This work was supported by the National Natural Science Foundation of China (NFSC 82101224 to YG)

All animal experiments were approved (No. 2021-847) by the Xi&#39;an Jiaotong University Committee on the Use and Care of Animals.
1. Sterilization and material preparation
<ol>
	<li>Sterilize the dissection tools using high-temperature and high-pressure steam disinfection and dry them in a 50 &#176;C incubator overnight.</li>
	<li>Prepare 100 mL of the culture medium containing 10% fetal bovine serum (FBS) and 10 mg/mL penicillin/streptomycin (add 10 mL of FBS and 10 &#181;L of penicillin stock solution to 90 mL of Dulbecco&#39;s Modified Eagle Medium (EMEM))in advance and store at 4 &#176;C.</li>
</ol>
2. Dissection and removal of the temporal bone for collection of auditory epithelia
<ol>
	<li>Euthanize a total number of 10 newborn mice (aged between P3 and P5) by decapitation on ice. Use an alternative, ethically approved methodology, if required.</li>
	<li>Hold the head in place, open the scalp along the sagittal suture using micro-operating scissors, and separate and fix the scalp bilaterally with the fingers, as shown in Figure 1A.</li>
	<li>Remove the brain using a small periosteal elevator and bisect the basal skull. Cut the cranium with scissors and flip forward to open the skull; use the tip of the scissors to scrape the brain and expose the base of the skull.</li>
	<li>Observe the bilateral temporal bones at the base of the skull (Figure 1C). Use scissors to cut the base of the skull along the midline, scrape away the skin, and remove any unnecessary bone (Figure 1D,D&#39;).</li>
	<li>Retain and transfer the temporal bones into 35 mm sterile Petri dishes containing fresh Hank&#39;s balanced salt solution (HBSS) (Figure 1E).</li>
	<li>Use two #5-pointed forceps to remove the bulla and surrounding tissue from the petrous portion of the temporal bone (Figure 1E). 
	NOTE: At this stage, the bony labyrinth in the temporal bone of the mice would not be completely calcified and would be easily dissected using forceps.</li>
	<li>Hold the forceps with one hand to fix the semicircular part of the temporal bone and stick the lower foot of the forceps into the round window niche with the other hand to separate the lateral bone of the cochlea from the scala vestibule. Carefully remove the petrous portion of the temporal bone without touching the OC epithelium. Subsequently, carefully separate and remove the bony labyrinth of the cochlea from the basal end to the apical end (Figure 1F).</li>
	<li>Carefully micro-isolate the organ of the Corti sensory epithelium from the modiolus using #5-pointed forceps (Figure 1G).</li>
	<li>Hold the spiral ligament, carefully separate it from the stria vascularis with micro-operating forceps, and transfer the clean auditory epithelium to a 3 mm sterile culture dish containing HBSS using a 200 &#181;L pipette (Figure 1H).</li>
	<li>Collect 20 specimens from each animal and quickly transfer them to a 100 mm sterile Petri dish containing HBSS for the next preparation step (Figure 1).</li>
</ol>
