Abstract
During cell differentiation, growth, and development, cells can respond to extracellular stimuli through communication channels. Pannexin (Panx) family and connexin (Cx) family are two important types of channel-forming proteins. Panx family contains three members (Panx1-3) and is expressed widely in bone, cartilage and muscle. Although there is no sequence homology between Panx family and Cx family, they exhibit similar configurations and functions. Similar to Cxs, the key roles of Panxs in the maintenance of physiological functions of the musculoskeletal system and disease progression were gradually revealed later. Here, we seek to elucidate the structure of Panxs and their roles in regulating processes such as osteogenesis, chondrogenesis, and muscle growth. We also focus on the comparison between Cx and Panx. As a new key target, Panxs expression imbalance and dysfunction in muscle and the therapeutic potentials of Panxs in joint diseases are also discussed.
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Introduction
A plethora of mechanical and interactive signals exist in the musculoskeletal system, necessitating tight cellular communication to maintain the integrity of cellular structure and function.1 Such communication channels as gap junctions (GJs), hemichannels (HCs), and ion channels respond directly or indirectly to the coordinated cells of these extracellular signals. Two crucial channel component proteins, the connexin (Cx) (particularly Cx43) and pannexin (Panx), are abundantly expressed in the extensively interconnected bone network that is formed by osteoblasts and osteocytes.2,3 This osteogenic network plays a pivotal role in the process of bone responding to various stimuli such as mechanical loading, hormone, and growth factor signals, thereby regulating bone quality.4 In addition to their presence in the bone network, Panxs and Cx43 have also been reported to be expressed in osteoclasts, undifferentiated muscle precursor cells, mature muscle cells, and chondrocytes.5,6 Currently, Panxs are beginning to come into focus like Cx43, with increasing evidence suggesting that Panxs contribute significantly to the function of these cells.
Panchin et al. were the first to identify the Panx family in mammalian genomes, which includes Panx1, Panx2, and Panx3.7 Panxs are capable of forming nonselective large-pore membrane channels, serving as a bridge between the intracellular and extracellular environments.8,9 These channels facilitate the exchange of ions and small molecules between adjacent cells and between cells and the extracellular matrix. Examples of these ions or molecules include K+, Cl-, Ca2+, glutamate, adenosine triphosphate (ATP), and inositol triphosphate 3 (IP3).10,11,12,13,14 Although Panxs do not share significant homology with Cxs,15,16 they are considered to possess many functional characteristics similar to Cxs.17
Currently, the role of Panxs in the musculoskeletal system has not been thoroughly studied. This review will provide an overview of the basic structure and functions of Panxs in the musculoskeletal system. We will also discuss the key roles of Panxs in osteoblasts, osteoclasts, osteocytes, chondrocytes, tendon, and ligament. Particular attention will be paid to the newly discovered roles of Panxs in osteogenesis, chondrogenesis, and myoblast differentiation. Additionally, we will compare Panxs with Cxs (with Cx43 as a representative), and discuss the latest research on Panxs and their potential as new therapeutic targets.
Expression, basic molecular structure and function of Panxs
Expression of Panxs
The Cx family, with nearly 21 members, has been well defined and characterized. They are expressed in the musculoskeletal system, including in bone, cartilage, skeletal muscle, and synovium, with Cx43 being the most widely expressed connexin in these tissues.18 In contrast, the Panx family has been not as well characterized, and only three members (Panx1–3) have been found to be ubiquitously expressed. Panx1 has been reported to be widely expressed at both the mRNA and protein levels in many tissues, including the eye, liver, kidney, and bone.19,20,21 Panx1 has also been detected in the skeletal muscle system of mice, rats, and humans,22,23,24 including in differentiated myoblasts,25 myotubes,26 and myofibers.24,27 Furthermore, Panx1 expression has been detected in the periodontal ligament,28 but not in the tendon. On the other hand, Panx2 mRNA appears to be highly enriched in the central nervous system, and the Panx2 protein (664 amino acids, 73.3 kD) is mainly located in the cytoplasmic compartment.29 Panx3 mRNA and protein have primarily been reported in the skin, chondrocytes, osteoblasts, and synovial fibroblasts.20,22,30,31 The Panx3 protein is also expressed in skeletal muscle of mouse, rat, and human.25 However, recent studies have found that Panx2 expression is not restricted to the central nervous system, but has a more ubiquitous expression than previously predicted32 and has been detected in osteoblasts.21 In addition to Panx1 and Panx3, the Panx2 protein has been found to express in mouse skeletal muscle32 and in human primary myotubes.33
Basic molecular structure of Panxs
Several recent studies have utilized cryo-electron microscopy (cryo-EM) to discover that Panx1 (426 amino acids, 47.6 kD) channels form heptameric assemblies, each of which demonstrates the typical topology of four transmembrane proteins which is also seen in other large pore channels, such as Innexin and Cx.34,35,36,37,38,39 Panx2, which was once proposed to form an octamer,40 is now revealed by the latest cryo-EM structure to have seven identical prototypes forming a heptamer. Each protomer is assembled symmetrically around the central axis of the channel pore.41 The structure of Panx3 (392 amino acids, 43 kD), however, has not yet been defined, and its oligomeric state remains unstudied.
The Panx1 protomer structure contains four transmembrane helices (TM1–TM4), two extracellular loops, and one intracellular loop. The amino terminus (NT) and carboxyl terminus (CT) of the protein are located on the cytoplasmic side facing the center of the channel, where the NT region is short and completely invisible in the structure, whereas the CT domain contains two α-helices (ICH3 and ICH4).35,42,43,44 The intracellular loop contains two α-helices (ICH1 and ICH2) and a disordered region consisting of 2 residues.35 In comparison, each protomer of Panx2 can be divided into three domains: extracellular domain (ECD), transmembrane domain (TMD) and intracellular domain (ICD). The ECD consists of 2 extracellular loops, and the TMD consists of four helices (TM1–TM4). The ICD is a helix-rich structure consisting of a cytoplasmic loop connecting TM2 and TM3 and the CT residues following TM4.41 Within the Panx family, Panx1 and Panx3 exhibit high structural similarity, while Panx2 has a longer intracellular CT domain, which regulates and targets its interaction with macromolecules.22 Unlike Cxs, Panx has no sequence homology, but they can form channel proteins in a similar way, and both their NT and CT face the cytoplasm,2 and share similar structural features: they both have 4 α-helices TMD, 2 extracellular loops, 1 intracellular loop, 1 intracellular NT segment, and 1 intracellular CT segment22 (Fig. 1).
Panxs formed channels
The channels formed by Panxs are primarily HCs. HC mainly exists on the single-layer membrane and is responsible for communicating between the inside and outside of the cell. So far, the jury is still out on whether Panxs can form GJs. Taking Panx1 as an example, there have been many reports that it does not form GJ.45,46 Previous studies have generally suggested that Panxs form complexes similar to Cx HCs.47,48,49 But there is also evidence that all three Panxs are able to form GJs between cells.30,50 Furthermore, some studies have found that Panxs can form both HCs and GJs in bone, and can even function as unique Ca2+ channels in the endoplasmic reticulum (ER).30,51 Since the possibility of Panxs forming GJs cannot be completely denied, we will still include discussions related to GJs in subsequent descriptions. GJs facilitate signal transmission and transduction between cells, coordinating cellular responses and regulating physiological functions. GJs can also allow the exchange of ions and small molecules (such as ATP, Ca2+, and IP3) between cells and the extracellular matrix or between adjacent cells. GJs are formed by the interaction of two HCs in adjacent cells, with each HC composed of six Cxs on the plasma membrane surface (Fig. 1).18,52,53 In contrast to the hexameric structure of Cxs,39,54,55,56,57,58 the Panx hemichannel is a heptameric channel34,36,38 (Fig. 2). And according to the research conclusions of Bruzzone et al., Panxs may be similar to Cxs and can also form heteromeric channels (Panx3 has not yet been confirmed to participate in the formation of heteromeric channels).50
Basic functions of Panx-channel
Panx channels are involved in the transport of important physiological molecules, such as ATP, intracellular Ca2+, glucose, and dye uptake, across membranes.59,60,61,62 These channels can be activated in various ways. For example, Panx channels can release ATP by interacting with purinergic receptors (P2 receptors), including P2X7 receptors, and can be activated by membrane depolarization and mechanical stretch (Current evidence suggests that Panx1 is not directly activated by membrane stretch, but relies on Piezo1 Channel activation and submembrane increase in Ca2+ signal).11,63 As a result, Panx channels are associated with a wide range of cellular physiological and pathophysiological functions.17,64
Studies demonstrated that Panxs participate in various biological processes, including inflammation,8,65 ATP signaling, long-range Ca2+ wave propagation,66 synaptic plasticity regulation,67 vascular homeostasis,68 and neurotoxicity.7 Additionally, Panxs may contribute to tumor suppression, ischemic cell death, atherosclerosis, apoptosis,11,69 human immunodeficiency virus (HIV), and epileptic seizures.7 Panxs also play a crucial role in immune function, and cleaving the CT of Panx1 is a means to activate channel opening. The interaction between Panxs and P2X7 receptors stimulates the release of the pro-inflammatory cytokine interleukin-1β through ATP receptor activation, subsequently activating caspase 1.70 Panxs can also clear apoptotic cells through ATP and uridine triphosphate (UTP) release.71 Furthermore, Panxs can recognize bacterial molecules delivered from endosomes to the cytoplasm and trigger the Toll-like receptor-independent inflammasome.72
Panxs in musculoskeletal system
Panxs in development of bone
Bone formation involves two highly coordinated processes: endochondral and intramembranous ossification.73 Initially, mesenchymal cells derived from the embryonic lineage migrate to the future bone site. Subsequently, these mesenchymal cells differentiate into either chondrocytes, leading to bone formation through endochondral ossification, or osteoblasts, which directly form bone through intramembranous ossification.74 The development and maintenance of bone tissue rely on the coordinated actions of osteocytes, osteoblasts, and osteoclasts.
