Cochlear inner hair cells (IHCs) and outer hair cells (OHCs) require different transcription factors for their cell fate stabilization and survival, suggesting separate mechanisms are involved. Here, we found that the transcription factor Casz1 was crucial for early IHC fate consolidation and for OHC survival during mouse development. Loss of Casz1 resulted in transdifferentiation of IHCs into OHCs, without affecting OHC production. However, long-term OHC survival was compromised in mutant mice. In addition, the transcription factor Gata3 was down-regulated in -deleted IHCs and overexpressing Gata3 partially rescued IHC properties, OHC numbers, and hearing in -deleted mice. Thus, Casz1 plays critical roles in early IHC fate stabilization and OHC survival and could potentially provide a lead for therapies aimed at regenerating both IHCs and OHCs.

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http://dx.doi.org/10.1126/science.ado4930DOI Listing

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