PMID- 20446866 OWN - NLM STAT- MEDLINE DCOM- 20100921 LR - 20220331 IS - 1744-7631 (Electronic) IS - 1472-8222 (Linking) VI - 14 IP - 7 DP - 2010 Jul TI - Gap junctions and connexins as therapeutic targets in cancer. PG - 681-92 LID - 10.1517/14728222.2010.487866 [doi] AB - IMPORTANCE OF THE FIELD: Connexins (Cxs) and gap junctional intercellular communications (GJICs) play roles in cancer development, growth and metastasis. Experimental studies suggest that targeting Cxs may be a novel technique, either to inhibit tumor cell growth directly or to sensitize to various therapies. AREAS COVERED IN THIS REVIEW: A brief introduction to the role of Cxs in cancer. The focus is mainly on data available in the literature regarding therapeutic aspects. WHAT THE READER WILL GAIN: This article reviews the various strategies that take advantage of gap junctions and connexins to eliminate cancer cells, including use of the bystander effect (BE) in gene therapy, the effect of connexins on chemosensitization, the role of apoptotic processes and interactions with the microenvironment. Attempts to restore connexin expression at the transcriptional and post-transcriptional levels are described, as well as promising strategies recently explored. The potential and limitations of the approaches are discussed. TAKE HOME MESSAGE: Connexins have multiple facets, singly, in hemichannel complexes, in gap junctions or interacting with different proteins. The regulation of their expression is not fully resolved and selective manipulation of Cxs expression is therefore a challenge. Although the therapeutic potential of connexins is undeniable, more effort is needed to study the regulation and functions of these proteins. FAU - Kandouz, Mustapha AU - Kandouz M AD - Wayne State University, Department of Pathology, 5101 Cass Avenue, Chemistry Building, Detroit, Michigan 48202, USA. ag1764@wayne.edu FAU - Batist, Gerald AU - Batist G LA - eng GR - Canadian Institutes of Health Research/Canada PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Expert Opin Ther Targets JT - Expert opinion on therapeutic targets JID - 101127833 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (Connexin 43) RN - 0 (Connexins) RN - 0 (MicroRNAs) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology MH - Apoptosis/drug effects/physiology MH - Biomarkers, Tumor/metabolism MH - Bystander Effect/drug effects MH - Cell Communication/*drug effects/physiology MH - Connexin 43/agonists/antagonists & inhibitors/metabolism MH - Connexins/agonists/genetics/*physiology MH - Gap Junctions/*drug effects/*physiology MH - Gene Expression Regulation, Neoplastic/drug effects MH - Genetic Therapy MH - Humans MH - MicroRNAs/physiology MH - Neoplasm Metastasis/drug therapy/physiopathology MH - Neoplasms/*drug therapy/metabolism/physiopathology/therapy MH - Protein Processing, Post-Translational/drug effects RF - 97 EDAT- 2010/05/08 06:00 MHDA- 2010/09/23 06:00 CRDT- 2010/05/08 06:00 PHST- 2010/05/08 06:00 [entrez] PHST- 2010/05/08 06:00 [pubmed] PHST- 2010/09/23 06:00 [medline] AID - 10.1517/14728222.2010.487866 [doi] PST - ppublish SO - Expert Opin Ther Targets. 2010 Jul;14(7):681-92. doi: 10.1517/14728222.2010.487866.