Studies have examined the impact of Panxs on bone density, cortical bone, and diaphyseal structure in Panxs knockout (KO) mice; however, the phenotype of cancellous bone has not been investigated. An in vivo genetic experiment conducted in mice revealed that Panx1 KO had no effect on backbone structure, and intracortical bone resorption did not increase under fatigue load.75 Another study demonstrated that Panx3 KO mice exhibited shorter and stronger femoral and humeral diaphyses compared to wild type (WT) mice, with no difference in bone density.76 In 2016, the first patient with a homozygous Panx1 variant (c.650 G → A) was reported.77 This patient displayed skeletal defects, including kyphoscoliosis, as well as intellectual disability and primary ovarian failure, among other abnormalities. Furthermore, studies have indicated that Panx3 can regulate the proliferation and differentiation of chondrocytes,61 osteoblasts,30 and osteoprogenitor cells.78
Panxs in osteocytes
Osteocytes are the most abundant cells in bone tissue and are embedded within the bone matrix.79 They play a pivotal role in coordinating the balance between bone formation and bone resorption by integrating mechanical loading and hormonal signals.80,81,82,83,84 Fatigue micro-injury, estrogen loss, disuse and other factors can lead to osteocytes apoptosis, and conversely, osteocyte apoptosis can also promote fatigue micro-injury, and osteopenia, etc.83,85,86,87,88 During this process, apoptotic osteocytes release signals that stimulate the expression of osteoclastic factors in neighboring osteocytes. The release of a large amount of ATP from Panx1 channels during osteocyte apoptosis is a key trigger for this osteocyte-bystander signaling.75,89 This signaling relies on the release of apoptosis-dependent signaling factors through Panx1 channels and the activation of P2 receptors.89 The presence of Panx1 is crucial in this process, as the loss of Panx1 channels prevents the activation of cortical bone remodeling induced by fatigue. Furthermore, Liu et al. discovered that TGF-β1 increases the expression of Cx43 and Panx1 in osteocytes by activating ERK1/2 and Smad3/4 signaling. This process contributes to the formation of GJs in osteocytes and regulates the intercellular communication of osteocytes.90 In addition, Panx1 in osteocytes is also involved in the regulation of muscle mass in mice. Aguilar-Perez et al. found that deletion of Panx1 in bone cells increased muscle mass in young female mice but had deleterious effects on muscle strength in male mice. Researchers propose that the function of Panx1 in osteocytes is dually age- and sex-dependent.91
Panxs in osteoblasts
Pre-osteogenic cells derived from mesenchymal stem cells have the ability to differentiate into osteoblasts. This differentiation process is regulated by various growth factors, including RUNT-related transcription factor 2 (Runx2), osterix (Osx), osteopontin (OPN), osteocalcin (OCN), and bone morphogenetic protein 2 (BMP2).92,93,94,95 BMP2 plays a crucial role in inducing the expression of Runx2 and Osx, which are two major transcription factors involved in osteoblastogenesis.96 This activation of Runx2 and Osx leads to the expression of downstream osteogenic marker genes, ultimately promoting the terminal differentiation of osteoblasts.97,98,99 The interaction between Runx2 and Smad, a key component of BMP2 signaling, is responsible for the BMP2-induced osteoblastogenesis.100,101
Panx3, which is highly expressed in bone and perichondrium/periosteum in the growth plate, including preosteoblasts and osteoblasts,61 plays a role in osteoblast differentiation. The expression of Panx3 is promoted by the transcription factor Runx2, but the endogenous expression of Panx3 is not affected in Runx2-Cre transgenic mice.102,103,104 Panx3 expression increases during osteoblastogenesis, and its overexpression can activate the expression of Sp7/Osx and osteocalcin, thereby promoting osteogenic differentiation.30 Studies have shown that Panx3 is upregulated during osteoblast differentiation in various cell models, such as C2C12 cells, primary calvarial cells, and MC3T3E1 preosteoblasts.19,30 However, the activation of Panx3 alone is not sufficient to initiate osteoblast differentiation, as signals from BMP2 or β-glycerophosphate and ascorbic acid are also required.19,30 In addition, both ex vivo and in vitro studies have demonstrated that Panx3 overexpression enhances osteoblastogenesis and bone length, while knockdown of Panx3 inhibits osteoblastogenesis and differentiation.30,105 Panx3 has been shown to promote mitogen-activated protein kinase signaling (MAPK) and Wnt/β-catenin pathway activation during osteoblast differentiation. The Wnt/β-catenin signaling pathway can also positively regulate Panx3 expression, suggesting a reciprocal relationship between Panx3 and Wnt signaling.105 However, the downstream effects that promote Wnt activation may be inhibited by other factors during osteoblast differentiation.105
Panx3 channels not only serve as direct channels between intracellular and extracellular spaces, but they may also act as calcium channels in the ER, with their function relying on the Akt signaling network. ATP can be released into the microenvironment in an autocrine or paracrine manner through Panx3 and bind to purinergic receptors to activate the phosphatidylinositol 3-kinase (PI3K)/Akt signaling pathway. Furthermore, this process can help open Panx3 ER Ca2+ channels, resulting in the release of Ca2+ from the ER lumen into the cytoplasm. Increased intracellular Ca2+ can bind to calmodulin (CaM) and further activate downstream signaling molecules, such as calmodulin kinase II (CaMKII) and the phosphatase calcineurin (CN). When CN is dephosphorylated, it further activates the nuclear factor of activated T cell calcineurin-independent 1 (NFATc1) transcription factor, resulting in NFATc1 nuclear translocation.30,78,106 Activated NFATc1 can promote the expression of osteogenic genes and osteogenic markers, such as Osx and alkaline phosphatase (ALP).30,107,108,109 In addition, the overexpression of Panx3 can phosphorylate Akt through the P2 receptor/PI3K pathway, thereby inducing mouse double minute 2 homolog (MDM2) and promoting the degradation of p53 (a negative regulator of osteoblast differentiation)30,109,110 (Figs. 3 and 4). These findings suggest that Panxs play critical roles in osteoblast differentiation, although Panx1 and Panx2 have not been extensively studied compared to Panx3.
Panxs in osteoprogenitor cells
Like promoting osteoblast differentiation, Panx3 induces osteoprogenitor cells to switch from a proliferation trend to a differentiation trend by utilizing multiple signaling pathways (Fig. 3). Panx3 promotes osteoprogenitor cell cycle arrest at the gap 0/gap 1 (G0/G1) phase by inhibiting corresponding cell cycle molecules such as retinoblastoma protein and cyclin D1.78 As previously mentioned, Panx3-mediated ATP release and inhibition of the Wnt/β-catenin pathway can further inhibit cell growth,51,78 while Panx3-mediated activation of the Akt pathway can increase Smad1/5 signaling and the level of the cell cycle inhibitor p21.78 Interestingly, Ser68 phosphorylation of Panx3 only affects osteoprogenitor cell differentiation but not proliferation, whereas disruption of the putative phosphorylation site Ser303 inhibits both proliferation and differentiation.111 Additionally, Panx3 hemichannel inhibits osteoprogenitor cell proliferation by promoting β-catenin degradation through activating glycogen synthase kinase 3-β (GSK3β), and promotes cell cycle exit by increasing the activity of the cell cycle inhibitor p21, thereby facilitating the transition of osteoblasts from proliferation to differentiation.78,112,113 These signaling cascades work together to cause osteoprogenitor cells to exit the cell proliferation cycle and differentiate into osteoblasts.78
Panxs in osteoclasts
Osteoclasts are a resident bone cell type. The function of Panx channels may impact their differentiation (Fig. 4). Ishikawa et al. demonstrated that the expression of osteoclasts and osteoclast differentiation markers decreased in the bones of Panx3−/− mice.51 Osteoblasts can regulate the differentiation of bone resorption cells through receptor activator of NF-κB ligand (RANKL) and osteoprotegerin (OPG). Co-culture experiments with osteoblast progenitors and osteoclast progenitors from WT and Panx3−/− calvaria revealed a decreased level of osteoclast differentiation in the Panx3−/− group compared to the WT group.51 This suggests that Panx3-mediated osteoblast differentiation may regulate osteoclast differentiation.51 In Panx1 KO mice, the increase in RANKL in the vicinity of apoptotic osteocytes following micro-injury stimulation is attenuated. RANKL is a cytokine required for osteoclast differentiation, indicating that Panx1 may be involved in osteoclast differentiation.114 McCutcheon et al. found that both female and male Panx1-deficient mice had significantly reduced cancellous bone in the distal femur and lumbar spine, with higher osteoclast activity observed in female Panx1-deficient mice, while there was no change in males.115 Conversely, Panx1-deficient mice exhibited higher osteoclast differentiation and in vitro osteoclast bone resorption activity.115 This evidence suggests that alterations in the osteoclast secretome lead to reduced osteoblast function and low bone mass in male Panx1-deficient mice.115
Panxs in cartilage, ligaments and tendons
Currently, Panxs are only known to be expressed in cartilage, ligament, and tendon tissues, however, their function in these cells and how it affects cell function remains poorly understood.
Panxs in cartilages
Panxs are involved in regulating the transition between proliferative chondrocytes, prehypertrophic chondrocytes, and terminally differentiated hypertrophic chondrocytes.19,61 Transfecting Panx3 promotes chondrogenic differentiation of ATDC5 and N1511 cells, whereas inhibition of endogenous Panx3 impedes differentiation. Furthermore, Panx3 promotes ATP release from the chondrocyte’s intracellular to extracellular space, subsequently inhibiting parathyroid hormone-mediated cell proliferation, intracellular cAMP levels, and phosphorylation of cAMP response element binding (CREB) family transcription factors (Fig. 5). These findings indicate that Panx3 can regulate the transition from proliferation to differentiation of chondrocytes.61
Notably, Panx3 deficiency in mice disrupts the normal progression of chondrogenesis while not affecting the initiation of hypertrophic chondrocyte differentiation (Fig. 6). This disruption leads to chondrocyte proliferation, prolongation of the prehypertrophic zone, and disorganization of the hypertrophic and terminal chondrocyte layers.51,116 However, a study using a chick embryo model yielded inconsistent results: The overexpression of Panx3 did not disrupt chondrocyte arrangement in the avian growth plate, and there were no differences in cartilage histology, chondrocyte proliferation, and hypertrophic markers after a knockdown of Panx3.117 Obviously, there are inter-species differences between the avian model of chicken embryo gene knockout or ectopic expression and the mouse gene knockout model. However, in terms of the applicability of the research results to human diseases, the mouse gene knockout model may be more credible.
Panxs in ligaments and tendons
In periodontal ligament cells, mechanical strain stimulation causes Panx1 to interact with P2X7 receptors, resulting in the extracellular release of ATP through Panx1 channels.28 This interaction between Panx1 and P2X7 receptors may also play a role in the cellular vesicle secretion of interleukin 1β.28 However, the detailed molecular mechanism underlying this process remains unclear. Thus far, there have been no reports investigating the role of Panx proteins in ligaments or tendons at the in vivo level. Although in vivo animal studies involving the KO of Panxs have not reported significant abnormalities in these tissues, it is still possible that Panxs may influence the development or function of these tissues.103
Panxs in skeletal muscles
Recently, there has been a focus on studying Panxs in skeletal muscle. However, the potential functions of Panxs in the differentiation and proliferation of skeletal muscle cell have not been thoroughly evaluated yet. So far, only Panx1 and Panx3 in skeletal muscle have been investigated.
