The pathophysiologic pathways and clinical expression of mitochondrial DNA
(mtDNA) mutations are not well understood. This is mainly the result of the
heteroplasmic nature of most pathogenic mtDNA mutations and of the absence
of clinically relevant animal models with mtDNA mutations, mtDNA mutations
predisposing to hearing impairment in humans are generally homoplasmic, ye
t some individuals with these mutations have severe hearing loss, whereas t
heir maternal relatives with the identical mtDNA mutation have normal heari
ng(1,2). Epidemiologic, biochemical and genetic data indicate that nuclear
genes are often the main determinants of these differences in phenotype(3-5
). To identify a mouse model for maternally inherited hearing loss, we scre
ened reciprocal backcrosses of three inbred mouse strains, A/J. NOD/LtJ and
SKH2/J, with age-related hearing loss (AHL). In the (A/JxCAST/Ei)xA/J back
cross. mtDNA derived from the A/J strain exerted a significant detrimental
effect on hearing when compared with mtDNA from the CAST/Ei strain. This ef
fect was not seen in the (NOD/LtJ xCAST/Ei)xNOD/LtJ and (SKH2/JxCAST/Ei)xSK
H2/J backcrosses. Genotyping revealed that this effect was seen only in mic
e homozygous for the A/J allele at the Ahl locus on mouse chromosome 10. Se
quencing of the mitochondrial genome in the three inbred strains revealed a
single nucleotide insertion in the fRNA-Arg gene (mt-Tr) as the probable m
ediator of the mitochondrial effect. This is the first mouse model with a n
aturally occurring mtDNA mutation affecting a clinical phenotype, and it pr
ovides an experimental model to dissect the pathophysiologic processes conn
ecting mtDNA mutations to hearing loss.