id: MODULE:hair_cell_mechanotransduction
title: Hair-cell mechanotransduction — CDH23/PCDH15 tip link, TMC1/TMC2 MET channel with LHFPL5/TMIE/CIB2, USH1 upper tip-link density tensioning, MYO1C adaptation and inner hair cell VGLUT3/otoferlin ribbon-synapse output; CDH23/PCDH15/TMC1/TMC2/LHFPL5/TMIE/CIB2/USH1C/USH1G/MYO7A/MYO1C/SLC17A8/OTOF
description: >-
  Hair cells of the cochlea and of the vestibular organs convert deflection of their apical
  hair bundle into an electrical signal. The hair bundle is a staircase of actin-filled
  stereocilia. The tip of each shorter stereocilium is joined to the side of its taller
  neighbour by a tip link, a fine extracellular filament made of two cadherins: a parallel
  homodimer of cadherin 23 (CDH23) forms the upper part and a homodimer of protocadherin 15
  (PCDH15) the lower part, and the two meet tip to tip. At the lower end of the tip link,
  PCDH15 is bound to the mechanoelectrical transduction (MET) channel complex in the
  stereocilium membrane. The pore of that channel is formed by the transmembrane
  channel-like protein TMC1, or by its paralog TMC2, which is expressed in vestibular hair
  cells and only transiently in neonatal cochlear hair cells. The tetraspan LHFPL5 (TMHS)
  and the two-pass TMIE couple PCDH15 to the pore, and the EF-hand protein CIB2 (with
  CIB3 in vestibular hair cells) binds the cytoplasmic side of TMC1/TMC2 and is needed for
  transduction. At the upper end of the tip link, CDH23 is anchored in the upper tip-link
  density, where the PDZ scaffold harmonin (USH1C), the scaffold SANS (USH1G) and the
  motor myosin VIIa (MYO7A) form a complex thought to hold the tip link under resting
  tension. Deflection of the bundle towards its tallest row raises tip-link tension and
  increases the open probability of the channels, and the resulting cation influx
  depolarises the cell. Sustained deflection is followed by adaptation; the slow component
  in vestibular hair cells is mediated by myosin-1c (MYO1C) slipping and climbing along the
  stereocilium actin core to reset tension. In inner hair cells of the cochlea, the
  receptor potential drives glutamate release at ribbon synapses onto type I spiral
  ganglion neurons. Synaptic vesicles are loaded with glutamate by the vesicular glutamate
  transporter VGLUT3 (SLC17A8), and Ca2+-triggered fusion requires otoferlin (OTOF), a
  multi-C2-domain protein that binds Ca2+ and the SNARE proteins and is the main Ca2+
  sensor for exocytosis at this synapse. Outer hair cells use the same transduction
  apparatus to drive electromotile amplification. Loss-of-function variants in CDH23,
  PCDH15, USH1C, USH1G, MYO7A and CIB2 cause Usher syndrome type 1 or nonsyndromic
  deafness; variants in TMC1, LHFPL5 and TMIE cause nonsyndromic deafness; OTOF variants
  cause auditory neuropathy (DFNB9); and SLC17A8 variants cause DFNA25.
status: DRAFT
scope: CONCRETE
evidence:
  - source_id: PW:0001503
    title: auditory mechanotransduction pathway
    statement: >-
      The module boundary follows the RGD Pathway Ontology record and diagram for this term.
      The record describes the hair bundle, the CDH23/PCDH15 tip link with its upper and
      lower tip-link densities, the MET channel at the lower end of the tip link, the
      harmonin, SANS, MYO7A and MYO1C proteins at the upper tip-link density, adaptation on
      fast and slow timescales, and the inner hair cell ribbon synapse that releases
      glutamate loaded by Slc17a8 (VGLUT3). The diagram draws Cdh23 associated with Pcdh15,
      Ush1c and Myo1c; Myo7a with Ush1c and Ush1g; Pcdh15 with Ush1c; Myo1c with PIP2; Espn
      with Myo3a; and Myo6 with Otof. Its 21 human genes are ACTB, ACTG1, ADGRV1, CDH23,
      ESPN, MYO15A, MYO1C, MYO3A, MYO6, MYO7A, OTOF, PCDH15, PLS1, PLS3, POTEI, PTPRQ,
      SLC17A8, USH1C, USH1G, USH2A and WHRN. Derived through projects/RGD_PATHWAY_ONTOLOGY
      (module seed PW:0001503; pathways/PW_0001503.yaml).
  - source_id: GO:0050910
    title: detection of mechanical stimulus involved in sensory perception of sound
    statement: >-
      The curated narrowMatch for PW:0001503 in the project's PW-GO mappings; the mapping
      comment notes that the PW pathway also covers vestibular hair-cell transduction. The
      transduction parts of this module realise GO:0050910 in cochlear hair cells and its
      sibling GO:0050973 detection of mechanical stimulus involved in equilibrioception in
      vestibular hair cells. Both are is_a GO:0050974 detection of mechanical stimulus
      involved in sensory perception. The inner hair cell synaptic output is outside
      GO:0050910 but inside its parent GO:0007605 sensory perception of sound.
