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Cardiac to cancer: connecting connexins to clinical opportunity
Christina L Grek1, J Matthew Rhett2, Gautam S Ghatnekar1
1FirstString Research, Inc., 300 W. Coleman Blvd., Suite 203, Mount Pleasant, SC, United States.
Abstract:
Gap junctions and their connexin components are indispensable in mediating the cellular coordination required for tissue and organ homeostasis. The critical nature of their existence mandates a connection to disease while at the same time offering therapeutic potential. Therapeutic intervention may be offered through the pharmacological and molecular disruption of the pathways involved in connexin biosynthesis, gap junction assembly, stabilization, or degradation. Chemical inhibitors aimed at closing connexin channels, peptide mimetics corresponding to short connexin sequences, and gene therapy approaches have been incredibly useful molecular tools in deciphering the complexities associated with connexin biology. Recently, therapeutic potential in targeting connexins has evolved from basic research in cell-based models to clinical opportunity in the form of human trials. Clinical promise is particularly evident with regards to targeting connexin43 in the context of wound healing. The following review is aimed at highlighting novel advances where the pharmacological manipulation of connexin biology has proven beneficial in animals or humans.
Insights
Targeting connexins, proteins crucial for cell communication and tissue health, shows promise for treating diseases. Pharmacological strategies are advancing connexin research from labs to human clinical trials, especially for wound healing.
Area of Science:
- Cellular Biology
- Molecular Medicine
- Biochemistry
Background:
- Gap junctions and connexins are vital for cellular coordination and tissue homeostasis.
- Dysfunctional connexins are linked to various diseases, presenting therapeutic targets.
- Understanding connexin biology is key to developing new treatments.
Purpose of the Study:
- To review recent advances in the pharmacological manipulation of connexin biology.
- To highlight therapeutic potential targeting connexins, particularly connexin43.
- To discuss the transition of connexin research from basic science to clinical applications.
Main Methods:
- Review of scientific literature on connexin biology and pharmacology.
- Analysis of therapeutic strategies including chemical inhibitors, peptide mimetics, and gene therapy.
- Examination of preclinical and clinical studies involving connexin manipulation.
Main Results:
- Pharmacological interventions targeting connexin pathways offer therapeutic benefits.
- Connexin43 is a promising target, especially in the context of wound healing.
- Human trials demonstrate the clinical potential of targeting connexins.
Conclusions:
- Targeting connexin biosynthesis, assembly, stabilization, or degradation is a viable therapeutic approach.
- Connexin-based therapies are moving towards clinical reality.
- Further research into pharmacological manipulation of connexins holds significant promise for treating diseases.
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