I couldn’t access the above link. I forgot to add the references in the first post though, apologies for that. Here they are:
Dallos, P., & Fakler, B. (2002). PRESTIN, A NEW TYPE OF MOTOR PROTEIN Nature Reviews Molecular Cell Biology, 3 (2), 104-111 DOI: 10.1038/nrm730
Li, Y., Liu, Z., Shi, P., & Zhang, J. (2010). The hearing gene Prestin unites echolocating bats and whales Current Biology, 20 (2) DOI: 10.1016/j.cub.2009.11.042
Weber T, Gopfert MC, Winter H, Zimmermann U, Kohler H, Meier A, Hendrich O, Rohbock K, Robert D, & Knipper M (2003). Expression of prestin-homologous solute carrier (SLC26) in auditory organs of nonmammalian vertebrates and insects. Proceedings of the National Academy of Sciences of the United States of America, 100 (13), 7690-5 PMID: 12782792
Gleitsman, K., Tateyama, M., & Kubo, Y. (2009). Structural rearrangements of the motor protein prestin revealed by fluorescence resonance energy transfer AJP: Cell Physiology, 297 (2) DOI: 10.1152/ajpcell.00647.2008
Teeling, E. (2009). Hear, hear: the convergent evolution of echolocation in bats? Trends in Ecology & Evolution, 24 (7), 351-354 DOI: 10.1016/j.tree.2009.02.012
Check out the Gleitsman article (as well as Dallos):
Prestin is not a motor protein like ATPases or spindle proteins that walk on microtubules. It also undergoes conformational changes, however it is voltage regulated and not an enzymatic-activity-based motor.
Look at the structure of the cochlea and the location of the cilia (the outer hair cells - OHCs) (from Dallos):
http://www.nature.com/nrm/journal/v3/n2/images/nrm730-i1.jpg
When OHCs stimulated by incoming sound waves, the mechanosensitive ion channels in the stereocilia membrane of OHCs become activate, thereby changing the voltage-potential of the membrane. This voltage potential is converted into mechanical movement (as a result of prestin motor action), and in the ear this movement is used to amplify sound waves whereby the OHCs mechanically vibrate up and down due to the structural rearrangements of the motor protein, prestin.
The inner hair cells are the sensory receptors and transmit the amplified sound information to the brain. So to answer your question, prestin responds to a signal that mechanically alters the cell membrane potential of OHCs, and the amplifies this signal by generating another mechanical signal. It is an amplifier to put is simply. And the same mutations (an example of convergent evolution) in bats, some dolphins, as well as whales allowed it to be sensitive enough for echolocation.