LOXHD1 review notes

Reference synthesis (2026-08-10)

Blockers and evidence boundaries

Prioritized direct-function evidence

  1. The strongest evidence supports LOXHD1 as a nonenzymatic component of the mature
    auditory mechanotransduction apparatus. In mouse inner hair cells, it maintains TMC1
    at the tips of shorter stereocilia near the lower tip-link force-transmission site.
    PMID:39256406
  2. LOXHD1 dependence is selective for the mature TMC1 configuration rather than the
    developmental TMC2 configuration. Heterologous co-immunoprecipitation found selective
    association with TMC1, and the mouse deletion displaced TMC1 while sparing TMC2.
    PMID:39256406
  3. Earlier mouse physiology established a developmental requirement for LOXHD1 after the
    first postnatal week: mechanotransduction currents declined by P11 despite retained
    gross bundle structure and key tip-link complex proteins. PMID:33707295
  4. The original mouse study localizes LOXHD1 along the mature stereociliary membrane and
    shows that mutation perturbs hair-cell function without blocking initial
    stereociliary development. PMID:19732867
  5. Human evidence directly establishes disease relevance—biallelic LOXHD1 variation can
    cause progressive autosomal-recessive nonsyndromic hearing loss—but does not by itself
    define molecular activity. PMID:19732867

Curation implications

Finishing pass (2026-09-04, PAINT no-IBA project)

Final quality pass over LOXHD1-ai-review.yaml for the PAINT "human no-IBA" project.