
thalmannr@ent.wustl.edu respectively
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An
all out effort has been initiated towards establishment of an Inner
Ear Proteomics Project, i.e. towards the study
of the 'total protein complement of the genome'. Unlike the genome of an
organism, which is essentially fixed, the proteome varies with tissue,
cell organelles, as well as developmental stage, disease state, or invironmental
conditions. This endeavor, while gargantuan, is absolutely worthwhile
and quite feasible.
The discussion that follows is not concerned with the Proteomics Project per se, but rather describes the approach that was chosen in the past to study inner ear proteins.
The Washington University Inner Ear Protein Database has been founded by Drs. Ici and Ruedi Thalmann and is the natural outgrowth of long-term ongoing studies at the Department of Otolaryngology at Washington University in collaboration with numerous investigators from around the world. While the Database initially emphasized results obtained by the team at Washington University, results from other laboratories have been solicited and have been added.
For details consult the References of the respective topic (or protein). When available links to MEDLINE are provided.
The mammalian inner ear is an exquisitely sensitive instrument, unrivaled in its cellular specialization and differentiation. It consists of the older vestibular system, essential for the maintenance of balance and spatial orientation, and the newer auditory system, that converts sound waves to electrical signals which are sent to the brain. For a quick refresher course on this topic click on the various symbols on the painting on the index.
Understanding of cochlear and vestibular macro-and micromechanics depends on the physical, bioelectrical, and biochemical properties of constituent tissues, and pervading and surrounding fluids of the inner ear. It is the macromolecules and their interactions that endow a tissue with its specific properties. Functional specialization is achieved through macromolecular specialization. Although cellular metabolism reflects the integrated activity of several thousand gene products, functional diversity is conferred by relatively few.
Pursuing this line of reasoning, we have focused
our studies into auditory and vestibular function on:
We have chosen this approach rather than
the more rapid identification of multiple tissue-specific genes through,
for instance, subtractive screening of cDNA libraries. The latter suffers
from the shortcomings that plague all fishing expeditions, i.e. low selectivity
and variable efficiency. Having identified the putative candidate genes,
their biological significance remains to be established. Furthermore, there
is no guarantee that the most valuable genes made it into the net.
The core technology for large-scale screening
of proteins (the term "Proteomics" has been coined for this) at present
is two-dimensional polyacrylamide gel electrophoresis (2D-PAGE).
When combined with stringently controlled sample preparation, and image
detection, thousands of proteins can be separated and hundreds identified
through database searches. This technique was applied here. For details
see Method
Paradigm for identification
of proteins satisfying the criteria described above, distribution and potential
function:
1. Organ of Corti proteins OCP1 and OCP2:
Two-dimensional polyacrylamide gel electrophoresis
of guinea pig organ of Corti. Note the
prominence
of OCP1 and OCP2
In 1980 we discovered two low molecular mass, strongly acidic proteins which are present at extremely high concentration in the organ of Corti. We termed them OCP1 and OCP2. They are among the most abundant proteins in the organ of Corti, each representing roughly 5% of the total protein. The two proteins were also detected at lower concentration in vestibular epithelia (more than one order of magnitude) concentrations. They are absent, or present in traces only in tissue other than ear.
In 1990 a partial amino acid sequence was obtained for OCP2. It was used to raise an antibody (see figure below) and to clone the Ocp2 gene encoding OCP2 from a guinea pig organ of Corti cDNA library. OCP1 has resisted efforts at cloning until 1998. Extreme homology of OCP2 has been shown with Skp1, a cell cycle protein identified in S. cerevisiae. OCP1 shows homology with the neural F-box protein, NFB42 (except for amino acids 1-32), respectively. The human genome includes at least five different genes with high homology to ocp2 and skp1. Even though the two proteins show extreme homology, ocp2 maps to 5q and skp1 to 7 and 12 q.
For 'historical' purposed the first immunocytochemical
staining of the organ of Corti using
antibody raised to a synthetic oligopeptide
derived from the partial amino acid sequence of OCP2
is shown. This picturewas featured on the
cover of the June 10, 1995 issue of thejournalGenomics.
For anatomical details refer to the logo
of the index page.
Most recently Richard Killick (unpublished)
was able to obtain immunohistochemical double-labeling using antibodies
agains OCP1 (left) and OCP2 (right) for all cochlear turns (guinea pig).
Both OCP1 and OCP2 are abundant in the supporting cells, and adjacent nonsensory epithelia including root cells and root processes, and interdental cells. They are not present in hair cells, spiral ligament and stria vascularis. Importantly they were not detected in the developing organ of Corti at birth.
The physiological roles of OCP2 and OCP1 are conjectural at present. Several lines of evidence suggest that OCP2, possibly in conjunction with OCP1 and other proteins, mediates gap junction gating, and provides a mechanism of K+ recirculation. However, a cell cycle role has not been ruled out. It could be speculated on the basis of emerging literature from other areas, it could be speculated that the OCPs may play a role in keeping the cells of the organ of Corti arrested thereby preventing regeneration.
2. Oncomodulin, a novel calcium-binding protein in the outer hair cells:

Light microscopic immunostaining of the
upper basal turn of the gerbil cochlea.
Intense immunoreactivity is confined exclusively
to outer hair cells.
Iimmunocytochemical data and quantitative biochemical studies indicate that oncomodulin is strongly expressed in the outer hair cells of the organ of Corti; this appears to be the only physiological site of expression in the mature animal. Recruitment of an unusual calcium-sensing protein specifically for the outer hair cells suggests an obligatory role in the physiology of this highly specialized cell.
3. Apo J and apo D, two proteins concentrated in endolymph and perilymph. For a review of the anatomy and physiology of inner ear fluids, the reader is referred to an excellent web page by Dr. Alec Salt.
a. Protein profiles of guinea pig inner ear fluids.