In a study conducted by Langlois et al., it was found that Panx1 and Panx3 exhibited differential expression in fetal and adult skeletal muscle tissues. Moreover, they were differentially regulated during the proliferation and differentiation of skeletal muscle myoblast.25 Initially, Panx1 levels were observed to be very low in undifferentiated “human primary skeletal muscle cells and myoblasts” (HSMM). However, during the differentiation, the expression of Panx1 increased significantly, becoming the predominant Panx type expressed in differentiated cells. On the other hand, Panx3 showed high expression in adult skeletal muscle but was found to be very low in fetal tissue as well as undifferentiated myoblasts.25
It is known that the transformation of pluripotential mesodermal or satellite cells into proliferative myoblasts requires myogenic commitment, which is facilitated by an increase in intracellular free Ca2+ concentration ([Ca2+]i).118 Despite being expressed in small amounts in non-differentiated myoblasts, Panx1 plays a crucial role in myogenic commitment.119 Panx1 is predominantly localized in the T-tubules of fully differentiated myofibers, where it forms Panx1 HCs that release ATP into the extracellular medium.24,120 The released ATP then activates P2 receptors, leading to an elevation in [Ca2+]i and subsequent enhancement of muscle contraction.24 This response is absent in muscles of Panx1−/− mice and can be blocked by Panx1 channel inhibitors.24 During skeletal muscle contraction, serine and threonine protein kinases, such as CaMKII, PKA, and PKC, are activated,121 resulting in the phosphorylation of serine and threonine residues in the CT domain of Panx1. Additionally, repeated electrical stimulation of muscle fibers promotes the phosphorylation of Panx1.24 Consequently, electrical stimulation of skeletal muscle myotubes can induce the opening of Panx1 channels, ATP release, and activation of plasma membrane P2X (ionotropic) and P2Y (metabotropic) receptors, thereby modulating both Ca2+ homeostasis and muscle physiology.26 These findings collectively suggest that Panx1 is involved in muscle plasticity and influences muscle strength. Mechanistically, Suarez-Berumen et al. demonstrated that Panx1 activates lipid-based signaling pathways, coordinating myoblast activities necessary for skeletal muscle regeneration.122 They observed that Panx1 activation of P2 receptors mediates lipid signaling cascades in myoblasts, supporting myoblast migration and fusion. Furthermore, Panx1 regulates the interaction between myoblasts and the extracellular matrix by inducing ADAMTS proteins, facilitating extracellular matrix remodeling.122 However, the specific role of Panx1 phosphorylation in muscle contraction and potentiation remains unclear, and the protein kinase responsible for mediating this effect has yet to be identified.
Recently, a unique sex-dependent function of Panx1 has been discovered in skeletal muscle.123 In global Panx1 KO male mice, muscle fiber size and strength, as well as the number of satellite cells (SCs), are reduced. Additionally, early SC differentiation and myoblast fusion are also altered in these male mice. However, no such effects were observed in Panx1 KO female mice. Interestingly, although Panx1 KO mice show an increased number of regenerated fibers after acute injury, these newly formed fibers are smaller in male mice.123 These findings indicate that Panx1 plays a crucial role in regulating muscle development, regeneration, and the number of satellite cells in mice, with notable sex differences.
The pathways regulating Panx3 expression during myogenesis remain unclear. However, the activation of the Toll-like receptor 4 (TLR4)/nuclear factor-κB (NF-κB) pathway in L6 myotubes can significantly increase Panx3 expression.33 Moreover, when ectopically expressed in HSMM, Panx3 inhibits cell proliferation.25 Additionally, Panx3 overexpression promotes the differentiation and fusion of HSMM, as evidenced by an increased percentage of myosin heavy chain-positive HSMM and multinucleated cells.25 Notably, undifferentiated HSMM express a high level of an approximately 70 kD immunoreactive species of Panx3, which is dramatically downregulated during differentiation. Knockdown of this species significantly reduces HSMM proliferation.25 These findings suggest that Panx3 species may play a crucial role in maintaining the differentiated and nonproliferative state of skeletal muscle. However, it is important to exercise caution when interpreting these results due to the uncertain specific mechanisms mentioned earlier.
Panxs in musculoskeletal system disease
Panxs in osteoarthritis
Osteoarthritis (OA) is a prevalent degenerative joint disease characterized by a combination of inflammatory and metabolic factors.124 Prominent manifestations of OA include progressive pain, joint swelling, and limited mobility.125 It affects the entire joint, leading to pathological changes in bones and soft tissues such as the synovium, meniscus, and ligaments. However, cartilage loss and the inability to repair damaged cartilage remain significant pathological features of OA.126
Panxs are associated with OA and have distinct molecular mechanisms and roles in the pathobiology of primary and secondary OA development.127 (Fig. 6) In a study of surgically induced OA in rats, it was found that Panx3 mRNA was significantly increased in osteoarthritic cartilage compared with controls.127 The expressions of matrix metalloproteinase 13 (MMP13) and Panx3 were upregulated in the cartilage degeneration area caused by surgery for medial meniscal instability in WT mice, but were not observed in the cartilage of sham-operated controls.128 Additionally, Panx3 expression is upregulated in human weight-bearing osteoarthritic cartilage compared with non-weight-bearing controls.129
Compared with controls, chondrocyte-specific Panx3 KO mice had milder OA symptoms, showing mostly normal joints, and reduced proteoglycan loss and cartilage degeneration.76,129 Interestingly, another study showed that Panx3 deletion had an opposite, more deleterious effect on primary OA: aged (18–24 months old) Panx3 KO mice exhibited full-thickness articular cartilage erosion, increased osteophyte size, and low-grade synovitis in their knees, whereas WT knees exhibited minimal cartilage damage.130 Therefore, it can be explained that Panx3 deficiency accelerates the progression of OA during aging but has a chondroprotective effect on post-operative OA in young mice.129,130
In cell and animal models of temporomandibular joint osteoarthritis (TMJOA), the expression of Panx3, P2X7R, and cartilage matrix degradation-related enzymes increased, and inflammation-related pathways were activated, leading to the release of ATP from intracellular to extracellular compartments.131 However, in TMJOA rats, the deletion of Panx3 reduced condylar cartilage injury and hindered the increase of P2X7R, cartilage matrix degradation-related enzymes, and NLRP3 in the condylar cartilage tissue. On the other hand, overexpression of Panx3 enhanced these responses, which could be reversed by silencing Panx3. Additionally, the regulation of Panx3 overexpression was reversed by a P2X7R antagonist. Therefore, it can be inferred that Panx3 may activate P2X7R by releasing ATP and contribute to inflammation and cartilage matrix degradation in TMJOA.131
Panxs in intervertebral disc degeneration
Intervertebral disc (IVD) degeneration is a common spinal disease and a frequent cause of low back pain, with its prevalence increasing with age. The degeneration of IVD involves progressive structural changes in the disc, along with significant alterations in metabolic homeostasis.132
Similar to its role in OA,129,130 Panx3 exhibits distinct functions in age-related primary IVD degeneration and injury-induced secondary IVD degeneration. In normal aging mice, there were no significant differences in histopathological scores, chondrocyte hypertrophy, and extracellular matrix between WT and Panx3 KO lumbar IVDs, indicating that Panx3 deletion did not affect primary IVD degeneration. However, in a model of injury-induced IVD degeneration, the detrimental effects of Panx3 on IVD were evident in Panx3 KO mice, as evidenced by increased structural integrity of the annulus fibrosus (AF), reduced mast cells, and increased average AF lamellar thickness.133 Importantly, it was observed that in Panx3 KO mice, the uninjured IVD adjacent to the acupuncture site exhibited accelerated degeneration of the nucleus pulposus, while the adjacent IVD in WT mice remained completely healthy.133 This suggests that mechanosensitive Panx3 channels may participate in IVD homeostasis mechanisms, regulating the altered biomechanics of adjacent healthy joints.
Panxs in Duchennes muscular dystrophy
Duchennes muscular dystrophy (DMD) is a severe and common muscle disease characterized by X-linked mutations in the dystrophin gene. This genetic mutation leads to the loss of dystrophin, making muscle fibers more susceptible to mechanical damage and impairing satellite cell activation and muscle fiber regeneration. Patients with DMD experience progressive muscle atrophy, adipocyte infiltration, and ultimately suffer from paralysis and death.134,135
Panx1, a protein, has been found to play a role in excitation-transcription coupling in skeletal muscle as part of a multi-protein complex that includes dihydropyridine receptors, P2Y2 receptors, and caveolin-3.136 Interestingly, this complex also interacts with dystrophin.136 Mdx mice, which carry mutations in the dystrophin gene, are commonly used as animal models for DMD.134 In mdx mice, Panx1 expression levels are higher in myofibers compared to control mice,137 and there is an increased release of ATP through Panx1 channels.138 While exogenous ATP has anti-apoptotic effects on normal skeletal muscle fibers, it activates pro-apoptotic pathways in myofibers from mdx mice.138
A study using mouse models of mild and severe DMD (dystrophin-deficient and dystrophin/dystrophin double KO, respectively) found significantly reduced levels of Panx3 in the dystrophic muscles of these mice, suggesting dysregulation of Panx3 expression in DMD.139 Based on these findings, targeting Panx1 channel activity to reduce ATP release may hold potential for benefiting DMD patients, although further research is needed to confirm this. Additionally, more investigation is required to understand the levels and potential dysfunction of Panx3 in mdx fibers.
Perspective of Panxs in musculoskeletal system
Association with Cx43 in musculoskeletal system
Cx43 is the most highly expressed Cx isoform in the musculoskeletal system and is considered one of the most important Cxs. It is found in various bone cells, synovial tissue, cartilage, and other tissues, and plays a pivotal role in the musculoskeletal system140 (Table 1). Panx proteins are also highly expressed during musculoskeletal system development and are considered major GJ proteins.141 Interestingly, Panx channels can be blocked by several Cx hemichannel and channel inhibitors, such as carbenoxolone. This suggests that Panx channels may share a common gating mechanism and similar physiological functions with Cxs.141
There is evidence that Cx43-KO and Panx3-KO mice develop bone abnormalities. In fact, Cx43-KO mice were found to have abnormal bone development during the embryonic period, and these mice died after birth.142 Roberto Civitelli’s group further found that lack of Cx43 resulted in delayed endosteal and endochondral ossification. Specifically in the skull, osteoblast abnormalities and known defects in neural crest cell migration combine to cause craniofacial defects and patent foramen.143 In contrast, Panx3-KO mice have no other obvious abnormalities except for shortened long bone length.76 Compared with Cx43-KO mice, Panx3-KO mice showed obvious bone abnormalities during the neonatal period, and Cx43 expression was reduced in the limbs and skull; however, Panx3 expression was normal in Cx43-KO mice. Notably, the body size of Panx3- and Cx43-double KO mice was similar to that of Panx3-KO mice.116 These results suggest that the effect of Panx3 may take precedence over the effect of Cx43. In fact, Panx3 can serve as an upstream regulator of Cx43. It can regulate the expression of Cx43 through the Wnt/β-catenin signaling pathway and the Osx pathway.144 During the osteoblast proliferation stage, Panx3 promotes β-catenin degradation by activating osteocyte GSK3β, thereby inhibiting the Wnt/β-catenin signaling pathway and cell proliferation.78 As immature osteoblasts differentiate into mature osteoblasts, the expression of Panx3 gradually decreases.105 This leads to the synthesis of β-catenin mRNA during osteoblast development, resulting in the recovery of Wnt/β-catenin signaling and increased Cx43 expression.51,145 Additionally, Panx3 can upregulate intracellular Ca2+ levels to induce the expression of Osx, thereby activating the CaM/NFAT pathway and increasing Cx43 expression.30,51,146 Functional similarities and differences in the musculoskeletal system between Panx3 and Cx43 have also been recognized. Panxs function through ATP HCs, ER Ca2+ channels, and GJs to transfer intracellular Ca2+ to neighboring cells and the extracellular environment. In contrast, Cx43 channels currently have no evidence of functioning as Ca2+ channels in the ER and have only been found to have hemichannel and GJ activities on the cell membrane,51 which is a major functional difference between the two. Previous studies have shown that Panx3, but not Cx43, localizes to the ER and functions as an ER Ca2+ channel.51,147 The specific mechanism underlying this functional difference may originate from the structural differences between Panx3 and Cx43, although it is not yet clear.
