Cadherin 23 (CDH23) is a transmembrane protein that is expressed in cochlear hair cells and in Reissner's membrane and is localized near the tips of hair cell stereocilia in the mammalian inner ear. It is one of the components of the tip-link, which connects the top of a shorter stereocilium to the side of its taller neighbor; thus, plays an important role in delivering mechanical signals to the mechano-electric transducer channels.
Several interacting partners of CDH23 in cochlear hair cells have been reported and include another tip-link protein protocadherin 15, a multi-PDZ domain-containing scaffold protein harmonin, a stereociliary scaffolding protein MAGI-1, and EHD4. Protocadherin 15 binds to CDH23 through its extracellular domains. The cytoplasmic region of CDH23 interacts with MAGI-1 and harmonin through its cytoplasmic PDZ domain-binding interfaces (PBI) while it interacts with EHD4 through possibly novel non-NPF binding motifs.