  - source_id: PMID:17805295
    title: Cadherin 23 and protocadherin 15 interact to form tip-link filaments in sensory hair cells.
    statement: The tip link is a CDH23-PCDH15 filament thought to gate the transduction channel.
    supporting_text: Mechanoelectrical transduction takes place close to the tips of stereocilia in proximity to extracellular tip-link filaments that connect the stereocilia and are thought to gate the mechanoelectrical transduction channel.
  - source_id: PMID:23217710
    title: TMHS is an integral component of the mechanotransduction machinery of cochlear hair cells.
    statement: Tip links transmit tension onto the transduction channels.
    supporting_text: It is thought that tip links, fine extracellular filaments that connect the tips of neighboring stereocilia, transmit tension force onto the transduction channels
notes: >-
  Derivation. Derived from the RGD Pathway Ontology record PW:0001503 through the
  RGD_PATHWAY_ONTOLOGY project's diagram->module route. No GO-CAM in gocams/index.tsv
  contains any of the RGD genes or the MET-channel subunits, and none uses GO:0050910 or
  GO:0050973, so the module has no gocam_associations. Of the 21 RGD human genes, 8 are
  modelled as participants (CDH23, PCDH15, USH1C, USH1G, MYO7A, MYO1C, SLC17A8, OTOF), 12
  are excluded as bundle-building or bundle-maintaining proteins (decision 3), and POTEI
  is excluded as a mapping artefact (decision 6). Five MET-channel proteins that are not
  on the RGD list (TMC1, TMC2, LHFPL5, TMIE, CIB2) are added (decision 2).
  Boundary decisions.
  (1) Participant rule. CLAUDE.md requires that a product does some of the work of the
  process, not merely be needed for it. Nearly every hair-bundle protein is needed for
  transduction, because without a correctly built bundle no tip links form and no current
  flows; that is necessity evidence. The question asked for each RGD gene was which
  entity performs a step of detection: transmitting force (tip link), conducting the
  current (MET channel), setting or resetting tension on the channel (upper tip-link
  density and adaptation motor), or, in the output arm, loading and releasing transmitter.
  Comparator check (QuickGO, GO:0050910, human and mouse, October 2026): the term is carried
  by TMC1 and TMC2 (IMP involved_in, plus IBA), and by Pcdh15, Lhfpl5, Whrn, Ptprq,
  Adgrv1, Pdzd7, Strc, Atp2b2, Kcnq1, Slc12a2, Sox2, Myc, Chrna9/Chrna10 and others, mostly
  as acts_upstream_of_or_within from mouse phenotypes. The phenotype-based rows include
  transcription factors and the efferent nicotinic receptor, so the term in GOA does not
  mark direct participation, and its presence on a gene was not taken as a reason to add
  it.
  (2) MET channel. The RGD record calls the channel's identity unknown. Later work cached
  here identifies TMC1/TMC2 as the pore (PMID:30138589 "TMC1 forms the entire pore";
  PMID:22105175; PMID:23871232), with LHFPL5 (PMID:23217710), TMIE (PMID:25467981) and
  CIB2/CIB3 (PMID:28663585, PMID:34089643) as required auxiliary subunits. Without them the
  module would have no transducer, so they are added. The channel is modelled as a
  protein complex with mechanosensitive monoatomic cation channel activity GO:0140135,
  following the TMC1 gene review, which records TMC1 as contributes_to GO:0140135 in
  cation channel complex GO:0034703 and proposes a new term "mechanoelectrical
  transduction channel complex" (not yet in GO). The pore subunit is a variant set: TMC1
  in mature cochlear hair cells, TMC2 in vestibular hair cells and transiently in
  neonatal cochlear hair cells (PMID:22105175). LHFPL5 and TMIE carry no molecular
  function in GOA and are modelled only as active units of the complex. CIB2 is an active
  unit too; its gene-review core function ion channel regulator activity GO:0099106 is
  noted but not given a separate annoton, because the channel activity is a complex-level
  claim. CIB3 substitutes for or adds to CIB2 in vestibular hair cells (PMID:34089643); it
  is not grounded here because no CIB3 review or cached CIB3-specific paper beyond that
  one was read. TOMT, which is needed to traffic TMC proteins to the bundle, is a
  trafficking factor rather than a channel subunit and is not added. The candidate
  channel proteins TMEM63B, PIEZO1 (the reverse-polarity current) and TMC paralogs other
  than TMC1/TMC2 are not added.
  (3) Bundle architecture excluded. ACTB and ACTG1 (stereocilium actin core), ESPN, PLS1 and
  PLS3 (actin cross-linkers), MYO15A, WHRN and MYO3A (stereocilium length regulation and
  tip-complex delivery), PTPRQ (shaft connectors and phosphoinositide phosphatase at the
  stereocilium base), USH2A and ADGRV1 (transient ankle links) and MYO6 (cuticular plate
  and stereocilium rootlet anchoring) build or maintain the bundle in which transduction
  happens. Their process is inner ear receptor cell stereocilium organization GO:0060122 /
  auditory receptor cell stereocilium organization GO:0060088, as recorded in the WHRN,
  USH1C and ESPN reviews. They are context for this module, not steps, and a future
  stereocilium-organization module is the right home for them. Two disagreements are
  recorded rather than overridden. The ADGRV1 gene review lists GO:0050910 as a process
  of its ankle-link core function, citing reduced MET currents in Vlgr1-/- outer hair
  cells (PMID:17567809); that defect accompanies disorganised bundles and was read here
  as a developmental effect. Human PTPRQ carries GO:0050910 by IBA; mouse Ptprq mutants
  lose bundle integrity, which again is upstream of transduction. Both are worth a second
  look by the gene reviewers. USH1C harmonin-b also bundles F-actin (PMID:12485990); that
  role belongs with bundle architecture and is not modelled; only its upper-tip-link
  adaptor role is.