In this article, we have discussed the presence of Panx in the musculoskeletal system and its physiological functions. We have also explored its relevance in the development of musculoskeletal diseases such as OA and IVD degeneration. The major cell types found in joints, including osteoblasts, osteoclasts, osteocytes, and chondrocytes, express one or more isoforms of Panx. In joint diseases, the expression levels of Cx43, another protein involved in GJs, increase in bone, cartilage, and synovial tissues during disease and inflammatory episodes.147,148,149,150 Most studies have indicated that inhibiting the reduction of Cx43 in joint tissues could be beneficial in preventing the occurrence and progression of joint diseases, considering the inflammatory component of their pathology and the role of matrix metalloproteinases (MMPs).151,152 On the other hand, Panx1 is involved in the pathological response of cartilage stiffness and mediates joint pain.147,153,154 Panx3 is implicated in cartilage damage in both mouse and human OA155 and promotes hypertrophic chondrocyte differentiation.50,61 Since chondrocytes in OA patients exhibit a hypertrophic-like phenotype, and pain is a major factor leading to disability in joint diseases,156 it is an attractive target to consider combining Cx43 and Panxs-targeted drugs when developing treatments for joint diseases, aiming to slow disease progression and reduce pain.157 Moreover, the Panx1/P2X7 receptor complex function and ATP release act as a “find me” signal, necessary for macrophage recruitment,158 osteocyte apoptosis, and enhanced bone resorption.65,159 This suggests that Panxs could be potential preventive and therapeutic targets for bone lesions such as osteoporosis.160 However, to further explore these ideas, we need a better understanding of the similarities and differences in the roles of Panx and Cx GJs in joint tissue and how their interactions impact joint disease.
However, it should be noted that Cx is almost not expressed in mature skeletal muscle cells. The muscle fibers of most innervated skeletal muscles do not contain GJs.5 Likewise, Cx HCs are absent in innervated skeletal muscles of adult rodents.27 However, the lack of Cx expression in skeletal muscle is not a universal feature of all vertebrates.161 In contrast, normal adult muscle expresses Panx1 but not Panx2 or Panx3.5,24,120 Panx1 forms HC and is localized in the transverse T-tubule, next to the dihydropyridine receptor,5 and participates in skeletal muscle contraction response and glucose uptake.24
Similar treatments on Panxs and Cxs
Treatments targeting Panxs and Cxs exhibit similarities and can even utilize the same drugs (Table 2). Currently, there are five complexes that can be targeted for treatment: Panxs or Cxs GJs and plasma membrane HCs, as well as mitochondrial HCs.162 These treatment options include drugs specifically designed for Panxs and Cxs, as well as repurposing of existing drugs. For instance, Carbenoxolone, an anti-gastric ulcer medication, was discovered to block Cx43 channels as early as 1986.163 Bruzzone et al. demonstrated its inhibitory effect on Panx1 channels, and it has since been widely used in Panx1 research.163,164,165 The inhibition of Panx1 channels by carbenoxolone exhibits a concentration-dependent response.62,164 Recent cryo-EM analysis of Panx1 channels revealed that carbenoxolone triggers allosteric inhibition by clustering in the groove between the extracellular loop 1 and extracellular loop 2 domains of Panx1, thereby stabilizing its closed conformation.36,166 Despite its defective selectivity, studies have shown that carbenoxolone-induced inhibition of Panx1 channels attenuates cancer metastasis in mice,167 reduces platelet aggregation,165 and inhibits the activation of the NLRP3 inflammasome.168 Carbenoxolone has also demonstrated protective effects against various types of ischemic injury, such as acute renal ischemia/reperfusion injury,169 pulmonary ischemia/reperfusion injury,170 and stroke.171 Probenecid, a drug commonly used for gout treatment, has been found to be effective in targeting the channels formed by Panxs and Cxs. The mechanism of action of probenecid is similar to that of carbenoxolone, but unlike carbenoxolone, probenecid interacts with the first extracellular loop of the protein and specifically inhibits Panx1 channels at high concentrations.65 Tenofovir, an antiviral drug primarily used for treating viral hepatitis, has also been discovered to inhibit Panx1-mediated ATP release.172
So far, only part of the mechanism of action of these inhibitors has been revealed. It is believed that glycyrrhetinic acid (GA) may directly interact with channels when inserted into the cell membrane, thereby binding to channels and causing conformational changes.173,174 In addition, changes in the phosphorylation status of channel subunits or reduced expression of subunits are also potential mechanisms for the effects of GA.175,176 Carbenoxolone is a more water-soluble derivative of GA,177 and its inhibitory mechanism on Panx1 channels has been initially revealed: Carbenoxolone may act on W74 in the first extracellular loop. And when this site is mutated to a nonaromatic residue, Carbenoxolone reverses its inhibitory effect and enhances the voltage-gated channel activity of Panx1.166 Similarly, Probencid is also thought to bind to the first extracellular loop of Panx1, further prompting that Panx1 may undergo conformational changes: this includes the bending of the N-terminal region toward the cytoplasm and the changed tilt angle between each subunit and the membrane plane.178 In addition, there are many reagents that inhibit the channels formed by Panxs and Cxs, but more inhibitory mechanisms have yet to be explored.179,180
In various diseases, targeting Cxs has proven to be an effective therapeutic approach by either permanently or temporarily closing the channels. This strategy holds great potential for systematic research and targeted therapy of Panxs in the future. Peptides that specifically target Cxs can also be utilized for intervention (Table 2). For instance, the peptide α-connexin carboxyl terminus (ACT1), which is used clinically, can localize Cx43 at the GJ site on the cell membrane boundary of breast cancer cells. This localization enhances the functional activity of GJs, leading to impaired proliferation and survival of breast cancer cells.181 10Panx1 is a 10-amino acid peptide derived from the extracellular link of the Panx1 protein that selectively inhibits Panx1 without affecting ATP-induced currents.8 This peptide is made by simulating the sequence (WRQAAFVDSY) in the second extracellular loop region of Panx1, and may exert an inhibitory effect on Panx1-channel through the side chains of Gln3 and Asp8.182 Furthermore, antisense oligonucleotides have emerged as a promising therapeutic modality for targeting channel proteins. Clinical application of Cx43 antisense oligodeoxynucleotides has been successful in treating severe ocular surface burns.183 Considering these findings, Panxs-targeted treatment strategies can draw valuable insights from the ideas and approaches employed in Cxs research.
Panx2, which has yet to make its mark
Additionally, Panx2 is an important member of the Panx family and holds significant potential. While Panx1 and Panx3 have been confirmed to play roles in the musculoskeletal system, Panx2 has not yet been implicated in any cellular activities or pathogenesis. Panx2 is primarily localized in the membrane-binding region within the cytoplasm, whereas other Panxs are predominantly found in the plasma membrane.184 Intriguingly, a recent study identified Panx2 as a novel mammalian cell mitochondria-associated membrane protein, suggesting its potential localization at the ER-mitochondria contact site.185 This implies that Panx2 may serve as a novel contact protein, connecting the ER and mitochondria. Given the involvement of the ER-mitochondria tethering complex in the regulation of calcium or lipid homeostasis, cell survival, apoptosis, and its importance in degenerative diseases,186 Panx2 is likely to exert significant effects in the musculoskeletal system.
Conclusion
Panxs play a crucial role in various cellular activities within the musculoskeletal system, serving as components of cellular GJ or HCs. However, the study of Panxs is still limited and lacks in-depth exploration. Cxs, which share similarities with Panxs, particularly in certain functions, can provide valuable insights into the intercellular signaling dynamics of Panxs. By combining the knowledge of both Panxs and Cxs, new therapeutic targets can be discovered, and novel treatment strategies can be developed. Manipulating the expression or activity of Panxs and Cxs could optimize the musculoskeletal system and enhance the efficacy of current therapeutic agents. With the aging population and the increasing prevalence of muscle and joint diseases, there is a growing socioeconomic burden and a pressing need for innovative concepts and treatments. We firmly believe that Panxs hold great promise as targeting molecules and warrant further attention and research.
References
Allen, M. R. & Burr, D. B. in Basic and Applied Bone Biology (eds David B. Burr & Matthew R. Allen) 75–90 (Academic Press, 2014).
Plotkin, L. I. & Bellido, T. Beyond gap junctions: connexin43 and bone cell signaling. Bone 52, 157–166 (2013).
Stains, J. P. & Civitelli, R. Gap junctions in skeletal development and function. Biochim. Biophys. Acta 1719, 69–81 (2005).
Bellido, T., Plotkin, L. I. & Bruzzaniti, A. in Basic and Applied Bone Biology (eds David B. Burr & Matthew R. Allen) 27–45 (Academic Press, 2014).
Sáez, J. C., Cisterna, B. A., Vargas, A. & Cardozo, C. P. Regulation of pannexin and connexin channels and their functional role in skeletal muscles. Cell Mol. Life Sci. 72, 2929–2935 (2015).
Tomei, E. J. & Wolniak, S. M. Kinesin-2 and kinesin-9 have atypical functions during ciliogenesis in the male gametophyte of Marsilea vestita. BMC Cell Biol. 17, 29 (2016).
Bhat, E. A. & Sajjad, N. Human Pannexin 1 channel: Insight in structure-function mechanism and its potential physiological roles. Mol. Cell Biochem. 476, 1529–1540 (2021).
Pelegrin, P. & Surprenant, A. Pannexin-1 mediates large pore formation and interleukin-1beta release by the ATP-gated P2X7 receptor. EMBO J. 25, 5071–5082 (2006).
Scemes, E., Suadicani, S. O., Dahl, G. & Spray, D. C. Connexin and pannexin mediated cell-cell communication. Neuron Glia Biol. 3, 199–208 (2007).
Alhouayek, M., Sorti, R., Gilthorpe, J. D. & Fowler, C. J. Role of pannexin-1 in the cellular uptake, release and hydrolysis of anandamide by T84 colon cancer cells. Sci. Rep. 9, 7622 (2019).
Chekeni, F. B. et al. Pannexin 1 channels mediate ‘find-me’ signal release and membrane permeability during apoptosis. Nature 467, 863–867 (2010).
Moorer, M. C. et al. Defective signaling, osteoblastogenesis and bone remodeling in a mouse model of connexin 43 C-terminal truncation. J. Cell Sci. 130, 531–540 (2017).
