Target intelligence / Profile preview

Transmembrane channel-like protein 1 (TMC1) (TMC1)

Target
TMC1
Molecular classification
Ion channel, Mechanosensitive channel, Transmembrane protein
01

Overview

Transmembrane channel-like protein 1 (TMC1) is a multi-pass membrane protein that serves as a core component of the mechanotransduction (MET) channel complex in the inner ear's sensory hair cells (UniProt Q8TDI8). It is essential for converting mechanical stimuli from sound waves into electrical signals, a process fundamental to the sense of hearing and balance (PubMed: 26154390). Mutations in the TMC1 gene are a significant cause of hereditary deafness, underlying both autosomal dominant (DFNA36) and autosomal recessive (DFNB7/11) forms of non-syndromic hearing loss (PubMed: 11992261). Because TMC1 is required for the final step of sensory transduction, its absence leads to profound hearing loss due to the inability of hair cells to signal to the auditory nerve. AAV-mediated gene replacement therapy aims to deliver a functional copy of the TMC1 gene to these hair cells using adeno-associated virus vectors to restore MET channel function and hearing (PubMed: 30674903). This therapeutic approach is currently a major focus of genetic medicine for treating congenital deafness.

Other names
Transmembrane cochlear-expressed protein 1DFNA36DFNB7DFNB11TMC1
02

Mechanism of action

Gene replacement therapy to restore functional TMC1 protein expression in inner ear hair cells, thereby re-establishing mechanotransduction and auditory signaling.

03

Biological functions

MechanotransductionSensory perception of soundIon transportInner ear hair cell developmentRegulation of membrane potential
04

Disease associations

Autosomal recessive deafness 7/11 (DFNB7/DFNB11)Autosomal dominant deafness 36 (DFNA36)Hereditary hearing lossSensory hair cell dysfunction
05

Safety considerations

Immune response to the AAV vector capsid or the transgene productSurgical risks associated with sub-millimeter intracochlear injectionPotential for off-target gene expression in non-sensory cellsRisk of insertional mutagenesis (though minimal with AAV)Potential for cellular toxicity due to TMC1 protein overexpression
06

Interacting drugs

AK-TMC1

2 more in the full profile.

07

Biomarkers

TMC1 gene mutation status (DNA sequencing)Auditory Brainstem Response (ABR) thresholdsDistortion Product Otoacoustic Emissions (DPOAE)Cochlear Microphonics (CM)

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