The lecture focused on the very first stage of auditory perception, auditory mechano-electrical transduction (or MET) (the subject of a previous lecture (2002-2003)). The introduction briefly recalled how our understanding of the biophysical principles of auditory transduction was built up, from the pioneering work of physicists and physiologists in the late 19thcentury , establishing the principles of cochlear tonotopy, to the 1960-1990 period, during which two other major aspects of auditory transduction were brought to light: on the one hand, the existence of an active process amplifying the vibrations of the sensory epithelium in response to sound, visionarily postulated by Thomas Gold in 1948, and responsible for the ear's extreme sensitivity ; and, secondly, the identification of the mechanoreceptive antenna of hair cells as the ciliary tuft, a polarized structure formed of stereocilia in whose membrane the mechanoelectrical transduction (MET) channels are located, and the development of the gating spring model which elegantly accounts for the properties of this transduction.
In the second part of the lecture, we retraced the steps that led to the success of the genetic approach to molecular deciphering of cochlear physiology, which our laboratory embarked on in the early 1990s. These steps included the identification of the first loci responsible for profound deafness in children, followed by the development of complementary cochlear DNA libraries derived from subtractive hybridization, leading to the isolation of candidate genes, and finally the discovery of the genes themselves. Today, over a hundred genes responsible for non-syndromic (isolated) hearing loss are known, and it is estimated that they account for around three-quarters of cases of hereditary, early-onset and profound sensorineural hearing loss. In addition, some 300 genes are responsible for syndromic deafness. Estimates made in mice, based on the proportion of inactivated genes that lead to hearing impairment, predict that around 200 genes responsible for rare and mostly syndromic forms of deafness have yet to be identified in humans.