SUMMARY
Naked mole-rats are highly vocal, eusocial, subterranean rodents with, counterintuitively, poor hearing. The causes underlying their altered hearing are unknown. Moreover, whether altered hearing is degenerate or adaptive to their unique lifestyles is controversial. We used various methods to identify the factors contributing to altered hearing in naked and the related Damaraland mole-rats and to examine whether these alterations result from relaxed or adaptive selection. Remarkably, we found that cochlear amplification was absent from both species despite normal prestin function in outer hair cells isolated from naked mole-rats. Instead, loss of cochlear amplification appears to result from abnormal hair bundle morphologies observed in both species. By exploiting a well-curated deafness phenotype-genotype database, we identified amino acid substitutions consistent with abnormal hair bundle morphology and reduced hearing sensitivity. Amino acid substitutions were found in unique groups of six hair bundle link proteins. Molecular evolutionary analyses revealed shifts in selection pressure at both the gene and the codon level for five of these six hair bundle link proteins. Substitutions in three of these proteins are associated exclusively with altered hearing. Altogether, our findings identify the likely mechanism of altered hearing in African mole-rats, making them the only identified mammals naturally lacking cochlear amplification. Moreover, our findings suggest that altered hearing in African mole-rats is adaptive, perhaps tailoring hearing to eusocial and subterranean lifestyles. Finally, our work reveals multiple, unique evolutionary trajectories in African mole-rat hearing and establishes species members as naturally occurring disease models to investigate human hearing loss.
Graphical Abstract
In Brief
Pyott et al. attribute comparatively poor hearing in African naked and Damaraland mole-rats to lack of cochlear amplification, disrupted hair bundles, and hair bundle proteins bearing deafness-associated amino acid substitutions. Positive selection in some bundle proteins suggests altered hearing is adaptive to subterranean and eusocial lifestyles.
INTRODUCTION
Most mammals hear with astounding sensitivity over broad frequency ranges [1]. Evolutionary adaptations within the cochlea—the auditory portion of the mammalian inner ear—underlie this feat. The most remarkable adaptation is prestin-mediated outer hair cell (OHC) electromotility [2], which enables cochlear amplification necessary for greater hearing sensitivity and high-frequency hearing [3]. Within mammals, rodents collectively exhibit an impressive sensitivity and range of hearing [4]. For example, gerbils (Meriones unguiculatus) hear frequencies over an impressive nine octaves, from 125 Hz to 60 kHz, with the most sensitive frequency at thresholds equivalent to that of humans, who hear over a narrower frequency range [5].
Curious then are the subterranean rodents. Most subterranean rodents are placed within four families: Bathyergidae (African mole-rats), Ctenomyidae (tuco-tucos), Geomyidae (pocket gophers), and Spalacidae (e.g., blind mole-rats) [6, 7]. Representatives from these families show elevated auditory thresholds and restricted frequency ranges of hearing compared with other surface-dwelling rodents [4, 8] (not known in Ctenomyidae). Members of the Bathyergidae family are among the best studied. Naked mole-rats (Heterocephalus glaber) hear within a narrow frequency range, from 125 cHz to 8 kHz, with only slightly more sensitive hearing at 4 kHz [9, 10]. Species in the genus Fukomys also hear within a narrow frequency range, between 125 cHz and 4 kHz, with the best hearing around 1 kHz [11]. Even at their best frequencies, audiograms indicate thresholds are elevated by 25 to 35 dB in these mole-rat species compared with mouse, rat, gerbil, guinea pig, and chinchilla [4].
The factors contributing to the comparatively reduced sensitivity and narrower frequency range of hearing in bathyergid mole-rats have not been identified. Most conspicuously, African mole-rats have no pinnae (ear lobes). Although the lack of pinnae may contribute to their poor sound localization (reported previously in naked mole-rats [9]), it cannot account for their elevated auditory thresholds at low frequencies (because pinnae in rodents are responsible for acoustical gain at frequencies above 8 kHz [12, 13]). A study using microcomputed tomography concluded that the gross dimensions of the middle and inner ear, including cochlear length, are not sufficient to explain altered hearing in bathyergids [14]. Another study reported alterations in the patterns of innervation of the cochlear hair cells in naked and Damaraland mole-rats (Fukomys damarensis) compared with mice and gerbils, but these alterations are again not sufficient to explain the decreased hearing sensitivity in mole-rats [15]. Finally, the most comprehensive examination of auditory function has been performed in Fukomys anselli. This species shows altered cochlear amplification [16] and expansion of low-frequency representation in the cochlear tonotopic map [17]. It is not known whether these features are shared by other bathyergid mole-rats.
The restricted frequency range and elevated auditory thresholds of naked mole-rats have been interpreted as degenerate hearing [9]. Loss of hearing acuity may result from loss of selective pressures imposed by above-ground acoustic environments, analogous to reduced visual acuity in mole-rats living in darkness [18]. A competing argument suggests that changes may be adaptive [19], arguing that auditory thresholds of subterranean rodents have not been assessed ecologically and do not account for the stethoscope effect [20]—the amplification of sound in subterranean burrows [21]. Indeed, measurements in natural burrows of various Fukomys species [21] and blind mole-rats [22] indicate amplification of low-frequency sounds (200–800 Hz) within the audible frequency ranges in these species [8, 11]. Reduced hearing sensitivity in subterranean species may have evolved to avoid acoustic overexposure. Moreover, the frequency and intensity range of hearing and vocalizations in naked mole-rats are well matched [10] and may support eusociality.
Recent genomic and transcriptomic analyses have been used to examine whether biological processes, including those related broadly to cochlear function, have undergone relaxed or adaptive selection in bathyergids. One study, which examined the genome from naked mole-rats and transcriptomes from all bathyergid genera, identified a cluster of genes relevant to the inner ear that underwent positive selection in the ancestral bathyergid [23]. However, examination of the genes within this cluster does not immediately identify the factors contributing to elevated thresholds in naked mole-rats. Another study identified convergent adaptive substitutions in genes related to cochlear function in both echolocating bats and cetaceans [24]. Although subterranean mammals were not included in this particular analysis, a separate analysis in this study reported both relaxed and adaptive selection in genes involved in hearing in three subterranean species, including naked mole-rats.
