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Connexin gap junction channels are formed by the docking of two hemichannels (connexons), each composed of six connexin proteins, between neighboring cells, creating a direct cytoplasmic connection that allows ions and small metabolites (up to ~1 kDa) to pass between cells, facilitating electrical and metabolic coupling[4][5][7]. There are at least 21 connexin isoforms in humans, with connexin43 (Cx43), connexin26 (Cx26), and connexin32 (Cx32) being some of the best studied[4][5][2]. Gap junction channels are crucial for synchronized cell function in the heart, brain, liver, and other tissues[4][5]. Individual connexin channels display unique permeability, gating, and selectivity properties[5]. They are regulated by voltage, pH, calcium ions, phosphorylation, and various metabolites[3][1]. Mutations or dysregulation of connexins are linked to diverse diseases, including arrhythmias, cancer, deafness, and skin disorders[2][4]. Drugs may block or modulate connexin channels, but clinical use is limited due to challenges in isoform specificity and broad tissue distribution[4].
Channel blockage (inhibition of ion and molecule passage through the channel) Modulation of channel gating Alteration of phosphorylation or degradation Disruption of intercellular coupling
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