Narahari, A. K. et al. ATP and large signaling metabolites flux through caspase-activated Pannexin 1 channels. Elife 10, e64787 (2021).
Pacheco-Costa, R. et al. Defective cancellous bone structure and abnormal response to PTH in cortical bone of mice lacking Cx43 cytoplasmic C-terminus domain. Bone 81, 632–643 (2015).
Dubyak, G. R. Both sides now: multiple interactions of ATP with pannexin-1 hemichannels. Focus on “A permeant regulating its permeation pore: inhibition of pannexin 1 channels by ATP”. Am. J. Physiol. Cell Physiol. 296, C235–C241 (2009).
Panchin, Y. V. Evolution of gap junction proteins–the pannexin alternative. J. Exp. Biol. 208, 1415–1419 (2005).
Panchin, Y. et al. A ubiquitous family of putative gap junction molecules. Curr. Biol. 10, R473–R474 (2000).
Donahue, H. J., Qu, R. W. & Genetos, D. C. Joint diseases: from connexins to gap junctions. Nat. Rev. Rheumatol. 14, 42–51 (2017).
Bond, S. R. et al. Pannexin 3 is a novel target for Runx2, expressed by osteoblasts and mature growth plate chondrocytes. J. Bone Min. Res. 26, 2911–2922 (2011).
Penuela, S. et al. Pannexin 1 and pannexin 3 are glycoproteins that exhibit many distinct characteristics from the connexin family of gap junction proteins. J. Cell Sci. 120, 3772–3783 (2007).
Xiao, Z. et al. Analysis of the extracellular matrix vesicle proteome in mineralizing osteoblasts. J. Cell Physiol. 210, 325–335 (2007).
Baranova, A. et al. The mammalian pannexin family is homologous to the invertebrate innexin gap junction proteins. Genomics 83, 706–716 (2004).
Harber, P. & McCoy, J. M. Predicate calculus, artificial intelligence, and workers’ compensation. J. Occup. Med. 31, 484–489 (1989).
Riquelme, M. A. et al. The ATP required for potentiation of skeletal muscle contraction is released via pannexin hemichannels. Neuropharmacology 75, 594–603 (2013).
Langlois, S. et al. Pannexin 1 and pannexin 3 channels regulate skeletal muscle myoblast proliferation and differentiation. J. Biol. Chem. 289, 30717–30731 (2014).
Buvinic, S. et al. ATP released by electrical stimuli elicits calcium transients and gene expression in skeletal muscle. J. Biol. Chem. 284, 34490–34505 (2009).
Cea, L. A. et al. De novo expression of connexin hemichannels in denervated fast skeletal muscles leads to atrophy. Proc. Natl. Acad. Sci. USA 110, 16229–16234 (2013).
Kanjanamekanant, K., Luckprom, P. & Pavasant, P. P2X7 receptor-Pannexin1 interaction mediates stress-induced interleukin-1 beta expression in human periodontal ligament cells. J. Periodontal. Res. 49, 595–602 (2014).
Vogt, A., Hormuzdi, S. G. & Monyer, H. Pannexin1 and Pannexin2 expression in the developing and mature rat brain. Brain Res. Mol. Brain Res. 141, 113–120 (2005).
Ishikawa, M. et al. Pannexin 3 functions as an ER Ca2+ channel, hemichannel, and gap junction to promote osteoblast differentiation. J. Cell Biol. 193, 1257–1274 (2011).
Iwamoto, T. et al. Pannexin 3 regulates proliferation and differentiation of odontoblasts via its hemichannel activities. PLoS One 12, e0177557 (2017).
Le Vasseur, M., Lelowski, J., Bechberger, J. F., Sin, W. C. & Naus, C. C. Pannexin 2 protein expression is not restricted to the CNS. Front. Cell Neurosci. 8, 392 (2014).
Pillon, N. J. et al. Nucleotides released from palmitate-challenged muscle cells through pannexin-3 attract monocytes. Diabetes 63, 3815–3826 (2014).
Deng, Z. et al. Cryo-EM structures of the ATP release channel pannexin 1. Nat. Struct. Mol. Biol. 27, 373–381 (2020).
Jin, Q. et al. Cryo-EM structures of human pannexin 1 channel. Cell Res. 30, 449–451 (2020).
Michalski, K. et al. The Cryo-EM structure of pannexin 1 reveals unique motifs for ion selection and inhibition. Elife 9, e54670 (2020).
Mou, L. et al. Structural basis for gating mechanism of Pannexin 1 channel. Cell Res. 30, 452–454 (2020).
Qu, R. et al. Cryo-EM structure of human heptameric Pannexin 1 channel. Cell Res. 30, 446–448 (2020).
Ruan, Z., Orozco, I. J., Du, J. & Lu, W. Structures of human pannexin 1 reveal ion pathways and mechanism of gating. Nature 584, 646–651 (2020).
Ambrosi, C. et al. Pannexin1 and Pannexin2 channels show quaternary similarities to connexons and different oligomerization numbers from each other. J. Biol. Chem. 285, 24420–24431 (2010).
Zhang, H. et al. Cryo-EM structure of human heptameric pannexin 2 channel. Nat. Commun. 14, 1118 (2023).
Kawate, T. & Gouaux, E. Fluorescence-detection size-exclusion chromatography for precrystallization screening of integral membrane proteins. Structure 14, 673–681 (2006).
Milks, L. C., Kumar, N. M., Houghten, R., Unwin, N. & Gilula, N. B. Topology of the 32-kd liver gap junction protein determined by site-directed antibody localizations. EMBO J. 7, 2967–2975 (1988).
Yeager, M. & Gilula, N. B. Membrane topology and quaternary structure of cardiac gap junction ion channels. J. Mol. Biol. 223, 929–948 (1992).
Beckmann, A., Grissmer, A., Krause, E., Tschernig, T. & Meier, C. Pannexin-1 channels show distinct morphology and no gap junction characteristics in mammalian cells. Cell Tissue Res. 363, 751–763 (2016).
Huang, Y., Grinspan, J. B., Abrams, C. K. & Scherer, S. S. Pannexin1 is expressed by neurons and glia but does not form functional gap junctions. Glia 55, 46–56 (2007).
Wang, N. et al. Connexin targeting peptides as inhibitors of voltage- and intracellular Ca2+ -triggered Cx43 hemichannel opening. Neuropharmacology 75, 506–516 (2013).
Wang, N. et al. Paracrine signaling through plasma membrane hemichannels. Biochim. Biophys. Acta 1828, 35–50 (2013).
Weinger, J. M. & Holtrop, M. E. An ultrastructural study of bone cells: the occurrence of microtubules, microfilaments and tight junctions. Calcif. Tissue Res. 14, 15–29 (1974).
Bruzzone, R., Hormuzdi, S. G., Barbe, M. T., Herb, A. & Monyer, H. Pannexins, a family of gap junction proteins expressed in brain. Proc. Natl. Acad. Sci. USA 100, 13644–13649 (2003).
Ishikawa, M. et al. Pannexin 3 and connexin 43 modulate skeletal development through their distinct functions and expression patterns. J. Cell Sci. 129, 1018–1030 (2016).
Cooreman, A. et al. Connexin and pannexin (hemi)channels: emerging targets in the treatment of liver disease. Hepatology 69, 1317–1323 (2019).
Vinken, M. et al. Connexins and their channels in cell growth and cell death. Cell Signal 18, 592–600 (2006).
Flores, J. A. et al. Connexin-46/50 in a dynamic lipid environment resolved by CryoEM at 1.9 A. Nat. Commun. 11, 4331 (2020).
Lee, H. J. et al. Cryo-EM structure of human Cx31.3/GJC3 connexin hemichannel. Sci. Adv. 6, eaba4996 (2020).
Maeda, S. et al. Structure of the connexin 26 gap junction channel at 3.5 A resolution. Nature 458, 597–602 (2009).
Myers, J. B. et al. Structure of native lens connexin 46/50 intercellular channels by cryo-EM. Nature 564, 372–377 (2018).
Unger, V. M., Kumar, N. M., Gilula, N. B. & Yeager, M. Three-dimensional structure of a recombinant gap junction membrane channel. Science 283, 1176–1180 (1999).
Bhaskaracharya, A. et al. Probenecid blocks human P2X7 receptor-induced dye uptake via a pannexin-1 independent mechanism. PLoS ONE 9, e93058 (2014).
Chiu, Y. H., Schappe, M. S., Desai, B. N. & Bayliss, D. A. Revisiting multimodal activation and channel properties of Pannexin 1. J. Gen. Physiol. 150, 19–39 (2018).
Iwamoto, T. et al. Pannexin 3 regulates intracellular ATP/cAMP levels and promotes chondrocyte differentiation. J. Biol. Chem. 285, 18948–18958 (2010).
Ma, W., Hui, H., Pelegrin, P. & Surprenant, A. Pharmacological characterization of pannexin-1 currents expressed in mammalian cells. J. Pharm. Exp. Ther. 328, 409–418 (2009).
Li, S., Bjelobaba, I. & Stojilkovic, S. S. Interactions of Pannexin1 channels with purinergic and NMDA receptor channels. Biochim. Biophys. Acta Biomembr. 1860, 166–173 (2018).
Velasquez, S. & Eugenin, E. A. Role of Pannexin-1 hemichannels and purinergic receptors in the pathogenesis of human diseases. Front. Physiol. 5, 96 (2014).
Silverman, W. R. et al. The pannexin 1 channel activates the inflammasome in neurons and astrocytes. J. Biol. Chem. 284, 18143–18151 (2009).
Locovei, S., Wang, J. & Dahl, G. Activation of pannexin 1 channels by ATP through P2Y receptors and by cytoplasmic calcium. FEBS Lett. 580, 239–244 (2006).
Prochnow, N. et al. Pannexin1 stabilizes synaptic plasticity and is needed for learning. PLoS One 7, e51767 (2012).
Burboa, P. C., Puebla, M., Gaete, P. S., Duran, W. N. & Lillo, M. A. Connexin and pannexin large-pore channels in microcirculation and neurovascular coupling function. Int. J. Mol. Sci. 23, 7303 (2022).
Qu, Y. et al. Pannexin-1 is required for ATP release during apoptosis but not for inflammasome activation. J. Immunol. 186, 6553–6561 (2011).
Kanneganti, T. D. et al. Pannexin-1-mediated recognition of bacterial molecules activates the cryopyrin inflammasome independent of Toll-like receptor signaling. Immunity 26, 433–443 (2007).
Seminario-Vidal, L. et al. Rho signaling regulates pannexin 1-mediated ATP release from airway epithelia. J. Biol. Chem. 286, 26277–26286 (2011).
Phelan, P. Innexins: members of an evolutionarily conserved family of gap-junction proteins. Biochim. Biophys. Acta 1711, 225–245 (2005).
Berendsen, A. D. & Olsen, B. R. Bone development. Bone 80, 14–18 (2015).
