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Membranes of adjacent cells form intercellular junctional complexes to mechanically anchor neighbour cells (anchoring junctions), to seal the paracellular space and to prevent diffusion of integral proteins within the plasma membrane (tight junctions) and to allow cell-to-cell diffusion of small ions and molecules (gap junctions). These different types of specialised plasma membrane microdomains, sharing common adaptor molecules, particularly zonula occludens proteins, frequently present intermingled relationships where the different proteins co-assemble into macromolecular complexes and their expressions are co-ordinately regulated. Proteins forming gap junction channels (connexins, particularly) and proteins fulfilling cell attachment or forming tight junction strands mutually influence expression and functions of one another.
In various tissues, e.g. in different types of epithelia, membranes in contact form intercellular junctional complexes comprising tight junctions, adherens junctions, and gap junctions. These different membrane specialisations fulfill different roles, tight junctions serving the major functional purpose of providing a “barrier” and a “fence” within the membrane by regulating paracellular permeability and maintaining cell polarity, anchoring junctions couple cytoskeletal elements to the plasma membrane at cell–cell contacts, providing mechanical integrity to tissues, whereas gap junctions allow the passage of small molecular weight solutes directly between neighbouring cells. The three types of junctions frequently intermingle with each other, sharing common proteins, termed adaptors, particularly zonula occludens (ZOs, ZO-1 being the most common), that are able to recruit other regulatory and structural proteins to the sites of intercellular junctional complexes. Adaptors are indeed composed of conserved protein binding domains, which allow them to link a variety of structural or signalling proteins to form multi-protein complexes to the same site and to tether transmembrane proteins belonging to anchoring, tight or gap junctions to the underlying cytoskeleton (which also plays important roles in bridging different protein complexes of the different intercellular junctions). The release or incorporation of these adaptors by one of the types of junctions plausibly interferes with the junction complexity and the stability of other junctions. Moreover, these adaptors per se can be substrates and/or activators of kinases or phosphatases. These close relationships allow the different types of junctions to mutually influence via these extensive networks. Moreover, protein–protein interactions may also activate signal transduction pathways (e.g. G-protein cascades, see Section 6.1) influencing the behaviour of other membrane junctions.
The determination of protein–protein interactions is no easy matter, with an abundance of potentially false positive detections with several methodologies, leading to the need to seek after protein partners using many different approaches. The most traditional methods are “directed” studies, with the strategy to identify potential protein partners on the basis of previous studies or preliminary functional or structural data. Immunofluorescence confocal microscopy is used to investigate co-localization of junctional proteins with protein partners, to examine if their similar subcellular localization makes possible a physical interaction between two proteins. Co-immunoprecipitation assays allow substantiation of their interaction. These approaches require identifying the potential partners and the availability of high affinity specific antibodies to them. In co-immunoprecipitation studies, cells or tissues are lysed in non-denaturing buffers; then using junctional protein antibodies, the complexes are pulled down from solution and run on denaturing gels to disaggregate the complexes. Proteins are electrophoretically transferred to nitrocellulose membranes, which are probed for the potential binding partner by means of specific antibodies. This traditional identification method is low throughput but relatively high stringency. To confirm that a binding partner pulled down with co-immunoprecipitation is a possible partner, and not an artefact of cell lysis condition, the reverse pull down should also be done where the identified protein is pulled down with its specific antibody and the complex is probed for the protein of interest. An additional stringent control is the use of cells or tissues in which the protein of interest is absent, such as transgenic null mice.
Several “non-directed” approaches with high throughput screens are also used, such as employing purified protein portions of junctional proteins (such as their N- or C-terminus domain) as “bait” for protein partners. The expressed domain of interest is incubated with cell or tissue lysates, and then directly pulled down and the complexes of protein run out on a denaturing SDS gel. The 2-D or 3-D gel is then either western blotted and proteins identified using specific antibodies, or stained to highlight the presence of a band of protein which is excised, allowing identification of individual proteins by means of HPLC or MALDI-TOF mass spectrometry. Another methodology is to use antibody arrays to examine groups of potential protein partners. In this procedure, antibodies to a wide variety of potential partners of junctional protein are immobilized on nitrocellulose membranes in clusters of related proteins and incubated with cell or tissue lysates, and protein complexes are captured by specific antibodies. The presence of junctional proteins within these complexes is then probed using HRP-tagged connexin specific antibodies. These methods allow simultaneous probing of a large number of potential partners; moreover, if arrays are prepared by a commercial entity, the risk of investigator bias is partially prevented. More directed searches can be done, if the arrays are made “in house” with antibodies against particular proteins being immobilized on nitrocellulose. If these antibodies are chosen due to either functional or structural relationship to a given protein, the arrays have the potential to yield entire pathways which involve Cx–protein interactions. Among in vitro approaches developed to compare binding affinities of identified protein partners of Cxs, the surface plasmon resonance measures the change in refractive index of a solvent near a surface (typically a gold film) that occurs during complex formation or dissociation.
