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The Journal of Neuroscience, March 1, 2002, 22(5):1718-1725

Downregulation of Otospiralin, a Novel Inner Ear Protein, Causes Hair Cell Degeneration and Deafness

Benjamin Delprat1, *, Ana Boulanger1, *, Jing Wang1, Vicky Beaudoin2, Matthieu J. Guitton1, Stéphanie Ventéo3, Claude J. Dechesne3, Rémy Pujol1, Mireille Lavigne-Rebillard1, Jean-Luc Puel1, and Christian P. Hamel1

1 Institut National de la Santé et de la Recherche Médicale U. 254, Laboratoire de Neurobiologie de l'Audition, 34090 Montpellier, France, 2 Département de Chimie-Biologie, Université du Québec à Trois-Rivières, Trois-Rivières (Québec), Canada, G9A 5H7, and 3 Institut National de la Santé et de la Recherche Médicale U. 432, Neurobiologie et Développement du Système Audiovestibulaire, Université Montpellier II, 34095 Montpellier cedex 05, France


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Mesenchymal nonsensory regions of the inner ear are important structures surrounding the neurosensory epithelium that are believed to participate in the ionic homeostasis of the cochlea and vestibule. We report here the discovery of otospiralin, an inner ear-specific protein that is produced by fibrocytes from these regions, including the spiral ligament and spiral limbus in the cochlea and the maculae and semicircular canals in the vestibule. Otospiralin is a novel 6.4 kDa protein of unknown function that shares a protein motif with the gag p30 core shell nucleocapsid protein of type C retroviruses. To evaluate its functional importance, we downregulated otospiralin by cochlear perfusion of antisense oligonucleotides in guinea pigs. This led to a rapid threshold elevation of the compound action potentials and irreversible deafness. Cochlear examination by transmission electron microscopy revealed hair cell loss and degeneration of the organ of Corti. This demonstrates that otospiralin is essential for the survival of the neurosensory epithelium.

Key words: otospiralin; cochlea; vestibule; hair cell; deafness; gene; antisense; inner ear


    INTRODUCTION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In the mammalian inner ear, proper functioning of hair cells depends on the ionic composition of endolymph and perilymph. Structures that participate in the ionic balance are the stria vascularis in the cochlea and the dark cells in the vestibule that produce the potassium-rich endolymph, but also mesenchymal nonsensory regions, i.e., the spiral limbus proximal to the cochlear axis and the spiral ligament behind the stria vascularis in the cochlea and the stroma lying beneath the sensory epithelium in the vestibule. Indeed, the fibrocytes from these regions express Na,K-ATPase, and carbonic anhydrases II and III (Spicer et al., 1990, 1997; Spicer and Schulte, 1991) as well as various channels and transporters (Stankovic et al., 1995; Sakaguchi et al., 1998; Couloigner et al., 2001), extracellular matrix proteins (Tsuprun and Santi, 1999; Weinberger et al., 1999; Mothe and Brown, 2001), and regulatory molecules (Thomadakis et al., 1999). The finding that some fibrocytes also express gap junction connexins 26, 30, and 31 (Lautermann et al., 1998; Kikuchi et al., 2000; Xia et al., 2000) and the chloride-iodide transporter pendrin (Everett et al., 1999; Scott et al., 1999) is a further indication of their importance in the fluid movements in the inner ear. These fibrocytes are a heterogenous cell population, classified in the spiral ligament as types I-V on the basis of their location and marker expression, suggesting a certain level of diversity in the ion homeostasis function.

Recently, the search for preferentially expressed inner ear mRNAs has led to the discovery of novel proteins expressed in the mesenchymal regions. Fdp/otoraplin is a secreted polypeptide related to a cartilage-derived protein expressed in all types of fibrocytes from the spiral ligament, spiral limbus, and mesenchymal cells underlying the basilar membrane (Cohen-Salmon et al., 2000; Robertson et al., 2000; Rendtorff et al., 2001). Otoraplin could initiate the induction of chondrogenesis in the cochlea during development (Cohen-Salmon et al., 2000). Cochlin is also a secreted protein of unknown function found in the same regions as otoraplin in the cochlea and in the stroma underlying the sensory epithelium in the vestibule (Robertson et al., 1998). Both proteins may participate in structural or regulatory functions in the inner ear, thus suggesting more diversity and complexity of the mesenchymal tissues than envisioned previously.

