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      Single-cell transcriptomic profiling of the mouse cochlea: An atlas for targeted therapies

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          Significance

          An increasing number of therapeutic strategies are being designed and tested in animal models for numerous forms of hereditary deafness, the most frequent genetic sensorineural disorder. One major challenge is the implementation of these therapies for diverse isolated and syndromic forms of hearing loss, taking into account the spatial and temporal patterns of expression of the causal gene in the auditory sensory organ, the cochlea. Here, combining single-cell and single-nucleus RNA sequencing with in situ RNA hybridization assays, we present a large-scale single-cell transcriptomic atlas for three crucial stages in the maturation of the mouse cochlea. This detailed atlas of gene expression provides key information for the development of effective therapeutic approaches.

          Abstract

          Functional molecular characterization of the cochlea has mainly been driven by the deciphering of the genetic architecture of sensorineural deafness. As a result, the search for curative treatments, which are sorely lacking in the hearing field, has become a potentially achievable objective, particularly via cochlear gene and cell therapies. To this end, a complete inventory of cochlear cell types, with an in-depth characterization of their gene expression profiles right up to their final differentiation, is indispensable. We therefore generated a single-cell transcriptomic atlas of the mouse cochlea based on an analysis of more than 120,000 cells on postnatal day 8 (P8), during the prehearing period, P12, corresponding to hearing onset, and P20, when cochlear maturation is almost complete. By combining whole-cell and nuclear transcript analyses with extensive in situ RNA hybridization assays, we characterized the transcriptomic signatures covering nearly all cochlear cell types and developed cell type–specific markers. Three cell types were discovered; two of them contribute to the modiolus which houses the primary auditory neurons and blood vessels, and the third one consists in cells lining the scala vestibuli. The results also shed light on the molecular basis of the tonotopic gradient of the biophysical characteristics of the basilar membrane that critically underlies cochlear passive sound frequency analysis. Finally, overlooked expression of deafness genes in several cochlear cell types was also unveiled. This atlas paves the way for the deciphering of the gene regulatory networks controlling cochlear cell differentiation and maturation, essential for the development of effective targeted treatments.

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          Most cited references73

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          Prestin is required for electromotility of the outer hair cell and for the cochlear amplifier.

          Hearing sensitivity in mammals is enhanced by more than 40 dB (that is, 100-fold) by mechanical amplification thought to be generated by one class of cochlear sensory cells, the outer hair cells. In addition to the mechano-electrical transduction required for auditory sensation, mammalian outer hair cells also perform electromechanical transduction, whereby transmembrane voltage drives cellular length changes at audio frequencies in vitro. This electromotility is thought to arise through voltage-gated conformational changes in a membrane protein, and prestin has been proposed as this molecular motor. Here we show that targeted deletion of prestin in mice results in loss of outer hair cell electromotility in vitro and a 40-60 dB loss of cochlear sensitivity in vivo, without disruption of mechano-electrical transduction in outer hair cells. In heterozygotes, electromotility is halved and there is a twofold (about 6 dB) increase in cochlear thresholds. These results suggest that prestin is indeed the motor protein, that there is a simple and direct coupling between electromotility and cochlear amplification, and that there is no need to invoke additional active processes to explain cochlear sensitivity in the mammalian ear.
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            Sensory Neuron Diversity in the Inner Ear Is Shaped by Activity

            In the auditory system, type I spiral ganglion neurons (SGNs) convey complex acoustic information from inner hair cells (IHCs) to the brainstem. Although SGNs exhibit variation in physiological and anatomical properties, it is unclear which features are endogenous and which reflect input from synaptic partners. Using single-cell RNA sequencing, we derived a molecular classification of mouse type I SGNs comprising three subtypes that express unique combinations of Ca2+ binding proteins, ion channel regulators, guidance molecules, and transcription factors. Based on connectivity and susceptibility to age-related loss, these subtypes correspond to those defined physiologically. Additional intrinsic differences among subtypes and across the tonotopic axis highlight an unexpectedly active role for SGNs in auditory processing. SGN identities emerge postnatally and are disrupted in a mouse model of deafness that lacks IHC-driven activity. These results elucidate the range, nature, and origins of SGN diversity, with implications for treatment of congenital deafness.
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              Restoration of hearing in the VGLUT3 knockout mouse using virally mediated gene therapy.