The barrier function of tight junctions can be estimated by either the transepithelial electrical resistance (TER) measurement or the estimation of the paracellular flux, for example of 14C-inulin, 14C-mannitol or BODIPY-sphingomyelin or with fluorescent cell impermeant molecules such as FITC-dextran, whereas the cell-to-cell coupling through gap junctions can be assessed in dual voltage-clamp conditions (gap junctional conductance) or by intercellular diffusion of intracellularly injected or scrape-loaded fluorescent dye.
All gap junction channels have a similar overall structure but, unlike most other membrane channels, different gene families encode the channel-forming proteins in different animal phyla. Gap junction structure and functions were for a long time mainly investigated in vertebrates, where they were believed to be solely formed by connexins (Cxs). Then, in C. elegans (a nematode) and Drosophila (an arthropod), which have no Cx genes, gap junctions were found to be encoded by another gene family, the innexins (Inxs, invertebrate analogues of Cxs), which have no sequence homology to Cxs . The list of animal phyla with identified members of the Inx family progressively extended to platyhelminthes, annelida, coelenterata and mollusca (see  for review). Sequences with low, but detectable, similarity to Inxs were then identified in vertebrate chordates, leading some authors to suggest that the protein family be re-named pannexins (from the Greek “pan”, all, entire, and nexus, connection), abbreviated Panxs . Using statistical, topological and conserved sequence motif analyses, Yen and Saier  recently proposed that Inxs and Panxs would belong to a single superfamily. White et al.  showed that Cx genes were not restricted to vertebrate animals but were also present in invertebrate chordates (e.g. in tunicates, ascidians and appendicularians).
Cxs, Inxs and Panxs share with claudins and occludins, two essential tight junctional components, similar topologies, with 4 α-helical transmembrane segments (TMSs); all proteins exhibit well-conserved extracellular cysteinyl residues that either are known to or potentially can form disulfide bridges. Yen and Saier  used a multiple alignment of the protein sequences of the different families of gap junction proteins to derive average hydropathy and similarity plots as well as phylogenetic trees. The data obtained led to several evolutionary, structural and functional suggestions, in particular (i) the most conserved regions of the proteins of the different families are the 4 TMSs (although the extracellular loops between TMSs 1 and 2, and TMSs 3 and 4 are also usually well conserved). (ii) The phylogenetic trees revealed sets of orthologues except for Inxs, where phylogeny primarily reflects organismal source (possibly on account of the lack of relevant invertebrate genome sequence data. (iii) Conserved cysteinyl residues in Cxs and Inxs pointed to a similar extracellular structure involved in the docking of hemi-channels to form intercellular channels. (iv) In claudins and occludins, these residues might play a similar role in homomeric interactions. The lack of sequence or motif similarity between the different protein families indicates that, if they did evolve from a common ancestral gene, they have diverged considerably to fulfill separate, different functions.
When their full-length amino acid sequences are compared, Inxs display relatively low overall identity to either Panxs or Cxs; however, there is greater identity or similarity between Inxs and Panxs when only the first halves of the molecules (the first two TMSs and their extracellular linker (EC1)) are compared (a pair of cysteinyl residues in EC1 is for example absolutely conserved in all Inxs and Panxs but the latter do not possess the YY(X)W(Z) motif in TM2 regarded as a signature sequence of innexins, see . Invertebrate Cxs share 25–40% sequence identity with human Cxs . Twenty and twenty-one members of the Cx gene family are likely to be expressed in the mouse and human genome, respectively (19 of which can be grouped into sequence-orthologous pairs) and orthologues are increasingly characterised in other vertebrates; in invertebrate chordates, a comparable number (e.g. seventeen connexin-like sequences in a basal marine chordate, the tunicate Ciona intestinalis) have been found. The Inx family appears large since well over 50 sequences have already been reported (as for example 25 in C. elegans) but functional studies of cell–cell communication have only been performed for some of them (see ). In contrast, only 3 Panx genes have been described in mouse and human and, up to now, both the presence of Panxs in ultrastructurally defined gap junctions as well as the in vivo existence of Panx-built canonical intercellular channels remain to be shown. In vitro Panx1, alone and in combination with Panx2, however induced the formation of intercellular channels in paired Xenopus oocytes . Given the fact that the N-terminal halves of the gap junction proteins are better conserved than the C-terminal halves, Yen and Saier  suggested that the former segments might share an essential, universal function while the latter segments could have diverged for more specialised functions.
