PMID- 31827424 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240422 IS - 1662-5102 (Print) IS - 1662-5102 (Electronic) IS - 1662-5102 (Linking) VI - 13 DP - 2019 TI - Structure and Function of Cochlear Gap Junctions and Implications for the Translation of Cochlear Gene Therapies. PG - 529 LID - 10.3389/fncel.2019.00529 [doi] LID - 529 AB - Connexins (Cxs) are ubiquitous membrane proteins that are found throughout vertebrate organs, acting as building blocks of the gap junctions (GJs) known to play vital roles in the normal function of many organs. Mutations in Cx genes (particularly GJB2, which encodes Cx26) cause approximately half of all cases of congenital hearing loss in newborns. Great progress has been made in understanding GJ function and the molecular mechanisms for the role of Cxs in the cochlea. Data reveal that multiple types of Cxs work together to ensure normal development and function of the cochlea. These findings include many aspects not proposed in the classic K(+) recycling theory, such as the formation of normal cochlear morphology (e.g., the opening of the tunnel of Corti), the fine-tuning of the innervation of nerve fibers to the hair cells (HCs), the maturation of the ribbon synapses, and the initiation of the endocochlear potential (EP). New data, especially those collected from targeted modification of major Cx genes in the mouse cochlea, have demonstrated that Cx26 plays an essential role in the postnatal maturation of the cochlea. Studies also show that Cx26 and Cx30 assume very different roles in the EP generation, given that only Cx26 is required for normal hearing. This article will review our current understanding of the molecular structure, cellular distribution, and major functions of cochlear GJs. Potential implications of the knowledge of cochlear GJs on the design and implementation of translational studies of cochlear gene therapies for Cx mutations are also discussed. CI - Copyright (c) 2019 Wu, Zhang, Li and Lin. FAU - Wu, Xuewen AU - Wu X AD - Department of Otolaryngology, Head-Neck and Surgery, Xiangya Hospital of Central South University, Changsha, China. AD - Department of Otolaryngology, Emory University School of Medicine, Atlanta, GA, United States. FAU - Zhang, Wenjuan AU - Zhang W AD - Department of Otolaryngology, Wuhan Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Li, Yihui AU - Li Y AD - Department of Pharmacy, Changsha Hospital of Traditional Medicine, Changsha, China. FAU - Lin, Xi AU - Lin X AD - Department of Otolaryngology, Emory University School of Medicine, Atlanta, GA, United States. LA - eng GR - R01 DC006483/DC/NIDCD NIH HHS/United States GR - R01 DC014496/DC/NIDCD NIH HHS/United States PT - Journal Article DEP - 20191127 PL - Switzerland TA - Front Cell Neurosci JT - Frontiers in cellular neuroscience JID - 101477935 PMC - PMC6892400 OTO - NOTNLM OT - cochlea OT - connexin OT - deafness OT - gap junction OT - gene therapy OT - structure and function EDAT- 2019/12/13 06:00 MHDA- 2019/12/13 06:01 PMCR- 2019/01/01 CRDT- 2019/12/13 06:00 PHST- 2019/09/18 00:00 [received] PHST- 2019/11/13 00:00 [accepted] PHST- 2019/12/13 06:00 [entrez] PHST- 2019/12/13 06:00 [pubmed] PHST- 2019/12/13 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fncel.2019.00529 [doi] PST - epublish SO - Front Cell Neurosci. 2019 Nov 27;13:529. doi: 10.3389/fncel.2019.00529. eCollection 2019.