In this work, we used various methods to identify the factors contributing to altered hearing in bathyergid mole-rats and to examine whether these alterations result from relaxed or adaptive selection. By taking advantage of a well-curated hearing genotype-phenotype database [25], we identified amino acid substitutions matching pathogenic mutations in humans in the hair bundle link proteins from both naked and Damaraland mole-rats. These substitutions are consistent with abnormal hair bundle morphology observed by scanning electron microscopy and reduced cochlear amplification measured in vivo in both naked and Damaraland mole-rats despite normal prestin function observed in OHCs isolated from naked mole-rats. Therefore, our findings suggest that previously unrecognized amino acid substitutions in hair bundle proteins contribute to the elevated auditory thresholds and likely the narrower range of hearing in bathyergid mole-rats. Additional phylogenetic and molecular evolutionary analyses indicate that some of these substitutions accumulated independently in bathyergid mole-rats, evolved non-neutrally, and are likely adaptive. Our work, together with previous work identifying positive selection in genes regulating cochlear function, suggests that modifications to cochlear function and hearing in African mole-rats are adaptive.
RESULTS
Auditory Thresholds Are Elevated and the Cochlear Amplifier Is Absent from Bathyergid Mole-Rats
To assess cochlear function in mature naked and Damaraland mole-rats, we measured wave I auditory brainstem responses (ABRs) to pure tones ranging from 0.25 to 6 kHz (Figure 1A, red and blue traces, respectively). For comparison, we also measured wave I ABRs to pure tones ranging from 6 to 32 kHz in mice, a commonly used model system (Figure 1A, black traces). Wave I ABRs provide a measure of neural activity in the cochlea (arising from activation of the auditory nerve). In mice (n = 13), the hearing range (over which absolute thresholds were ≤60 dB SPL) extended from 6 to about 32 kHz, with the mean most sensitive frequency (lowest thresholds) between 12 and 16 kHz. In naked mole-rats (n = 2), the hearing range extended from 0.5 to 4 kHz (with thresholds ≤ 60 dB SPL). In Damaraland mole-rats (n = 4), the hearing range extended from 0.5 to 2 kHz (with thresholds ≈ 60 dB SPL). These findings agree with previously obtained audiograms from naked [9, 10] and Fukomys [11] mole-rats. Importantly, mole-rats show elevated auditory thresholds at their frequencies of highest sensitivity compared with many other surface-dwelling rodents [4]. Even at equivalent low frequencies (i.e., 1 kHz), thresholds are elevated by approximately 25 to 35 dB in naked and Damaraland mole-rats in comparison to other well-studied surface-dwelling rodents, including gerbils [5] and the hystricognath guinea pigs [26] and chinchillas [27]. In gerbils, guinea pigs, and chinchillas, sensitive low-frequency hearing does not come at the expense of reduced sensitivity to higher frequencies: in each of these three species, auditory thresholds are below 60 dB SPL within the range of 63 Hz to 32 kHz [5, 26, 27].
Elevated auditory thresholds in naked and Damaraland mole-rats could arise for many reasons. To examine specifically the integrity of the cochlear amplifier, we measured distortion product otoacoustic emissions (DPOAEs) (Figure 1B). Otoacoustic emissions are sounds emitted from the ear due to electromotility of the OHCs necessary for cochlear amplification. Thus, DPOAEs measure the robustness of cochlear amplification. In mice (n = 11), DPOAE response levels (measured near their most sensitive frequency) increased with stimulus level and were well above the noise floor (Figure 1B, black traces). Gerbils, guinea pigs, and chinchillas show robust DPOAEs over lower frequency ranges [28–30]. In contrast, in both naked mole-rats (n = 4) and Damaraland mole-rats (n = 3), DPOAE responses did not increase with the stimulus level. They were not significantly detectable above the noise floor (Wilcoxon matched-pairs signed-rank test; Figure 1B, red and blue traces, respectively). Absent DPOAEs in naked and Damaraland mole-rats indicate reduced (absent) cochlear amplification, consistent with their elevated thresholds measured by ABRs [9].
Prestin Localization and Function Are Normal in OHCs from Bathyergid Mole-Rats
In mammals, the membrane protein prestin is necessary for OHC electromotility and cochlear amplification [31]. Prestin knockout mice show wave I ABR threshold shifts of approximately 40 dB [32], similar to the elevations in auditory thresholds observed in both naked and Damaraland mole-rats at their frequencies of highest sensitivity (Figure 1). Moreover, variations in the amino acid sequence of prestin have been associated with nonsyndromic deafness in humans [33]. Therefore, we suspected that naked and Damaraland mole-rats might show differences in prestin expression compared with mice and/or that substitutions in the prestin protein sequence might give rise to loss of prestin function and consequently loss of cochlear amplification.
To test this prediction, we examined prestin expression and localization using immunofluorescence in the cochlear sensory epithelia (organs of Corti) isolated from mature mice and naked and Damaraland mole-rats (Figure 2A). Comparable to mice, prestin was expressed in the OHCs and localized to the basolateral cell membrane in both naked and Damaraland mole-rats. Qualitative differences in prestin abundance were not observed between individual OHCs, between rows of OHCs, or among these three species. Nevertheless, examination of prestin expression revealed differences in the morphology and organization of the OHCs (Figures 2A and 2B). Median cross-sectional areas of OHCs were larger in both naked mole-rats (38.4 μm2, n = 89 OHCs from 3 individuals; Figure 2B, red traces) and Damaraland mole-rats (57.3 μm2, n = 197 OHCs from 3 individuals; Figure 2B, blue traces) compared with mice (27.8 μm2, n = 199 OHCs from 3 individuals; Figure 2B, black traces). Based on previous observations [34] and the results of this study, the change in OHC diameter may relate allometrically to body weight. In mice and naked mole-rats, OHCs were relatively homogeneous in diameter and organized into three discrete rows. In contrast, OHCs in Damaraland mole-rats varied in size and were not organized into three discrete rows.
To gain insight into the functional status of prestin in OHCs from these mole-rats, we first examined the prestin protein sequence (Figure 2C). Specifically, we examined three pathogenic amino acid mutations (R130S, R150G, and S713R) associated with prestin loss of function [25] and deafness in humans [35]. We found no substitutions in these three positions in either naked or Damaraland mole-rats compared with gerbil (data not shown), mouse, or human. We did observe amino acid substitutions in other positions in both naked and Damaraland mole-rat prestin sequences, but the functional consequences of these substitutions are not known.
