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Updated: May 18, 2026

Dissection of the Auditory Bulla in Postnatal Mice: Isolation of the Middle Ear Bones and Histological Analysis
Published on: January 4, 2017
Mutation in Phex gene predisposes BALB/c-Phex(Hyp-Duk)/Y mice to otitis media
Fengchan Han1, Heping Yu, Ping Li
1The Transformative Otology and Neuroscience Center, Binzhou Medical University, Yantai, Shandong, People's Republic of China.
Abstract:
Genetic susceptibility underlying otitis media (OM) remains to be understood. We show in this study that mutation in Phex gene predisposes the BALB/c-Phex(Hyp-Duk)/Y (abbreviated Hyp-Duk/Y) mice to OM, which occurs at post-natal day 21 (P21) with an average penetrance of 73%. The OM was identified by effusion in the middle ear cavity and/or thickening of middle ear mucosae, and was characterised by increase in goblet cells, deformity of epithelial cilia and higher expression of proliferating cell nuclear antigen (PCNA) in cells of the middle ear mucosae. Moreover, the transcription levels of Tlr2, Tlr4, Nfkb1, Ccl4, Il1b and Tnfα in the ears of the Hyp-Duk/Y mice at P35 were significantly upregulated, compared to those of the controls. Higher expression levels of TLR2, TLR4, NF-κB and TNF-α in the middle ears were demonstrated by immunohistochemistry (IHC). However, the OM in the mice was not prevented by azithromycin administration from gestational day 18 to P35. Further study showed that, in contrast to the low mRNA levels of Phex gene in the ears of the Hyp-Duk/Y mice, the mRNA level of Fgf23 was significantly elevated at P9, P14, P21 and P35. Meanwhile, mRNA levels of EP2 (PGE2 receptor), which expressed in the middle ear epithelia as demonstrated by IHC, were already increased at P14 even before the occurrence of OM, indicating that PGE2, an inflammatory mediator, is involved in the OM development in the mutants. Taking together, Phex mutation primarily up-regulates gene expression levels in FGF23 mediated pathways in the middle ears, resulting in cell proliferation and defence impairment at the mucosae and subsequently bacterial infection. The Hyp-Duk/Y mouse is a new genetic mouse model of OM.
Insights
A mutation in the Phex gene causes otitis media (OM) in mice, leading to middle ear inflammation and infection. This genetic model reveals Phex mutation
Area of Science:
- Genetics
- Immunology
- Otolaryngology
Background:
- Genetic susceptibility to otitis media (OM) is not well understood.
- Otitis media is a common childhood infection affecting the middle ear.
Purpose of the Study:
- To investigate the genetic basis of otitis media using a novel mouse model.
- To elucidate the molecular mechanisms underlying Phex gene-associated OM.
Main Methods:
- Utilized BALB/c-Phex(Hyp-Duk)/Y (Hyp-Duk/Y) mice with a Phex gene mutation.
- Analyzed middle ear tissues for histopathological changes and gene expression.
- Employed immunohistochemistry (IHC) to assess protein expression levels.
Main Results:
- Hyp-Duk/Y mice developed OM with 73% penetrance starting at post-natal day 21.
- OM was characterized by middle ear effusion, mucosal thickening, goblet cell increase, and ciliary deformity.
- Upregulated transcription of inflammatory genes (Tlr2, Tlr4, Nfkb1, Il1b, Tnfα) and elevated FGF23 mRNA levels were observed.
- EP2 receptor mRNA levels increased prior to OM onset, suggesting PGE2 involvement.
Conclusions:
- Phex mutation leads to OM in mice through FGF23-mediated pathways, affecting middle ear mucosal defense.
- The Hyp-Duk/Y mouse serves as a new genetic model for studying otitis media.
- Early intervention strategies targeting PGE2 pathways may be beneficial for OM prevention.
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