The hypothesis that prestin is the molecular motor in outer hair cells has been strengthened by a recent paper in Science identifying an unusual molecular mechanism for the effect.
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Meech, R., Holley, M. Ion-age molecular motors. Nat Neurosci 4, 771–773 (2001). https://doi.org/10.1038/90461
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DOI: https://doi.org/10.1038/90461