We also assessed prestin function in OHCs isolated from naked mole-rats (Figures 2D–2G). Prestin-mediated OHC electromotility is accompanied by charge movement measured as a bell-shaped nonlinear capacitance (NLC) function [36]. The measurement of this NLC indicates prestin function. The normalized NLC function recorded from OHCs isolated from naked mole-rats (n = 5, red trace) was indistinguishable from those recorded from OHCs isolated from mature mice (n = 10; Figure 2D, blue trace). We found no significant differences in the normalized maximum nonlinear charge (QMax/CLin) moved between mice (0.149 ± 0.0102 pC/pF) and naked mole-rats (0.137 ± 0.007 pC/pF; Mann-Whitney test, p = 0.3097; Figure 2E). Comparable values have been reported previously for gerbils [37]. The variance in these measures was greater in naked mole-rats compared with mice and may reflect the greater variance in OHC diameter and non-prestin-containing membrane (which contributes to QMax/CLin) in naked mole-rats compared with mice (Figure 2B). There were also no significant differences in the half-activation voltage (Vh) between mice (−77.5 ± 4.2 mV) and naked mole-rats (−78.0 ± 5.1 mV; Mann-Whitney test, p = 0.5941; Figure 2F). Finally, there were no significant differences in the unitary charge valence (z) between mice (0.90 ± 0.04) and naked mole-rats (0.77 ± 0.06; Mann-Whitney test, p = 0.1215; Figure 2G).
These results show that reduced cochlear amplification in naked and Damaraland mole-rats does not result from the absence or altered function of prestin in the OHC. These findings, together with previous work showing that OHCs from both naked and Damaraland mole-rats have both afferent and efferent innervation [15], indicate that reduced cochlear sensitivity in these mole-rats is most likely the consequence of events preceding prestin-mediated OHC electromotility.
Hair Bundle Morphology Is Abnormal in Bathyergid Mole-Rats
Depolarization of the OHCs is required for prestin-mediated OHC electromotility and cochlear amplification. Depolarization occurs following sound-evoked, positive deflection of the hair bundles. The precise arrangement and orientation of hair bundles across the sensory epithelium is essential for efficient deflection of the OHC hair bundles, depolarization of the OHCs, and prestin activation. Not surprisingly, abnormal morphology of the hair bundles can cause hearing loss and deafness [38]. We used SEM to examine whether abnormal morphology of the hair bundles in naked and Damaraland mole-rats might contribute to their reduced cochlear amplification. We examined apical, apical/middle, middle/basal, and basal cochlear regions. Although cochlear frequency place maps are not known for these species, progressively more basal regions are expected to encode progressively higher frequencies [16].
SEMs revealed intact hair bundles from inner hair cells (IHCs) in all regions in both naked mole-rats (n = 4) and Damaraland mole-rats (n = 3), with a supernumerary row observed in apical turns in some naked mole-rats (Figure 3A). In contrast, hair bundles from OHCs were absent from or disorganized in the apical and apical/middle turns of both naked and Damaraland mole-rats (Figure 3A). Hair bundles were absent from the most apical regions of the naked mole-rat cochleae. In both naked and Damaraland mole-rats, abnormal hair bundles were observed in regions in which prestin immunoreactivity in the OHCs was observed (Figure 2A), suggesting that although OHCs were present, their hair bundles were missing or disorganized. Qualitatively, the morphology of the hair bundles became increasingly organized in progressively more basal regions in both naked and Damaraland mole-rats. Nonetheless, the orientations of the v-shaped hair bundles showed considerable variability. We quantified relative hair bundle orientation in naked and Damaraland mole-rats compared with mice (Figure 3B). In naked and Damaraland mole-rats, relative orientation angles ranged from −30.5° to 34.5° (n = 53 bundles, red bars) and −39.0° to 37.0° (n = 61 bundles, blue bars), respectively. In contrast, the relative orientation angles in mice were restricted to within −6.5° and 3.5° (n = 14 bundles, black bars). Previous examination of hair bundles from gerbils revealed an organized arrangement and orientation in the low-frequency apical turns comparable to our observations in mice [39]. Absent or disrupted alignment of the hair bundles would be expected to reduce the efficiency of sound-evoked OHC depolarization and, in turn, cochlear amplification.
Hair Bundle Link Proteins in Bathyergid Mole-Rats Contain Amino Acid Substitutions Matching Pathogenic Mutations in Humans
Not surprisingly, given the importance of hair bundle morphology to cochlear amplification, hearing loss and deafness can result from mutations in hair bundle proteins [25, 38]. Of the 66 genes known to encode hair bundle proteins, amino acid mutations in 29 of these genes are associated with deafness and hearing loss in humans [25]. To determine whether the abnormal hair bundle morphology and loss of cochlear amplification in naked and Damaraland mole-rats might result from the presence of amino acid substitutions that match pathogenic mutations identified in humans, we examined the amino acid sequences of these 29 hair bundle proteins in both naked and Damaraland mole-rats (Figure 4). Only variants associated with deafness and/or hearing loss were included to exclude the possibly confounding associations with nonauditory phenotypes.
From both mole-rats, we observed a combined total of 78 amino acid substitutions at positions corresponding to known sites of pathogenic mutations in 12 (of the 29) hair bundle (stereociliar) proteins examined: ADGRV1 (adhesion G-coupled receptor V1), CDH23 (cadherin 23), CEACAM16, ESPN, MYH9, MYO15, PCDH15 (protocadherin 15), STRC (stereocilin), TSPEAR, USH1C (harmonin), USH2A (usherin), and WHRN (whirlin) (Figure 4). Although some substitutions were shared between species (Figure 4, purple bars), substitutions were mostly unique to either naked mole-rats (Figure 4, red bars) or Damaraland mole-rats (Figure 4, blue bars). Substitutions that match known pathogenic mutations in humans were found uniquely in naked and Damaraland mole-rats. There were seven substitutions in five proteins, including five substitutions in Damaraland mole-rats (ADGRV1, CDH23, PCDH15, and two in USH1C) and two substitutions in two proteins in naked mole-rats (CDH23 and STRC). Interestingly, substitutions that match known pathogenic mutations were restricted to hair bundle link proteins, proteins that interconnect hair bundle stereocilia [40].