  (4) Upper tip-link density. Harmonin, SANS and MYO7A are kept as participants because
  the harmonin dfcr mutant loses the UTLD and has shifted channel sensitivity with a
  normal bundle (PMID:19447093), and MYO7A at the UTLD is proposed to generate the
  resting tip-link tension (PMID:21709241). Harmonin and SANS take the gene-review core
  function protein-macromolecule adaptor activity GO:0030674; MYO7A takes microfilament
  motor activity GO:0000146 (IDA, PMID:21687988; MYO7A review core). Whether MYO7A or
  MYO1C is the tensioning motor in cochlear hair cells is not settled (knowledge gap).
  (5) Adaptation. MYO1C is kept, as a separate part, because the Y61G chemical-genetic
  experiment blocked adaptation within seconds of inhibitor delivery in utricular hair
  cells (PMID:11853671), which is a test of participation, not of necessity. Its
  molecular function is microfilament motor activity GO:0000146 (mouse EXP, human IBA).
  The evidence comes from vestibular hair cells, and adaptation in cochlear hair cells is
  an order of magnitude faster and may use different molecules (PMID:19447093), so the
  part is marked optional and its cochlear role is a knowledge gap. Fast adaptation by
  Ca2+ entering through the channel itself is not given a separate participant. The RGD
  diagram edge Myo1c-PIP2 and the PTPRQ phosphoinositide gradient are noted but not
  modelled.
  (6) POTEI excluded. POTEI (UniProtKB:P0CG38) is a primate POTE ankyrin-domain protein
  whose C-terminal region belongs to the actin family. The rat diagram has no Pote gene,
  so POTEI most likely entered the human gene list through orthology mapping of rat
  Actb/Actg1 to an actin-like human sequence. Nothing links it to hair cells.
  (7) Synaptic output. The RGD record includes the inner hair cell ribbon synapse, so the
  two RGD genes that act there are modelled: SLC17A8 with L-glutamate uniporter activity
  GO:0140788 (IDA PMID:12151341 in GOA; a child of GO:0005313 used for the VGLUT family in
  modules/synaptic_vesicle_neurotransmitter_loading.yaml, whose glutamate_loading variant
  grounds only VGLUT1/VGLUT2), and OTOF with calcium ion sensor activity GO:0061891, the
  term the synaptic_vesicle_exocytosis module uses for synaptotagmins (OTOF GOA has
  calcium ion binding GO:0005509 IDA PMID:17055430; the UniProt function text calls it
  the key Ca2+ sensor of IHC ribbon-synapse fusion). The generic SNARE, priming and
  active-zone machinery is in modules/synaptic_vesicle_exocytosis.yaml and is not
  repeated; the IHC synapse is atypical (otoferlin rather than synaptotagmin-1/2 as
  sensor), so a module_ref to that module was not used as a part. The CaV1.3 channel
  (CACNA1D) that couples the receptor potential to release, the ribbon protein RIBEYE
  (CTBP2) and the postsynaptic AMPA receptors of spiral ganglion neurons are not on the
  RGD list and are not modelled; the connection from the MET channel to exocytosis is
  therefore indirect. The MYO6-OTOF interaction drawn by RGD is noted but not modelled.
  (8) Out of scope: outer hair cell electromotility (prestin, SLC26A5; GO:0099129), the
  medial olivocochlear efferent synapse (CHRNA9/CHRNA10), the tectorial membrane and
  otolithic membrane, hair-cell development and planar polarity, and the endolymph
  potassium recycling that supplies the transduction current.
  Cochlear versus vestibular. The transduction parts are shared by cochlear and vestibular
  hair cells; the differences captured are the TMC1/TMC2 pore variants and the vestibular
  provenance of the MYO1C evidence. The ribbon-synapse output is modelled for cochlear
  inner hair cells only; vestibular hair cells also have ribbon synapses, but VGLUT3 is
  the IHC transporter named by RGD.
  Gene reviews used: CDH23, TMC1, CIB2, MYO7A, USH1C and USH1G core functions. PCDH15,
  TMC2, LHFPL5, TMIE, MYO1C, OTOF and SLC17A8 have no review yet; their functions come
  from GOA and the cited literature. PANTHER family ids and PTNs are deliberately not
  asserted.
module:
  id: hair_cell_mechanotransduction
  label: Hair-cell mechanotransduction
  module_type: BIOLOGICAL_PROCESS
  concepts:
    - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
      term:
        id: GO:0050910
        label: detection of mechanical stimulus involved in sensory perception of sound
      description: >-
        Conversion of hair-bundle deflection into a receptor current in cochlear hair cells;
        the curated narrowMatch of PW:0001503.
