PMID- 26044641 OWN - NLM STAT- MEDLINE DCOM- 20160524 LR - 20231213 IS - 1873-7064 (Electronic) IS - 0028-3908 (Linking) VI - 97 DP - 2015 Oct TI - Oxaliplatin-induced neurotoxicity is mediated through gap junction channels and hemichannels and can be prevented by octanol. PG - 289-305 LID - S0028-3908(15)00202-6 [pii] LID - 10.1016/j.neuropharm.2015.05.021 [doi] AB - Oxaliplatin-induced neurotoxicity (OIN) is a common complication of chemotherapy without effective treatment. In order to clarify the mechanisms of both acute and chronic OIN, we used an ex-vivo mouse sciatic nerve model. Exposure to 25 muM oxaliplatin caused a marked prolongation in the duration of the nerve evoked compound action potential (CAP) by nearly 1200% within 300 min while amplitude remained constant for over 20 h. This oxaliplatin effect was almost completely reversed by the gap junction (GJ) inhibitor octanol in a concentration-dependent manner. Further GJ blockers showed similar effects although with a narrower therapeutic window. To clarify the target molecule we studied sciatic nerves from connexin32 (Cx32) and Cx29 knockout (KO) mice. The oxaliplatin effect and neuroprotection by octanol partially persisted in Cx29 better than in Cx32 KO nerves, suggesting that oxaliplatin affects both, but Cx32 GJ channels more than Cx29 hemichannels. Oxaliplatin also accelerated neurobiotin uptake in HeLa cells expressing the human ortholog of Cx29, Cx31.3, as well as dye transfer between cells expressing the human Cx32, and this effect was blocked by octanol. Oxaliplatin caused no morphological changes initially (up to 3 h of exposure), but prolonged nerve exposure caused juxtaparonodal axonal edema, which was prevented by octanol. Our study indicates that oxaliplatin causes forced opening of Cx32 channels and Cx29 hemichannels in peripheral myelinated fibers leading to disruption of axonal K(+) homeostasis. The GJ blocker octanol prevents OIN at very low concentrations and should be further studied as a neuroprotectant. CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Kagiava, Alexia AU - Kagiava A AD - Neuroscience Laboratory, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia, Cyprus. FAU - Theophilidis, George AU - Theophilidis G AD - Laboratory of Animal Physiology, Department of Zoology, School of Biology, Aristotle University of Thessaloniki, Thessaloniki, Greece. FAU - Sargiannidou, Irene AU - Sargiannidou I AD - Neuroscience Laboratory, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia, Cyprus. FAU - Kyriacou, Kyriacos AU - Kyriacou K AD - Department of Molecular Pathology and Electron Microscopy, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia, Cyprus. FAU - Kleopa, Kleopas A AU - Kleopa KA AD - Neuroscience Laboratory, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia, Cyprus; Neurology Clinics, The Cyprus Institute of Neurology and Genetics, Cyprus School of Molecular Medicine, Nicosia, Cyprus. Electronic address: kleopa@cing.ac.cy. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150601 PL - England TA - Neuropharmacology JT - Neuropharmacology JID - 0236217 RN - 0 (Connexins) RN - 0 (GJC3 protein, human) RN - 0 (Gje1 protein, mouse) RN - 0 (Nerve Tissue Proteins) RN - 0 (Neuroprotective Agents) RN - 0 (Octanols) RN - 0 (Organoplatinum Compounds) RN - 04ZR38536J (Oxaliplatin) RN - RWP5GA015D (Potassium) SB - IM MH - Animals MH - Axons/drug effects/pathology/physiology MH - Connexins/antagonists & inhibitors/genetics/metabolism MH - Dose-Response Relationship, Drug MH - Edema/drug therapy/pathology/physiopathology MH - HeLa Cells MH - Homeostasis/drug effects/physiology MH - Humans MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Nerve Tissue Proteins/antagonists & inhibitors/genetics/metabolism MH - Neuroprotective Agents/*pharmacology MH - Octanols/*pharmacology MH - Organoplatinum Compounds/*toxicity MH - Oxaliplatin MH - Potassium/metabolism MH - Sciatic Nerve/*drug effects/pathology/physiopathology MH - Gap Junction beta-1 Protein OTO - NOTNLM OT - Action potential OT - Chemotherapy-induced neuropathy OT - Cx29 OT - Cx32 OT - Gap junctions OT - Juxtaparanodes OT - Sciatic nerve EDAT- 2015/06/06 06:00 MHDA- 2016/05/25 06:00 CRDT- 2015/06/06 06:00 PHST- 2014/10/30 00:00 [received] PHST- 2015/04/16 00:00 [revised] PHST- 2015/05/16 00:00 [accepted] PHST- 2015/06/06 06:00 [entrez] PHST- 2015/06/06 06:00 [pubmed] PHST- 2016/05/25 06:00 [medline] AID - S0028-3908(15)00202-6 [pii] AID - 10.1016/j.neuropharm.2015.05.021 [doi] PST - ppublish SO - Neuropharmacology. 2015 Oct;97:289-305. doi: 10.1016/j.neuropharm.2015.05.021. Epub 2015 Jun 1.