By systematic sequencing of rat cochlea cDNA libraries, we identified several genes preferentially expressed in cochlea and outer hair cells (Soto-Prior et al., 1997; Harter et al., 1999). One of these genes was selected for its inner ear-specific expression. We report here that it encodes otospiralin, a novel protein found in fibrocytes of spiral limbus, spiral ligament, and subepithelial regions of the vestibule. Otospiralin shares a protein motif with the gag p30 core shell nucleocapsid protein of type C retroviruses. In the guinea pig, transient downregulation of otospiralin by use of antisense oligonucleotides leads to vestibular dysfunction and irreversible deafness. Cochlear electrophysiology and transmission electron microscopy analysis indicate that hair cells were degenerating in these deaf animals.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

DNA isolation and sequencing

pCO8, an incomplete cDNA clone from rat otospiralin, was found by systematic sequencing (Soto-Prior et al., 1997). To obtain the 5' end of the rat otospiralin mRNA, we screened by PCR a cDNA phage library (G. Rebillard, unpublished results) using vector primers and a specific primer from the 5' end of the pCO8 cDNA (Soto-Prior et al., 1997). The resulting cDNA fragment was cloned into pBluescript SK(+). For human and mouse otospiralin mRNAs, we PCR-amplified a 1.2 kb-long fragment from genomic DNA using forward hgSG6S1 5'-ATGCAGCC-CTGTCTGCTGTGGTGG-3' and reverse hgSG6AS1 5'-GTCCTCCTG-GTAGGGAACATGGAA-3' primers from both ends of the rat open reading frame and deduced the cDNAs by comparison with the rat sequence. For the guinea pig otospiralin mRNA, we PCR-amplified a 160 bp-long cDNA from genomic DNA in the 3' region conserved among otospiralin orthologs with the forward hgSG6S2 5'-CATGCCTTACT-GGCCTTTTTCCACCTCTGA-3' and reverse hgSG6AS1 primers. This cDNA was digoxigenin labeled (DIG High Prime Labeling and Detection Kit, Boehringer Mannheim, Mannheim, Germany) and hybridized overnight at 68°C to membrane replicates of a guinea pig organ of Corti library (Wilcox and Fex, 1992). Positive colonies were then amplified, and plasmids were isolated. Rat and guinea pig cDNA clones and mouse genomic fragments were sequenced using the PRISM Ready Reaction Big dye terminator cycle sequencing kit on an ABI 310 DNA Sequencer (PerkinElmer Life Sciences, Emeryville, CA).

Northern blot

Ten micrograms of total RNAs were extracted (Chomczynski and Sacchi, 1987) from 21-d-old rat organs including brain, cerebellum, cochlea, eye, kidney, liver, muscle, and testis. Extracts were electrophoresed in a 0.8% agarose formaldehyde gel and transferred to a neutral nylon membrane in denaturing conditions (Löw and Rausch, 1994). After linearization of the plasmid, digoxigenin-labeled riboprobes were synthesized (SP6/T7 DIG RNA labeling kit, Boehringer Mannheim) according to the manufacturer's instructions and hybridized to the blot overnight at 68°C. As a control for RNA degradation, the blot was stripped and hybridized with a digoxigenin-labeled glyceraldehyde-3-P dehydrogenase riboprobe.

In situ hybridization

Rat cochleas and vestibular end organs were removed and fixed as described previously (Knipper et al., 1998), embedded in OCT, and cut in 14 µm cryosections. Sense and antisense riboprobes were obtained as described above (Northern blot), mixed with the hybridization buffer (Amersham Biosciences, Braunschweig, Germany) containing 50% formamide, and hybridized to slides overnight at 55°C. The sections were washed twice in 0.1× SSC at 55°C for 30 min and processed for digoxigenin immunodetection following the manufacturer's instructions (Roche Biochemicals, Mannheim, Germany).

Antibody production

The N terminus of the mature, cleaved rat otospiralin (NH2-KPTPEEADPNAQ-COOH) was coupled to KLH and injected into rabbits for antisera production (Eurogentec, Seraing, Belgium). Antiserum SE1657 was obtained, and its specificity was checked by immunoblot analysis using the preimmune serum as a negative control.

Western blotting

Tissues were harvested in cold PBS and homogenized in sample buffer (Laemmli, 1970), and the lysates were centrifuged to remove detergent-insoluble material and separated on a 16.5% SDS-PAGE in Tris/Tricine (Schägger and Von Jagow, 1987). After gel electrophoresis, proteins were transferred electrophoretically to nitrocellulose membranes. Blots were incubated with SE1657 anti-otospiralin antibody diluted at 1:1000 according to Towbin et al. (1979) and visualized by chemiluminescence using a peroxidase-conjugated secondary antibody (Boehringer Mannheim). Polypeptide range marker was used for calibration (Bio-Rad, Hercules, CA).

