (Fig. 1A). Extracellular filaments connect the stereocilia and kinocilium of a developing hair cell (15). CDH23 and PCDH15 Author contributions: M.S., W.X., A.L., H.M.E., P. Kazmierczak, A.S., T.W., J.R.H., B.K., L.T., and U.M. designed research; M.S., W.X., J.T., A.L., H.M.E., P. Kazmierczak, A.S., B.K., and L.T. are components of transient lateral links, kinociliary links, and performed research; A.K. and P. Kuhn contributed new reagents/analytic tools; M.S., W.X., tip links (Fig. 1A) (16–20), and their cytoplasmic domains bind J.T., A.L., H.M.E., P. Kazmierczak, A.S., A.K., T.W., P. Kuhn, J.R.H., B.K., L.T., and U.M. to protein complexes containing harmonin, MYO7A, and sans analyzed data; and M.S. and U.M. wrote the paper. (21–25). Predicted null mutations in murine USH1 genes cause The authors declare no conflict of interest. defects in hair bundle development (24, 26–34), suggesting that See Commentary on page 4959. USH1 proteins form transmembrane complexes that regulate 1Present address: Department of Psychiatry, University of North Carolina, Chapel Hill, NC hair bundle morphogenesis. Failure of these complexes likely 27516. causes USH1. 2To whom correspondence should be addressed. E-mail: [email protected]. So far, there are no animal models for nonsyndromic This article contains supporting information online at www.pnas.org/cgi/content/full/ deafness caused by mutations in any USH1 gene, and the 0900691106/DCSupplemental. 5252–5257 ͉ PNAS ͉ March 31, 2009 ͉ vol. 106 ͉ no. 13 www.pnas.org͞cgi͞doi͞10.1073͞pnas.0900691106 Downloaded by guest on September 30, 2021 SEE COMMENTARY Fig. 1. Analysis of auditory function. (A) Diagram of a developing hair bundle. Stereocilia are connected to each other and to the kinocilium by various linkages. Linkages that contain PCDH15 and CDH23 are indicated. (B) The diagram shows the localization of CDH23 and PCDH15 at tip links. (C) 2ϩ Click-evoked ABR for a 2-month-old wild-type (black lines) and a salsa mouse Fig. 2. The mutation in salsa mice maps to a Ca -binding motif in CDH23. (red line) at different sound intensities (dB). ABR waves I–IV are indicated. (D) (A) Sequence chromatograph from wild-type and salsa mice reveals an A-to-T Average auditory thresholds for 3-week-old and 2-month-old mice [wild-type mutation in exon 22 of Cdh23.(B) The C-terminal part of EC7 of CDH23 from n ϭ 4 for 3 weeks (white) and 2 months (gray); salsa n ϭ 5 for 3 weeks (orange) different species is shown. The Glu737Val substitution in salsa affects a con- 2ϩ and 2 months (red)]. The mean Ϯ SD is indicated; a Student’s t test was served Ca -binding motif (yellow boxes). CDH1 and CDH2 are shown for performed. (E) Auditory thresholds in 3-week-old (triangles) and 2-month-old comparison. (C) CDH23 EC7/8 wild-type (blue) and salsa mutant (red) se- (circles) mice as determined by pure tone ABR recordings. In contrast to quences threaded onto the E-cadherin EC1/2 by using the automodel class and wild-type (gray and black lines) salsa mutants (orange and red lines) showed a sequence alignment produced by T-Coffee. Energy-minimized model shows 2ϩ progressive hearing loss. (F) Analysis of movement in the open field. salsa mice that the Glu737Val mutation affects Ca coordination. (D) Domain structure (red) showed normal numbers of small-diameter rotations (Ͼ2.75-cm radius) of CDH23 indicating the 27 extracellular cadherin repeats (blue). Missense 2ϩ and were not hyperactive. As a positive control, the sirtaki mouse line (gray) mutations in Ca -binding motifs in the CDH23 extracellular domain cause that has vestibular defects (35) is shown. Values are mean Ϯ SD. A Student t DFNB12 in humans (purple shaded box). Nonsense and splice site mutations have been identified in waltzer mice and USH1D (gray shaded box). SS test was performed. **, P Ͻ 0.01; ***, P Ͼ 0.001. indicates signal sequence; TM, transmembrane domain. (Fig. 2A). Compound heterozygous mice carrying 1 salsa allele and 1 previously reported mutant Cdh23 allele (waltzerv2J) (27) Staining with CDH23 antibodies revealed that CDH23 was targeted to the stereocilia of hair cells in salsa mice by P5 and were deaf (Fig. S2B), confirming that the salsa mutation causes P10 (Fig. 4 A–F and K), but expression was only occasionally deafness. The salsa mutation leads to a Glu737Val substitution detectable by P30 (Fig. 4 G–K). However, no defects in CDH23 within an LDRE motif in the seventh cadherin repeat of CDH23 cell surface transport were observed (Fig.