A major difference between pannexins and both innexins and connexins is the presence of glycosylation sites in the pannexin extracellular loops . Presumably, such glycosylation not only plays a role in trafficking of Panx1 to the membrane, but also this glycosylation poses a steric barrier to formation of pannexon linkage across extracellular space. Thus, the role of pannexin channels is most likely to involve exchange from extracellular space, rather than between cells (see [8–11]).
Adherens junctions (AJs) mediate adhesion between neighbouring cells by linking the actin cytoskeleton of one cell to that of the next cell via transmembrane adhesion molecules and their associated protein complexes. The core of these junctions consists of two basic adhesive units, the interactions among transmembrane glycoproteins of the classical cadherin superfamily and the catenin family members (including p120-catenin, β-catenin, and α-catenin) and the nectin/afadin complexes (for review, see ). Their formation, as that of gap junctions, requires close membrane–membrane apposition, and durable interactions between AJ and gap junction (GJ) components have been summarized in Table 1. Cadherins comprise an important family of transmembrane glycoproteins that mediate calcium-dependent cell–cell adhesion and are linked to the actin cytoskeleton via catenins. In NIH3T3 cells, Cx43, N-cadherin and different N-cadherin-associated proteins were found colocalized and coimmunoprecipitated, suggesting that Cx43 and N-cadherin are coassembled in a multiprotein complex containing various N-cadherin-associated proteins . However, no evidence was found in the latter study for direct binding between N-cadherin and the C-terminal part of Cx43, suggesting that weak protein–protein interactions might exist between them, or that interactions occur with the short N-terminus or intracellular loop domains of Cx43 or via a protein partner acting as an anchoring bridge. Catenins, which anchor cadherins to the actin cytoskeleton, were found co-localized and coimmunoprecipitated with Cx43 in neonatal rat cardiomyocytes [14,15]. In the latter study, β-catenin was suggested to associate with α-catenin, ZO-1 and Cx43 during gap junction development. In contrast, Cx45 and β-catenin do not have a direct association to each other in mouse heart .
Tight junctions (TJs), the most apical organelle of the apical junctional complex, primarily involved in the regulation of paracellular permeability and membrane polarity, are built from about 40 different proteins, including members from multigenic families. These proteins include three main transmembrane proteins (claudins, occludin, and junctional adhesion molecules, JAMs), as well as cytoplasmic proteins fulfilling roles in scaffolding, cytoskeletal attachment, cell polarity, signalling, etc. (see [17–20]). Up to now, connexin interaction with JAMs has not yet been reported, but several interactions of the other TJ components have been observed, summarized in Table 2.
Occludin was found to interact with Cx32 in immortalized mouse hepatocytes  and cultured rat hepatocytes . Nusrat et al. , using a bait interaction system, reported that Cx26 interacted with a coiled-coil domain of occludin. This suggests that Cx26 retains the ability to interact with occludin in some cell systems, although in other cultured systems this interaction may not be physiological. Claudin-1 was found co-localized with Cx32, occludin and ZO-1 at cell borders of primary cultured rat hepatocytes, and binding of Cx32 to the tight-junction proteins was demonstrated by coimmunoprecipitation . Both occludin and claudin-5 (and ZO-1, see below) were shown to colocalize and to coprecipitate with Cx40 and Cx43 in porcine blood-brain barrier endothelial cells .