Immunohistochemistry

For cochleas, 21-d-old rats were decapitated under deep anesthesia (Nembutal, 50 mg/kg), and their cochleas were quickly removed, pierced at their apex, and fixed overnight in 4% paraformaldehyde. They were then decalcified for 4 d in 10% EDTA, dehydrated in ethanol, cleared, and embedded in paraffin. Paraffin sections (7 µm) were deparaffinized, blocked in 30% goat serum, and incubated with SE1657 anti-otospiralin antiserum diluted at 1:400. Bound primary antibodies were revealed by colorimetry using immunoperoxidase-conjugated secondary antibody (1:100) following the manufacturer's instructions (Vector). For vestibules, 21-d-old rats were transcardially perfused with 4% paraformaldehyde and processed as described (Sage et al., 2000). Vibratome sections (50 µm) were incubated with SE1657 anti-otospiralin antibody diluted at 1:200. Bound primary antibodies were detected using Texas Red-conjugated anti-rabbit IgGs diluted at 1:200 (Jackson ImmunoResearch, West Grove, PA). Sections were observed under a Bio-Rad MRC1024 laser scanning confocal microscope equipped with a 40× oil-immersion objective lens of numerical aperture 1.4.

Morphological studies

For each of two animals, morphological investigations were performed on the right antisense oligonucleotide-treated cochlea and on the left untreated cochlea as a control. After the last electrophysiological test, animals were heavily anesthetized, and the cochleas were removed quickly and perfused with a freshly prepared fixative containing 3.5% glutaraldehyde in sodium cacodylate buffer (0.1 M), pH 7.2. They were rinsed in cacodylate buffer, post-fixed in 2% osmic acid for 2 hr, rinsed twice again before dehydration, and embedded in Spurr resin at 70°C. Blocks were trimmed to separate the different cochlear coils and remounted for transverse sections. Semithin sections were examined in Nomarski optics before thin sections (80-100 nm) were cut using a Leica-Reichert ultra-microtome. Grids, counterstained with uranyl acetate and lead citrate, were observed using a transmission electron microscope (Hitachi 7100). Three series of sections were taken from each block (two blocks per coil) so as to thoroughly examine at least six different levels of organ of Corti per cochlea.

Antisense oligonucleotides

A 14-mer phosphorothioate oligonucleotide (cobAS6 5'-CAGTAGGG-CATGGC-3') corresponding to nucleotides c.116-c.103 of guinea pig otospiralin cDNA sequence was synthesized and PAGE-purified for the antisense experiments. As a control, we synthesized a second oligonucleotide with the same base composition in which the position of 4 nucleotides were permutated (cobAS6R 5'-ACCTAGGGGATGGC-3').

Otospiralin downregulation in rats

Two rats were anesthetized intraperitoneally with 0.3 ml/kg of sodium pentobarbital at 6% (Sanofi, Montpellier, France). The right bulla containing the cochlea and the middle ear was opened through a posterior auricular surgical procedure, and a gel foam (Gelita tampon, Braun) loaded with 2.5 µl of a 600 µM antisense oligonucleotide solution was placed in the middle ear. Compound action potentials (CAPs) were recorded from an electrode placed on the round window 4 d after the antisense treatment. Rats were killed at 5 d, and expression of otospiralin was examined in Western blot.

Surgery for otospiralin downregulation in guinea pigs

Guinea pigs were anesthetized as above, and the vital parameters were tightly controlled (rectal temperature maintained at 38 ± 1°C and heart rate monitored via EKG electrodes). The right bulla was postauricularly approached and opened to expose the cochlea, and a recording electrode was applied on the bony edge of the round window to prevent direct damage of the window membrane. A 0.2 mm diameter hole was then gently drilled in the basal turn of the scala tympani (2 mm below the round window). A ring of glue was put on the tip of a glass pipette (0.1 mm diameter), and the tip was inserted into the hole using a micromanipulator until the ring of glue gave a leak-proof seal between the pipette and the cochlea, i.e., at 0.5 mm from the tip. The pipette was connected via a polyethylene tubing to an osmotic minipump (No. 2001, Alzet Corporation, Palo Alto, CA) filled with oligonucleotides diluted in perilymph and placed under the skin of the back of the animal. A reference electrode placed in the neck muscle and the round window electrode were soldered to a plug fixed on the skull. The perfusion was performed for 7 d at a rate of 1 µl/hr, delivering a total amount of 10 nmol of oligonucleotides.

Guinea pig electrophysiology

Compound action potential of the auditory nerve. Tone bursts with a 1 msec rise/fall time and an 8 msec total duration generated by an arbitrary function generator (type 9100R, Lecroy Instruments) were used to elicit CAPs. The signals were passed through a programmable attenuator and presented to the ear in free field via a JBL 075 earphone. Nine frequencies (2, 4, 6, 8, 10, 12, 16, 20, and 26 kHz) were examined, with each frequency increasing levels in 5 dB steps from 0 to 100 dB sound pressure level (SPL) at a presentation rate of 10 bursts per second. Cochlear responses were amplified (gain 2000) by a differential amplifier (Grass P511K), and the signals were filtered (bandpass 100 Hz-3 kHz) and averaged (256 tests) on a PC Pentium computer, 100 MHz (Dell Dimension). The sampling rate of the analog to digital converter was 50 kHz, with a dynamic range of 12 bits and 1024 samples per record. CAPs were measured peak-to-peak between the negative (N1) and the following positive value (P1). The thresholds were defined as the level of dB SPL needed to elicit a measurable response range from 2 to 5 µV.