The unique pattern of substitutions between naked and Damaraland mole-rats prompted us to examine the phylogenetic distribution of these substitutions among the larger group of bathyergid species, as well as the infraorder of hystricognath rodents that contains bathyergid mole-rats (Figure 5). Pathogenic substitutions were additionally identified in the common mole-rat (Cryptomys hottentotus), the silvery mole-rat (Heliophobius argenteocinereus), the greater cane-rat (Thryonomys swinderianus), and the social tuco-tuco (Ctenomys sociabilis). Moreover, substitutions matching pathogenic mutations in humans were found more frequently on fossorial (burrowing) branches (thick gray lines) and most frequently in subterranean lineages (thick black lines) compared with surface-dwelling rodents (thin black lines). Phylogenetic analysis also indicated that three pathogenic substitutions were modified further in naked, but not Damaraland, mole-rats (ADGRV1, PCDH15, and USH2A, indicated by the prime and double-prime symbols). Most amino acid substitutions (substitutions listed in Figure 5) are expected to result in altered chemical properties. None of the genes encoding these six proteins (ADGRV1, CDH23, PCDH15, STRC, USH1C, and USH2A) are pseudogenes. Three of the seven identified pathogenic substitutions (ADGRV1-2, CDH23-3, and STRC-1) are associated with nonsyndromic hearing loss (and thus not additionally associated with reported visual or vestibular deficits).
Molecular Evolutionary Analyses Suggest Shifting Selective Pressures and Potentially Adaptive Substitutions in Hair Bundle Link Proteins Harboring Substitutions
We performed several analyses to investigate changes in selection in the genes encoding these six hair bundle link proteins. First, we estimated the ratio of the numbers of nonsynonymous substitutions per nonsynonymous site to the number of synonymous substitutions per synonymous site (dN/dS) in the bathyergid and nonbathyergid (NB) portions of the phylogeny. For most genes, selective constraint results in the number of synonymous substitutions vastly outnumbering the number of nonsynonymous substitutions. Thus, increases in the dN/dS ratio between lineages indicate shifting selection. This analysis revealed higher average dN/dS ratios for all six hair bundle link proteins in the bathyergid portion of the phylogeny compared with the NB portion, indicating shifting selection in bathyergids (Table 1).
Table 1.
Average dN/dS (Gene Wide) | dN-dS (Codon Specific) | EP | Overall Evolutionary Signala | ||||
---|---|---|---|---|---|---|---|
B | NB | B+NB | NB | derived | ancestral | ||
ADGRV1-2 | 0.357 | 0.221 | 1.13 | 1.58 | 0.655 | 0.174 | selection shifting/adaptive |
ADGRV1-2′ | 0.006 | 0.655 | adaptive | ||||
CDH23-1 | 0.086 | 0.043 | 0.50 | 0.00 | 0.012 | 0.971 | adaptive |
CDH23-3 | 0.46 | 0.00 | 0.002 | 0.975 | adaptive | ||
PCDH15-2 | 0.144 | 0.099 | 0.00 | 0.00 | 0.084 | 0.811 | neutral |
PCDH15-2′ | 0.811 | 0.084 | neutral | ||||
STRC-1 | 0.352 | 0.178 | −0.12 | −1.73 | 0.008 | 0.941 | selection shifting/adaptive |
USH1C-1 | 0.378 | 0.097 | −0.89 | −3.00 | 0.002 | 0.908 | selection shifting/adaptive |
USH1C-2 | 0.55 | −0.91 | 0.007 | 0.946 | adaptive | ||
USH2A-2′ | 0.388 | 0.302 | 0.42 | 0.42 | 0.014 | 0.775 | adaptive |
Greater gene-wide dN/dS and codon-specific dN-dS values in columns including bathyergid (B) species compared with values in columns including non-bathyergid (NB) species indicate shifts toward greater numbers of nonsynonymous substitutions in B species compared with NB species and therefore shifting selection in B species. If dN-dS is additionally greater than zero in columns including B species, then shifting selection is considered likely adaptive in B species. EP values below 0.05 in columns including B species support adaptive shifts in selection. dN-dS values for ADGRV1 and USH2A-2′ are greater than zero for B+NB species, consistent with the occurrence of these substitutions before the ancestral divergence of Bathyergidae.
Because selective pressures can vary at different positions within a gene, we also investigated codon-specific dN-dS values for each of the seven pathogenic substitutions identified in naked and Damaraland mole-rats, as well as the three reversals/substitutions identified in naked mole-rats (ADGRV1-2′, PCDH15-2′, and USH2A-2′). Under strictly neutral evolution, dN-dS values will equal zero. In contrast, adaptive selection results in dN-dS values that are positive, and negative selection results in dN-dS values that are negative. Because the number of changes at each position is small, statistical tests estimating the likelihood that dN > dS at a single site have rather low power [42]. Instead, codon-specific dN-dS values determined from a sampling of bathyergid and nonbathyergid (B+NB) species were compared with the codon-specific dN-dS values determined from a control sampling of only NB species. For codons harboring the CDH23-1, CDH23-3, and USH1C-2 pathogenic substitutions, the dN-dS values exceeded zero when bathyergid mole-rats were included and were zero or less than zero when bathyergid mole-rats were excluded, indicating adaptive selection. Moreover, the codons harboring the STRC-1 and USH1C-1 pathogenic substitutions had more positive dN-dS values when bathyergid mole-rats were included compared with when they were excluded, consistent with shifting selection (Table 1).
Finally, we calculated the neutral evolutionary probability (EP) for these seven pathogenic substitutions and three reversals/substitutions. The EP quantifies the probability of observing an amino acid residue at a given site and is higher when this residue occurs frequently across related species. A high EP suggests neutral evolution or constraint. In contrast, function-altering alleles have low EPs and are candidate adaptive polymorphisms when found with a high frequency in a population [43]. When compared with the ancestral EP values (which averaged 0.88), the derived EP values for the bathyergid acid substitutions were lower (EP < 0.05) for ADGRV1-2′, CDH23-1/3, STRC-1, USH1C-1/2, and USH2A-2′ proteins. Therefore, amino acid substitutions in these positions are not expected in naked and Damaraland mole-rats based on the long-term evolutionary patterns observed at these positions. Thus, these results support shifting and likely adaptive selection in these genes. EP values are shown in Table 1.
In summary, molecular evolutionary analyses suggest non-neutral evolution and signs of positive selection in at least five of the hair bundle link proteins: ADGRV1, CDH23, STRC, USH1C, and USH2A. These patterns, coupled with the finding that three pathogenic substitutions (ADGRV1-2′, CDH23-3, and STRC-1) are associated with nonsyndromic hearing loss, indicate adaptive selection specifically on auditory function in bathyergids.
