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Published on: July 16, 2013
A key role for connexin hemichannels in spreading ischemic brain injury
Joanne O Davidson1, Colin R Green, Laura Bennet
1Department of Physiology, The University of Auckland, Auckland, New Zealand.
Insights
Cerebral ischemia causes brain damage, with secondary mitochondrial failure spreading injury. Suppressing connexin hemichannels may reduce this damage spread after brain insults.
Area of Science:
- Neuroscience
- Cell Biology
- Pathology
Background:
- Cerebral ischemia, including stroke and hypoxia-ischemia (HI), causes significant brain damage across all ages.
- HI injury in newborns and ischemic stroke in adults are major health concerns, leading to death and disability.
- A delayed, secondary mitochondrial failure spreads HI injury, causing seizures and edema.
Purpose of the Study:
- To investigate the role of connexin hemichannels in the spread of secondary mitochondrial failure after cerebral ischemia.
- To explore the potential of targeting connexin hemichannels to mitigate brain damage progression.
Main Methods:
- Review of existing evidence on connexin hemichannel function in neural insults.
- Analysis of proposed mechanisms involving connexin hemichannels in spreading depression and cell death.
- Examination of studies demonstrating the effects of connexin hemichannel suppression on injury spread.
Main Results:
- Unopposed connexin hemichannels contribute to injury spread by releasing paracrine molecules (ATP, NAD+, glutamate) and mediating cell edema.
- Connexin hemichannels facilitate cell-to-cell communication, propagating damage signals through a 'bystander effect'.
- Evidence suggests connexin hemichannels are implicated in injury after various neural insults.
Conclusions:
- Connexin hemichannels play a significant role in the secondary spread of brain damage following cerebral ischemia.
- Suppressing connexin hemichannel activity or induction shows promise in reducing the extent of brain injury.
- Targeting connexin hemichannels represents a potential therapeutic strategy for managing ischemic brain damage.
Abstract:
Brain damage resulting from cerebral ischemia remains a significant problem at all stages of life. In adults, ischemic stroke is the third leading cause of death and the leading cause of disability in the developed world. In term newborns, moderate to severe brain damage after hypoxia-ischemia (HI) occurs in 1-3 per 1000 live births. One of the most striking features of HI injury is that after initial recovery of cellular oxidative metabolism, there is a delayed, 'secondary' mitochondrial failure that spreads over time from the most severely damaged areas outwards, into previously undamaged regions. This secondary failure is accompanied by transient seizure activity and cytotoxic edema. The specific mechanisms of this spread are poorly understood, but it is at least partly associated with spreading waves of depression that can trigger cell death in neighboring uninjured tissues. The waves are propagated through cell-cell communication via gap junction channels (the so called "bystander effect"). It has recently been proposed that unopposed connexin hemichannels (connexons) also play a significant role by mediating release of paracrine molecules that in turn propagate cell death messages by releasing intracellular mediators such as ATP, NAD(+), or glutamate or by abnormally prolonged opening to allow cell edema. There is increasing evidence that connexin hemichannels contribute to injury after many neural insults and that it is possible to significantly reduce the spread of damage after injury by suppressing the induction or activity of the connexin proteins that form hemichannels.
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