The Disorder of Mitochondrial Dynamics Causes Deafness By Promoting Macrophage-Mediated Hair Cell Death

Abstract Mitochondrial dynamics are essential for maintaining the physiological function of the mitochondrial network, and the disorder of mitochondrial dynamics leads to neurodegenerative diseases. However, how mitochondrial dynamics affects auditory function in the inner ear remains unclear. FAM73a and FAM73b are mitochondrial outer membrane proteins that mediate mitochondrial fusion. Here, we found that FAM73a or FAM73b deficiency resulted in elevated oxidative stress and apoptosis of hair cells. Additionally, mitochondrial fission also causes an increase expression of IL-12 in basilar membrane macrophages through accumulating IRF1. As a bridge between innate and adaptive immune responses, hyperproduction of IL-12 further promoted the polarization of Th1 and tissue damage. Our data highlighted an important role of mitochondrial dynamics in maintaining cochlear homeostasis and hair cell survival. Mitochondrial dynamics not only disturbed hair cell function, but also induced the disorder of immune responses.