Ionentransport und Taubheit

The identification of deafness genes helped to unravel the molecular mechanisms of ion movements that underlie the hearing process in the inner ear. Sound waves cause movements of the tympanic membrane that are transmitted as fluid movements to the inner ear by the middle ear bones. The sound-induced movements deflect hair cell stereocilia, which are bathed in endolymph. These movements cause the opening of mechanosensitive ion channels. Because of the high potassium concentration of the endolymph, potassium floods into the hair cells, which then depolarize. This results in transmitter release and the generation of postsynaptic electrical signals which are transmitted via the cochlear nerve. The unique ion gradient between hair cells and the endolymph is generated by a highly specialized epithelium in the lateral wall of the scala media, the stria vascularis.