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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Data Availability
Enquiries about data availability should be directed to the authors.
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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This study was supported by National Natural Science Foundation of China (Grant Nos. 82274127 and 82104644).
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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