    - preferred_term: detection of mechanical stimulus involved in equilibrioception
      term:
        id: GO:0050973
        label: detection of mechanical stimulus involved in equilibrioception
      description: >-
        The same apparatus in vestibular hair cells, which the PW pathway also covers.
  context:
    taxa:
      - preferred_term: Homo sapiens
        term:
          id: NCBITaxon:9606
          label: Homo sapiens
        description: >-
          Members are grounded on the human proteins; most functional evidence comes from
          mouse hair cells.
    cell_types:
      - preferred_term: cochlear inner hair cell
        term:
          id: CL:0000589
          label: cochlear inner hair cell
      - preferred_term: cochlear outer hair cell
        term:
          id: CL:0000601
          label: cochlear outer hair cell
      - preferred_term: vestibular hair cell
        term:
          id: CL:0000609
          label: vestibular hair cell
    cellular_components:
      - preferred_term: stereocilium
        term:
          id: GO:0032420
          label: stereocilium
        description: >-
          The transduction parts act in the stereocilia of the hair bundle; tip-link,
          tip-density and synaptic locations are given on the annotons.
  parts:
    - order: 1
      role: force transmission by the tip link
      node:
        id: tip_link
        label: CDH23-PCDH15 tip link
        module_type: BIOLOGICAL_PROCESS
        description: >-
          CDH23 homodimers from the taller stereocilium bind PCDH15 homodimers from the
          shorter stereocilium tip to tip, forming the tip-link filament. Bundle deflection
          changes tip-link tension, which is passed to the MET channel at the PCDH15 end.
        annotons:
          - id: cdh23_upper_tip_link
            label: CDH23 forms the upper part of the tip link
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: CDH23 (cadherin 23)
                term:
                  id: UniProtKB:Q9H251
                  label: Cadherin-23
            function:
              preferred_term: cadherin binding
              term:
                id: GO:0045296
                label: cadherin binding
              targets:
                - preferred_term: PCDH15 (protocadherin 15)
                  term:
                    id: UniProtKB:Q96QU1
                    label: Protocadherin-15
            processes:
              - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                term:
                  id: GO:0050910
                  label: detection of mechanical stimulus involved in sensory perception of sound
            locations:
              - preferred_term: stereocilia tip link
                term:
                  id: GO:0002140
                  label: stereocilia tip link
            role_description: >-
              Upper tip-link strand, anchored in the upper tip-link density of the taller
              stereocilium; its cytoplasmic tail binds harmonin. The function follows the CDH23
              gene-review core function.
            evidence:
              - source_id: PMID:17805295
                statement: CDH23 and PCDH15 form the upper and lower parts of the tip link.
                supporting_text: cadherin 23 (CDH23) and protocadherin 15 (PCDH15) localize to the upper and lower part of tip links, respectively.
              - source_id: PMID:17805295
                statement: CDH23 homodimers bind PCDH15 homodimers in trans to form a tip-link-like filament.
                supporting_text: Biochemical experiments show that CDH23 homodimers interact in trans with PCDH15 homodimers to form a filament with structural similarity to tip links.
          - id: pcdh15_lower_tip_link
            label: PCDH15 forms the lower part of the tip link
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: PCDH15 (protocadherin 15)
                term:
                  id: UniProtKB:Q96QU1
                  label: Protocadherin-15
            function:
              preferred_term: cell adhesion molecule binding
              term:
                id: GO:0050839
                label: cell adhesion molecule binding
              targets:
                - preferred_term: CDH23 (cadherin 23)
                  term:
                    id: UniProtKB:Q9H251
                    label: Cadherin-23
            processes:
              - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                term:
                  id: GO:0050910
                  label: detection of mechanical stimulus involved in sensory perception of sound
            locations:
              - preferred_term: stereocilia tip link
                term:
                  id: GO:0002140
                  label: stereocilia tip link
            role_description: >-
              Lower tip-link strand, inserted at the tip of the shorter stereocilium, where it
              binds LHFPL5 and TMIE and so couples the tip link to the channel. The function is
              the human IBA row; PCDH15 has no gene review yet.
            evidence:
              - source_id: PMID:17805295
                statement: A deafness mutation in PCDH15 disrupts the CDH23-PCDH15 interaction.
                supporting_text: Ions that affect tip-link integrity and a mutation in PCDH15 that causes a recessive form of deafness disrupt interactions between CDH23 and PCDH15.
              - source_id: PMID:23217710
                statement: LHFPL5 (TMHS) couples PCDH15 to the transduction channel.
                supporting_text: TMHS is an integral component of the hair cell's mechanotransduction machinery that functionally couples PCDH15 to the transduction channel.
    - order: 2
      role: mechanoelectrical transduction channel
      node:
        id: met_channel
        label: TMC1/TMC2 MET channel complex
        module_type: PROTEIN_COMPLEX
        description: >-
          The non-selective, Ca2+-permeable cation channel at the lower end of the tip link.