Yang, L., Tsang, K. Y., Tang, H. C., Chan, D. & Cheah, K. S. Hypertrophic chondrocytes can become osteoblasts and osteocytes in endochondral bone formation. Proc. Natl. Acad. Sci. USA 111, 12097–12102 (2014).
Cheung, W. Y. et al. Pannexin-1 and P2X7-receptor are required for apoptotic osteocytes in fatigued bone to trigger RANKL production in neighboring bystander osteocytes. J. Bone Min. Res. 31, 890–899 (2016).
Caskenette, D. et al. Global deletion of Panx3 produces multiple phenotypic effects in mouse humeri and femora. J. Anat. 228, 746–756 (2016).
Shao, Q. et al. A germline variant in the PANX1 gene has reduced channel function and is associated with multisystem dysfunction. J. Biol. Chem. 291, 12432–12443 (2016).
Ishikawa, M., Iwamoto, T., Fukumoto, S. & Yamada, Y. Pannexin 3 inhibits proliferation of osteoprogenitor cells by regulating Wnt and p21 signaling. J. Biol. Chem. 289, 2839–2851 (2014).
Delgado-Calle, J. & Bellido, T. Osteocytes and skeletal pathophysiology. Curr. Mol. Biol. Rep. 1, 157–167 (2015).
Aguirre, J. I. et al. Osteocyte apoptosis is induced by weightlessness in mice and precedes osteoclast recruitment and bone loss. J. Bone Min. Res. 21, 605–615 (2006).
Delgado-Calle, J. & Bellido, T. The osteocyte as a signaling cell. Physiol. Rev. 102, 379–410 (2022).
Emerton, K. B. et al. Osteocyte apoptosis and control of bone resorption following ovariectomy in mice. Bone 46, 577–583 (2010).
Kennedy, O. D. et al. Activation of resorption in fatigue-loaded bone involves both apoptosis and active pro-osteoclastogenic signaling by distinct osteocyte populations. Bone 50, 1115–1122 (2012).
Kennedy, O. D., Laudier, D. M., Majeska, R. J., Sun, H. B. & Schaffler, M. B. Osteocyte apoptosis is required for production of osteoclastogenic signals following bone fatigue in vivo. Bone 64, 132–137 (2014).
Bakker, A., Klein-Nulend, J. & Burger, E. Shear stress inhibits while disuse promotes osteocyte apoptosis. Biochem. Biophys. Res. Commun. 320, 1163–1168 (2004).
Noble, B. Bone microdamage and cell apoptosis. Eur. Cell Mater. 6, 46–55 (2003). discusssion 55.
Tomkinson, A., Gevers, E. F., Wit, J. M., Reeve, J. & Noble, B. S. The role of estrogen in the control of rat osteocyte apoptosis. J. Bone Min. Res. 13, 1243–1250 (1998).
Verborgt, O., Gibson, G. J. & Schaffler, M. B. Loss of osteocyte integrity in association with microdamage and bone remodeling after fatigue in vivo. J. Bone Min. Res. 15, 60–67 (2000).
McCutcheon, S., Majeska, R. J., Spray, D. C., Schaffler, M. B. & Vazquez, M. Apoptotic osteocytes induce RANKL production in bystanders via purinergic signaling and activation of pannexin channels. J. Bone Min. Res. 35, 966–977 (2020).
Liu, W. et al. TGF-beta1 facilitates cell-cell communication in osteocytes via connexin43- and pannexin1-dependent gap junctions. Cell Death Discov. 5, 141 (2019).
Aguilar-Perez, A. et al. Age- and sex-dependent role of osteocytic pannexin1 on bone and muscle mass and strength. Sci. Rep. 9, 13903 (2019).
Courvoisier, A., Sailhan, F., Laffenetre, O. & Obert, L., French Study Group of, B. M. P. i. O. S. Bone morphogenetic protein and orthopaedic surgery: can we legitimate its off-label use? Int. Orthop. 38, 2601–2605 (2014).
Kalitina, T. A. [Survival of Coxsackie viruses of group B 3 and 5 serotypes in sausage meat]. Vopr. Pitan. 25, 74–77 (1966).
Song, K. et al. Identification of a key residue mediating bone morphogenetic protein (BMP)-6 resistance to noggin inhibition allows for engineered BMPs with superior agonist activity. J. Biol. Chem. 285, 12169–12180 (2010).
Wang, L. et al. Bone formation induced by BMP-2 in human osteosarcoma cells. Int. J. Oncol. 43, 1095–1102 (2013).
Takeno, A., Kanazawa, I., Tanaka, K. I., Notsu, M. & Sugimoto, T. Phloretin suppresses bone morphogenetic protein-2-induced osteoblastogenesis and mineralization via inhibition of phosphatidylinositol 3-kinases/Akt pathway. Int. J. Mol. Sci. 20, 2481 (2019).
Ghosh-Choudhury, N. et al. c-Abl-dependent molecular circuitry involving Smad5 and phosphatidylinositol 3-kinase regulates bone morphogenetic protein-2-induced osteogenesis. J. Biol. Chem. 288, 24503–24517 (2013).
Mukherjee, A., Wilson, E. M. & Rotwein, P. Selective signaling by Akt2 promotes bone morphogenetic protein 2-mediated osteoblast differentiation. Mol. Cell Biol. 30, 1018–1027 (2010).
Sun, M. et al. Effects of matrix stiffness on the morphology, adhesion, proliferation and osteogenic differentiation of mesenchymal stem cells. Int. J. Med. Sci. 15, 257–268 (2018).
Afzal, F. et al. Smad function and intranuclear targeting share a Runx2 motif required for osteogenic lineage induction and BMP2 responsive transcription. J. Cell Physiol. 204, 63–72 (2005).
Zaidi, S. K. et al. Integration of Runx and Smad regulatory signals at transcriptionally active subnuclear sites. Proc. Natl. Acad. Sci. USA 99, 8048–8053 (2002).
Lohman, A. W. et al. Expression of pannexin isoforms in the systemic murine arterial network. J. Vasc. Res. 49, 405–416 (2012).
Plotkin, L. I. & Stains, J. P. Connexins and pannexins in the skeleton: gap junctions, hemichannels and more. Cell Mol. Life Sci. 72, 2853–2867 (2015).
Rauch, A. et al. Glucocorticoids suppress bone formation by attenuating osteoblast differentiation via the monomeric glucocorticoid receptor. Cell Metab. 11, 517–531 (2010).
Song, F., Sun, H., Huang, L., Fu, D. & Huang, C. The role of Pannexin3-modified human dental pulp-derived mesenchymal stromal cells in repairing rat cranial critical-sized bone defects. Cell Physiol. Biochem. 44, 2174–2188 (2017).
Tomita, M., Reinhold, M. I., Molkentin, J. D. & Naski, M. C. Calcineurin and NFAT4 induce chondrogenesis. J. Biol. Chem. 277, 42214–42218 (2002).
Beals, C. R., Clipstone, N. A., Ho, S. N. & Crabtree, G. R. Nuclear localization of NF-ATc by a calcineurin-dependent, cyclosporin-sensitive intramolecular interaction. Genes Dev. 11, 824–834 (1997).
Esseltine, J. L. & Laird, D. W. Next-generation connexin and pannexin cell biology. Trends Cell Biol. 26, 944–955 (2016).
Koga, T. et al. NFAT and osterix cooperatively regulate bone formation. Nat. Med. 11, 880–885 (2005).
Nakashima, K. et al. The novel zinc finger-containing transcription factor osterix is required for osteoblast differentiation and bone formation. Cell 108, 17–29 (2002).
Ishikawa, M. et al. Pannexin 3 ER Ca2+ channel gating is regulated by phosphorylation at the Serine 68 residue in osteoblast differentiation. Sci. Rep. 9, 18759 (2019).
Boyden, L. M. et al. High bone density due to a mutation in LDL-receptor-related protein 5. N. Engl. J. Med. 346, 1513–1521 (2002).
Guntur, A. R. & Rosen, C. J. Bone as an endocrine organ. Endocr. Pr. 18, 758–762 (2012).
Cheung, W. Y. et al. in Journal Of Bone And Mineral Research. S288-S288 (WILEY-BLACKWELL 111 RIVER ST, HOBOKEN 07030-5774, NJ USA).
Deosthale, P. et al. Sex-specific differences in direct osteoclastic versus indirect osteoblastic effects underlay the low bone mass of Pannexin1 deletion in TRAP-expressing cells in mice. Bone Rep. 16, 101164 (2022).
Oh, S. K. et al. Pannexin 3 is required for normal progression of skeletal development in vertebrates. FASEB J. 29, 4473–4484 (2015).
Bond, S. R., Abramyan, J., Fu, K., Naus, C. C. & Richman, J. M. Pannexin 3 is required for late stage bone growth but not for initiation of ossification in avian embryos. Dev. Dyn. 245, 913–924 (2016).
Charge, S. B. & Rudnicki, M. A. Cellular and molecular regulation of muscle regeneration. Physiol. Rev. 84, 209–238 (2004).
Riquelme, M. A. et al. Pannexin channels mediate the acquisition of myogenic commitment in C2C12 reserve cells promoted by P2 receptor activation. Front. Cell Dev. Biol. 3, 25 (2015).
Jorquera, G. et al. Cav1.1 controls frequency-dependent events regulating adult skeletal muscle plasticity. J. Cell Sci. 126, 1189–1198 (2013).
Rose, A. J., Alsted, T. J., Kobbero, J. B. & Richter, E. A. Regulation and function of Ca2+ -calmodulin-dependent protein kinase II of fast-twitch rat skeletal muscle. J. Physiol. 580, 993–1005 (2007).
Suarez-Berumen, K. et al. Pannexin 1 regulates skeletal muscle regeneration by promoting bleb-based myoblast migration and fusion through a novel lipid based signaling mechanism. Front. Cell Dev. Biol. 9, 736813 (2021).
Freeman, E. et al. Sex-dependent role of Pannexin 1 in regulating skeletal muscle and satellite cell function. J. Cell Physiol. 237, 3944–3959 (2022).
Martel-Pelletier, J. et al. Osteoarthritis. Nat. Rev. Dis. Prim. 2, 16072 (2016).
Glyn-Jones, S. et al. Osteoarthritis. Lancet 386, 376–387 (2015).
Jiang, Y. Osteoarthritis year in review 2021: biology. Osteoarthr. Cartil. 30, 207–215 (2022).
Appleton, C. T., Pitelka, V., Henry, J. & Beier, F. Global analyses of gene expression in early experimental osteoarthritis. Arthritis Rheum. 56, 1854–1868 (2007).
O’Donnell, B. L. & Penuela, S. Pannexin 3 channels in health and disease. Purinergic Signal 17, 577–589 (2021).
Moon, P. M. et al. Deletion of Panx3 prevents the development of surgically induced osteoarthritis. J. Mol. Med. 93, 845–856 (2015).
Moon, P. M. et al. Global deletion of Pannexin 3 resulting in accelerated development of aging-induced osteoarthritis in mice. Arthritis Rheumatol. 73, 1178–1188 (2021).
