Suzuki Noriomi, Hosoya Makoto, Oishi Naoki, Okano Hideyuki, Fujioka Masato, Ogawa Kaoru
Departments of aOtorhinolaryngology, Head and Neck Surgery bPhysiology, Keio University School of Medicine, Tokyo, Japan.
Neuroreport. 2016 Aug 3;27(11):833-6. doi: 10.1097/WNR.0000000000000624.
Wolfram syndrome is an autosomal recessive disorder of the neuroendocrine system, known as DIDMOAD (Diabetes Insipidus, Diabetes Mellitus, Optic Atrophy and Deafness) syndrome, and considered an endoplasmic reticulum disease. Patients show mutations in WFS1, which encodes the 890 amino acid protein wolframin. Although Wfs1 knockout mice develop diabetes, their hearing level is completely normal. In this study, we examined the expression of wolframin in the cochlea of a nonhuman primate common marmoset (Callithrix jacchus) to elucidate the discrepancy in the phenotype between species and the pathophysiology of Wolfram syndrome-associated deafness. The marmoset cochlea showed wolframin immunoreactivity not only in the spiral ligament type I fibrocytes, spiral ganglion neurons, outer hair cells, and supporting cells, but in the stria vascularis basal cells, where wolframin expression was not observed in the previous mouse study. Considering the absence of the deafness phenotype in Wfs1 knockout mice, the expression of wolframin in the basal cells of primates may play an essential role in the maintenance of hearing. Elucidating the function of wolframin protein in the basal cells of primates would be essential for understanding the pathogenesis of hearing loss in patients with Wolfram syndrome, which may lead to the discovery of new therapeutics.
沃夫勒姆综合征是一种常染色体隐性神经内分泌系统疾病,被称为尿崩症、糖尿病、视神经萎缩和耳聋(DIDMOAD)综合征,被认为是一种内质网疾病。患者的WFS1基因发生突变,该基因编码含890个氨基酸的沃尔弗拉姆蛋白。虽然Wfs1基因敲除小鼠会患糖尿病,但其听力水平完全正常。在本研究中,我们检测了普通狨猴(绢毛猴)耳蜗中沃尔弗拉姆蛋白的表达,以阐明物种间表型差异以及沃夫勒姆综合征相关耳聋的病理生理学机制。狨猴耳蜗不仅在I型螺旋韧带纤维细胞、螺旋神经节神经元、外毛细胞和支持细胞中显示出沃尔弗拉姆蛋白免疫反应性,在血管纹基底细胞中也有显示,而在之前的小鼠研究中未观察到该细胞中有沃尔弗拉姆蛋白表达。考虑到Wfs1基因敲除小鼠没有耳聋表型,沃尔弗拉姆蛋白在灵长类动物基底细胞中的表达可能对维持听力起着至关重要的作用。阐明沃尔弗拉姆蛋白在灵长类动物基底细胞中的功能对于理解沃夫勒姆综合征患者听力丧失的发病机制至关重要,这可能会带来新治疗方法的发现。