Release of neurotransmitter at the inner hair cell (IHC) afferent synapse i
s a fundamental step in translating sound into auditory nerve excitation. T
o study the Ca2+ dependence of the underlying vesicle fusion and subsequent
endocytosis, we combined Ca2+ uncaging with membrane capacitance measureme
nts in mouse IHCs. Rapid elevations in [Ca2+](i) above 8 muM caused a bipha
sic capacitance increase corresponding to the fusion of similar to 40,000 v
esicles. The kinetics of exocytosis displayed a fifth-order Ca2+ dependence
reaching maximal rates of >3 x 10(7) vesicle/s. Exocytosis was always foll
owed by slow, compensatory endocytosis (tau approximate to 15 s). Higher [C
a2+](i) increased the contribution of a faster mode of endocytosis with a C
a2+-independent time constant of similar to 300 ms. These properties provid
e for rapid and sustained transmitter release from this large presynaptic t
erminal.