3. Enzymatic disaggregation for obtaining auditory hair cells
<ol>
	<li>Transfer the auditory epithelium to 10 mL of fresh DMEM containing 0.25% trypsin and incubate at 37 &#176;C for 12 min.</li>
	<li>Using a 200 &#181;L pipette tip, gently separate the hair cells from the basal lamina and other cells under an operating microscope.</li>
	<li>Add another 10 mL of culture medium to inhibit the disaggregation.</li>
	<li>Filter the suspended cells in the culture medium through a 70 &#181;m filter, collect the filtrate in a clean 50 mL tube, and centrifuge it at 300 &#215; g for 5 min.</li>
	<li>Resuspend the hair cells in at least 5 mL of culture medium by gently pipetting them up and down using a 1,000 &#181;L pipette tip. Avoid introducing bubbles.</li>
	<li>Place a coverslip at the bottom of a six-well plate in advance. Count the cells and culture them at a density of 106 cells/mL in six-well plates.</li>
	<li>Grow the adherent cells in 2 mL of DMEM (containing 10% of FBS, 100 units/mL of penicillin, and 100 &#181;g/mL of streptomycin) at 37 &#176;C and 5% CO2. Change the culture medium every day. 
	&#8203;NOTE: It should be mentioned that using this protocol does not result in obtaining pure hair cells. Based on this primary cell culture method, we recommend using d2 or d3 cells for further studies, as hair cells might constitute approximately 70% of cells in culture and be in a good state.</li>
</ol>
4. Immunofluorescent staining
<ol>
	<li>Harvest the cultured cells from d1 to d6 (one well per day). Aspirate the culture medium and rinse cells 2x with phosphate-buffered saline (PBS).</li>
	<li>Fix cells with 4% paraformaldehyde for 15 min at room temperature (RT).</li>
	<li>Remove the fixative and rinse cells for 3 x 3 min with PBS.</li>
	<li>Permeabilize the cells with PBS containing 0.2% Triton X-100 for 10 min at RT.</li>
	<li>Incubate the permeabilized cells with a blocking solution consisting of 10% FBS in PBS for 20 min at RT.</li>
	<li>Stain the cells with anti-myosin monoclonal antibody (diluted at 1:200 in PBS) at 4 &#176;C overnight.</li>
	<li>Wash the cells 3x with sterile PBS and incubate them with secondary antibody (Alexa Fluor 594 goat anti-rabbit MYO7A, diluted 1:500 in PBS) and fluorescein-labeled phalloidin (Alexa Fluor 488, to identify cell structure) for 2 h at RT.</li>
	<li>Rinse the cells 3x with PBS to remove the secondary antibodies.</li>
	<li>Add 1-2 drops of mounting medium with DAPI onto the slides, mount the coverslips, and place them under a laser scanning confocal microscope to capture photos of the cells.</li>
</ol>
5. Statistical analysis
<ol>
	<li>Perform two-way analysis of variance (ANOVA) followed by Tukey&#39;s post hoc tests to analyze the changes in the grey values of myosin-VIIa and phalloidin over time. Use the letter marking method to mark statistical differences.</li>
	<li>Perform additional one-way ANOVAs followed by Tukey&#39;s post-hoc tests to compare the phalloidin-positive cell ratio between cell samples from day 1 to day 6 and the myosin-VII-positive cell ratio on the same days.</li>
</ol>