b. Protein profile of human perilymph.
More than 100 proteins were separated by 2D-PAGE, and some 30 identified and several quantitated in human perilymph.

c. Application of human protein profile of inner ear fluids to the pathological ear (with emphasis on the diagnosis of perilymph fistula).
The technique has been evaluated to identify disease-specific protein patterns in human perilymph, in analogy to other body fluids, such as plasma and CSF. With the possible exception of presumed perilymphatic fistula, it is not envisioned that the analysis of perilymph will be used for diagnostic purposes but rather as a tool for the elucidation of the mechanisms underlying inner ear disease, whether localized or as part of systemic alteration.
The diagnosis of perilymph fistula remains a most controversial and challenging topic in otology. Perilymph fistula is an abnormal communication between the middle ear and the perilymphatic space. The major problem with the diagnosis and treatment of perilymph fistula that to date no reliable pre- and intraoperative diagnostic tests exist. Diagnosis is based upon history, and physical examination. However, intraoperative criteria are based upon subjective observation of fluid accumlation in the oval or round window niche; this technique tends to lead to misdiagnosis. No consensus as to management exists as a restul of this.
A search for a specific marker to identify the fluid encountered in the middle ear upon exploratory surgery in patients with suspected perilymph fistula ensued. The establishment of protein maps of inner ear fluids and the revelation of a specific protein and of several examples of proteins showing striking differences in concentration when compared with other body fluids seemed most promising.
2D-electrophoretic separation of proteins
from perilymph of a 6.5 month-old infant,
collected 2.5 hrs post mortem. Proteins
significantly different between plasma and perilymph,
and therefore relevant to perilymph fistula,
are boxed.
bb. Apolipoproteins D and J
While these two proteins are prominent on protein maps of perilymph and CSF and are deceivingly absent in maps of plasma when samples with similar total protein amounts are loaded onto the gel. We determined that these proteins are 70-100 fold higher in perilymph than plasma. However, the same problem discussed in the previous paragraph under beta-2 transferrin unfortunately applies here. Because the total protein content of perilymph versus plasma is 1:35, a relatively small volume of plasma contaminations increases the signal for the two proteins inordinately. Only judicious analysis of a number of reference proteins, in addition to apo J and apo J, will distinguish the type of fluids. Unfortunately, this is not feasible for the average clinical situation.
In summary, promising substances are available that can serve as reliable markers for perilymph fistula only if relatively clean samples are provided by the surgeon. Increasing the sensitivity of the chemical assay compound the problems rather than solve them.
4. Otoconin-90, the major protein of otoconia
The gravity receptor system of the inner ear is one of the phylogenetically oldest sensory systems. The gravity receptor cells do not differ significantly from other mechanoreceptor hair cells of the acoustico-lateralis system which is conserved from the lateral line organ of the fish to the vestibular and auditory organs of higher vertebrates. The special adaptation to sense gravity is provided by the sensory superstructure, the otoconial complex that contains dense mineral particles embedded in a gelatinous membrane overlying the hair cells. Otoconia consist of proteins (otoconins) and a mosaic of calcium carbonate crystals which in mammals are present in the form of calcite.
Little is known about the mechanisms which
regulate otoconial biosynthesis. In an effort to elucidate these mechanisms,
we separated the mammalian otoconial proteins as well as the underlying
sensory epithelium by 2D-PAGE . We then partially sequenced and cloned
the major protein component of the otoconia, otoconin 90 (Figure
C below - arrow). The derived amino acid sequence indicates two domains
of homology to secretory phospholipase A2, which lack some residues considered
important in calcium-binding and -catalytic action. High expression of
otoconin 90 mRNA was found by RT-PCR in the mouse otocyst, and localized
by immunocytochemistry to the epithelial layer of the developing inner
ear. Otoconin 90 is heavily glycosylated, and the extremely low pI suggest
incorporation of sulfated GAGs.

5. Proteins in endolymph of endolymphatic sac (preliminary data).
There is strong evidence that the endolymphatic sac is the primary site of volume regulation of endolymh [Salt AN: Fluid homeostasis in the inner ear. In: Meniere's Disease, Ed. JP Harris, Kugler, The Hague, 1999, pp. 93-101; see also Dr. Salt's web page], and that glycosylated macromolecules in the endolymhatic sac are critically involved in the process [Rask-Andersen H, Salt AN, DeMott JE, Bagger-Sjoback D: Morphological changes of the endolymphatic sac induced by microinjection of artificial endolymph into the cochlea. Hear Res, in press]. We therefore set out to identify and characterize the participating macromolecules under normal conditions and after experimental manipulations, as a key for the elucidation of the underlying biochemical mechanisms of Meniere's disease.

Two-dimensional electrophoretic pattern of contents of endolymphatic sac of guinea pig. (B LEFT) Untreated); (A RIGHT) Treated with deglycosylating enzymes (N-glycosidase F and neuraminidase). Small arrows indicate major proteins that have changed in molecular weight and/or pI. The samples were obtained by dissection of five freeze-dried endolymphatic sacs (equivalent to approximately 450 nanoliter of sac endolymph).
Preliminary Results: