TECTB (β-tectorin) is a secreted glycoprotein that serves as an essential structural component of the tectorial membrane (TM), the acellular extracellular matrix overlying the organ of Corti, where it shapes the cochlear mechanics underlying frequency selectivity and sensitivity (PMID:20981024). Its incorporation into the striated-sheet matrix of the TM depends on direct interaction with α-tectorin (TECTA): a TECTA mutation that abolishes TECTA–TECTB binding yields a TM deficient in TECTB that lacks the striated-sheet matrix and detaches from the organ of Corti (PMID:18452040). CEACAM16 stabilizes the TECTA–TECTB association, since loss of CEACAM16 reduces TM TECTB levels and abolishes striated-sheet matrix and Hensen's stripe formation (PMID:25080593), and proper deposition of TECTB further requires the proteolytic activity of the serine protease hepsin (TMPRSS1), as catalytically active but not protease-dead hepsin restores TECTB incorporation (PMID:39437584). Functionally, TECTB confers anisotropic mechanical properties on the TM, selectively contributing to shear and transverse stiffness without affecting stiffness along the collagen-fiber axis (PMID:30665694); through this, it sets the spatial extent and propagation velocity of TM travelling waves, tuning the trade-off between frequency selectivity and sensitivity (PMID:20981024). The integrity of the conserved cysteines within TECTB's zona pellucida (ZP) domain is required for TM matrix assembly: a ZP-domain missense variant (p.Cys225Tyr) causes autosomal dominant non-syndromic hearing loss, with disrupted TM morphology and heightened susceptibility to noise-induced hearing loss (PMID:40832383).