Rab11a is essential for the development and integrity of the stereocilia and kinocilia in the mammalian organ of Corti.

The cochlea hair cells transform mechanic sounds to neural signals with a remarkable sensitivity and resolution. This is achieved via the precisely sculpted mechanotransduction apparatus of the hair cells and the supporting structure of the cochlea. The shaping of the mechanotransduction apparatus, the staircased stereocilia bundles on the apical surface of the hair cells, requires an intricate regulatory network including planar cell polarity and primary cilia genes in orienting stereocilia bundles and the building molecular machinery of the apical protrusions. The mechanism linking these regulatory components is unknown. Here we show that a small GTPase known for its role in protein trafficking, Rab11a, is required for ciliogenesis in hair cells during development in mice. In addition, in the absence of Rab11a, stereocilia bundles lost their cohesion and integrity, and mice are deaf. These data indicate an essential role of protein trafficking in the formation of hair cell mechanotransduction apparatus, implicating a role of Rab11a or protein trafficking in linking the cilia and polarity regulatory components with the molecular machinery in building the cohesive and precisely shaped stereocilia bundles. Significance Statement Our research discovered for the first time that the small GTPase Rab11a is required for ciliogenesis, and for the precise patterning and cohesion of the stereocilia bundles in cochlear hair cells.