          A dimeric TMC pore subunit assembles with LHFPL5, TMIE and CIB2; tip-link tension
          raises its open probability and the inward current depolarises the hair cell.
        variant_sets:
          - id: met_pore_subunit
            label: TMC1 and TMC2 pore subunits
            axis: hair-cell type and developmental stage
            selection: ONE_OR_MORE
            notes: >-
              TMC1 is the pore of mature cochlear hair cells; TMC2 is expressed in vestibular
              hair cells and transiently in neonatal cochlear hair cells. Loss of both
              abolishes transduction.
            variants:
              - id: tmc1_met_channel
                label: TMC1-containing MET channel
                module_type: PROTEIN_COMPLEX
                annotons:
                  - id: tmc1_met_channel_activity
                    label: TMC1 MET channel mechanosensitive cation channel activity
                    participant:
                      selector_type: PROTEIN_COMPLEX
                      protein_complex:
                        preferred_term: TMC1 mechanoelectrical transduction channel complex
                        term:
                          id: GO:0034703
                          label: cation channel complex
                        active_units:
                          - id: tmc1_pore_unit
                            label: TMC1 pore-forming subunit
                            role: Dimeric pore-forming subunit; its S4-S7 helices line the permeation pathway.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: TMC1
                                term:
                                  id: UniProtKB:Q8TDI8
                                  label: Transmembrane channel-like protein 1
                          - id: lhfpl5_unit_tmc1
                            label: LHFPL5 (TMHS) auxiliary subunit
                            role: Tetraspan subunit that binds PCDH15 and couples the tip link to the pore.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: LHFPL5 (TMHS)
                                term:
                                  id: UniProtKB:Q8TAF8
                                  label: LHFPL tetraspan subfamily member 5 protein
                          - id: tmie_unit_tmc1
                            label: TMIE auxiliary subunit
                            role: Two-pass subunit linking the PCDH15/LHFPL5 complex to the TMC pore.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: TMIE
                                term:
                                  id: UniProtKB:Q8NEW7
                                  label: Transmembrane inner ear expressed protein
                          - id: cib2_unit_tmc1
                            label: CIB2 auxiliary subunit
                            role: Cytoplasmic EF-hand subunit bound to TMC1/TMC2, required for transduction.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: CIB2
                                term:
                                  id: UniProtKB:O75838
                                  label: Calcium and integrin-binding family member 2
                    function:
                      preferred_term: mechanosensitive monoatomic cation channel activity
                      term:
                        id: GO:0140135
                        label: mechanosensitive monoatomic cation channel activity
                    processes:
                      - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                        term:
                          id: GO:0050910
                          label: detection of mechanical stimulus involved in sensory perception of sound
                    locations:
                      - preferred_term: stereocilium tip
                        term:
                          id: GO:0032426
                          label: stereocilium tip
                    role_description: >-
                      The transducer of mature cochlear hair cells. The function follows the
                      TMC1 gene review (contributes_to GO:0140135 in a cation channel complex).
                    evidence:
                      - source_id: PMID:30138589
                        statement: TMC1 forms the pore of the hair-cell transduction channel.
                        supporting_text: TMC1 forms the entire pore.
                      - source_id: PMID:25467981
                        statement: TMIE links the PCDH15/LHFPL5 complex to the pore-forming subunits.
                        supporting_text: We also show that TMIE establishes a critical link between the PCDH15/LHFPL5 complex and the pore-forming subunits of the transduction channel.
                      - source_id: PMID:28663585
                        statement: CIB2 binds TMC1 and TMC2 and is needed for transduction in auditory hair cells.
                        supporting_text: Here, we show that CIB2 interacts with the MET channel components TMC1 and TMC2, is essential for MET function and regulating the length of transducing shorter row stereocilia in mammalian auditory hair cells.
                      - source_id: PMID:34089643
                        statement: CIB2 and CIB3 are auxiliary subunits of the channel.
                        supporting_text: CIB2 and CIB3 are auxiliary subunits of the mechanotransduction channel of hair cells.
              - id: tmc2_met_channel
                label: TMC2-containing MET channel
                module_type: PROTEIN_COMPLEX
                annotons:
                  - id: tmc2_met_channel_activity
                    label: TMC2 MET channel mechanosensitive cation channel activity
                    participant:
                      selector_type: PROTEIN_COMPLEX
                      protein_complex:
                        preferred_term: TMC2 mechanoelectrical transduction channel complex
                        term:
                          id: GO:0034703
                          label: cation channel complex
                        active_units:
                          - id: tmc2_pore_unit
                            label: TMC2 pore-forming subunit
                            role: Pore-forming paralog of TMC1 in vestibular and neonatal cochlear hair cells.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: TMC2
                                term:
                                  id: UniProtKB:Q8TDI7
                                  label: Transmembrane channel-like protein 2
                          - id: lhfpl5_unit_tmc2
                            label: LHFPL5 (TMHS) auxiliary subunit
                            role: Tetraspan subunit that binds PCDH15 and couples the tip link to the pore.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: LHFPL5 (TMHS)
                                term:
                                  id: UniProtKB:Q8TAF8
                                  label: LHFPL tetraspan subfamily member 5 protein
                          - id: tmie_unit_tmc2
                            label: TMIE auxiliary subunit
                            role: Two-pass subunit linking the PCDH15/LHFPL5 complex to the TMC pore.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: TMIE
                                term:
                                  id: UniProtKB:Q8NEW7
                                  label: Transmembrane inner ear expressed protein
                          - id: cib2_unit_tmc2
                            label: CIB2 auxiliary subunit (with CIB3 in vestibular hair cells)
                            role: Cytoplasmic EF-hand subunit bound to TMC1/TMC2; vestibular hair cells also express CIB3.