DISCUSSION
In this work, we provide insight into the functional and evolutionary mechanisms responsible for altered hearing in bathyergid mole-rats compared with surface-dwelling rodents. Our findings suggest that hair bundle defects, likely resulting from amino acid substitutions in hair bundle link proteins, diminish cochlear amplification and result in elevated auditory thresholds in naked and Damaraland mole-rats. Moreover, because the ancestor to naked and Damaraland mole-rats comprises the earliest divergence in the bathyergid family—covering approximately 30 million years of evolutionary history [23]—the data presented here also provide insight into the evolution of bathyergid hearing. Importantly, amino acid substitutions in hair bundle link proteins accumulated uniquely, independently, and possibly adaptively in the evolutionary history of these two species, suggesting that auditory function may be tailored to species-specific differences in vocalizations [44–46], eusociality [47], and subterranean burrow architecture [48, 49].
In naked and Damaraland mole-rats and related hystricognath rodents, amino acid substitutions matching pathogenic mutations in humans were found in five hair bundle link proteins— ADGRV1, CDH23, PCDH15, STRC, and USH1C—with an additional modification identified in USH2A. Although the effect of these amino acid substitutions in mole-rats is not known, there is remarkable conservation between the pathology of hearing loss observed in humans and that observed in rodents (mice) [50]. The shared pathology between humans and rodents likely reflects the conserved function of these proteins in mammalian hair bundles [51].
To summarize these effects, CDH23, PCDH15, and USH1C are tip link proteins [40]. In humans, mutations in CDH23 result in Usher syndrome type 1D (USH1D [52, 53]) and nonsyndromic autosomal recessive deafness DFNB12 [53–55]. Similarly, mice with null and missense mutations in CDH23 [56, 57] show, respectively, congenital syndromic and progressive nonsyndromic hearing loss associated with disrupted hair bundles. PCDH15 is a kinocilial and tip link protein that interacts with CDH23 [40]. Various mutations in PCDH15 give rise to nonsyndromic deafness DFNB23 and Usher syndrome type 1F [58, 59]. Spontaneous and engineered mutations in PCDH15 in mice cause hair bundle defects and degeneration of the cochlear neuroepithelium [60–64]. Mutations in USH1C cause Usher syndrome type 1C (also associated with nonsyndromic recessive deafness DFNB18 [65]). Again, mouse models show hair bundle defects and subsequent degeneration of the cochlear neuroepithelium [61, 66, 67]. Our analyses indicate adaptive selection in CDH23 in both naked and Damaraland mole-rats and USH1C in Damaraland mole-rats. The CDH23-3 pathogenic substitution is specifically associated with nonsyndromic hearing loss. Our analyses do not indicate adaptive selection for the PCDH15-2/2′ pathogenic substitution and reversal.
STRC is a horizontal top connector [40]. In humans, mutations in STRC lead to nonsyndromic autosomal recessive deafness DFNB16 [68]. In mice, STRC connects OHC stereocilia to one another and to the tectorial membrane [69], and STRC knockout mice show marked OHC dysfunction, absent DPOAEs [70], and hearing loss [69, 71]. Our analyses indicate adaptive selection (based on dN/dS and EP values) in STRC in naked mole-rats. The STRC-1 pathogenic substitution is specifically associated with nonsyndromic hearing loss.
Finally, ADGRV1 and USH2A are both ankle link proteins [40]. ADGRV1 (also known as very large G-protein receptor 1 or G-protein coupled receptor 98) is clinically associated with Usher syndrome type 2 [72]. ADGRV1 knockout mice show absent DPOAEs, elevated auditory thresholds, and progressively disorganized OHC hair bundles [73, 74]. Mutations in USH2A causes Usher syndrome type 2A, the most common subtype of Usher syndrome [75]. Null mutant mice show elevated DPOAEs and hair cell loss in the high-frequency regions of the cochlea [76]. Maximum parsimony suggests that both genes underwent substitutions before the common ancestor of Bathyergidae, with further modification/reversal in naked mole-rats. Our analyses further indicate that both reversals (ADGRV1-2′ and USH2A-2′) are adaptive. The ADGRV1-2 pathogenic substitution is specifically associated with nonsyndromic hearing loss.
The presence of hair bundle defects and reduced cochlear amplification in mole-rats harboring amino acid substitutions matching pathogenic mutations in humans is therefore consistent with the pathology observed in humans and rodents (mice). Future work should particularly examine tip link integrity in naked and Damaraland mole-rats. Nevertheless, there is an unexpected difference in the phenotype observed in mole-rats compared with humans and mice. Pathology typically progresses from basal (high frequency) to apical (low frequency) cochlear regions in humans and mice [77]. In contrast, in naked and Damaraland mole-rats, hair bundles were more disorganized in apical compared with basal cochlear regions, a pattern not immediately consistent with their poor high-frequency hearing. Various factors may contribute to this discrepancy. In general, hearing loss associated with these proteins shows considerable variability and progression depending on the specific mutations and is influenced by other factors, including genetic background [78], transcriptional variants [79], digenic inheritance [80, 81], and protein interactions [82]. Moreover, attenuation of high-frequency sounds in underground burrows [21] may limit sound exposure to lower frequencies that preferentially damage only the low-frequency regions of the cochlea. Previous examination of the blind mole-rat (Spalax ehrenbergi), which belongs to the family Spalacidae, also reported worse hair bundle defects in apical compared with basal cochlear regions [83]. Poor high-frequency hearing in these three mole-rat species may result from off-frequency hearing: the low-frequency regions of the cochlea may function so poorly that sound is detected off-place (in higher-frequency regions) with sufficiently greater sound intensities [84].
Our findings of adaptive rather than degenerate changes in hearing in bathyergid mole-rats are supported by independent lines of evidence and may extend to other aspects of cochlear function in additional groups of subterranean mammals. First, previous genomic analyses identified STRC and CDH23 as having undergone adaptive selection on the branch leading to naked mole-rats [85] and Damaraland mole-rats [86], respectively. Similar work identified additional hair bundle proteins that have undergone adaptive selection, including LOXHD1 on the branch leading to naked mole-rats [87] and MYO3A and CEACAM16 on the branch ancestral to hystricognath rodents [86]. Mutations in each of these hair bundle proteins are associated with nonsyndromic hearing loss in humans. Moreover, various studies have failed to find support for the loss of selection (indicated by pseudogenization and/or gene loss) in stereocilia proteins in bathyergid mole-rats [85, 87, 88]. Second, adaptive selection has been previously identified in genes encoding proteins essential for other aspects of cochlear function, including SLC12A2, an ion transporter essential for the maintenance of the endocochlear potential and associated with deafness in knockout mice [89, 90], in naked mole-rats [87]; TECTA, a component of the tectorial membrane-associated with DFNA12 [91], in Damaraland mole-rats [87]; and SLC4A7, another ion transporter associated with deafness in mice [92, 93], in both naked and Damaraland mole-rats [23]. Moreover, adaptive selection has been identified in ADGRV1 and USH1C in talpid moles and MYO15A in golden moles [94], suggesting that adaptive changes we observed in Bathyergidae and likely in Ctenomyidae and Thryonomidae extend to other mammalian orders with members that have independently obtained the subterranean lifestyles. One of the ADGRV1 amino acid substitutions (ADGRV1-2: L4112W) is found ancestral to all hystricognath rodents (Figure 5). Some members of this group, notably guinea pigs and chinchillas, have sensitive low-frequency hearing [4], suggesting the intriguing possibility that this substitution associates with low-frequency specializations that evolved commonly in all hystricognath rodents as an adaptation for long-distance communication in open, arid environments [95].
