Developmental Changes of ENaC Expression and Function in the Inner Ear of Pendrin Knock-Out Mice as a Perspective on the Development of Endolymphatic

Pendrin mutations cause enlarged vestibular aqueducts and various degrees of sensorineural hearing loss. The selective abolition of pendrin causes dilation of the membranous labyrinth known as endolymphatic hydrops, loss of the endocochlear potential, and consequently loss of hearing function. Because Na+ transport is one of the most important driving forces for fluid transport, the epithelial Na+ channel (ENaC) is believed to play an important role in fluid volume regulation in the inner ear. Therefore, the dysfunction of Na+ transport through ENaC by the acidification of endolymph in Pendred syndrome is one of the potential causes of endolymphatic hydrops. We investigated the changes of ENaC expression and function during the development of the pendrin knock-out mouse. In the cochlea, the expression of b and cENaC was significantly increased at P56 in Pds2/2 mice compared with Pds+/+ mice. In the vestibule, the expression of bENaC was significantly increased at P56, and cENaC expression significantly increased from P6 to P56 in Pds2/2 mice. The ENaC-dependent trans-epithelial current was not significantly different between Pds+/+ and Pds2/2 mice in Reissner’s membrane or the saccular extramacular roof epithelium at P0, but the current was significantly increased in Pds2/2 mice at P56 compared with Pds+/+ mice. These findings indicate that the expression and function of ENaC were enhanced in Pds2/2 mice after the development of endolymphatic hydrops as a compensatory mechanism. This result provides insight into th