Atrophic thyroid follicles and inner ear defects reminiscent of cochlear hypothyroidism in Slc26a4-related deafness

Amiel A. Dror, Danielle R. Lenz, Shaked Shivatzki, Keren Cohen, Osnat Ashur-Fabian, Karen B. Avraham

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Thyroid hormone is essential for inner ear development and is required for auditory system maturation. Human mutations in SLC26A4 lead to a syndromic form of deafness with enlargement of the thyroid gland (Pendred syndrome) and non-syndromic deafness (DFNB4). We describe mice with an Slc26a4 mutation, Slc26a4 loop/loop, which are profoundly deaf but show a normal sized thyroid gland, mimicking non-syndromic clinical signs. Histological analysis of the thyroid gland revealed defective morphology, with a majority of atrophic microfollicles, while measurable thyroid hormone in blood serum was within the normal range. Characterization of the inner ear showed a spectrum of morphological and molecular defects consistent with inner ear pathology, as seen in hypothyroidism or disrupted thyroid hormone action. The pathological inner ear hallmarks included thicker tectorial membrane with reduced β-tectorin protein expression, the absence of BK channel expression of inner hair cells, and reduced inner ear bone calcification. Our study demonstrates that deafness in Slc26a4 loop/loop mice correlates with thyroid pathology, postulating that sub-clinical thyroid morphological defects may be present in some DFNB4 individuals with a normal sized thyroid gland. We propose that insufficient availability of thyroid hormone during inner ear development plays an important role in the mechanism underlying deafness as a result of SLC26A4 mutations.

Original languageEnglish
Pages (from-to)304-316
Number of pages13
JournalMammalian Genome
Issue number7-8
StatePublished - Aug 2014
Externally publishedYes

Bibliographical note

Funding Information:
We thank Leonid Mittelman for training in confocal microscopy, Vered Holdengreber for SEM advice and support; Jørgen Frøkiær, Christine Petit, Guy Richardson, and Tobias Moser for providing antibodies. This work was supported by the National Institutes of Health (NIDCD) R01DC011835 and I-CORE Gene Regulation in Complex Human Disease, Center No. 41/11.


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