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Primary cilia are long microtubule-based appendages that extend from the surface of most mammalian cells. Primary cilia are often confused with motile cilia, of which there are always multiple per cell, and whose purpose is to move fluid across membrane surfaces. Primary cilia, in contrast, adopt sensory roles and are consequently also referred to as sensory cilia. Once long forgotten, this organelle has recently been 'rediscovered' as a result of its association with a multitude of human genetic diseases1. Ideally positioned as a signaling organelle, the primary cilium has been shown to regulate numerous signaling pathways, many of which are important not only in tissue homeostasis and disease, but also during development2.
One of the first signaling pathways shown to be associated with cilia dysfunction was the non-canonical Wnt signaling pathway, known also as the planar cell polarity (PCP) pathway3. This signaling cascade initially identified in Drosophila, is critical for embryogenesis; in particular for convergence and extension processes and for the correct orientation of cells in the plane of epithelia4. The sequential signaling of a core set of regulatory proteins translates directional cues which ultimately lead to cytoskeletal rearrangements and result in the coordinated polarization of epithelial cells in a plane5. The process of convergence and extension is absolutely required for the cochlear duct to elongate and for correct cellular patterning6. As this is regulated via activation of the PCP pathway, one of the most striking phenotypes of cochlea PCP mutants is a shortened cochlear duct with disorganized sensory epithelia7. Similarly, mouse mutants, which lack cilia, also exhibit such a convergence and extension phenotype8,9, though precisely how this is regulated remains to be elucidated.
Because convergence and extension processes are critical for the outgrowth of the cochlear duct, and cellular patterning of the sensory epithelia within the cochlear duct, the developing cochlea is an ideal organ in which to examine PCP signaling during vertebrate development. The organ of Corti, the term given to the specialized sensory epithelium that lines the cochlear duct, is comprised of non-sensory supporting cells and mechanosensory hair cells which must be uniformly oriented for the cochlea to function10. The mechanosensory hair cells are so called because of the stereociliary bundles that extend from the cuticular plate (apical surface) of each sensory hair cell11. These act as primary transducers of mechanosensation and despite their nomenclature as stereocilia, are actually comprised of modified actin filament-based microvilli. Within each chevron-shaped hair bundle, three rows of stereocilia are organized in a highly ordered and regular pattern in a stair case-like manner. Real microtubule-based cilia, termed kinocilia, are required for the development and orientation of the stereociliary bundles12. Upon each hair cell, one single kinocilium is physically attached to the stereocilia bundle, located centrally adjacent to the tallest row of stereocilia. The precise function of the kinocilium is unclear, and one hypothesis is that the kinocilium 'pulls' the stereocilia into shape as they mature from microvilli12. In vertebrates, kinocilia in the cochlea are only present transiently and retract from the hair cells in mice prior to the onset of hearing11,13,14.
Complete loss of cilia in the developing cochlea results in severely shortened cochlear ducts, mis-formed and mis-oriented stereociliary bundles, as well as mis-positioned basal bodies8,9. A functional cilium is not just comprised of the ciliary axoneme. Many proteins associated with cilia function occur in complexes localized to cilia-related subdomains such as the basal body, transition zone, or ciliary axoneme15. The basal body, derived from the mother centriole of the centrosome, is also a microtubule-organizing center for microtubules extending away from the cilium into the cell body and can regulate intracellular trafficking as well as ciliary trafficking. The ciliary transition zone is another region where ciliary function is regulated in terms of organizing import and export of ciliary compounds16.
Multiple studies have identified a connection between cilia and non-canonical Wnt (PCP signaling), though the precise mechanism is unclear17. Redundancy of ciliary and PCP genes and the sensitivity of cell polarity to generalized cellular abnormalities, make it difficult to directly link a mutation to PCP-specific deficits. One of the read outs of PCP signaling is the positioning of the basal body and primary cilium, therefore segregating the primary from the secondary defects is challenging. Some studies in zebrafish and mouse mutants have suggested no connection between cilia and Wnt signaling18-20. Discrepancies in the data may reflect species, tissue, or temporal-dependent differences in ciliary contributions towards Wnt signaling. Furthermore, normal Wnt responsiveness might be retained if basal bodies remain functional. A deeper insight into the role of ciliary proteins in cellular signaling pathways and other biological phenomena is crucial for our understanding of cellular and developmental biology, as well as for the development of targeted treatment strategies.