Xiao, J., Li, Y., Zhang, J., Xu, G. & Zhang, J. Pannexin 3 activates P2X7 receptor to mediate inflammation and cartilage matrix degradation in temporomandibular joint osteoarthritis. Cell Biol. Int. 47, 1183–1197 (2023).
Francisco, V. et al. A new immunometabolic perspective of intervertebral disc degeneration. Nat. Rev. Rheumatol. 18, 47–60 (2022).
Serjeant, M. et al. The role of Panx3 in age-associated and injury-induced intervertebral disc degeneration. Int. J. Mol. Sci. 22, 1080 (2021).
Liu, N. et al. microRNA-206 promotes skeletal muscle regeneration and delays progression of Duchenne muscular dystrophy in mice. J. Clin. Invest. 122, 2054–2065 (2012).
McNally, E. M. & Pytel, P. Muscle diseases: the muscular dystrophies. Annu. Rev. Pathol. 2, 87–109 (2007).
Arias-Calderon, M. et al. Characterization of a multiprotein complex involved in excitation-transcription coupling of skeletal muscle. Skelet. Muscle 6, 15 (2016).
Cea, L. A. et al. Fast skeletal myofibers of MDX mouse, model of Duchenne muscular dystrophy, express connexin hemichannels that lead to apoptosis. Cell Mol. Life Sci. 73, 2583–2599 (2016).
Valladares, D. et al. Electrical stimuli are anti-apoptotic in skeletal muscle via extracellular ATP. Alteration of this signal in Mdx mice is a likely cause of dystrophy. PLoS One 8, e75340 (2013).
Pham, T. L. et al. Expression of Pannexin 1 and Pannexin 3 during skeletal muscle development, regeneration, and Duchenne muscular dystrophy. J. Cell Physiol. 233, 7057–7070 (2018).
An, S. et al. Connexin43 in musculoskeletal system: new targets for development and disease progression. Aging Dis. 13, 1715–1732 (2022).
Lohman, A. W. & Isakson, B. E. Differentiating connexin hemichannels and pannexin channels in cellular ATP release. FEBS Lett. 588, 1379–1388 (2014).
Brigid Hogan, R. B. Manipulating the mouse embryo. a laboratory manual, 2nd Edition. Genet. Res. 66, 296–300 (1994).
Lecanda, F. et al. Connexin43 deficiency causes delayed ossification, craniofacial abnormalities, and osteoblast dysfunction. J. Cell Biol. 151, 931–944 (2000).
Ishikawa, M. & Yamada, Y. The role of Pannexin 3 in bone biology. J. Dent. Res. 96, 372–379 (2017).
Lengner, C. J. et al. Osteoblast differentiation and skeletal development are regulated by Mdm2-p53 signaling. J. Cell Biol. 172, 909–921 (2006).
Uribe, P. et al. Soluble silica stimulates osteogenic differentiation and gap junction communication in human dental follicle cells. Sci. Rep. 10, 9923 (2020).
van der Heyden, M. A. et al. Identification of connexin43 as a functional target for Wnt signalling. J. Cell Sci. 111, 1741–1749 (1998).
Lohman, A. W. et al. Pannexin 1 channels regulate leukocyte emigration through the venous endothelium during acute inflammation. Nat. Commun. 6, 7965 (2015).
Wang, J., Ma, M., Locovei, S., Keane, R. W. & Dahl, G. Modulation of membrane channel currents by gap junction protein mimetic peptides: size matters. Am. J. Physiol. Cell Physiol. 293, C1112–C1119 (2007).
Weilinger, N. L., Tang, P. L. & Thompson, R. J. Anoxia-induced NMDA receptor activation opens pannexin channels via Src family kinases. J. Neurosci. 32, 12579–12588 (2012).
Plotkin, L. I. et al. Connexin 43 is required for the anti-apoptotic effect of bisphosphonates on osteocytes and osteoblasts in vivo. J. Bone Min. Res. 23, 1712–1721 (2008).
Poornima, V., Vallabhaneni, S., Mukhopadhyay, M. & Bera, A. K. Nitric oxide inhibits the pannexin 1 channel through a cGMP-PKG dependent pathway. Nitric Oxide 47, 77–84 (2015).
Dobrowolski, R., Sommershof, A. & Willecke, K. Some oculodentodigital dysplasia-associated Cx43 mutations cause increased hemichannel activity in addition to deficient gap junction channels. J. Membr. Biol. 219, 9–17 (2007).
Esseltine, J. L. et al. Connexin43 mutant patient-derived induced pluripotent stem cells exhibit altered differentiation potential. J. Bone Min. Res. 32, 1368–1385 (2017).
Katz, J. N., Arant, K. R. & Loeser, R. F. Diagnosis and treatment of hip and knee osteoarthritis: a review. JAMA 325, 568–578 (2021).
Hochberg, M. C. Serious joint-related adverse events in randomized controlled trials of anti-nerve growth factor monoclonal antibodies. Osteoarthr. Cartil. 23, S18–S21 (2015).
van der Kraan, P. M. & van den Berg, W. B. Chondrocyte hypertrophy and osteoarthritis: role in initiation and progression of cartilage degeneration? Osteoarthr. Cartil. 20, 223–232 (2012).
Billaud, M. et al. Pannexin1 regulates alpha1-adrenergic receptor- mediated vasoconstriction. Circ. Res. 109, 80–85 (2011).
Masuda, T. et al. Dorsal horn neurons release extracellular ATP in a VNUT-dependent manner that underlies neuropathic pain. Nat. Commun. 7, 12529 (2016).
Conesa-Buendia, F. M. et al. Tenofovir causes bone loss via decreased bone formation and increased bone resorption, which can be counteracted by dipyridamole in mice. J. Bone Min. Res. 34, 923–938 (2019).
Hirata, H. et al. Connexin 39.9 protein is necessary for coordinated activation of slow-twitch muscle and normal behavior in zebrafish. J. Biol. Chem. 287, 1080–1089 (2012).
Naus, C. C. & Giaume, C. Bridging the gap to therapeutic strategies based on connexin/pannexin biology. J. Transl. Med. 14, 330 (2016).
Dahl, G., Qiu, F. & Wang, J. The bizarre pharmacology of the ATP release channel pannexin1. Neuropharmacology 75, 583–593 (2013).
Bruzzone, R., Barbe, M. T., Jakob, N. J. & Monyer, H. Pharmacological properties of homomeric and heteromeric pannexin hemichannels expressed in Xenopus oocytes. J. Neurochem. 92, 1033–1043 (2005).
Molica, F. et al. Selective inhibition of Panx1 channels decreases hemostasis and thrombosis in vivo. Thromb. Res. 183, 56–62 (2019).
Michalski, K. & Kawate, T. Carbenoxolone inhibits Pannexin1 channels through interactions in the first extracellular loop. J. Gen. Physiol. 147, 165–174 (2016).
Freeman, T. J. et al. Inhibition of Pannexin 1 reduces the tumorigenic properties of human melanoma cells. Cancers 11, 102 (2019).
Chen, K. W., Demarco, B. & Broz, P. Pannexin-1 promotes NLRP3 activation during apoptosis but is dispensable for canonical or noncanonical inflammasome activation. Eur. J. Immunol. 50, 170–177 (2020).
Jankowski, J. et al. Epithelial and endothelial pannexin1 channels mediate AKI. J. Am. Soc. Nephrol. 29, 1887–1899 (2018).
Sharma, A. K. et al. Pannexin-1 channels on endothelial cells mediate vascular inflammation during lung ischemia-reperfusion injury. Am. J. Physiol. Lung Cell Mol. Physiol. 315, L301–L312 (2018).
Furukawa, M., Matsueda, M. & Takagai, Y. Ultrasonic mist generation assist argon-nitrogen mix gas effect on radioactive strontium quantification by online solid-phase extraction with inductively coupled plasma mass spectrometry. Anal. Sci. 34, 471–476 (2018).
Feig, J. L. et al. The antiviral drug tenofovir, an inhibitor of Pannexin-1-mediated ATP release, prevents liver and skin fibrosis by downregulating adenosine levels in the liver and skin. PLoS One 12, e0188135 (2017).
Davidson, J. S. & Baumgarten, I. M. Glycyrrhetinic acid derivatives: a novel class of inhibitors of gap-junctional intercellular communication. Structure-activity relationships. J. Pharm. Exp. Ther. 246, 1104–1107 (1988).
Davidson, J. S., Baumgarten, I. M. & Harley, E. H. Reversible inhibition of intercellular junctional communication by glycyrrhetinic acid. Biochem. Biophys. Res. Commun. 134, 29–36 (1986).
Goldberg, G. S. et al. Evidence that disruption of connexon particle arrangements in gap junction plaques is associated with inhibition of gap junctional communication by a glycyrrhetinic acid derivative. Exp. Cell Res. 222, 48–53 (1996).
Guan, X., Wilson, S., Schlender, K. K. & Ruch, R. J. Gap-junction disassembly and connexin 43 dephosphorylation induced by 18 beta-glycyrrhetinic acid. Mol. Carcinog. 16, 157–164 (1996).
Armanini, D., Karbowiak, I., Krozowski, Z., Funder, J. W. & Adam, W. R. The mechanism of mineralocorticoid action of carbenoxolone. Endocrinology 111, 1683–1686 (1982).
Kuzuya, M. et al. Structures of human pannexin-1 in nanodiscs reveal gating mediated by dynamic movement of the N terminus and phospholipids. Sci. Signal 15, eabg6941 (2022).
Willebrords, J., Maes, M., Crespo Yanguas, S. & Vinken, M. Inhibitors of connexin and pannexin channels as potential therapeutics. Pharm. Ther. 180, 144–160 (2017).
Chen, X., Yuan, S., Mi, L., Long, Y. & He, H. Pannexin1: insight into inflammatory conditions and its potential involvement in multiple organ dysfunction syndrome. Front. Immunol. 14, 1217366 (2023).
Grek, C. L. et al. Targeting connexin 43 with alpha-connexin carboxyl-terminal (ACT1) peptide enhances the activity of the targeted inhibitors, tamoxifen and lapatinib, in breast cancer: clinical implication for ACT1. BMC Cancer 15, 296 (2015).
Caufriez, A. et al. Determination of structural features that underpin the pannexin1 channel inhibitory activity of the peptide 10Panx1. Bioorg. Chem. 138, 106612 (2023).
Zhang, Y., Sun, Y., Wang, Z. & Huang, L. Fluorescein-5-thiosemicarbazide as a probe for directly imaging of mucin-type O-linked glycoprotein within living cells. Glycoconj. J. 29, 445–452 (2012).
Boassa, D., Nguyen, P., Hu, J., Ellisman, M. H. & Sosinsky, G. E. Pannexin2 oligomers localize in the membranes of endosomal vesicles in mammalian cells while Pannexin1 channels traffic to the plasma membrane. Front. Cell Neurosci. 8, 468 (2014).