                            participant:
                              selector_type: GENE_PRODUCT
                              gene_product:
                                preferred_term: CIB2
                                term:
                                  id: UniProtKB:O75838
                                  label: Calcium and integrin-binding family member 2
                    function:
                      preferred_term: mechanosensitive monoatomic cation channel activity
                      term:
                        id: GO:0140135
                        label: mechanosensitive monoatomic cation channel activity
                    processes:
                      - preferred_term: detection of mechanical stimulus involved in equilibrioception
                        term:
                          id: GO:0050973
                          label: detection of mechanical stimulus involved in equilibrioception
                      - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                        term:
                          id: GO:0050910
                          label: detection of mechanical stimulus involved in sensory perception of sound
                    locations:
                      - preferred_term: stereocilium tip
                        term:
                          id: GO:0032426
                          label: stereocilium tip
                    role_description: >-
                      The vestibular and neonatal cochlear transducer; TMC2 sets permeation
                      properties distinct from TMC1.
                    evidence:
                      - source_id: PMID:22105175
                        statement: TMC2 is transient in cochlear hair cells but persists in vestibular hair cells.
                        supporting_text: Tmc2 expression was transient in early postnatal mouse cochlear hair cells but persisted in vestibular hair cells.
                      - source_id: PMID:22105175
                        statement: Loss of both TMC1 and TMC2 abolishes transduction in structurally normal hair cells.
                        supporting_text: Tmc1 Δ Tmc2 Δ mice had profound vestibular dysfunction, deafness, and structurally normal hair cells that lacked all mechanotransduction activity.
                      - source_id: PMID:23871232
                        statement: TMC1 and TMC2 are channel components that set permeation properties.
                        supporting_text: The data demonstrate TMC1 and TMC2 are components of hair cell transduction channels and contribute to permeation properties.
                      - source_id: PMID:34089643
                        statement: Vestibular hair cells express both CIB2 and CIB3.
                        supporting_text: For unknown reasons, vestibular hair cells express both CIB2 and CIB3.
    - order: 3
      role: tip-link anchoring and resting tension
      node:
        id: upper_tip_link_density
        label: USH1 complex at the upper tip-link density
        module_type: PROTEIN_COMPLEX
        description: >-
          At the upper end of the tip link, harmonin binds the CDH23 cytoplasmic tail and,
          with SANS, links it to myosin VIIa and the actin core. The complex is thought to
          hold the tip link under resting tension and sets the sensitivity of the channels
          to displacement.
        annotons:
          - id: ush1c_utld_adaptor
            label: Harmonin (USH1C) UTLD adaptor
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: USH1C (harmonin, b isoforms)
                term:
                  id: UniProtKB:Q9Y6N9
                  label: Harmonin
            function:
              preferred_term: protein-macromolecule adaptor activity
              term:
                id: GO:0030674
                label: protein-macromolecule adaptor activity
              targets:
                - preferred_term: CDH23 (cadherin 23)
                  term:
                    id: UniProtKB:Q9H251
                    label: Cadherin-23
            processes:
              - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                term:
                  id: GO:0050910
                  label: detection of mechanical stimulus involved in sensory perception of sound
            locations:
              - preferred_term: upper tip-link density
                term:
                  id: GO:1990435
                  label: upper tip-link density
            role_description: >-
              Anchors CDH23 at the UTLD; the USH1C gene-review core function.
            evidence:
              - source_id: PMID:19447093
                statement: Harmonin is a UTLD component that sets channel sensitivity to displacement.
                supporting_text: We conclude that harmonin is a UTLD component and contributes to establishing the sensitivity of mechanotransduction channels to displacement.
          - id: ush1g_utld_adaptor
            label: SANS (USH1G) UTLD adaptor
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: USH1G (SANS)
                term:
                  id: UniProtKB:Q495M9
                  label: pre-mRNA splicing regulator USH1G
            function:
              preferred_term: protein-macromolecule adaptor activity
              term:
                id: GO:0030674
                label: protein-macromolecule adaptor activity
              targets:
                - preferred_term: USH1C (harmonin)
                  term:
                    id: UniProtKB:Q9Y6N9
                    label: Harmonin
                - preferred_term: MYO7A (myosin VIIa)
                  term:
                    id: UniProtKB:Q13402
                    label: Unconventional myosin-VIIa
            processes:
              - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                term:
                  id: GO:0050910
                  label: detection of mechanical stimulus involved in sensory perception of sound
            locations:
              - preferred_term: upper tip-link density
                term:
                  id: GO:1990435
                  label: upper tip-link density
            role_description: >-
              Scaffold that locks onto harmonin and binds the MYO7A tail; the first USH1G
              gene-review core function.
            evidence:
              - source_id: PMID:20142502
                statement: Harmonin and SANS form a highly stable scaffold complex.
                supporting_text: We further show that the synergistic PDZ1/SAM and PDZ1/carboxyl PDZ binding-motif interactions, between harmonin and Sans, lock the two scaffold proteins into a highly stable complex.
              - source_id: PMID:21709241
                statement: MYO7A and SANS cluster at the UTLD.
                supporting_text: Using immunofluorescence, we now show that MYO7A and sans, a MYO7A-interacting protein, cluster at the UTLD.
