PT - JOURNAL ARTICLE AU - Anttonen, Tommi AU - Herranen, Anni AU - Virkkala, Jussi AU - Kirjavainen, Anna AU - Elomaa, Pinja AU - Laos, Maarja AU - Liang, Xingqun AU - Ylikoski, Jukka AU - Behrens, Axel AU - Pirvola, Ulla TI - c-Jun N-Terminal Phosphorylation: Biomarker for Cellular Stress Rather than Cell Death in the Injured Cochlea AID - 10.1523/ENEURO.0047-16.2016 DP - 2016 Mar 01 TA - eneuro PG - ENEURO.0047-16.2016 VI - 3 IP - 2 4099 - http://www.eneuro.org/content/3/2/ENEURO.0047-16.2016.short 4100 - http://www.eneuro.org/content/3/2/ENEURO.0047-16.2016.full SO - eneuro2016 Mar 01; 3 AB - Prevention of auditory hair cell death offers therapeutic potential to rescue hearing. Pharmacological blockade of JNK/c-Jun signaling attenuates injury-induced hair cell loss, but with unsolved mechanisms. We have characterized the c-Jun stress response in the mouse cochlea challenged with acoustic overstimulation and ototoxins, by studying the dynamics of c-Jun N-terminal phosphorylation. It occurred acutely in glial-like supporting cells, inner hair cells, and the cells of the cochlear ion trafficking route, and was rapidly downregulated after exposures. Notably, death-prone outer hair cells lacked c-Jun phosphorylation. As phosphorylation was triggered also by nontraumatic noise levels and none of the cells showing this activation were lost, c-Jun phosphorylation is a biomarker for cochlear stress rather than an indicator of a death-prone fate of hair cells. Preconditioning with a mild noise exposure before a stronger traumatizing noise exposure attenuated the cochlear c-Jun stress response, suggesting that the known protective effect of sound preconditioning on hearing is linked to suppression of c-Jun activation. Finally, mice with mutations in the c-Jun N-terminal phosphoacceptor sites showed partial, but significant, hair cell protection. These data identify the c-Jun stress response as a paracrine mechanism that mediates outer hair cell death.