Efficient In Vitro Cultivation of Mouse Cochlear Hair Cells

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E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cochlear+hair+cells:+The+sound-sensing+machines.">Cochlear hair cells: The sound-sensing machines.</a> FEBS Lett. 589 (22), 3354-3361 (2015).</li><li>Joo, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+Contribution+of+Ototoxic+Medications+to+Hearing+Loss+Among+Older+Adults.">The Contribution of Ototoxic Medications to Hearing Loss Among Older Adults.</a> J Gerontol A Biol Sci Med Sci. 75 (3), 561-566 (2020).</li><li>Nieman, C. L., Oh, E. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hearing+Loss.">Hearing Loss.</a> Ann Intern Med. 173 (11), ITC81-ITC96 (2020).</li><li>Mao, H., Chen, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Noise-Induced+Hearing+Loss:+Updates+on+Molecular+Targets+and+Potential+Interventions.">Noise-Induced Hearing Loss: Updates on Molecular Targets and Potential Interventions.</a> Neural Plast. 2021, 4784385 (2021).</li><li>Morioka, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hearing+vulnerability+after+noise+exposure+in+a+mouse+model+of+reactive+oxygen+species+overproduction.">Hearing vulnerability after noise exposure in a mouse model of reactive oxygen species overproduction.</a> J Neurochem. 146 (4), 459-473 (2018).</li><li>Liu, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Molecular+and+cytological+profiling+of+biological+aging+of+mouse+cochlear+inner+and+outer+hair+cells.">Molecular and cytological profiling of biological aging of mouse cochlear inner and outer hair cells.</a> Cell Rep. 39 (2), 110665 (2022).</li><li>Ogier, J. M., Burt, R. A., Drury, H. R., Lim, R., Nayagam, B. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Organotypic+Culture+of+Neonatal+Murine+Inner+Ear+Explants.">Organotypic Culture of Neonatal Murine Inner Ear Explants.</a> Front Cell Neurosci. 13, 170 (2019).</li><li>Ding, D., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cisplatin+ototoxicity+in+rat+cochlear+organotypic+cultures.">Cisplatin ototoxicity in rat cochlear organotypic cultures.</a> Hear Res. 282 (1-2), 196-203 (2011).</li><li>Abitbol, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cisplatin-induced+ototoxicity+in+organotypic+cochlear+cultures+occurs+independent+of+gap+junctional+intercellular+communication.">Cisplatin-induced ototoxicity in organotypic cochlear cultures occurs independent of gap junctional intercellular communication.</a> Cell Death Dis. 11 (5), 342 (2020).</li><li>Li, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Myosin-VIIa+is+expressed+in+multiple+isoforms+and+essential+for+tensioning+the+hair+cell+mechanotransduction+complex.">Myosin-VIIa is expressed in multiple isoforms and essential for tensioning the hair cell mechanotransduction complex.</a> Nat Commun. 11 (1), 2066 (2020).</li><li>Kalinec, G. M., Park, C., Thein, P., Kalinec, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Working+with+auditory+HEI-OC1+cells.">Working with auditory HEI-OC1 cells.</a> J Vis Exp. (115), (2016).</li><li>Montgomery, S. C., Cox, B. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Whole+mount+dissection+and+immunofluorescence+of+the+adult+mouse+cochlea.">Whole mount dissection and immunofluorescence of the adult mouse cochlea.</a> J Vis Exp. (107), (2016).</li><li>Xu, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Identification+of+mouse+cochlear+progenitors+that+develop+hair+and+supporting+cells+in+the+organ+of+Corti.">Identification of mouse cochlear progenitors that develop hair and supporting cells in the organ of Corti.</a> Nat Commun. 8, 15046 (2017).</li><li>Zheng, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Prestin+is+the+motor+protein+of+cochlear+outer+hair+cells.">Prestin is the motor protein of cochlear outer hair cells.</a> Nature. 405 (6783), 149-155 (2000).</li><li>Ruel, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Impairment+of+SLC17A8+encoding+vesicular+glutamate+transporter-3,+VGLUT3,+underlies+nonsyndromic+deafness+DFNA25+and+inner+hair+cell+dysfunction+in+null+mice.">Impairment of SLC17A8 encoding vesicular glutamate transporter-3, VGLUT3, underlies nonsyndromic deafness DFNA25 and inner hair cell dysfunction in null mice.</a> Am J Hum Genet. 83 (2), 278-292 (2008).</li><li>Seal, R. P., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sensorineural+deafness+and+seizures+in+mice+lacking+vesicular+glutamate+transporter+3.">Sensorineural deafness and seizures in mice lacking vesicular glutamate transporter 3.</a> Neuron. 57 (2), 263-275 (2008).</li><li>Luo, Z., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Three+distinct+Atoh1+enhancers+cooperate+for+sound+receptor+hair+cell+development.">Three distinct Atoh1 enhancers cooperate for sound receptor hair cell development.</a> Proc Natl Acad Sci U S A. 119 (32), e2119850119 (2022).</li><li>Kalinec, G., Thein, P., Park, C., Kalinec, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=HEI-OC1+cells+as+a+model+for+investigating+drug+cytotoxicity.">HEI-OC1 cells as a model for investigating drug cytotoxicity.</a> Hear Res. 335, 105-117 (2016).</li></ol>

The authors have no conflicts of interest to disclose.

Compared with the HEI-OC1 cell line, primary cultures of hair cells more accurately replicated the physiological state of cells in vivo. Therefore, the auditory primary culture method established by isolating living cells from cochlear organs and immediately culturing them appears to be a valuable tool for extensive research on auditory systems. Certain techniques are crucial for a successful culture. First, minimizing the duration of separation of the organ of Corti from the temporal bone enhances the likelihood of sust...