In summary, our findings indicate that adaptations in hearing and cochlear function in bathyergid mole-rats followed distinct evolutionary trajectories, similar to adaptations to sociality [96] and physiology [97]. Therefore, researchers should be wary of collapsing members to a single bathyergid representative when examining adaptations to subterranean lifestyles. These results also establish members of this fascinating group as naturally occurring disease models to investigate human hearing loss.
STAR★METHODS
RESOURCE AVAILABILITY
Lead Contact
Further information and requests for resources and reagents should be directed to and will be fulfilled by the Lead Contact, Sonja J. Pyott (s.pyott@umcg.nl).
Materials Availability
This study did not generate new unique reagents.
Data and Code Availability
Original/source data for figures in the paper are available from the corresponding author on request.
EXPERIMENTAL MODEL AND SUBJECT DETAILS
Animal protocols conformed to the respective legislation at the University of Illinois at Chicago (Chicago, IL, USA), Johns Hopkins University School of Medicine (Baltimore, MD, USA), Yale University (New Haven, CT, USA), and the University Medical Center Groningen (Groningen, the Netherlands). Naked mole-rats (Heterocephalus glaber) and Damaraland mole-rats (Fukomys damarensis) were obtained from colonies maintained at the University of Illinois at Chicago. Mice (C57BL6, Mus musculus) were obtained from colonies maintained at the University of Illinois at Chicago, the University Medical Center Groningen and Yale University. A total of 38 mice, 18 naked mole-rats, and 13 Damaraland mole-rats were used. To avoid examination of age-related pathology of the inner ear, all animals were mature but not aged. Mice were used at 6 weeks of age for all experiments. Naked mole-rats were 1 year old for in vivo auditory assessments (Figure 1) and in vitro hair bundle examination by SEM (Figure 3) and 9 months old for in vitro examination of the OHC (Figure 2). Damaraland mole-rats were 5 years old for all experiments. Considering the longevity of naked and Damaraland mole-rats, these animals would be considered mature but certainly not aged (see also [108]).
METHOD DETAILS
Auditory brainstem response (ABR) and distortion product otoacoustic emission (DPOAE) measurements
Naked and Damaraland mole-rats were anesthetized with a ketamine/xylazine mixture (80 mg/kg ketamine and 20 mg/kg xylazine, i.p.) and placed on a gauze-covered heating pad in a sound attenuated booth (IAC Acoustics, Inc., Naperville, IL). Animals were maintained at 37°C. ABR measurements were performed as described previously [109]. Briefly, electrodes were placed at the vertex of the skull and behind the pinna. A ground electrode was placed in the ipsilateral hind leg. Animals were presented a 5-ms monaural click stimuli (0.1-ms square wave pulse of alternating polarity) or a 5-ms tone at frequencies of 250, 500, 1000, 2000, 4000, and 6000 Hz (0.5-ms onset/offset) at a rate of 20 Hz. Stimuli were generated and presented using custom MATLAB software, Tucker-Davis Technology (TDT, RX6, PA5), dome tweeter speaker (Fostex model FT28D), and a desktop computer. Stimuli intensity was calibrated using a quarter-inch free-field microphone (type 4939, Brüel and Kjӕr) at the location of the animals’ head (30 cm from the speaker). Click stimuli were tested first to ensure proper electrode placement. Responses were recorded first to supra-threshold levels for all stimuli (85 to 105 dB, depending on the stimulus), and intensity was decreased in 10 dB SPL steps until threshold was reached. Each intensity level was repeated 300 times to generate an average waveform before moving to the next intensity level. Responses were amplified using a World Precision Instruments ISO-80 biological amplifier and filtered between 30 and 3000 Hz using a Krohn-Hite bandpass filter. Threshold was determined by the absence of any wave above the noise. Thresholds were additionally verified by statistical determination that estimates the level of the response that is two standard deviations above the noise.
Animals were anesthetized and prepared for measurements as described for ABR measurements. DPOAE measurements were performed as described previously [110]. Custom MATLAB software (generously provided by Michael E. Smith (University of Maryland, MD, USA) and TDT RX6 processor were used to control stimulus presentation and response recording. The processor was connected to an Etymotic Research ER-10C low noise, battery-powered DPOAE system, which included a sound source and microphone. A 20 μL small pipette tip was cut and placed onto the end of the ER-10C probe and then fitted into the animal’s ear canal. The probe was inserted approximately 2 to 4 mm into the ear canal. No visible exudate was observed before inserting the probe tip or stuck to the probe tip after removal from the ear canal. Attempts to clear the ear canal were not performed since these procedures are invasive and risk damaging the structures of the outer and middle ear. The acoustic seal of the microphone in the ear canal was tested before the beginning of each test to ensure proper placement of the probe by measuring the ear canal sound pressure levels of tone sweeps emanating from each speaker to confirm that neither speaker was occluded and that background noise was as low as possible. The ear canal response to tone sweeps was tested for each speaker to ensure proper probe placement before the beginning of the DPOAE test. The cubic (2f1-f2, where f2/f1 = 1.2 and f1 is 10 dB SPL lower than f2) DPOAE thresholds were determined across a range of frequencies (between 0.25 and12 kHz) and evoked using f1 stimuli with randomly presented intensity levels (up to 65 dB SPL in mouse and 70 dB SPL in naked and Damaraland mole-rats) in 5 to 10 dB interval increments to establish thresholds. In vivo DPOAE amplitudes vary substantially across species and are often very small at low frequencies, even in the healthy cochlea (sometimes only 5 dB above noise floor [111]), partly because the microphone noise floor is higher at low frequencies. More intense stimuli cannot be used since the system itself (speaker/probe/tube) produces distortion above the levels examined in this study.
