High glucose alters Cx43 expression and gap junction intercellular communication in retinal Müller cells: promotes

Tetsuya Muto1, Thomas Tien1, Dongjoon Kim1

  • 1Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States Department of Ophthalmology, Boston University School of Medicine, Boston, Massachusetts, United States.

Abstract

Insights

High glucose reduces connexin 43 (Cx43) and gap junction communication in retinal cells, leading to cell loss. Restoring Cx43 protects against this damage, crucial for diabetic retinopathy.

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Diabetic Retinopathy Research

Background:

  • Diabetic retinopathy involves Müller cell and pericyte loss.
  • The role of connexin 43 (Cx43) and gap junction intercellular communication (GJIC) in this process is unclear.

Purpose of the Study:

  • To investigate if high glucose (HG) affects Cx43 expression and GJIC in retinal Müller cells.
  • To determine if HG promotes Müller cell and pericyte loss.

Main Methods:

  • Cultured retinal Müller cells (rMC-1) and pericytes in normal and HG conditions.
  • Assessed Cx43 expression, GJIC activity, and apoptosis.
  • Utilized Cx43 siRNA and plasmid transfections to manipulate Cx43 levels.

Main Results:

  • HG significantly reduced Cx43 protein, GJIC, and Akt phosphorylation in Müller cells and cocultures.
  • HG increased apoptosis in both cell types.
  • Cx43 downregulation exacerbated HG-induced cell death, while upregulation conferred protection.

Conclusions:

  • Impaired GJIC due to HG-induced Cx43 downregulation contributes to Müller cell and pericyte loss.
  • This dysfunction is a key factor in diabetic retinopathy pathogenesis.
  • Maintaining GJIC is vital for retinal cell survival in diabetes.

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