Cochlear hair cells play important roles in sound detection and signal transmission to the auditory nerve. Hair cells are mechanistic cells that function as primary sensory receptors and convert sound vibrations into electrical signals in vertebrates. The sensory epithelium of the mammalian inner ear comprises a single row of inner hair cells and three rows of outer hair cells. In different basic membrane areas, hair cells perceive sounds at different frequencies (between 20 and 2,000 Hz)1. The function of outer hair cells is an active mechanical amplification process that helps fine-tune the mammalian inner ear, conferring high sensitivity to sound. Inner hair cells are responsible for detecting sounds. After graded depolarization, acoustic information is transmitted to the brain through the auditory nerve fibers2.
Hearing loss may be caused by genetic defects, aging, noise trauma, or the excessive use of ototoxic drugs, which constitute a major health concern worldwide3,4. Hearing loss mainly results from irreversible damage to hair cells5. Regarding noise-induced hearing loss, although researchers have reached a consensus on several details of its etiology, a comprehensive understanding of the numerous underlying mechanisms is lacking. Outer hair cells are particularly vulnerable to acoustic overexposure6. Mechanosensitive cochlear hair cells are involved in age-related hearing loss; however, the molecular and cellular mechanisms underlying hair cell degeneration remain unknown. Several changes in the molecular processes lead to hair cell aging, oxidative stress, DNA damage response, autophagy, and dysregulation of the expression and transcription of genes related to hair cell specialization7.
As the inner ear is encased in the temporal bone, deep in the hardest bone of the body, it is experimentally inaccessible, posing a challenge to investigations into the mechanisms of hair cell repair and regeneration. Hence, establishing in vitro cultures for investigating the function of hair cells has become an ideal method for research on the regeneration and injury mechanisms of the inner ear. The procedures for preparing cochlear organotypic cultures have been described in earlier studies8,9,10. Investigators worldwide have employed various cochlear microdissection and surface preparation techniques. Despite the persistent challenges, various primary hair cell culture systems have been successfully established in vitro. Cochlear organ cultures contain various cell types, including hair cells, Deiters cells, Hensen&#39;s cells, pillar cells, and auditory nerve fibers. An in-depth understanding of the changes in hair cells at the cellular and molecular levels after injury will enable the development of more powerful research tools. This study aimed to demonstrate the steps for isolating cochlear organs from neonatal mice and enzymatically detaching the abundant hair cells for in vitro studies. The nature of the cultured cells was confirmed using immunofluorescence staining.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>100 mm BioLite cell culture dish</td>
			<td>Thermo Fisher Scientific</td>
			<td>130182</td>
			<td>using for culture</td>
		</tr>
		<tr>
			<td>35 mm Nunc cell culture dish</td>
			<td>Thermo Fisher Scientific</td>
			<td>150318</td>
			<td>using for culture</td>
		</tr>
		<tr>
			<td>6-well palate</td>
			<td>Thermo Fisher Scientific</td>
			<td>310109005</td>
			<td>using for culture</td>
		</tr>
		<tr>
			<td>70 &#181;m cell strainers</td>
			<td>BD Company</td>
			<td>352350</td>
			<td>using for filter</td>
		</tr>
		<tr>
			<td>Alexa Fluor 488 Phalloidin</td>
			<td>Thermo Fisher Scientific</td>
			<td>A12379</td>
			<td>immunofluorescent staining</td>
		</tr>
		<tr>
			<td>Anti-rabbit IgG Alexa Fluor 488</td>
			<td>Thermo Fisher Scientifc</td>
			<td>A11008</td>
			<td>immunofluorescent staining</td>
		</tr>
		<tr>
			<td>day 3-5 neonatal murine&#160;</td>
			<td></td>
			<td></td>
			<td>provided by Xi&#39;an Jiaotong University</td>
		</tr>
		<tr>
			<td>Dulbecco&#8217;s Modified Eagle Medium</td>
			<td>Thermo Fisher Scientific</td>
			<td>11965092</td>
			<td>using for culture</td>
		</tr>
		<tr>
			<td>Fetal Bovine Serum</td>
			<td>Thermo Fisher Scientific</td>
			<td>12483020</td>
			<td>using for culture</td>
		</tr>
		<tr>
			<td>Forceps</td>
			<td>Dumont</td>
			<td>5#</td>
			<td>using for dissection</td>
		</tr>
		<tr>
			<td>Leica anatomy microscope</td>
			<td>Germany</td>
			<td>S9i</td>
			<td>using for dissection</td>
		</tr>
		<tr>
			<td>Penicillin/streptomycin</td>
			<td>Thermo Fisher Scientific</td>
			<td>15140-122</td>
			<td>using for culture</td>
		</tr>
		<tr>
			<td>Rabbit plyclonal to Myosin VIIa</td>
			<td>Abcam company</td>
			<td>ab92996</td>
			<td>immunofluorescent staining</td>
		</tr>
		<tr>
			<td>Scissor</td>
			<td>Belevor</td>
			<td>10cm/04.0524.10</td>
			<td>using for dissection</td>
		</tr>
		<tr>
			<td>Triton X-100</td>
			<td>Sigma Aldrich&#160;</td>
			<td>9036-19-5</td>
			<td>immunofluorescent staining</td>
		</tr>
		<tr>
			<td>Trypsin</td>
			<td>Thermo Fisher Scientific</td>
			<td>25200072</td>
			<td>using for culture</td>
		</tr>
	</tbody>
</table>

