title: A central role of connexin 43 in hypoxic preconditioning.
abstract: Preconditioning is an endogenous mechanism in which a nonlethal exposure increases cellular resistance to subsequent additional severe injury. Here we show that connexin 43 (Cx43) plays a key role in protection afforded by preconditioning. Cx43 null mice were insensitive to hypoxic preconditioning, whereas wild-type littermate mice exhibited a significant reduction in infarct volume after occlusion of the middle cerebral artery. In cultures, Cx43-deficient cells responded to preconditioning only after exogenous expression of Cx43, and protection was attenuated by small interference RNA or by channel blockers. Our observations indicate that preconditioning reduced degradation of Cx43, resulting in a marked increase in the number of plasma membrane Cx43 hemichannels. Consequently, efflux of ATP through hemichannels led to accumulation of its catabolic product adenosine, a potent neuroprotective agent. Thus, adaptive modulation of Cx43 can offset environmental stress by adenosine-mediated elevation of cellular resistance.
authors.affiliation: Department of Pathology, New York Medical College, Valhalla, New York 10595, USA. jane_lin@nymc.edu
authors.forename: Jane H-C
authors.initials: JH
authors.lastname: Lin
authors.forename: Nanhong
authors.initials: N
authors.lastname: Lou
authors.forename: Ning
authors.initials: N
authors.lastname: Kang
authors.forename: Takahiro
authors.initials: T
authors.lastname: Takano
authors.forename: Furong
authors.initials: F
authors.lastname: Hu
authors.forename: Xiaoning
authors.initials: X
authors.lastname: Han
authors.forename: Qiwu
authors.initials: Q
authors.lastname: Xu
authors.forename: Ditte
authors.initials: D
authors.lastname: Lovatt
authors.forename: Arnulfo
authors.initials: A
authors.lastname: Torres
authors.forename: Klaus
authors.initials: K
authors.lastname: Willecke
authors.forename: Jay
authors.initials: J
authors.lastname: Yang
authors.forename: Jian
authors.initials: J
authors.lastname: Kang
authors.forename: Maiken
authors.initials: M
authors.lastname: Nedergaard
mesh_terms: D000255:Adenosine Triphosphate / Q000494:pharmacology; D000818:Animals; D000831:Animals, Newborn; D001253:Astrocytes / Q000378:metabolism; D002470:Cell Survival; D002478:Cells, Cultured; D018031:Connexin 43 / Q000172:deficiency / Q000502:physiology*; D004791:Enzyme Inhibitors / Q000494:pharmacology; D049452:Green Fluorescent Proteins / Q000235:genetics; D006861:Hydrogen Peroxide / Q000494:pharmacology; D066298:In Vitro Techniques; D020244:Infarction, Middle Cerebral Artery / Q000378:metabolism / Q000473:pathology / Q000517:prevention & control; D019194:Ischemic Preconditioning; D008564:Membrane Potentials / Q000187:drug effects / Q000502:physiology / Q000528:radiation effects; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D018408:Patch-Clamp Techniques; D034741:RNA, Small Interfering / Q000627:therapeutic use; D051381:Rats; D013997:Time Factors; D014162:Transfection / Q000379:methods; D015854:Up-Regulation / Q000235:genetics / Q000502:physiology*
chemical_list: D018031:Connexin 43; D004791:Enzyme Inhibitors; D034741:RNA, Small Interfering; D049452:Green Fluorescent Proteins; D000255:Adenosine Triphosphate; D006861:Hydrogen Peroxide