In the different junctional complexes, adaptor proteins, which possess a modular organization with several protein–protein interaction domains, usually bind to the cytoplasmic C-terminal tail of transmembrane proteins and connect them to the actin cytoskeleton directly or indirectly by recruiting other proteins. Zonula occludens (ZO) proteins, in addition to the characteristic modules of the MAGUK protein family (PDZ, SH3 and GUK domains), have a distinctive C-terminus comprising acidic- and proline-rich regions, and splicing domains. ZO-1, a 220 kDa peripheral membrane protein, tethers transmembrane proteins either directly (e.g. occludin, claudins and JAMs) or via their adapter proteins (α-catenin or afadin for example) to the actin cytoskeleton (for recent reviews, see for example [18,19,25,26]. The growing number of connexins that can associate with ZO proteins, summarized in Table 2 (see also ), indicates that the latter may play a more general role in organizing gap junctions and/or in recruiting signalling molecules that regulate intercellular communication. Up to now, all Cxs that have been shown to interact with ZO-1 belong to the alpha connexin isotypes, leading to the speculation that other connexin isotypes (betas, gammas, etc) may have alternate scaffolding partners.
Coxsackievirus-adenovirus receptor (CAR) is a transmembrane TJ protein associated with ZO-1 , well conserved in vertebrates but its function remains poorly understood. CAR is, in the postnatal heart, predominantly localized at the intercalated disc and also present in the atrioventricular (AV) node. CAR interacts with Cx45 and they form a complex with ZO-1 and β-catenin .
ZO proteins are at the centre of a network of protein interactions, linked to the actin cytoskeleton via their C-termini whereas their N-termini interact with the C-terminal regions of different transmembrane junctional proteins (claudins, occludin, JAM and connexins) via different docking modules. The first N-terminal PDZ domain of ZO-1, ZO-2 and ZO-3 directly binds to the C-termini of claudins, the third PDZ domain of ZO-1 interacts in vitro with JAM-1 whereas the GUK region of ZO-1 is responsible for occludin interaction (see ). ZO-1 also directly interacts with α-catenin and afadin (see ). Except Cx35 and -36, which appear to interact with PDZ1 of ZO-1, connexins mainly interact with PDZ2 of ZO-1 and, to a lesser extent, ZO-2; up to now, only Cx45 has been found to interact with ZO-3 (see Table 2). Cx36 and Cx45 binding to different ZO-1 PDZ domains (respectively PDZ1 and PDZ2, see Table 2). Li et al.  suggested that ZO-1 might simultaneously interact with Cx36 and Cx45 in a tripartite manner, thereby tethering the two Cxs within gap junctions. As ZO-1 can target to the periphery of Cx43 junctional plaque independently of PDZ2-mediated interactions, Hunter and Gourdie  put forward a targeting sequence that would initially involve ZO-1 bound to junctional complexes (possibly N-cadherin-based) adjacent to GJs, followed by a transfer of ZO-1 and its direct engagement with Cx43 at GJ edges.
The C-terminus region of Cxs(adomain of 156aminoacids in Cx43 for example) is not required for the formation of functional channels but is critical for GJICmodulation. Itpresents several potentialphosphorylation sites for different protein kinases, and modifications in the phosphorylation status of tyrosine, serine, or threonine residues have been reported to affect, in one way or another, GJIC (see for example [31–33]).
Different cytoplasmic domains of connexins appear involved in interactions with partner proteins and may mutually influence one another. The interaction between the extreme C-end of Cx43 for example with ZO-1 via the second, but not the firs t, PDZ domain (seeTable 2) seems influenced by c-Src , see also . Cx43/v-Src associations are mediated by interactionsbetween theSH3domain of v-Src and a proline-rich region of Cx43 and by the SH2 domain of v-Src and tyrosine 265 of Cx43 , and it has been suggested that such interaction might induce a structural change in the C terminal region of Cx43, thereby hindering the interaction between Cx43 and the ZO-1 PDZ-2 domain . Jin et al.  suggested that Cx43 interaction with this domain might take place through a typical Class II PDZ binding domain. NMR titration experiments determined that the ZO-1 PDZ-2 domain affected the last 19 amino acid residues (a.a.) of the C-terminus of Cx43 .