Distortion product acoustic emissions. Distortion product acoustic emissions (DPOAEs) were recorded using the CUBeDIS system. Continuous pure tones were elicited (f2/f1 = 1.2; intensity of f1 = f2 = 60 dB SPL reference 2.10-5 Pa; f2 varying between 20 kHz and 2 kHz with 4 points per octave) and recorded with a three-channel acoustic probe (ER-10C, Etymotic Research) placed in the external auditory canal. The acoustic signal was amplified by a preamplificator (ER-10C DPOAE probe driver preamp, Etymotic Research), and data were analyzed with the CUBeDIS software.

Endocochlear potential measurement. after a ventrolateral approach of the cochlea, the bone over the basal turn scala media was shaved to perform a small fenestra through the thinned bone. A glass microelectrode filled with 3 M KCl and connected to a direct current amplifier (model KS-700, World Precision Instrument) was passed through the fenestra and into the scala media to record the endocochlear potential.


    RESULTS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Otospiralin is a novel inner ear protein

Part of the otospiralin mRNA was initially identified by systematic sequencing of a rat cochlea cDNA library (Soto-Prior et al., 1997). Using this sequence information, we screened cDNA libraries and PCR-amplified genomic DNA to obtain the full-length mRNA sequences of human (AY062256), rat (AY062254), mouse (AY062257), and guinea pig (AY062255) otospiralin, and found in Expressed Sequence Tag databases that of bovine (BE722880) species. These mRNAs encode an 89 amino acid-long polypeptide except for the guinea pig, which lacks the 28th amino acid (Fig. 1A). In all species the protein has a 21 amino acid-long peptide signal showing characteristic uncharged and hydrophobic residues. In addition, the AXA peptidase consensus (Folz et al., 1988) is present in human, bovine, rat, and mouse sequences. Cleavage of this signal peptide leaves a 68-residue mature protein (67 in guinea pig) that is hydrophilic on average (Fig. 1B), with no evidence of either transmembrane domain or glycophosphatidyl inositol anchorage sequence, indicating that it is likely to be secreted.



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  		Figure 1.   Sequence of human otospiralin compared with mammal and fish orthologs; hydropathic profile. A, The human otospiralin amino acid sequence is shown aligned with bovine, guinea pig, rat, mouse, and tetraodon sequences. Only changed amino acids are indicated in nonhuman sequences. Conserved amino acids in all six sequences are depicted in gray. The question mark indicates that the putative N-terminal sequence of tetraodon (until amino acid 32) is unknown. The signal peptide is boxed, and the 12 amino acid stretch homologous with the p30 core shell nucleocapsid protein from retroviruses is underlined. Peptide 1657 used for antibody production is underlined in the rat sequence. B, Hydrophobicity profile of human otospiralin according to Kyte and Doolittle (1982) analyzed with a window of 17. N-terminal hydrophobic domain corresponds to the signal peptide.

The overall identity of the uncleaved human otospiralin with the four other mammalian species ranges from 87.6% (bovine) to 79.8% (mouse). However, most of the mature, cleaved protein is highly conserved, in particular residues 35-50 with 100% identity and residues 58-86 with 100% similarity (only three conservative changes). We found an additional protein sequence translated from the Tetraodon nigroviridis fish genomic clone AL267179 that appears as an N-terminal-truncated otospiralin ortholog sequence (Fig. 1A). Comparison with the human otospiralin reveals that the most conserved region is also located between residues 35 and 50 (87.5% identity). In addition, in this stretch, residues 39-50 are similar to a motif found in the p30 core shell nucleocapsid protein (GAG polypeptide) from the endogenous type C retroviruses, the function of which is presently unknown.

Otospiralin is produced by mesenchymal inner ear fibrocytes

Because adult human cochlear tissue was not available, we studied the mRNA and protein expression of otospiralin in the rat. Northern blot analysis revealed a single 0.62-kb-long mRNA strongly expressed in the cochlea (Fig. 2A) but absent in brain, cerebellum, eye, kidney, liver, muscle, and testis. Western blot analysis of cochlear extracts disclosed a 6.4 kDa product detected as early as postnatal day (P) 4 and gradually increasing until P16 (Fig. 2B). It was consistently found at the adult stage (data not shown). Otospiralin was also detected in the vestibule (Fig. 2C) but was absent from various parts of the brain (olfactory bulb, diencephalon, striatum, hippocampus, cortex, cerebellum), from cochlear nerve and nucleus, and from spinal cord, eye, muscle, heart, liver, kidney, spleen, testis, lung, small intestine, thyroid, and skin (Fig. 2D) (data not shown). Otospiralin is thus strictly confined to cochlear and vestibular peripheral organs.