              Mice lacking the vesicular glutamate transporter-3 (VGLUT3) are congenitally deaf due to loss of glutamate release at the inner hair cell afferent synapse. Cochlear delivery of VGLUT3 using adeno-associated virus type 1 (AAV1) leads to transgene expression in only inner hair cells (IHCs), despite broader viral uptake. Within 2 weeks of AAV1-VGLUT3 delivery, auditory brainstem response (ABR) thresholds normalize, along with partial rescue of the startle response. Lastly, we demonstrate partial reversal of the morphologic changes seen within the afferent IHC ribbon synapse. These findings represent a successful restoration of hearing by gene replacement in mice, which is a significant advance toward gene therapy of human deafness. Copyright © 2012 Elsevier Inc. All rights reserved.
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                Author and article information

                Contributors
                Journal
                Proc Natl Acad Sci U S A
                Proc Natl Acad Sci U S A
                PNAS
                Proceedings of the National Academy of Sciences of the United States of America
                National Academy of Sciences
                0027-8424
                1091-6490
                20 June 2023
                27 June 2023
                20 June 2023
                : 120
                : 26
                : e2221744120
                Affiliations
                [1] aInstitut Pasteur, Université Paris Cité, INSERM, Institut de l’Audition, Plasticity of Central Auditory Circuits, F-75012 Paris, France
                [2] bInstitut Pasteur, Université Paris Cité, INSERM, Institut de l’Audition, Auditory Therapies Innovation Laboratory, F-75012 Paris, France
                [3] cInstitut Pasteur, Université Paris Cité, Ultrastructural BioImaging, F-75015 Paris, France
                [4] dInstitut Pasteur, Université Paris Cité, Cytometry and Biomarkers, F-75015 Paris, France
                [5] eCollège de France, F-75005 Paris, France
                Author notes
                2To whom correspondence may be addressed. Email: christine.petit@ 123456pasteur.fr or nicolas.michalski@ 123456pasteur.fr .

                Contributed by Christine Petit; received January 18, 2023; accepted May 17, 2023; reviewed by Karen B. Avraham and Bernd Fritzsch

                1C.P. and N.M. contributed equally to this work.

                Author information
                https://orcid.org/0000-0002-2316-9947
                https://orcid.org/0000-0001-9932-6438
                https://orcid.org/0000-0002-8391-5411
                https://orcid.org/0000-0002-1916-9119
                https://orcid.org/0000-0003-1604-7308
                https://orcid.org/0000-0002-9069-002X
                https://orcid.org/0000-0002-1287-2709
                Article
                202221744
                10.1073/pnas.2221744120
                10293812
                37339214
                32378ce0-cc98-4baf-87c3-e027bb6401ce
                Copyright © 2023 the Author(s). Published by PNAS.

                This open access article is distributed under Creative Commons Attribution License 4.0 (CC BY).

                History
                : 18 January 2023
                : 17 May 2023
                Page count
                Pages: 12, Words: 7732
                Funding
                Funded by: European Molecular Biology Organization (EMBO), FundRef 100004410;
                Award ID: ALTF 852-2019
                Award Recipient : Philippe Jean
                Funded by: Agence Nationale de la Recherche (ANR), FundRef 501100001665;
                Award ID: ANR-15-RHUS-0001
                Award Recipient : Adeline Mallet Award Recipient : Christine Petit Award Recipient : Nicolas Antoine Michalski
                Funded by: Agence Nationale de la Recherche (ANR), FundRef 501100001665;
                Award ID: ANR-10-INSB-04-01
                Award Recipient : Adeline Mallet Award Recipient : Christine Petit Award Recipient : Nicolas Antoine Michalski
                Funded by: Agence Nationale de la Recherche (ANR), FundRef 501100001665;
                Award ID: ANR-10-LABX-65
                Award Recipient : Adeline Mallet Award Recipient : Christine Petit Award Recipient : Nicolas Antoine Michalski
                Funded by: LHW-376 Stiftung;
                Award ID: LHW-376 Stiftung
                Award Recipient : Christine Petit
                Funded by: Fondation Pour l'Audition (FPA), FundRef 100019671;
                Award ID: FPA IDA05
                Award Recipient : Christine Petit Award Recipient : Nicolas Antoine Michalski
                Funded by: Fondation Pour l'Audition (FPA), FundRef 100019671;
                Award ID: FPA IDA03
                Award Recipient : Christine Petit Award Recipient : Nicolas Antoine Michalski
                Funded by: Sensorion;
                Award ID: Sensorion
                Award Recipient : Christine Petit
                Funded by: Agence Nationale de la Recherche (ANR), FundRef 501100001665;
                Award ID: ANR-18-RHUS-0007
                Award Recipient : Adeline Mallet Award Recipient : Christine Petit Award Recipient : Nicolas Antoine Michalski
                Categories
                dataset, Dataset
                research-article, Research Article
                cell-bio, Cell Biology
                409
                Biological Sciences
                Cell Biology

                hearing,gene therapy,cochlea,tonotopy,transcriptomics
                hearing, gene therapy, cochlea, tonotopy, transcriptomics

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