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Human Molecular Genetics Advance Access published online on February 15, 2006

Human Molecular Genetics, doi:10.1093/hmg/ddl022
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© The Author 2006. Published by Oxford University Press. All rights reserved
Received November 25, 2005
Revised February 7, 2006
Accepted February 7, 2006

Article

Cochlin immunostaining of inner ear pathologic deposits and proteomic analysis in DFNA9 deafness and vestibular dysfunction

Nahid G. Robertson 1, Cor W.R.J. Cremers 2, Patrick L.M. Huygen 2, Tetsuo Ikezono 3, Bryan Krastins 4, Hannie Kremer 2, Sharon F. Kuo 1, M. Charles Liberman 5, Saumil N. Merchant 5, Constance E. Miller 5, Joseph B. Nadol Jr. 5, David A. Sarracino 4, Wim I.M. Verhagen 6, and Cynthia C. Morton 1 *

1 Departments of Pathology, Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
2 Department of Otorhinolaryngology, Radboud University Medical Center, Nijmegen, The Netherlands
3 Department of Otorhinolaryngology, Nippon Medical School, Tokyo, Japan
4 Harvard Medical School-Partners Healthcare Center for Genetics and Genomics, Cambridge, Massachusetts, USA
5 Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Eaton-Peabody Laboratory, Harvard Medical School Boston, MA, USA
6 Department of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands

* To whom correspondence should be addressed.
Cynthia C. Morton, E-mail: cmorton{at}partners.org


   Abstract

Seven missense mutations and one in-frame deletion mutation have been reported in the COCH (coagulation factor Chomology) gene, causing the adult-onset, progressive sensorineural hearing loss and vestibular disorder at the DFNA9 locus. Prevalence of COCH mutations worldwide is unknown, as there is no systematic screening effort for late-onset hearing disorders; however, to date, COCH mutations have been found on four continents, and the possibility of COCH playing an important role in presbycusis and disorders of imbalance has been considered. Cochlin (encoded by COCH) has also been shown as a major target antigen for autoimmune sensorineural hearing loss. In this report, we present histopathology, immunohistochemistry, and proteomic analyses of inner ear tissues from post-mortem DFNA9 temporal bone samples of an individual from a large Dutch kindred segregating the P51S mutation and adult human unaffected controls, and wild-type (+/ + ) and Coch null (-/-) knock-out mice. DFNA9 is an inner ear disorder with a unique histopathology showing loss of cellularity and aggregation of abundant homogeneous acellular eosinophilic deposits in the cochlear and vestibular labyrinths, similar to protein aggregation in well-known neurodegenerative disorders. By immunohistochemistry on the DFNA9 temporal bone sections, we have shown cochlin staining of the characteristic cochlear and vestibular deposits, indicating aggregation of cochlin in the same structures in which it is normally expressed. Proteomic analysis identified cochlin as the most abundant protein in mouse and human cochleae. The high-level expression and stability of cochlin in the inner ear, even in the absence and severe atrophy of the fibrocytes that normally express COCH, are shown through these studies and further elucidate the pathobiologic events occurring in DFNA9 leading to hearing loss and vestibular dysfunction.


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