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Sox2 haploinsufficiency primes regeneration and Wnt responsiveness in the mouse cochlea
Patrick J. Atkinson, Yaodong Dong, Shuping Gu, Wenwen Liu, Elvis Huarcaya Najarro, Tomokatsu Udagawa, Alan G. Cheng
Patrick J. Atkinson, Yaodong Dong, Shuping Gu, Wenwen Liu, Elvis Huarcaya Najarro, Tomokatsu Udagawa, Alan G. Cheng
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Research Article Cell biology Neuroscience

Sox2 haploinsufficiency primes regeneration and Wnt responsiveness in the mouse cochlea

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Abstract

During development, Sox2 is indispensable for cell division and differentiation, yet its roles in regenerating tissues are less clear. Here, we used combinations of transgenic mouse models to reveal that Sox2 haploinsufficiency (Sox2haplo) increases rather than impairs cochlear regeneration in vivo. Sox2haplo cochleae had delayed terminal mitosis and ectopic sensory cells, yet normal auditory function. Sox2haplo amplified and expanded domains of damage-induced Atoh1+ transitional cell formation in neonatal cochlea. Wnt activation via β-catenin stabilization (β-cateninGOF) alone failed to induce proliferation or transitional cell formation. By contrast, β-cateninGOF caused proliferation when either Sox2haplo or damage was present, and transitional cell formation when both were present in neonatal, but not mature, cochlea. Mechanistically, Sox2haplo or damaged neonatal cochleae showed lower levels of Sox2 and Hes5, but not of Wnt target genes. Together, our study unveils an interplay between Sox2 and damage in directing tissue regeneration and Wnt responsiveness and thus provides a foundation for potential combinatorial therapies aimed at stimulating mammalian cochlear regeneration to reverse hearing loss in humans.

Authors

Patrick J. Atkinson, Yaodong Dong, Shuping Gu, Wenwen Liu, Elvis Huarcaya Najarro, Tomokatsu Udagawa, Alan G. Cheng

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Figure 7

Sox2 haploinsufficiency and β-catenin stabilization do not induce mitotic hair cell regeneration in the damaged adult cochlea.

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Sox2 haploinsufficiency and β-catenin stabilization do not induce mitoti...
(A) Schematic showing the use of AG (sisomicin combined with furosemide) or DT to damage the mature cochlea in WT and Pou4f3DTR/+ mice. (B–D) Saline-treated mice containing a full complement of myosin 7a+ cochlear inner hair cells and outer hair cells. A loss of outer hair cells after AG treatment and of inner hair cells after DT treatment was observed. Some outer hair cell loss after DT treatment was observed. (E) Quantification revealed a significant decrease in hair cell numbers in both damage paradigms. (F and G) ABR thresholds were significantly higher in both the AG- and DT-treated animals as compared with controls. A significant threshold shift was also observed in the DPOAEs in AG-treated animals, but not in the animals treated with DT. (H) Schematic of transgenic mouse models and experimental timeline. Cochleae were damaged on P21, tamoxifen was given on P22, followed by EdU administration from P23 to P25, and the animals were sacrificed after ABR on P28. (I) qPCR showing a significant reduction of Ctnnb1 (exon3) mRNA expression but not of Ctnnb1 (exon 13) mRNA expression in cochleae from Fgfr3-iCre Ctnnb1fl(ex3)/+ mice. (J–M) No EdU+Sox2+ supporting cells or myosin 7a+ hair cells were detected after AG treatment in any of the genotypes examined. A persistent loss of outer hair cells was seen in these cochleae, without any new Sox2+myosin 7a+ hair cells. (N–Q) There were no EdU+ hair cells or supporting cells after DT treatment or formation of new Sox2+myosin 7a+ hair cells in any of the mouse cohorts. (R and S) Quantification of hair cells in AG- and DT-treated cochleae showing no change in hair cell numbers among genotypes. Data represent the mean ± SD. *P < 0.05 and **P < 0.01, by 2-tailed Student’s t test or 1-way ANOVA with Holm-Sidak multiple comparisons test. n = 3–11. Scale bars: 20 μm.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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