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  		Figure 2.   Otospiralin is inner ear specific and expressed from P4 in rats. A, Northern blot hybridized to a digoxigenin-labeled antisense riboprobe (pCO8) spanning the whole coding sequence of rat otospiralin. Ten µg/lane of total RNA from rat tissues were loaded as follows: 1, brain; 2, cerebellum; 3, eye; 4, kidney; 5, cochlea; 6, liver; 7, muscle; 8, testis. A single 0.62 kb mRNA is visible in the cochlea. The bottom panel shows the same blot hybridized with a G3PDH riboprobe with a 1.4 kb mRNA in every tissue. B, Western blot with rat cochleas at various postnatal (P) stages indicated above each lane and incubated with SE1657 anti-otospiralin antiserum. A 6.4 kDa signal is detectable from P4 and progressively increases until P16. C, Western blot as in B shows expression of otospiralin in vestibule (1) and cochlea (2). D, Western blot as in B with various rat tissues. 1, Cochlear nucleus; 2, cochlear nerve; 3, cochlea; 4, spinal cord; 5, muscle; 6, eye; 7, cerebral cortex; 8, cerebellum; 9, diencephalon; 10, olfactory bulb.

To determine which cell type produces otospiralin in the inner ear structures, we performed in situ hybridization on rat tissues. In the cochlea, numerous cells from the spiral ligament residing behind the stria vascularis and from the spiral limbus expressed the mRNA (Fig. 3A). The glial cells surrounding the spiral ganglion neurons also expressed the mRNA but to a lower level than the spiral ligament and spiral limbus. In the vestibule, the mRNA was present in cells located to the stroma underlying the utricle and crista sensory epithelia, around vestibular nerve fibers (Fig. 3F). It was also present in the cristae beneath the transitional epithelium and dark cell areas, and in the subepithelial zone of the walls of semicircular canals (Fig. 3C) and maculae. No signal was observed in the dark cells. In both the cochlea and vestibule, no mRNA was detected in the sensory cells or the endolymph-producing cells.



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  		Figure 3.   Expression of otospiralin in rat cochlea and vestibule. In situ hybridization (A, C, F) and immunohistochemistry (B, D, E, G, H) of cochlea (A, B), utricle (C, D), and crista and semicircular canal (F, G, H). In the cochlea (A), digoxigenin-labeled antisense riboprobe (pCO8) hybridized to tissue sections shows otospiralin mRNA in fibrocytes of spiral limbus and spiral ligament, and to a lesser extent in glial cells from the spiral ganglion. In the vestibule (C, F), the same probe detects the mRNA in fibrocytes from subepithelial regions of the utricle (C) and crista (F). Otospiralin mRNA is also present in cells of the semicircular canal walls (F, arrow). In the cochlea (B), SE1657 antiserum detects otospiralin in fibrocytes of the spiral limbus, spiral ligament, and suprastrial zone. No protein is found in the spiral ganglion, organ of Corti, or stria vascularis. In the vestibule, otospiralin is detected in the stroma beneath the sensory epithelia of the utricle (D) and cristae (H). In the utricular and semicircular canal walls (G), fibrocytes are immunostained. The stained fibroblasts have a stellar (E) or elongated (G) shape. Scale bar, 20 µm. DC, Dark cell area; GS, spiral ganglion; L, spiral limbus; OC, organ of Corti; RM, Reissner's membrane; SE, sensory epithelium; SL, spiral ligament; SV, stria vascularis; TE, transitional epithelium.

Expression studies of the protein by immunohistochemistry were compared with the results of in situ hybridization. As expected, in the cochlea, cells from the spiral ligament and spiral limbus were intensely stained (Fig. 3B). However, glial cells from the spiral ligament were unstained, indicating that they do not produce otospiralin (Fig. 3B). In the vestibule, the immunostaining was observed in cells located to the stroma below the macular and crista sensory epithelia and in the subepithelial layer of the walls of semicircular canals and maculae (Fig. 3D,G,H), matching the mRNA expression found by in situ hybridization. In both organs, the immunostained cells appeared as fibrocytes that display a heterogeneous morphology from stellar to elongated shapes (Fig. 3E,G).

Otospiralin downregulation causes vestibular syndrome and deafness

To downregulate the expression of otospiralin in the inner ear, we used antisense oligonucleotides directed against the otospiralin mRNA. In a first set of experiments in rats, a piece of gel foam loaded with oligonucleotides (1.6 nmol in 2.5 µl) was placed directly on the round window, allowing for the diffusion to the cochlea and vestibule. A vestibular syndrome (head tilt) was first observable 2 d after the surgery and became prominent at 4 d after surgery, with a head tilt (45° on the side of the operated ear) and a waltzing behavior (animals circling around the side of the operated ear). In addition, the rats showed an increased threshold of 40-60 dB SPL across frequencies (data not shown). As seen in Western blot, the cochlea from the treated ear of one rat harvested 5 d after application of oligonucleotides contained significantly less otospiralin than that of the untreated ear (Fig. 4A), whereas the Coomassie blue protein patterns were similar in both ears. This indicated that the antisense treatment of otospiralin mRNA specifically downregulated the otospiralin protein.