Previous work detected DPOAEs in a species, Fukomys anselli, recently reclassified to the same genus as the Damaraland mole-rat [16]. These authors indicated that measurement of DPOAEs were methodologically difficult due to the unusual external ear anatomy of mole-rats. In our experiments, DPOAEs could not be detected in either naked or Damaraland mole-rats despite careful positioning (and repositioning) of the recording microphone in the ear canal. Importantly, Fukomys anselli shows slightly more sensitive hearing [lower ABR wave I thresholds: [11]] and a region of increased frequency representation in the cochlea [termed an acoustic fovea: [17]]. Differences in the cochlear function between Fukomys anselli and naked and Damaraland mole-rats might account for the presence of DPOAEs in Fukomys anselli and their absence in naked and Damaraland mole-rats. Unfortunately, Fukomys anselli was not available for parallel testing in our facilities.
Immunofluorescence, confocal microscopy, and image analysis
To obtain cochleae, animals were anaesthetized by isoflurane inhalation and then rapidly decapitated. Procedures published previously were used to isolate intact organs of Corti from cochleae for immunofluorescence and confocal microscopy [112, 113]. In these experiments, a rabbit polyclonal antibody against-prestin was generously provided by Dr. Mary Ann Cheatham (Northwestern University, IL, USA) and used diluted 1:1000. The secondary antibody, AlexaFluor 594 goat anti-rabbit, was purchased from Invitrogen and used diluted 1:500. High magnification confocal micrographs of middle turns of the organs of Corti were acquired using a Leica SP8 confocal microscope with a 60 × Olympus PlanApo oil-immersion lens (NA 1.42) under the control of the Leica Application Suite (LAS) software. Single optical sections were acquired in a 1024 × 1024 pixel raster at a sampling speed of 100 Hz. The laser power and PMT voltage, gain and offset adjustments were adjusted to optimize the dynamic range of the detected intensity values. To quantify outer hair cell cross-sectional areas, images containing clearly defined and intact outer hair cell membranes (visualized by prestin immunoreactivity) were converted to binary (black and white) images to allow measurement of the cross-sectional areas. Average outer hair cell cross-sectional areas are presented in the text as the grand average of the average outer hair cell cross-sectional areas from each individual.
Measurements of non-linear capacitance in isolated outer hair cells
Naked mole-rats and C57BL/6J mice were anesthetized with 100 mg/kg ketamine and 20 mg/kg xylazine (i.p.) and then rapidly decapitated. Apical turns of the organs of Corti were isolated for whole cell voltage clamp recordings performed as described previously [114]. Briefly, the extracellular solution contained (in mM): 100 NaCl, 20 tetraethylammonium (TEA)-Cl, 20 CsCl, 2 CoCl2, 1 MgCl2, 1 CaCl2, 10 HEPES, pH 7.2. The intracellular solution contained (in mM): 140 CsCl, 2 MgCl2, 10 HEPES, and 10 EGTA, pH 7.2. Pipettes had resistances of 3–5 MΩ. Gigaohm seals were made and stray capacitance was balanced out with amplifier circuitry prior to establishing whole-cell conditions. A Nikon Eclipse E600-FN microscope with 40 × water immersion lens was used to observe cells during voltage clamp. Outer hair cells from all three rows were recorded at room temperature using jClamp software and an Axopatch 200B amplifier. Data were low pass-filtered at 10 kHz and digitized at 100 kHz with a Digidata 1320A.
To extract Boltzmann parameters, capacitance-voltage data were fit to the first derivative of a two-state Boltzmann function:
where
Qmax is the maximum non-linear charge moved, Vh is the voltage at peak capacitance or equivalently at half-maximum charge transfer, Vm is the Rs-corrected membrane potential, z is the valence, Clin is the linear membrane capacitance, e is the electron charge, kB is the Boltzmann’s constant, and T is the absolute temperature. Csa is a component of capacitance that characterizes sigmoidal changes in specific membrane capacitance. ΔCsa is the total sum of unitary changes per prestin motor protein.
Scanning electron microscopy (SEM) of isolated cochleae
Animals were anesthetized with 100 mg/kg ketamine and 20 mg/kg xylazine (i.p.) and transcardially perfused with 2% paraformal-dehyde (PFA) and 2.5% glutaraldehyde in sodium cacodylate buffer (0.1 M sodium cacodylate with 3 mM CaCl2, pH 7.4). After perfusion, temporal bones were removed from the skull and post-fixed for 24h at 4°C overnight. The temporal bone was placed in SEM buffer (0.05 mM HEPES Buffer pH 7.4, 10 mM CaCl2, 5 mM MgCl2, and 0.9% NaCl), and the bony cochlear shell, tectorial membrane and Reissner’s membrane were removed, leaving the organ of Corti exposed on the modiolus. Samples were washed in SEM buffer before being post-fixed in 1% OsO4 using the OTOTO method (alternating osmium tetroxide and thiocarbohydrazide immersion [115]). The sample was rinsed in 0.1% cacodylate buffer and then dehydrated in an ethanol series (50, 70, 80, 90, 95, then two 100% EtOH) for 10 min each at room temperature. Samples were dried using a chemical drying agent, hexamethyldisilizane (HMDS), for 30 min in 50% HMDS/50% EtOH and then 30 min in 100% HMDS. Afterward samples were placed in a vacuum desiccator to evaporate the HMDS. Samples were then mounted on stubs with double-sided adhesive carbon disks and sputter coated with 10 nm platinum. Apical, middle, and basal sections of the organ of Corti were viewed and images obtained with a Hitachi S-3000N scanning electron microscope (RRC, University of Illinois Chicago, Chicago, IL).
Hair bundle orientation was quantified as the angular deviation of the hair bundle axis and the mediolateral axis, similar to previously published methodology [79]. Specifically, for each micrograph, a line was drawn through the axes of all complete hair bundles (yellow arrows in Figure 3). The angle corresponding to the mediolateral axis for that micrograph was determined as the median of the individual angles drawn through the hair bundle axes. The angle of the mediolateral axis was determined in this way because of the variability in the orientation of the rows of outer hair cells between micrographs and species. An angular deviation of 0° indicates the expected orientation of the hair bundle along the mediolateral axis. The observation of both positive and negative angular deviations indicate that hair bundles are sometimes oriented in opposite directions.