          - id: myo7a_utld_motor
            label: Myosin VIIa tensioning motor at the UTLD
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: MYO7A (myosin VIIa)
                term:
                  id: UniProtKB:Q13402
                  label: Unconventional myosin-VIIa
            function:
              preferred_term: microfilament motor activity
              term:
                id: GO:0000146
                label: microfilament motor activity
            processes:
              - preferred_term: detection of mechanical stimulus involved in sensory perception of sound
                term:
                  id: GO:0050910
                  label: detection of mechanical stimulus involved in sensory perception of sound
            locations:
              - preferred_term: upper tip-link density
                term:
                  id: GO:1990435
                  label: upper tip-link density
            role_description: >-
              Slow, high-duty-ratio motor proposed to pull on CDH23 and hold the tip link
              under tension; the MYO7A gene-review hair-cell core function.
            evidence:
              - source_id: PMID:21709241
                statement: MYO7A is likely the motor that tensions the tip link.
                supporting_text: In this complex, MYO7A is likely the motor element that pulls on CDH23 to exert tension on the tip-link.
              - source_id: PMID:21687988
                statement: Human myosin-7a is a slow, high-duty-ratio motor suited to holding tension.
                supporting_text: These specific kinetic adaptations indicate that human myosin-7a is a slow molecular motor with a high duty ratio, suitable for moving cargoes and mediating tension in the cytoskeleton.
    - order: 4
      role: slow adaptation
      optional: true
      notes: >-
        Optional because the evidence is from vestibular hair cells; cochlear adaptation is
        faster and may use other molecules.
      node:
        id: myo1c_adaptation
        label: MYO1C adaptation motor
        module_type: REGULATORY_STEP
        description: >-
          During a sustained deflection the adaptation motor slips down the actin core,
          lowering tip-link tension and channel open probability; on return it climbs to
          restore tension.
        annotons:
          - id: myo1c_adaptation_motor
            label: Myosin-1c adaptation motor
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: MYO1C (myosin-1c)
                term:
                  id: UniProtKB:O00159
                  label: Unconventional myosin-Ic
            function:
              preferred_term: microfilament motor activity
              term:
                id: GO:0000146
                label: microfilament motor activity
            processes:
              - preferred_term: detection of mechanical stimulus involved in equilibrioception
                term:
                  id: GO:0050973
                  label: detection of mechanical stimulus involved in equilibrioception
            locations:
              - preferred_term: stereocilium tip
                term:
                  id: GO:0032426
                  label: stereocilium tip
            role_description: >-
              Slow-adaptation motor of vestibular hair cells, shown by acute chemical-genetic
              inhibition; MYO1C has no gene review yet.
            evidence:
              - source_id: PMID:11853671
                statement: Acute inhibition of sensitised myosin-1c blocks adaptation in utricular hair cells.
                supporting_text: found that the analog rapidly blocked adaptation to positive and negative deflections in transgenic cells but not in wild-type cells.
              - source_id: PMID:19447093
                statement: MYO1C adaptation models rest on vestibular hair cells.
                supporting_text: It should also be noted that current models of MYO1C function in adaptation are largely based on the study of vestibular hair cells.
    - order: 5
      role: vesicular glutamate loading in inner hair cells
      node:
        id: ihc_glutamate_loading
        label: VGLUT3 loads inner hair cell synaptic vesicles
        module_type: TRANSPORT_STEP
        description: >-
          VGLUT3 (SLC17A8), the only vesicular glutamate transporter of inner hair cells,
          fills ribbon-associated synaptic vesicles with glutamate.
        annotons:
          - id: slc17a8_glutamate_uniporter
            label: SLC17A8 (VGLUT3) L-glutamate uniporter
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: SLC17A8 (VGLUT3)
                term:
                  id: UniProtKB:Q8NDX2
                  label: Vesicular glutamate transporter 3
            function:
              preferred_term: L-glutamate uniporter activity
              term:
                id: GO:0140788
                label: L-glutamate uniporter activity
            processes:
              - preferred_term: neurotransmitter loading into synaptic vesicle
                term:
                  id: GO:0098700
                  label: neurotransmitter loading into synaptic vesicle
            locations:
              - preferred_term: synaptic vesicle membrane
                term:
                  id: GO:0030672
                  label: synaptic vesicle membrane
            role_description: >-
              The IHC glutamate transporter named by RGD; VGLUT3-null mice are deaf because
              IHCs release no glutamate. See also
              synaptic_vesicle_neurotransmitter_loading#glutamate_loading.
            evidence:
              - source_id: PMID:18674745
                statement: VGLUT3 loads glutamate into IHC synaptic vesicles.
                supporting_text: In the cochlea, VGLUT3 accumulates glutamate in the synaptic vesicles of the sensory inner hair cells (IHCs) before releasing it onto receptors of auditory-nerve terminals.
              - source_id: PMID:18215623
                statement: Without VGLUT3 hair cells release no glutamate and mice are deaf.
                supporting_text: We now report that mice lacking VGLUT3 are profoundly deaf due to the absence of glutamate release from hair cells at the first synapse in the auditory pathway.
