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Published on: October 4, 2019
Connexins in Cancer: Jekyll or Hyde?
Erin E Mulkearns-Hubert1, Ofer Reizes1,2,3, Justin D Lathia1,2,3,4
1Department of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Abstract:
The expression, localization, and function of connexins, the protein subunits that comprise gap junctions, are often altered in cancer. In addition to cell-cell coupling through gap junction channels, connexins also form hemichannels that allow communication between the cell and the extracellular space and perform non-junctional intracellular activities. Historically, connexins have been considered tumor suppressors; however, they can also serve tumor-promoting functions in some contexts. Here, we review the literature surrounding connexins in cancer cells in terms of specific connexin functions and propose that connexins function upstream of most, if not all, of the hallmarks of cancer. The development of advanced connexin targeting approaches remains an opportunity for the field to further interrogate the role of connexins in cancer phenotypes, particularly through the use of in vivo models. More specific modulators of connexin function will both help elucidate the functions of connexins in cancer and advance connexin-specific therapies in the clinic.
Insights
Connexins, proteins forming gap junctions, have dual roles in cancer, acting as both tumor suppressors and promoters. Understanding connexin functions is key to developing new cancer therapies.
Area of Science:
- Molecular Biology
- Cancer Research
- Cellular Communication
Background:
- Connexins are protein subunits forming gap junctions, crucial for cell-cell communication.
- Connexin expression, localization, and function are frequently altered in cancer.
- Connexins exhibit dual roles in cancer, acting as tumor suppressors or promoters.
Purpose of the Study:
- To review literature on connexin functions in cancer cells.
- To propose connexins as upstream regulators of cancer hallmarks.
- To highlight the potential of connexin-targeting therapies.
Main Methods:
- Literature review of connexin roles in cancer.
- Analysis of connexin functions including cell-cell coupling, hemichannel activity, and non-junctional roles.
- Discussion of connexin involvement in cancer hallmarks.
Main Results:
- Connexins play multifaceted roles in cancer, not solely as tumor suppressors.
- Connexins are implicated in regulating key cancer hallmarks.
- Advanced connexin targeting approaches are needed for further investigation.
Conclusions:
- Connexins are critical regulators upstream of cancer hallmarks.
- Targeting connexins offers a promising avenue for cancer therapy development.
- Further research using in vivo models and specific modulators is essential.
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