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Astroglial Connexin 43-Mediated Gap Junctions and Hemichannels: Potential Antidepressant Mechanisms and the Link to Neuroinflammation

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Abstract

Major depression disorder (MDD) is a neuropsychiatric disorder associated with a high suicide rate and a higher disability rate than any other disease. Evidence suggests that the pathological mechanism of MDD is related to astrocyte dysfunction. Depression is mainly associated with the expression of connexin 43 (Cx43) and the function of Cx43-mediated gap junctions and hemichannels in astrocytes. Moreover, neuroinflammation has been a hotspot in research on the pathology of depression, and Cx43-mediated functions are thought to be involved in neuroinflammation-related depression. However, the specific mechanism of Cx43-mediated functions in neuroinflammation-related depression pathology remains unclear. Therefore, this review summarizes and discusses Cx43 expression, the role of gap junction intercellular communication, and its relationship with neuroinflammation in depression. This review also focuses on the effects of antidepressant drugs (e.g., monoamine antidepressants, psychotropic drugs, and N-methyl-d-aspartate receptor antagonists) on Cx43-mediated function and provides evidence for Cx43 as a novel target for the treatment of MDD.

Graphical Abstract

The pathogenesis of MDD is related to astrocyte dysfunction, with reduced Cx43 expression, GJ dysfunction, decreased GJIC and reduced BDNF expression in the depressed brain. The effect of Cx43 on neuroinflammation-related depression involving inflammatory cytokines, glutamate excitotoxicity, and HPA axis dysregulation. Antidepressant drugs targeting Cx43 can effectively relieve depressive symptoms.

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Abbreviations

AMPA receptor:

α-Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid receptor

BBB:

Blood–brain barrier

BDNF:

Brain-derived neurotrophic factor

CBX:

Carbenoxolone

CMS:

Chronic mild stress

CNS:

Central nervous system

CORT:

Corticosterone

CRS:

Chronic resistance stress

CSDS:

Chronic social defeat stress

CUMS:

Chronic unpredictable mild stress

CUS:

Chronic unpredictable stress

Cx43:

Connexin 43

EAAT:

Excitatory amino acid transporters

FST:

Forced swim test

GFAP:

Glial fibrillary acidic protein

GJ:

Gap junction

GJC:

Gap junction channel

GJIC:

Gap junction intercellular communication

Gln:

Glutamine

Glu:

Glutamate

GS:

Glutamine synthetase

HC:

Hemichannel

HIP:

Hippocampus

HPA axis:

Hypothalamic–pituitary–adrenal axis

IL-6:

Interleukin-6

IL-10:

Interleukin-10

IL-1β:

Interleukin-1beta

MDD:

Major depression disorder

mPFC:

Medial prefrontal cortex

NMDA receptor:

N-Methyl-d-aspartate receptor

PFC:

Prefrontal cortex

PSD:

Poststroke depression

SNI:

Spared nerve injury

SNRI:

Serotonin and norepinephrine reuptake inhibitor

SSRI:

Selective serotonin reuptake inhibitor

TCA:

Tricyclic antidepressant

TGF-β:

Transforming growth factor-beta

TNF-α:

Tumor necrosis factor-α

TrkB:

Tropomyosin receptor kinase B

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Funding

This study was supported by National Natural Science Foundation of China (Grant Nos. 82274127 and 82104644).

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Authors

Contributions

LL: Investigation, Methodology, Writing—original draft. Y-TW: Investigation; DH: Investigation; CG: Investigation; YZ: Conceptualization, Methodology, Supervision, Writing—review & editing.

Corresponding author

Correspondence to Yi Zhang.

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The authors have no competing interests to declare.

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Lei, L., Wang, YT., Hu, D. et al. Astroglial Connexin 43-Mediated Gap Junctions and Hemichannels: Potential Antidepressant Mechanisms and the Link to Neuroinflammation. Cell Mol Neurobiol 43, 4023–4040 (2023). https://doi.org/10.1007/s10571-023-01426-5

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  • DOI: https://doi.org/10.1007/s10571-023-01426-5

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