    - order: 6
      role: Ca2+-triggered exocytosis at the inner hair cell ribbon synapse
      node:
        id: ihc_ribbon_exocytosis
        label: Otoferlin-dependent ribbon-synapse exocytosis
        module_type: BIOLOGICAL_PROCESS
        description: >-
          Depolarisation opens presynaptic Ca2+ channels at the active zone; Ca2+-bound
          otoferlin engages the SNAREs and triggers fusion of ribbon-tethered vesicles,
          releasing glutamate onto type I spiral ganglion neurons.
        annotons:
          - id: otof_calcium_sensor
            label: Otoferlin Ca2+ sensor for vesicle fusion
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: OTOF (otoferlin)
                term:
                  id: UniProtKB:Q9HC10
                  label: Otoferlin
            function:
              preferred_term: calcium ion sensor activity
              term:
                id: GO:0061891
                label: calcium ion sensor activity
            processes:
              - preferred_term: synaptic vesicle exocytosis
                term:
                  id: GO:0016079
                  label: synaptic vesicle exocytosis
            locations:
              - preferred_term: cochlear hair cell ribbon synapse
                term:
                  id: GO:0098683
                  label: cochlear hair cell ribbon synapse
            role_description: >-
              The main Ca2+ sensor for exocytosis at the IHC ribbon synapse; OTOF has no gene
              review yet. The generic fusion machinery is in synaptic_vesicle_exocytosis.
            evidence:
              - source_id: PMID:17055430
                statement: Otoferlin binds Ca2+ and interacts with SNAREs in a Ca2+-dependent manner.
                supporting_text: Otoferlin binds Ca(2+) and displays Ca(2+)-dependent interactions with the SNARE proteins syntaxin1 and SNAP25.
              - source_id: PMID:17055430
                statement: IHC exocytosis is nearly abolished without otoferlin, which may be the main Ca2+ sensor.
                supporting_text: Thus, otoferlin is essential for a late step of synaptic vesicle exocytosis and may act as the major Ca(2+) sensor triggering membrane fusion at the IHC ribbon synapse.
  connections:
    - source: tip_link
      target: met_channel
      connection_type: POSITIVELY_REGULATES
      description: >-
        Increased tip-link tension during deflection towards the tallest row is passed
        through PCDH15, LHFPL5 and TMIE to the pore and raises channel open probability.
    - source: upper_tip_link_density
      target: tip_link
      connection_type: POSITIVELY_REGULATES
      description: >-
        The harmonin-SANS-MYO7A complex anchors CDH23 and holds the tip link under resting
        tension.
    - source: myo1c_adaptation
      target: tip_link
      connection_type: NEGATIVELY_REGULATES
      description: >-
        During sustained deflection the adaptation motor slips, lowering tip-link tension
        and so channel open probability.
    - source: met_channel
      target: ihc_ribbon_exocytosis
      connection_type: POSITIVELY_REGULATES
      description: >-
        The transduction current depolarises the inner hair cell, which opens the
        presynaptic Ca2+ channels (CaV1.3, not modelled) that trigger otoferlin-dependent
        release.
    - source: ihc_glutamate_loading
      target: ihc_ribbon_exocytosis
      connection_type: PROVIDES_INPUT_FOR
      description: VGLUT3-loaded vesicles are the glutamate quanta released at the ribbon synapse.
knowledge_gaps:
  - gap_statement: >-
      Which motor sets resting tip-link tension and mediates slow adaptation in cochlear hair
      cells is unresolved; MYO7A localises to the upper tip-link density, while the
      MYO1C adaptation evidence comes from vestibular hair cells.
    boundary: >-
      MYO7A is modelled as the UTLD tensioning motor and MYO1C as an optional adaptation
      part restricted to equilibrioception; neither is asserted as the cochlear adaptation
      motor.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: Determines whether the tensioning and adaptation steps are one motor or two in the cochlea.
    resolution: >-
      Acute, motor-specific inhibition (for example analog-sensitive MYO7A or MYO1C alleles)
      in mature cochlear hair cells with measurement of resting open probability and
      adaptation kinetics.
    provenance:
      - reference_id: PMID:21709241
        supporting_text: However, localization studies are conflicting, leaving open the question of which myosin localizes at the UTLD and generates the tip-link resting tension.
      - reference_id: PMID:19447093
        supporting_text: It should also be noted that current models of MYO1C function in adaptation are largely based on the study of vestibular hair cells.
  - gap_statement: >-
      How tip-link tension is conveyed from PCDH15 through LHFPL5 and TMIE to open the TMC
      pore, and the stoichiometry of the native complex, are not established in mammalian
      hair cells.
    boundary: >-
      The channel is modelled as one complex with mechanosensitive cation channel activity;
      no gating mechanism or stoichiometry is asserted.
    gap_kind:
      - BIOLOGY
    status: OPEN
    significance: The gating mechanism is the core unknown of hair-cell transduction.
    resolution: >-
      Structures of the native mammalian complex under tension and site-directed
      perturbation of the PCDH15-LHFPL5-TMIE-TMC1 interfaces with transduction recordings.
    provenance:
      - reference_id: PMID:25467981
        supporting_text: We also show that TMIE establishes a critical link between the PCDH15/LHFPL5 complex and the pore-forming subunits of the transduction channel.
