The LCCL domain is a recently discovered, conserved protein module named af
ter its presence in Limulus factor C, cochlear protein Coch-5b2 and late ge
station lung protein Lgl1. The LCCL domain plays a key role in the autosoma
l dominant human deafness disorder DFNA9. Here we report the nuclear magnet
ic resonance (NMR) structure of the LCCL domain from human Coch-5b2, where
dominant mutations leading to DFNA9 deafness disorder have been identified.
The fold is novel. Four of the five known DFNA9 mutations are shown to inv
olve at least partially solvent-exposed residues. Except for the Trp91Arg m
utant, expression of these four LCCL mutants resulted in misfolded proteins
. These results suggest that Trp91 participates in the interaction with a b
inding partner. The unexpected sensitivity of the fold with respect to muta
tions of solvent-accessible residues might be attributed to interference wi
th the folding pathway of this disulfide-containing domain.