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  		Figure 4.   Downregulation of otospiralin leads to deafness. A, Coomassie blue-stained SDS-PAGE (1, 2) and Western blot (3, 4) incubated with SE1657 anti-otospiralin antiserum. Extracts from the right cochlea treated with antisense mRNA oligonucleotides (1, 3) and from the left untreated cochlea (2, 4) of the same rat were analyzed. As shown on Coomassie blue-stained gel, equal amounts of material from both cochleas were loaded, but much less otospiralin was detected in the treated cochlea as compared with the untreated one. B, Intracochlear application of 10 nmol of antisense oligonucleotide directed against otospiralin for 7 d in guinea pigs via an osmotic minipump. Diagram shows the compound action potential (CAP) thresholds in dB SPL plotted with the frequency from one animal. There is an elevation of the CAP threshold of the auditory nerve 2 d after the perfusion start (Day 2). Virtually no CAP could be measured at Day 5. C, Guinea pig treated as in B with 10 nmol of oligonucleotides of the same base composition but differing by permutations of four nucleotides. There is no significant effect on the CAP thresholds. D, Same guinea pig as in B. Diagram shows the amplitude of the distortion product otoacoustic emissions (DPOAEs) plotted with the f2 frequency. The DPOAE amplitudes decreased at Day 1 and fell into the noise floor at Day 3. E, Same guinea pig as in C. There is no effect on the DPOAE audiogram during the time course of the perfusion and up to 1 month after the micropump implantation.

To further examine the implications of the loss of otospiralin, we used guinea pigs, because cochlear perfusion was not possible in rats. Using an osmotic minipump, we perfused the right cochlea of six animals for 7 d with a total of 10 nmol of antisense oligonucleotides. The CAP audiogram was measured before and after 1, 2, 3, 5, 10, 15, and 30 d after minipump implantation in awake animals. The variance analysis and Newman-Keuls multiple range test showed a significant change in the CAP thresholds the first day after the beginning of cochlear perfusion in the high-frequency side of the audiogram, extending to all frequencies on the following days in all six animals (Table 1). In four of six animals, the CAPs were irreversibly abolished within the time course of the perfusion (Fig. 4B). By contrast, the cochlear perfusion of four guinea pigs with an oligonucleotide of the same base composition as the antisense one but differing by permutations of four nucleotides did not result in any significant change in the CAP thresholds (Table 2, Fig. 4C).


                              
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  		Table 1.   Mean threshold shift and SE during application of antisense otospiralin oligonucleotides


                              
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  		Table 2.   Mean threshold shift and SE during application of random oligonucleotides

To assess possible effects of otospiralin downregulation on outer hair cell physiology, we measured the distortion products of acoustic emissions that are generated by the active mechanisms (electromotility) of these cells. From the three tested animals perfused with the antisense oligonucleotide, the amplitude of the 2f1-f2 distortion product was decreased on day 1 after perfusion and fell into the noise floor by day 3, whatever the pace of the CAP threshold increase, indicating that outer hair cells were not functioning (Fig. 4D). In three control animals, the amplitude of the 2f1-f2 product remained unchanged during the time course of the perfusion (7 d) and up to 1 month after the micropump implantation (Fig. 4E). In one deaf animal after 5 d of perfusion, the endolymphatic potential was measured and found to be normal (i.e., +86 mV), suggesting that deafness was not caused by the lack of potassium in the endolymph but, taking into account the profound deafness and absence of distortion products, by a loss of hair cell function.

