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Blindness and auditory impairment caused by loss of the sodium bicarbonate cotransporter NBC3

Abstract

Normal sensory transduction requires the efficient disposal of acid (H+) generated by neuronal and sensory receptor activity1,2. Multiple highly sensitive transport mechanisms have evolved in prokaryotic and eukaryotic organisms to maintain acidity within strict limits3,4,5. It is currently assumed that the multiplicity of these processes provides a biological robustness6. Here we report that the visual and auditory systems have a specific requirement for H+ disposal mediated by the sodium bicarbonate cotransporter NBC3 (refs. 7,8). Mice lacking NBC3 develop blindness and auditory impairment because of degeneration of sensory receptors in the eye and inner ear as in Usher syndrome9. Our results indicate that in certain sensory organs, in which the requirement to transduce specific environmental signals with speed, sensitivity and reliability is paramount, the choice of the H+ disposal mechanism used is limited.

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Figure 1: Targeted disruption of Slc4a7.
Figure 2: Funduscopic and histologic changes of the retina.
Figure 3: ERGs and single-rod photocurrent responses in Slc4a7−/− mice.
Figure 4: Localization of NBC3 in the mouse retina and apoptosis of photoreceptors in Slc4a7−/− mice.
Figure 5: ABRs and histologic analysis of the cochlea in Slc4a7−/− mice.

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Acknowledgements

We thank D. Petrasek and S.H. Tsang for their helpful suggestions. This work was supported by grants from the US National Institutes of Health, the Foundation Fighting Blindness, the Factor Family Foundation and the National Kidney Foundation.

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Correspondence to Ira Kurtz.

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Bok, D., Galbraith, G., Lopez, I. et al. Blindness and auditory impairment caused by loss of the sodium bicarbonate cotransporter NBC3. Nat Genet 34, 313–319 (2003). https://doi.org/10.1038/ng1176

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