Hair bundle (stereociliar) protein sequence analysis
Hair bundle (stereociliar) proteins were identified from the list of genes retrieved when searching the gene ontology (GO) term “stereo-cilium” (specifying mouse) in AmiGO v2.0 (accessed on November 15, 2017) [103, 104]. Additional proteins were added to this list by including proteins localized to stereocilia in the Hereditary Hearing Loss Homepage (hereditaryhearingloss.org, accessed on November 15, 2017) [105]. Independent literature searches confirmed localization of each of these proteins to the stereocilia. Of the 66 hair bundle proteins identified, 29 are encoded by deafness genes associated with known pathogenic missense variants in humans identified in the Deafness Variation Database (deafnessvariationdatabase.org, accessed on January 6, 2019, version 8.1) [25]. Only variants associated with Usher syndrome, deafness, and/or hearing loss were included to exclude possibly confounding associations with non-auditory phenotypes. Orthologous amino acid sequences for these 29 stereocilia proteins were retrieved from naked and Damaraland mole-rats, related bathyergid and hystricognath species, and mouse using Blastp against annotated genomes and tblastn against mammal whole genome sequence (WGS) and sequence read archive (SRA) data (when annotated sequences were not available) and screened for the presence of these pathogenic missense variants. Prior to screening, possible pseudogenization was assessed via published genomic scans of pseudogenes [85, 87, 116], and gene expression was verified via The Naked Mole-Rat Genome Resource (naked-mole-rat.org, accessed on March 5, 2020) [106, 107]. Pathogenic substitutions were mapped onto a well-established phylogeny of hystricognath rodents [117] using maximum parsimony.
Molecular evolutionary analyses
Protein-coding nucleotide sequences were retrieved from the NCBI RefSeq non-redundant protein database (https://www.ncbi.nlm.nih.gov/refseq/about/nonredundantproteins). Non-human sequences for each gene were selected by using the NCBI BLASTn utility (https://blast.ncbi.nlm.nih.gov/Blast.cgi) to query each of the target human sequences, and selecting the top BLAST hit for each of the six non-human species. After selecting the protein coding portion of each transcript, the sequences for each gene were aligned using the MEGA X software [101]. Genes were aligned by codon using the ClustalW algorithm with default settings. Estimation of gene-wide dN/dS ratios for bathyergid and non-bathyergid portions of the phylogeny were computed online at the Datamonkey web-site using the Fixed Effects Likelihood (FELL) method [100]. Taxa included naked and Damaraland mole rats, guinea pig, chinchilla, degu, mouse, and human. Per-codon estimates of dN-dS were obtained by using the Single-Likelihood Ancestor Counting (SLAC) method [100]. Taxa for the bathyergid and non-bathyergid sampling included naked and Damaraland mole rats, guinea pig, chinchilla, and degu. Taxa for the non-bathyergid only sampling included guinea pig, chinchilla, degu, mouse, and human. Evolutionary probability of variants was estimated using the evolutionary probability (EP) method in MEGA X software [43, 118], which estimates the probability of observing an amino acid residue at a protein position in a given species using a multispecies sequence alignment and phylogenetic relationships among sequences. EP is independent of population-level information on the frequency of alleles at the focal position in the species of interest. EP was estimated using the amino acid sequences derived from the same seven-species alignments used to estimate dN/dS ratios, with either naked or Damaraland mole rats as the focal species depending on which species the target variant was found in.
QUANTIFICATION AND STATISTICAL ANALYSIS
All data are presented as mean ± standard error unless otherwise noted. Tests for statistical significance are provided in the text. In general, data were not assumed to be normally distributed and non-parametric tests for significance were used. These tests included the Wilcoxon signed-rank test for paired data or the Kruskal Wallis with Dunn’s correction for multiple comparisons. P values ≤ 0.05 were used to establish significance.
REAGENT or RESOURCE | SOURCE | IDENTIFIER |
---|---|---|
Antibodies | ||
Rabbit polyclonal anti-prestin | Dr. Mary Ann Cheatham (Northwestern University, IL, USA) [98] | N/A |
Experimental Models: Organisms/Strains | ||
Heterocephalus glaber | Dr. Thomas J. Park [15] | N/A |
Fukomys damarensis | Dr. Thomas J. Park [15] | N/A |
Mouse: CBA/CaJ mice | The Jackson Laboratory | JAX:000654 |
Software and Algorithms | ||
ImageJ | [99] | https://imagej.nih.gov/ij/ |
jClamp Software | https://scisoftco.com | |
Adobe Suite | N/A | https://adobe.com |
FELL | [100] | https://datamonkey.org |
GraphPad Prism8 | N/A | https://graphpad.com/scientific-software/prism |
Microsoft Suite | N/A | https://microsoft.com |
NCBI GenBank/BLAST | N/A | https://ncbi.nlm.nih.gov |
SLAC | [100] | https://datamonkey.org |
MEGA X | [101] | https://megasoftware.net |
ClustalW | [102] | https://megasoftware.net |
Other | ||
AmiGO v2.0 | [103, 104] | http://amigo.geneontology.org/amigo |
Hereditary Hearing Loss Homepage | [105] | https://hereditaryhearingloss.org |
Deafness Variation Database | [25] | http://www.deafnessvariationdatabase.org |
The Naked Mole-Rat Genome Resource | [106, 107] | http://www.naked-mole-rat.org |
Highlights.
Hearing is comparatively poor in African naked and Damaraland mole-rats
These mole-rats lack cochlear amplification and have disrupted hair bundles
Hair bundle proteins bear deafness-associated amino acid substitutions
Positive selection in some bundle proteins suggests altered hearing is adaptive
ACKNOWLEDGMENTS
The project was supported by grants from the University of Groningen (the Netherlands) to S.J.P.; the NSF (USA) to T.J.P. (grant 1655494) and to K.M.S. and L.A.S. (NRSA postdoctoral fellowships); the NIH (USA) to S.K. (R01-HG008146 and GM0126567), to J.S.-S. (R01-DC016318 and R01-DC008130), to A.M.L. (R01-DC017620 and RO1-DC012347); and the David M. Rubenstein Fund for Hearing Research (USA) to A.M.L. We acknowledge Paul A. Fuchs for training support (NIH T32-DC000032) and Dr. Elizabeth Brittan-Powell for technical support.
Footnotes
DECLARATION OF INTERESTS
The authors declare no competing interests.
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Data Availability Statement
Original/source data for figures in the paper are available from the corresponding author on request.