isolation and culture of primary cochlear hair cells from neonatal mice

Cochlear hair cells are the sensory receptors of the auditory system. These cells are located in the organ of Corti, the sensory organ responsible for hearing, within the osseous labyrinth of the inner ear. Cochlear hair cells consist of two anatomically and functionally distinct types: outer and inner hair cells. Damage to either of them results in hearing loss. Notably, as inner hair cells cannot regenerate, and damage to them is permanent. Hence, in vitro cultivation of primary hair cells is indispensable for investigating the protective or regenerative effects of cochlear hair cells. This study aimed to discover a method for isolating and cultivating mouse hair cells. 
After manual removal of the cochlear lateral wall, the auditory epithelium was meticulously dissected from the cochlear modiolus under a microscope, incubated in a mixture consisting of 0.25% trypsin-EDTA for 10 min at 37 &#176;C, and gently suspended in culture medium using a 200 &#181;L pipette tip. The cell suspension was passed through a cell filter, the filtrate was centrifuged, and cells were cultured in 24-well plates. Hair cells were identified based on their capacity to express a mechanotransduction complex, myosin-VIIa, which is involved in motor tensions, and via selective labeling of F-actin using phalloidin. Cells reached &gt;90% confluence after 4 d in culture. This method can enhance our understanding of the biological characteristics of in vitro cultured hair cells and demonstrate the efficiency of cochlear hair cell cultures, establishing a solid methodological foundation for further auditory research.

Author Spotlight: Advancements in Cultivating Mouse Hair Cells for Auditory Research 

Isolation and Culture of Primary Cochlear Hair Cells from Neonatal Mice

The inner ear is encased in the temporal bone, deep in the hardest bone of the body, posing a challenging to investigations. The cultivation of primary hair cells is indispensable for investigating cochlear hair cells. This study aimed to discover a method for isolating and cultivating mouse hair cells.We demonstrate the steps for isolating cochlear organs from your natural mice and asymmetrically detaching the abundant hair cells for in-vitro studies. The nature of the cultured cells, was confirmed using immunofluorescence staining. There are three primary culture method established by isolating living cells from cochlear organs, and immediately coaching them, pair to be a valuable tool for extensive research, are all three system.This method can enhance our understanding of the biological characteristics of in-vivo cultured hair cells, and demonstrate the efficiency of cochlear hair cell cultures, establishing a solid methodological foundation for further auditory research.

Following this protocol, we seeded the isolated cells. Primary cochlear hair cell seeds were considered successful if the cells did not float in the culture medium and spread within 24 h. We determined the number of hair cells after they adhered and spread into flat aggregates at the bottom of the dish. After 1 day, live hair cells were tightly adhered to the bottom of the culture dish and non-adherent cells were removed by rinsing with PBS. Typically, the number of cells doubled after 3 d of culture (<strong class="xfig...