Jin et al.  emphasized the fact that, in contrast to Cx32, Cx31.9, Cx43, Cx46 and Cx50 exhibit similar ZO-1-PDZ2-binding motifs (D-L-X-I) in their C-terminus. Cx31.9 , Cx45 , Cx46 , Cx47  and Cx50  interact with ZO-1 via their C-terminus whereas Cx36 [43,44] and Cx35  bind PDZ-1 of ZO-1; Cx35 and Cx36 indeed, in contrast with the first connexin group, contain the C-terminus a.a. YV, the binding motif domain present in the C-terminus of most of the claudins and reported to be responsible for their interaction with the PDZ-1 domain of ZO-1, ZO-2 and ZO-3 . A domain of 14 C-terminal a.a. (and particularly the last 4 ones, SAYV) of the Cx35 and Cx36 sequences appear required for their interaction with the PDZ-1 domain of ZO-1 since a 14 a.a. peptide corresponding to this region showed binding capacity to the PDZ-1 domain of ZO-1 and behaved in vitro as a competitive inhibitor of Cx36/ZO-1  or Cx35/ZO-1  interaction whereas a 10 a.a., with the same sequence except lacking the 4 a.a. forming the PDZ binding motif did not . Sequence analysis and immunocytochemical data suggested that Cx36 might directly interact with ZO-2 at mouse retinal gap junctions; however, an indirect association, via a partner protein (e.g. ZO-1) remained possible . As ZO-1 was able to bind to a truncated Cx45 protein lacking the canonical PDZ binding domain present at the C-tail, Laing et al.  suggested that Cx45 may have a large and complex binding site for ZO-l, comprising the residues between a.a. 357 and the Cx45 C-terminus, an alternative possibility being the existence of 2 distinct binding sites, one involving the C-tail and the second the amino acids proximal to amino acid 360. The authors however did not exclude either the possibility of an artefactual ZO-1/Cx45 binding or of an indirect interaction (e.g. an association of Cx45 with Cx43 bound to ZO-1). An indirect interaction was also proposed for the formation of CAR/Cx45 protein complex . The cytoplasmic domains of both proteins possess PDZ-binding motifs able to link PDZ-domain-containing proteins such as ZO-1. The four C-terminal residues (SVWI) of Cx45 and the PDZ-binding domain (ITVV) of CAR appear required for this interaction .
Several other apical junction proteins such as cadherins, the major transmembrane protein of AJs, are indirectly linked to ZOs through protein linkages, for example via α-catenin, which establishes linkages between the cadherin/β-catenin complex and the actin cytoskeleton via adapter proteins (e.g. ZOs) (for recent review, see ). α-catenin appears to interact with the SH3-hinge-GUK region of ZO-1 as well as with ZO-2 with the N-terminus of ZO-2 (see ). In vitro, ZO-1 and ZO-3 bind F-actin via their proline rich C-termini but ZO-2 would not directly interact with actin (see ).
A number of studies have indicated that formation of gap junctions and of anchoring junctions are intimately linked: Meyer et al.  observed in Novikoff cells that antibodies directed against either extracellular domain of Cx43 or N-cadherin prevented both gap junction and adherens junction formation. The clustering of cell surface proteins is routinely assumed to be due to relatively static interactions with scaffolding proteins that in turn are attached to cytoskeletal components.
Cytoplasmic scaffold proteins appear to play key roles in the assembly of membrane specialised areas (e.g. cellular junctions, channel or receptor clusters, etc), organizing membrane proteins into specialised membrane domains (Fig. 1). Cytoskeletal-based perimeter fences were for example seen to selectively corral a membrane-protein sub-population of potassium channels (Kv2.1 channels) to generate stable 1–3 μ2 clusters . These authors noticed that despite the stability of these microdomains, the channels retained within the cluster perimeter were surprisingly mobile, showing that the clustering did not result from a static scaffolding-based structure. Connexin channels clustered in gap junctional plaques share these characteristics, where ZO-1 is preferentially localized at the periphery of the plaques [51–53], suggesting that a ZO-1-actin perimeter fence could selectively corral gap junction channels. G protein signalling cascades have emerged as one of the primary cellular mechanisms for controlling membrane channels, and RhoA was recently seen to dynamically modulate the permeability of Cx43-made channels presumably via its pivotal role in regulating the actin cytoskeleton since its stabilization by phalloidin markedly reduced the consequences of RhoA activation or inactivation. The last ones were accompanied by alterations in the Cx43/ZO-1 interactions .
As ZO-1 interacts with both occludin and different Cxs, for example Cx32, chimeras were created by combining C-terminal end of occludin with transmembrane portions of Cx32, and such chimeras were able to localize with ZO-1-containing cell contacts, suggesting an important role for cytoplasmic proteins in the targeting of these chimeras to the appropriate membrane subdomain .