Hedskog, L. et al. Modulation of the endoplasmic reticulum-mitochondria interface in Alzheimer’s disease and related models. Proc. Natl. Acad. Sci. USA 110, 7916–7921 (2013).
Yang, Y., Wang, L., Chen, L. & Li, L. Pannexin-2, a novel mitochondrial-associated membrane protein, may become the new strategy to treat and prevent neurological disorders. Acta Biochim. Biophys. Sin. 52, 1178–1180 (2020).
Grimston, S. K., Watkins, M. P., Brodt, M. D., Silva, M. J. & Civitelli, R. Enhanced periosteal and endocortical responses to axial tibial compression loading in conditional connexin43 deficient mice. PLoS One 7, e44222 (2012).
Lecanda, F. et al. Gap junctional communication modulates gene expression in osteoblastic cells. Mol. Biol. Cell 9, 2249–2258 (1998).
Li, Z., Zhou, Z., Saunders, M. M. & Donahue, H. J. Modulation of connexin43 alters expression of osteoblastic differentiation markers. Am. J. Physiol. Cell Physiol. 290, C1248–C1255 (2006).
Schiller, P. C., Roos, B. A. & Howard, G. A. Parathyroid hormone up-regulation of connexin 43 gene expression in osteoblasts depends on cell phenotype. J. Bone Min. Res. 12, 2005–2013 (1997).
Watkins, M. et al. Osteoblast connexin43 modulates skeletal architecture by regulating both arms of bone remodeling. Mol. Biol. Cell 22, 1240–1251 (2011).
Hung, C. T., Allen, F. D., Mansfield, K. D. & Shapiro, I. M. Extracellular ATP modulates [Ca2 + ]i in retinoic acid-treated embryonic chondrocytes. Am. J. Physiol. 272, C1611–C1617 (1997).
Lima, F., Niger, C., Hebert, C. & Stains, J. P. Connexin43 potentiates osteoblast responsiveness to fibroblast growth factor 2 via a protein kinase C-delta/Runx2-dependent mechanism. Mol. Biol. Cell 20, 2697–2708 (2009).
Niger, C. et al. ERK acts in parallel to PKCdelta to mediate the connexin43-dependent potentiation of Runx2 activity by FGF2 in MC3T3 osteoblasts. Am. J. Physiol. Cell Physiol. 302, C1035–C1044 (2012).
Plotkin, L. I., Manolagas, S. C. & Bellido, T. Transduction of cell survival signals by connexin-43 hemichannels. J. Biol. Chem. 277, 8648–8657 (2002).
Stains, J. P. & Civitelli, R. Gap junctions regulate extracellular signal-regulated kinase signaling to affect gene transcription. Mol. Biol. Cell 16, 64–72 (2005).
Hashida, Y. et al. Communication-dependent mineralization of osteoblasts via gap junctions. Bone 61, 19–26 (2014).
Niger, C. et al. The transcriptional activity of osterix requires the recruitment of Sp1 to the osteocalcin proximal promoter. Bone 49, 683–692 (2011).
Niger, C. et al. The regulation of runt-related transcription factor 2 by fibroblast growth factor-2 and connexin43 requires the inositol polyphosphate/protein kinase Cdelta cascade. J. Bone Min. Res. 28, 1468–1477 (2013).
Stains, J. P., Lecanda, F., Screen, J., Towler, D. A. & Civitelli, R. Gap junctional communication modulates gene transcription by altering the recruitment of Sp1 and Sp3 to connexin-response elements in osteoblast promoters. J. Biol. Chem. 278, 24377–24387 (2003).
Ilvesaro, J., Tavi, P. & Tuukkanen, J. Connexin-mimetic peptide Gap 27 decreases osteoclastic activity. BMC Musculoskelet. Disord. 2, 10 (2001).
Ilvesaro, J., Vaananen, K. & Tuukkanen, J. Bone-resorbing osteoclasts contain gap-junctional connexin-43. J. Bone Min. Res. 15, 919–926 (2000).
Jones, S. J. & Boyde, A. Questions of quality and quantity–a morphological view of bone biology. Kaibogaku Zasshi 69, 229–243 (1994).
Zappitelli, T. et al. The G60S connexin 43 mutation activates the osteoblast lineage and results in a resorption-stimulating bone matrix and abrogation of old-age-related bone loss. J. Bone Min. Res. 28, 2400–2413 (2013).
Zhang, Y. et al. Enhanced osteoclastic resorption and responsiveness to mechanical load in gap junction deficient bone. PLoS One 6, e23516 (2011).
Batra, N. et al. Mechanical stress-activated integrin alpha5beta1 induces opening of connexin 43 hemichannels. Proc. Natl. Acad. Sci. USA 109, 3359–3364 (2012).
Burra, S. et al. Dendritic processes of osteocytes are mechanotransducers that induce the opening of hemichannels. Proc. Natl. Acad. Sci. USA 107, 13648–13653 (2010).
Parsons, J. T., Martin, K. H., Slack, J. K., Taylor, J. M. & Weed, S. A. Focal adhesion kinase: a regulator of focal adhesion dynamics and cell movement. Oncogene 19, 5606–5613 (2000).
Qin, L., Liu, W., Cao, H. & Xiao, G. Molecular mechanosensors in osteocytes. Bone Res. 8, 23 (2020).
Siller-Jackson, A. J. et al. Adaptation of connexin 43-hemichannel prostaglandin release to mechanical loading. J. Biol. Chem. 283, 26374–26382 (2008).
Bivi, N. et al. Cell autonomous requirement of connexin 43 for osteocyte survival: consequences for endocortical resorption and periosteal bone formation. J. Bone Min. Res. 27, 374–389 (2012).
Kar, R., Riquelme, M. A., Werner, S. & Jiang, J. X. Connexin 43 channels protect osteocytes against oxidative stress-induced cell death. J. Bone Min. Res. 28, 1611–1621 (2013).
Lloyd, S. A., Loiselle, A. E., Zhang, Y. & Donahue, H. J. Evidence for the role of connexin 43-mediated intercellular communication in the process of intracortical bone resorption via osteocytic osteolysis. BMC Musculoskelet. Disord. 15, 122 (2014).
Hellio Le Graverand, M. P. et al. Formation and phenotype of cell clusters in osteoarthritic meniscus. Arthritis Rheum. 44, 1808–1818 (2001).
Kolomytkin, O. V. et al. IL-1beta-induced production of metalloproteinases by synovial cells depends on gap junction conductance. Am. J. Physiol. Cell Physiol. 282, C1254–C1260 (2002).
Marino, A. A. et al. Increased intercellular communication through gap junctions may contribute to progression of osteoarthritis. Clin. Orthop. Relat. Res. 224–232, https://doi.org/10.1097/01.blo.0000129346.29945.3b (2004).
Tsuchida, S. et al. Silencing the expression of connexin 43 decreases inflammation and joint destruction in experimental arthritis. J. Orthop. Res. 31, 525–530 (2013).
Gago-Fuentes, R. et al. The C-terminal domain of connexin43 modulates cartilage structure via chondrocyte phenotypic changes. Oncotarget 7, 73055–73067 (2016).
Chen, Q. et al. Carcinoma-astrocyte gap junctions promote brain metastasis by cGAMP transfer. Nature 533, 493–498 (2016).
Ormonde, S. et al. Regulation of connexin43 gap junction protein triggers vascular recovery and healing in human ocular persistent epithelial defect wounds. J. Membr. Biol. 245, 381–388 (2012).
Macia, E. et al. Characterization of gap junction remodeling in epicardial border zone of healing canine infarcts and electrophysiological effects of partial reversal by rotigaptide. Circ. Arrhythm. Electrophysiol. 4, 344–351 (2011).
Ghatnekar, G. S., Grek, C. L., Armstrong, D. G., Desai, S. C. & Gourdie, R. G. The effect of a connexin43-based Peptide on the healing of chronic venous leg ulcers: a multicenter, randomized trial. J. Invest. Dermatol. 135, 289–298 (2015).
Jiang, J. et al. Interaction of alpha Carboxyl Terminus 1 peptide with the connexin 43 carboxyl terminus preserves left ventricular function after ischemia-reperfusion injury. J. Am. Heart Assoc. 8, e012385 (2019).
Kim, Y. et al. Tonabersat prevents inflammatory damage in the central nervous system by blocking Connexin43 hemichannels. Neurotherapeutics 14, 1148–1165 (2017).
O’Carroll, S. J., Alkadhi, M., Nicholson, L. F. & Green, C. R. Connexin 43 mimetic peptides reduce swelling, astrogliosis, and neuronal cell death after spinal cord injury. Cell Commun. Adhes. 15, 27–42 (2008).
Abudara, V. et al. The connexin43 mimetic peptide Gap19 inhibits hemichannels without altering gap junctional communication in astrocytes. Front. Cell Neurosci. 8, 306 (2014).
Silverman, W., Locovei, S. & Dahl, G. Probenecid, a gout remedy, inhibits pannexin 1 channels. Am. J. Physiol. Cell Physiol. 295, C761–C767 (2008).
Wang, J., Jackson, D. G. & Dahl, G. The food dye FD&C Blue No. 1 is a selective inhibitor of the ATP release channel Panx1. J. Gen. Physiol. 141, 649–656 (2013).
Locovei, S., Scemes, E., Qiu, F., Spray, D. C. & Dahl, G. Pannexin1 is part of the pore forming unit of the P2X(7) receptor death complex. FEBS Lett. 581, 483–488 (2007).
Xiao, F., Waldrop, S. L., Khimji, A. K. & Kilic, G. Pannexin1 contributes to pathophysiological ATP release in lipoapoptosis induced by saturated free fatty acids in liver cells. Am. J. Physiol. Cell Physiol. 303, C1034–C1044 (2012).
Linsdell, P. Inhibition of cystic fibrosis transmembrane conductance regulator chloride channel currents by arachidonic acid. Can. J. Physiol. Pharm. 78, 490–499 (2000).
Brough, D., Pelegrin, P. & Rothwell, N. J. Pannexin-1-dependent caspase-1 activation and secretion of IL-1beta is regulated by zinc. Eur. J. Immunol. 39, 352–358 (2009).
Acknowledgements
This work was supported by National Key R&D Program of China (2019YFA0111900, 2023YFB4606705), National Natural Science Foundation of China (No. 82072506, 82272611, 92268115, 82302764), Hunan Provincial Science Fund for Distinguished Young Scholars (No. 2024JJ2089), Science and Technology Innovation Program of Hunan Province (No. 2021RC3025, 2023SK2024), Provincial Natural Science Foundation of Hunan (No. 2022JJ70162, 2023JJ30949), National Clinical Research Center for Geriatric Disorders (Xiangya Hospital, Grant No.2021KFJJ02 and 2021LNJJ05), National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation (2021-NCRC-CXJJ-PY-40).
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Luo, Y., Zheng, S., Xiao, W. et al. Pannexins in the musculoskeletal system: new targets for development and disease progression. Bone Res 12, 26 (2024). https://doi.org/10.1038/s41413-024-00334-8
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DOI: https://doi.org/10.1038/s41413-024-00334-8