Deafness is caused by degeneration of hair cells

Both cochleas from two guinea pigs with abolished CAPs were examined by electron microscopy. The first deaf guinea pig was killed after 5 d of perfusion. All sections randomly made all over the cochlear spiral from the antisense-treated side showed a severe degeneration of the organ of Corti, accounting for the absence of responses at all frequencies. By contrast, the tectorial membrane and the stria vascularis, often involved in early degenerating processes, were not affected. The spiral ligament and spiral limbus structures were also preserved, but fibrocytes were damaged. In semithin sections, the organ of Corti appeared as a compact epithelium in which the tunnel and other spaces were filled by cellular material with no distinguishable hair cells or Deiters' cells (Fig. 5A), whereas the contralateral organ of Corti from the untreated side did not show any lesion (Fig. 5B). Thin sections of the treated cochlea observed in transmission electron microscopy revealed virtually no outer hair cells or supporting cells but a densely packed cellular material, with pieces of outer pillars, and some apoptotic nuclei (Fig. 5D). On the luminal side, remnants of the outer hair cell cuticular plates and stereocilia were sparse. The inner hair cell area was slightly less damaged. In some places, close to a twisted inner pillar and a hypertrophied phalange cell, inner hair cells were still identifiable, but the cuticular plates bore abnormal stereocilia (Fig. 5C). A striking feature, found in some sections, was the presence of an abnormal cell type within the inner spiral bundle sending processes interposed between afferent neurites and inner hair cells. Auditory nerve endings, after losing their target, were seen reaching the lumen (Fig. 5C). In the spiral limbus and spiral ligament from the treated cochlea, fibrocytes showed cytoplasmic vacuolization and shrinkage accompanying chromatin condensation in the nucleus (Fig. 5E), whereas fibrocytes from the untreated cochlea remained normal (Fig. 5F). The second guinea pig became deaf at the end of the perfusion time course (7 d) and did not show any sign of functional restoration in the following weeks. It was killed at day 30 after implantation. Degeneration of the organ of Corti with the same features as in the primary animal was also observed (data not shown). We concluded that the loss of otospiralin was dramatically affecting the organ of Corti, with some damage to spiral ligament and spiral limbus fibrocytes.



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  		Figure 5.   Degeneration of hair cells and organ of Corti in guinea pig cochleas with downregulated otospiralin. The top panel shows semithin (3 µm) sections at the base of the second turn of the organ of Corti from antisense oligonucleotide-treated (A) and untreated (B) cochleas of the same guinea pig. As compared with the normal side, the organ of Corti in A is totally degenerated. At this magnification, only remnants of the pillars (arrowhead) are recognizable underneath a normal-looking tectorial membrane. The untreated side in B shows the normal organ of Corti, with one inner hair cell (i) and three outer hair cells (o) on each side of the pillars forming the tunnel of Corti (asterisk). Scale bar, 30 µm. The middle panel shows transmission electron micrographs at the level of the organ of Corti from the antisense oligonucleotide-treated cochlea. C, The dark cytoplasm of a degenerating inner hair cell (i) is recognizable, together with remnants of its stereocilia (arrowhead). Nerve endings (auditory dendrites) still surround the cell body split in two parts in this section. However, as shown in higher magnification (inset), a thin process from a supporting cell, possibly glial (thin arrows), separates the inner hair cell from neurites, preventing synaptic contact. Note the twisted inner pillar (dotted line) and a hypertrophied phalangeal cell (p). D, On the outer hair cell side, neither outer hair cells nor Deiters' cells are recognizable. Only remnants of the outer hair cell cuticular plates and stereocilia (arrows) can be distinguished on the top of a compact epithelium. The outer pillar is broken, and its twisted route can be followed up to the head of the inner pillar (dotted line). The space of the tunnel of Corti (t) is filled with cellular material. One apoptotic nucleus is shown (curved arrow). Scale bars, 5 µm. Bottom panel shows transmission electron micrographs at the level of the spiral limbus from the antisense oligonucleotide-treated (E) and untreated (F) cochleas from the same guinea pig. E, Fibrocytes show severe degenerating changes with retraction and vacuolization of the cytoplasm and nucleus resembling the first stage of apoptosis. F, Fibrocytes have a normal appearance, although cytoplasm retraction is sometimes observed. Scale bars, 5 µm.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

We report on the discovery of otospiralin, a small inner ear-specific protein produced by fibrocytes of the spiral ligament and spiral limbus in the cochlea and subepithelial regions of the maculae and semicircular canals in the vestibule. Several features indicate that otospiralin is involved in a dedicated function of the inner ear fibrocytes that must be important for cochleovestibular physiology. Indeed, otospiralin is specific for the inner ear. In addition, downregulation of otospiralin in guinea pigs causes a rapid and severe degeneration of the organ of Corti leading to an irreversible deafness. Elucidation of the function of otospiralin will thus help in deciphering the roles of these intriguing fibrocytes.

Analysis of the sequence of otospiralin shows that this novel protein does not match any well characterized protein, except for a small part (12 residues) that is homologous to a motif present at the N-terminal end of the p30 core shell nucleocapsid protein (gag) from type C retroviruses. Remarkably, these 12 residues are part of the 16 amino acid stretch that is very conserved in fish and mammals, suggesting that this region is of primary importance for the function. p30 is necessary for virion assembly (Schwartzberg et al., 1984), and mutations in a conserved domain located in the central region of the protein lead to a loss of the infection capacity (Miller and Verma, 1984). The function of the N-terminal end of p30 remains unknown, however. Mutagenesis experiments in this part of p30 addressing the question of its role in retroviral infection may be of help in understanding the function of otospiralin.

