PMID- 25101702 OWN - NLM STAT- MEDLINE DCOM- 20141217 LR - 20171116 IS - 1554-6578 (Electronic) IS - 0022-3069 (Linking) VI - 73 IP - 9 DP - 2014 Sep TI - Oligodendrocyte gap junction loss and disconnection from reactive astrocytes in multiple sclerosis gray matter. PG - 865-79 LID - 10.1097/NEN.0000000000000106 [doi] AB - Gap junctions are essential for glial cell function and have been increasingly implicated in multiple sclerosis (MS). Because increasing cortical abnormalities correlate with disease progression and cognitive dysfunction, we examined the expression of oligodendrocytic connexin32 (Cx32) and Cx47 and their astrocytic partners Cx30 and Cx43 in cortical lesions and normal-appearing gray matter (NAGM) in MS patients. Postmortem brain tissue samples from 9 MS cases were compared with 10 controls using real-time polymerase chain reaction, immunoblot, and immunohistochemical analyses. Connexin32 and Cx47 gap junction formation in oligodendrocytes was reduced within lesions, whereas Cx32 loss also extended to NAGM. In contrast, astrocytic Cx30 expression was increased within cortical lesions, whereas Cx43 was elevated in both lesions and NAGM. Diffuse microglial activation and marked astrogliotic changes accompanied these connexin abnormalities. Increased expression of Cx43 correlated with inflammatory load (r = 0.828, p = 0.042), whereas Cx32 expression correlated with longer disease duration and, therefore, milder course (r = 0.825, p = 0.043). Thus, there is a loss of intramyelin and intercellular oligodendrocyte gap junctions in MS gray matter lesions and NAGM, whereas interastrocytic gap junctions are increased, reflecting astrogliosis. These changes correlate with inflammation and disease duration and suggest that disconnection of oligodendrocytes from reactive astrocytes may play a role in failed remyelination and disease progression. FAU - Markoullis, Kyriaki AU - Markoullis K AD - From the Neuroscience Laboratory (KM, IS, NS, KAK) and Neurology Clinics (KAK), The Cyprus Institute of Neurology and Genetics, Nicosia, Cyprus; and Wolfson Neuroscience Laboratories, Division of Brain Sciences, Imperial College Faculty of Medicine, London, United Kingdom (FR, RR). FAU - Sargiannidou, Irene AU - Sargiannidou I FAU - Schiza, Natasa AU - Schiza N FAU - Roncaroli, Federico AU - Roncaroli F FAU - Reynolds, Richard AU - Reynolds R FAU - Kleopa, Kleopas A AU - Kleopa KA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Neuropathol Exp Neurol JT - Journal of neuropathology and experimental neurology JID - 2985192R RN - 0 (Antigens, CD) RN - 0 (Basic Helix-Loop-Helix Transcription Factors) RN - 0 (Connexins) RN - 0 (Glial Fibrillary Acidic Protein) RN - 0 (Nerve Tissue Proteins) RN - 0 (OLIG2 protein, human) RN - 0 (Oligodendrocyte Transcription Factor 2) RN - 0 (RNA, Messenger) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD/metabolism MH - Astrocytes/*pathology MH - Basic Helix-Loop-Helix Transcription Factors/metabolism MH - Connexins/genetics/metabolism MH - Female MH - Gap Junctions/metabolism/*pathology MH - Glial Fibrillary Acidic Protein/metabolism MH - Gray Matter/*pathology MH - Humans MH - Male MH - Middle Aged MH - Multiple Sclerosis/*pathology MH - Nerve Tissue Proteins/metabolism MH - Oligodendrocyte Transcription Factor 2 MH - Oligodendroglia/*pathology MH - Plaque, Amyloid/etiology MH - RNA, Messenger/metabolism EDAT- 2014/08/08 06:00 MHDA- 2014/12/18 06:00 CRDT- 2014/08/08 06:00 PHST- 2014/08/08 06:00 [entrez] PHST- 2014/08/08 06:00 [pubmed] PHST- 2014/12/18 06:00 [medline] AID - 10.1097/NEN.0000000000000106 [doi] PST - ppublish SO - J Neuropathol Exp Neurol. 2014 Sep;73(9):865-79. doi: 10.1097/NEN.0000000000000106.