MicroRNAs (miRNAs) are ~21-nucleotide (nt)-long, single-stranded noncoding RNAs that mainly function as post-transcriptional regulators of gene expression. Once assembled into an RNA-induced silencing complex, each miRNA might inhibit the expression of hundreds of target messenger RNAs (mRNAs), by inducing translational repression and/or mRNA degradation (
1). Animal miRNAs recognize partially complementary binding sites, which are generally located in the 3′ untranslated region (3′UTR) of target mRNAs. In particular, complementarity to the miRNA seed region, corresponding to nts 2–8 at the 5′ of the mature miRNA, is a major determinant in target recognition and is sufficient to trigger silencing (
2).
MiRNAs are initially transcribed from endogenous genes as long primary transcripts (pri-miRNAs), which contain extended hairpin structures. The pri-miRNAs are then processed by the Microprocessor complex into a hairpin precursor (pre-miRNA), which is exported to the cytoplasm and cleaved by the RNaseIII Dicer to generate a mature miRNA duplex (
3). Usually, one strand of the duplex is preferentially selected for entry into the silencing complex to regulate gene expression, whereas the other strand, known as the passenger strand or miRNA*, has typically been assumed to be degraded. However, recent evidence demonstrated that miRNA* species are often present at physiologically relevant levels, can associate with the silencing protein Argonaute and can inhibit target mRNAs in both cultured cells and transgenic animals (
4–
8).
The miR-183 family is composed of three miRNAs (miR-183, miR-96 and miR-182), which are coordinately expressed from a single genetic
locus in vertebrates. Homologous miRNAs (miR-228 and mir-263b) are also present in invertebrates (
9). Importantly, this highly conserved family of miRNAs shows expression in ciliated neurosensory organs across
phyla and has recently been demonstrated to contribute specifically to the differentiation and function of the mechanosensory hair cells in the vertebrate inner ear (
10,
11). For instance, in zebrafish, the miR-183 family is predominantly expressed in the hair cells of the inner ear and of the lateral line, as well as in the olfactory and retinal sensory cells (
12,
13). Overexpression of miR-96 or miR-182, but not of miR-183, was shown to induce duplicated otocysts, ectopic or expanded sensory patches, and extra hair cells. Conversely, knockdown of each of the three miRNAs led to a reduction in the number of hair cells in the inner ear and caused defects in semicircular canals, as well as the presence of abnormal neuromasts in the lateral line (
11).
In the human genome, the miR-183 family is clustered in a 4.5 kb region on chromosome 7q32, within a
locus that has been linked to autosomal dominant non-syndromic hearing loss (NSHL) (DFNA50, OMIM #613074). In 2009, two mutations in the seed region of miR-96 were detected in two Spanish families affected by autosomal dominant progressive NSHL. Both mutations (+13G>A and +14C>A) affect nts that are fully conserved among vertebrates (from fish to humans) and segregated with hearing loss in the affected families. The impact of these mutations on miR-96 processing and target recognition was analyzed in HeLa and NIH-3T3 cells, showing that both mutations result in reduced levels of mature miRNA and hinder its gene-silencing capacity (
14). Further evidence on the significance of miR-96 expression and function in the pathogenesis of hearing loss has been provided by genetic studies in the mouse, where a single nt substitution in the seed region of the homolog of miR-96 was shown to cause progressive hearing loss and hair cell defects in a murine model of sensorineural deafness, called diminuendo (
15,
16). The work of Mencía
et al. (
14) represented the first evidence that point mutations in a miRNA can be responsible for a Mendelian trait. However, up to now, the mutational screening of the miR-183 family has been performed only in the original study—including 567 Spanish families with inherited hearing loss (
14)—and in a single replication study on 150 American families with autosomal dominant NSHL, where no mutations were found (
17). Therefore, a positive replication of the findings by Mencía
et al. is still lacking.
In this study, we have identified a novel NSHL-causing mutation within the MIR96 gene by screening a large case–control Italian population. At variance with previously reported mutations, this variation does not affect the miR-96 seed region, but alters the companion miR-96* sequence. Through a series of functional studies, we have demonstrated that this variant substantially impairs the production of mature miR-96 by altering the pre-miRNA secondary structure, and indirectly impacts on the normal regulation of miR-96 targets. Our results suggest that a quantitative defect of miR-96 can be sufficient to cause deafness. However, as we have shown that the novel mutation also reduces the expression levels of miR-96* and potentially alters the recognition of its targets, a contribution of this miRNA species to NSHL pathogenesis cannot be ruled out.