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Natl. Acad. Sci. U.S.A."],"published-print":{"date-parts":[[2026,8,25]]},"abstract":"<jats:p>\n                    Auditory hair cells (HCs) are critical sensory units for sound detection, and their development requires precise transcriptional regulation. To date, numerous transcription factors crucial for HC development have been characterized; however, the governing regulatory network remains unclear and warrants further investigation. In this study, we identified the transcription factor\n                    <jats:italic toggle=\"yes\">Tox<\/jats:italic>\n                    , which plays a significant role in HC development.\n                    <jats:italic toggle=\"yes\">Tox<\/jats:italic>\n                    is highly expressed in HCs in both zebrafish and mice, and its expression increases along developmental pseudotime, rising after\n                    <jats:italic toggle=\"yes\">Atoh1<\/jats:italic>\n                    and preceding\n                    <jats:italic toggle=\"yes\">Myo7a<\/jats:italic>\n                    , suggesting a potential role in development. Utilizing\n                    <jats:italic toggle=\"yes\">Tox<\/jats:italic>\n                    mutant models in zebrafish and mice, we found that\n                    <jats:italic toggle=\"yes\">Tox<\/jats:italic>\n                    is essential for HC functional maintenance and stereocilia stability. Through multiomics integrated analysis, we confirmed that\n                    <jats:italic toggle=\"yes\">Tox<\/jats:italic>\n                    directly binds to conserved motifs in the\n                    <jats:italic toggle=\"yes\">Cdh23<\/jats:italic>\n                    promoter, drives its transcription, and ensures the precise localization of Cdh23 at the tips of stereocilia, thereby playing a key role in maintaining auditory function. In conclusion, our findings indicate that\n                    <jats:italic toggle=\"yes\">Tox<\/jats:italic>\n                    influences HC development by regulating the transcription and translation of\n                    <jats:italic toggle=\"yes\">Cdh23<\/jats:italic>\n                    , enriches the regulatory network of HC development, and may serve as a target for clinical gene therapy for deafness.\n                  <\/jats:p>","DOI":"10.1073\/pnas.2607359123","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T17:35:51Z","timestamp":1787333751000},"update-policy":"https:\/\/doi.org\/10.1073\/pnas.cm10313","source":"Crossref","is-referenced-by-count":0,"title":["Tox regulates hair cell stereocilia development and Cdh23 expression in mice and 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