Alternative splicing of the <i>Rbm24</i> gene is essential for cochlear hair cell stereocilia integrity and hearing function in mice.

Sun, Chunjiao; Zhao, Jingshuang; Li, Nana; Yao, Xuebo; Wang, Yanfei; Kim, Chul Hoon; Bok, Jinwoong; Peng, Anthony W et al. · Proc Natl Acad Sci U S A · 2026

basic_science · Level V

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Abstract

Cochlear hair cells are the mechanosensitive receptor cells responsible for detecting sound information. They are characterized by their apical F-actin-filled stereocilia that are essential for mechano-electrical transduction. Previously, we and other groups reported that RNA Binding Motif Protein 24 (RBM24) plays pivotal roles in stereocilia development and maintenance by regulating pre-mRNA alternative splicing and mRNA stability. In the present work, we show that exon 4 of the mouse <i>Rbm24</i> gene is subjected to alternative splicing. Inclusion of exon 4 in <i>Rbm24</i> mRNA results in premature translational stop, giving rise to a short isoform of RBM24 (RBM24-S). Notably, while sharing the same RNA-recognition motif, the canonical RBM24 long isoform (RBM24-L) and RBM24-S can bind different mRNA targets to affect their splicing and/or stability. Deletion of <i>Rbm24</i> exon 4 in mice abolishes the expression of <i>Rbm24(+e4)</i> transcripts that encode for RBM24-S, and both homozygote and heterozygote mice suffer from severe hearing loss. Further investigations revealed that <i>Rbm24</i> exon 4 deletion leads to stereocilia disorganization and eventually hair cell loss. Moreover, overexpression of RBM24-L in the hair cells leads to significant stereocilia deficits as well as profound hearing loss. Finally, we identified several RBM24 targets such as <i>Strc</i>, whose dysregulation contributes to stereocilia disorganization as well as hearing loss in <i>Rbm24</i> deficient mice. Taken together, our present data suggest that <i>Rbm24</i> is subjected to alternative splicing and appropriate RBM24 expression levels are important for stereocilia integrity and hearing function.

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