Related Experiment Video
Updated: Jul 15, 2026

Dissection of Adult Mouse Stria Vascularis for Single-Nucleus Sequencing or Immunostaining
Published on: April 21, 2023
Aberrant hemichannel properties of Cx26 mutations causing skin disease and deafness
Dwan A Gerido1, Adam M DeRosa, Gabriele Richard
1Dept. of Physiology and Biophysics, State University of New York, T5-147, Basic Science Tower, Stony Brook, NY 11794-8661, USA.
Abstract:
Mutations in the human GJB2 gene, which encodes connexin26 (Cx26), underlie various forms of hereditary deafness and skin disease. While it has proven difficult to discern the exact pathological mechanisms that cause these disorders, studies have shown that the loss or abnormal function of Cx26 protein has a profound effect on tissue homeostasis. Here, we used the Xenopus oocyte expression system to examine the functional characteristics of a Cx26 mutation (G45E) that results in keratitis-ichthyosis-deafness syndrome (KIDS) with a fatal outcome. Our data showed that oocytes were able to express both wild-type Cx26 and its G45E variant, each of which formed hemichannels and gap junction channels. However, Cx26-G45E hemichannels displayed significantly greater whole cell currents than wild-type Cx26, leading to cell lysis and death. This severe phenotype could be rescued in the presence of elevated Ca(2+) levels in the extracellular milieu. Cx26-G45E could also form intercellular channels with a similar efficiency as wild-type Cx26, however, with increased voltage sensitive gating. We also compared Cx26-G45E with a previously described Cx26 mutant, A40V, which has an overlapping human phenotype. We found that both dominant Cx26 mutants elicited similar functional consequences and that cells coexpressing mutant and wild-type connexins predominantly displayed mutant-like behavior. These data suggest that mutant hemichannels may act on cellular homeostasis in a manner that can be detrimental to the tissues in which they are expressed.
Insights
Mutations in the connexin26 (Cx26) gene cause hereditary deafness and skin disease. A specific GJB2 mutation (G45E) leads to cell death via abnormal hemichannel activity, but this can be prevented by increased calcium.
Area of Science:
- Molecular Biology
- Genetics
- Cell Biology
Background:
- Mutations in the human GJB2 gene, encoding connexin26 (Cx26), are linked to hereditary deafness and skin disorders.
- Cx26 dysfunction significantly impacts tissue homeostasis, but precise pathological mechanisms remain unclear.
Purpose of the Study:
- To investigate the functional characteristics of the Cx26 G45E mutation associated with keratitis-ichthyosis-deafness syndrome (KIDS).
- To elucidate the role of Cx26 hemichannel and gap junction channel function in disease pathogenesis.
Main Methods:
- Utilized the Xenopus oocyte expression system to study wild-type and mutant Cx26 (G45E).
- Assessed hemichannel and gap junction channel function, including whole-cell currents and gating properties.
- Compared the G45E mutant with a previously characterized Cx26 mutant (A40V).
Main Results:
- Oocytes expressed both wild-type Cx26 and the G45E variant, forming functional hemichannels and gap junction channels.
- Cx26-G45E hemichannels exhibited significantly higher currents than wild-type, causing cell lysis, which was rescued by elevated extracellular Ca(2+).
- Cx26-G45E formed intercellular channels similarly to wild-type but with altered voltage-sensitive gating; coexpression with wild-type Cx26 resulted in mutant-like behavior.
Conclusions:
- The Cx26 G45E mutation leads to detrimental hemichannel activity, contributing to cell death and potentially tissue damage.
- Mutant Cx26 hemichannels may disrupt cellular homeostasis, explaining the severe phenotype observed in KIDS.
- Dominant Cx26 mutants, like G45E and A40V, exert similar detrimental effects, suggesting a common pathogenic mechanism involving hemichannel dysfunction.
Related Concept Videos
Pleiotropy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Notch Signaling Pathway
The Notch gene came into the limelight in 1914 after the discovery that its mutation in Drosophila melanogaster leads to a serrated (or "notched") wing margin phenotype. It was not until 1985...
Gap Junctions
Unrenewable Cells
Photoreceptors
The retina is composed of several layers and contains specialized cells called photoreceptors. The photoreceptors (rods and cones) change their membrane potential when stimulated by light energy. There are two types of photoreceptors—rods and cones—which differ in the shape of their outer...
Desmosomes