Watch this Scientific Journal Video about Advancements in Cultivating Mouse Hair Cells for Auditory Research at JoVE.com

Herein, we present a detailed protocol for isolating and culturing primary cochlear hair cells from mice. Initially, the organ of Corti was dissected from neonatal (aged 3-5 days) murine cochleae under a microscope. Subsequently, cells were enzymatically digested into a single-cell suspension and identified using immunofluorescence after several days in culture.

Cochlear hair cells are the sensory receptors of the auditory system. These cells are located in the organ of Corti, the sensory organ responsible for ...

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2.1K Views.  The Second Affiliated Hospital of Xi’an Jiaotong University. The inner ear is encased in the temporal bone, deep in the hardest bone of the body, posing a challenging to investigations. The cultivation of primary hair cells is indispensable for investigating cochlear hair cells. This study aimed to discover a method for isolating and cultivating mouse hair cells.We demonstrate the steps for isolating cochlear organs from your natural mice and asymmetrically detaching the abundant hair cells for in-vitro studies. The nature of the cultured cells,...

Video: Author Spotlight: Advancements in Cultivating Mouse Hair Cells for Auditory Research 

Dissection and Removal of the Temporal Bone to Collect Auditory Epithelia from Newborn Mice

To begin, securely hold the head of the euthanized newborn mice in place. Using micro operating scissors, open the scalp along the sagittal suture. Then, separate and immobilize the scalp bilaterally with the fingers.Use scissors to sever the cranium and flip it forward to access the skull. Employ a small periosteal elevator to extract the brain and then use the tip of the scissors to gently scrape the brain, revealing the base of the skull. Now, examine the bilateral temporal bones at the skull's base.Employ scissors to incise the base of the skull along the midline. Then, scrape off the skin and eliminate any unnecessary bone. Preserve and transfer the temporal bones to 35-millimeter sterile Petri dishes filled with fresh HBSS.Next, use a pair of 5 number pointed forceps to eliminate the bola and surrounding tissue from the petrous portion of the temporal bone. Hold the forceps with one hand to stabilize the semi-circular part of the temporal bone. Use the other hand to insert the lower tip of the forceps into the round window niche, separating the lateral bone of the cochlea from the scale of vestibule.Carefully remove the petrous portion of the temporal bone without contacting the Organ of Corti epithelium. Then, meticulously detach and extract the bony labyrinth of the cochlea, starting from the basal to the apical end. Using 5 number pointed forceps, carefully micro isolate the sensory epithelium of the Organ of Corti from the modiolus.Next, employ micro-operating forceps to hold the spiral ligament, and gently separate it from the stria vascularis. Transfer the clean auditory epithelium, using a 200 microliter pipette, to a three millimeter sterile culture dish containing HBSS. Place the isolated auditory epithelium in a 100 millimeter sterile Petri dish filled with HBSS for the subsequent preparation steps.

Enzymatic Disaggregation of the Auditory Epithelium to Obtain Auditory Hair Cells

To begin, isolate the auditory epithelium from the temporal bone of newborn mice and transfer it to 10 milliliters of fresh DMEM containing 0.25%Trypsin, incubate the mixture at 37 degrees Celsius for 12 minutes. Using a 200 microliter pipette tip, gently separate the hair cells from the basal lamina and other cells using an operating microscope. Then add another 10 milliliters of culture medium to inhibit the disaggregation.Filter the suspended cells through a 70 micrometer filter. Collect the filtrate in a clean 50 milliliter tube and centrifuge it at 300G for five minutes. Using a 1000 microliter pipette tip, re suspend the hair cells in five milliliters of culture medium by gentle pipetting.Now place a cover slip at the bottom of a six well plate in advance. Count the cells and culture them at 10 to the sixth cells per milliliter density in the six well plate, grow the adherence cells in two milliliters of DMEM at 37 degrees Celsius and 5%carbon dioxide. After one day of culturing the hair cells adhered firmly to the bottom of the dish.By the third day, the number of cells had doubled.