The decrease in otospiralin content of the inner ear causes loss in cochlea sensitivity, as shown by the dramatic increase in the CAP thresholds and also by the absence of acoustic otoemissions that more specifically reflect outer hair cell dysfunction. Examination of the cochleas in electron microscopy revealed that outer hair cells and, for the most part, inner hair cells disappeared. There are many situations in which hair cells degenerate. Loss of these cells occurs in acoustic trauma (Spoendlin and Braun, 1973) and in ototoxic drug administration (Hawkins, 1959) in a dose-dependent manner (Lenoir and Puel, 1987). In addition, genetic defects affecting stereocilia (Osako and Hilding, 1971; Shnerson et al., 1983; Sjöström and Anniko, 1990; Probst et al., 1998; Self et al., 1999; Alagramam et al., 2000; Littlewood Evans and Müller, 2000; Zheng et al., 2000) and ion transport in hair cells (Street et al., 1998) or in stria vascularis (Vetter et al., 1996; Delpire et al., 1999) cause the degeneration of the organ of Corti. The pace at which hair cells and supporting cells in the organ of Corti degenerate is variable, being as short as 1-2 weeks in disorders affecting primarily the stria vascularis (Vetter et al., 1996; Delpire et al., 1999). In this latter case, a collapse of tectorial and Reissner membranes over the organ of Corti is observed that could accelerate the degenerating process. In the present study, the otospiralin deprivation must have been highly insulting because most of the hair cells were lost by 5 d after the beginning of the antisense treatment in one representative animal.

Apart from the presence of an abnormal cell type interposed between neurites and inner hair cells that could correspond to a repair response, which perhaps is characteristic of this pathological model, the degeneration observed followed a classical pattern, because outer hair cells and supporting structures were more affected than inner hair cells. Signs of apoptosis and phalangeal cell hypertrophy as encountered in drug-induced ototoxicity (Lenoir et al., 1999) were also present. There are several pathological mechanisms that could generate such a pattern of degeneration. One possibility is that downregulation of otospiralin could cause a modification in the endolymph composition. In our experiment, the structures of the stria vascularis and of Reissner and tectorial membranes were unchanged, suggesting that there was no dramatic change in production and volume of the endolymphatic compartment. In addition, the normal endolymphatic potential found in one deaf animal suggested that potassium was not lacking. One cannot exclude however that the absence of otospiralin could change other ionic or non-ionic components of the endolymph, which would not have a direct effect on fluid circulation in the endolymphatic compartment but would perturb hair cell metabolism. A second possibility is that downregulation of otospiralin could impair hair cell functioning by itself. Indeed, because otospiralin is probably secreted, it could reach the neuroepithelium and exert its action, either directly on hair cells or through supporting cells or neurons. Noteworthy is the fact that no abnormality was seen on either afferent or efferent neurites within the organ of Corti or in myelinated fibers and spiral ganglion neurons. Finally, the lack of otospiralin could alter the fibrocytes themselves or their environment, which in turn may modify important factors for hair cells, or ion homeostasis. The vacuolization of some fibrocytes from the spiral ligament and spiral limbus, perhaps the otospiralin-producing cells, is relevant to this hypothesis. Future experiments searching for a receptor or protein partners of otospiralin will help in deciding what are its target cells and in deciphering the pathological mechanism that occurs in otospiralin deprivation.

Interestingly, some features of otospiralin resemble observations made with cochlin. Cochlin is another putatively secreted, novel inner protein with unknown function expressed in mesenchymal nonsensory tissues surrounding the neuroepithelium in chicken (Robertson et al., 1998). In addition, mutations in the cochlin gene cause nonsyndromic human deafness and vestibular dysfunction (Robertson et al., 1998; Fransen et al., 1999). On the basis of these observations, we anticipate that genetic defects leading to otospiralin loss of function could cause human deafness and vestibular dysfunction.


    FOOTNOTES

Received Sept. 19, 2001; revised Dec. 10, 2001; accepted Dec. 10, 2001.

* B.D. and A.B. contributed equally to this work

B.D. has a fellowship from Caisse d'Epargne, Montpellier and Région Languedoc-Roussillon, France. We are grateful to G. Rebillard and E. Wilcox for providing cDNA libraries. We thank N. Daudet, M. Eybalin, M. Gallego, G. Humbert, and N. Renard for immunohistochemistry, C. Gervais d'Aldin and J. Ruel for their help in physiological studies, and J.-L. Pasquier for art work.

Correspondence should be addressed to Christian P Hamel, Institut National de la Santé et de la Recherche Médicale U. 254, 71 rue de Navacelles, 34090 Montpellier, France, E-mail: hamel{at}montp.inserm.fr., or Jean-Luc Puel, same address, E-mail: puel{at}montp.inserm.fr.

A. Boulanger's present address: Laboratory of Retinal Cell and Molecular Biology, Building 6, Room 339, National Eye Institute/National Institutes of Health, 6 Center Drive, MSC 2740, Bethesda, MD 20892-2740.


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