ZO-1 was suggested to provide a docking that temporarily secures the different connexins in gap junction plaques at the cell–cell boundary [55–57]. The overexpression of the N-terminal domain of ZO-1, which lacked the ability to localize at cell–cell interfaces, disrupted the transport of Cx43-FLAG to the target site . The level of incorporation of Cx43 lacking the ZO-1 binding domain into the cell surface was however reduced by about 30–40% compared to wild-type Cx43 in cardiac myocytes  and also markedly reduced in mice fibroblasts whereas significant levels of truncated Cx43 were observed within the cell cytoplasm . These observations show that the Cx43–ZO-1 interaction is important although not indispensable for the formation of functional Cx43 channels. The reduction of Cx43–ZO-1 interaction significantly increased the size of Cx43 plaques [52,59] with, in the latter study, a concomitant reduction in their overall number.
The assembly of adherens junction proteins (particularly of N-cadherin, α-catenin and β-catenin) was observed at cell contacts before Cx43 formed gap junctions [60,61] and seems to be a prerequisite for subsequent GJ formation . The latter authors suggested that cell-to-cell contact sites made by cadherin–catenin complexes as well as tight junctional strands may then act as foci for gap junction formation. The influence of cadherins in gap junction formation however might be context or cell-type dependent, the expression of exogenous cadherin investigated for example in mouse L and rat Morris hepatoma cells inhibited GJIC in the first case but enhanced it in the second . In cardiomyocytes of new-born rat, intracellular applications of β-catenin, α-catenin or ZO-1 perturbed the formation of the catenin–ZO-1–Cx43 complex and inhibited the Cx43 transport to the plasma membrane and the assembly of gap junction plaques . Normal cardiac functions depends on the proper organization of the different junctional complexes to mediate mechanical and electrical coupling between individual myocytes, and varied defects in intercalated disc proteins are linked to different cardiac arrhythmias in human and animal models (for review, see ).
In a α-catenin-deficient prostate cancer cell line, the forced expression of α-catenin not only triggered the trafficking and assembly of Cx32 and −43 into gap junctions but also recruited ZO-1 to the cell surface . Antibody-mediated disruptions of cadherin-containing cell adhesion contacts altered GJIC; for example, antibodies directed against N-cadherin prevented gap junction formation in embryonic chick neuroectoderm  or lens  cells, whereas antibodies to E-cadherin interrupted GJIC between cultured terato-carcinoma PCC3 cells . Both deletion of the N-cadherin gene in mouse  and transfection of dominant negative N-cadherin cDNA into adult rat cardiomyocytes  disrupted cardiac gap junctions. Given that N-cadherin and catenins are assembled into cadherin–catenin complexes in the endoplasmic reticulum/Golgi compartments, prior to localization at the plasma membrane , this raises the possibility that Cx43 is assembled as part of a multi-protein complex that may coordinately regulate adherens and gap junction assembly .
In corneal epithelial cells, the presence of E-cadherin was not a prerequisite for the assembly of Cx43 gap junctions  whereas in mouse epithelial cells stable transfection of E-cadherin cDNA increased GJIC . Adherens junctions formed by E-cadherin were suggested to trigger actin cable formation, allowing the transport of both Cx26 and Cx43 to the plasma membrane of murine skin papilloma cells . In rat cardiomyocytes, intracellular application of antisera against α- or β-catenin prevented Cx43 targeting to the plasma membrane and the formation of GJ plaques, suggesting that binding of catenins to ZO-1 would be required for Cx43 transport to the plasma membrane during the assembly of gap junctions . In the mouse early embryo, cell contact asymmetry, required for TJ biogenesis, appeared to provoke a spontaneous decrease in GJIC .
The assembly of adherens junctions was found to trigger a dramatic decrease in RhoA activity and a stimulation of Rac1 and Cdc42 activity [74,75] suggesting that, in cardiac myocytes, the localization of Cx43 was determined through the Rac1 pathway downstream of N-cadherin. In rat cardiac myocytes for example, RhoA activity dynamically modulates the permeability of Cx43-made channels since RhoA activation markedly enhanced the cell-to-cell diffusion of a fluorescent dye whereas opposite effects was observed after specific RhoA inhibition . Rho GTPase being known to be downstream signal transducers of cadherins , cadherins could influence GJIC via this pathway.
Chung et al.  observed, in cultured Sertoli cells, that a transient induction of Cx33 coincided with an induction of N-cadherin expression. After blockage of the connexin functions using a Cx31 and Cx33 pan-connexin peptide, an induction and dys-localization of N-cadherin were observed . In mouse hepatocytes derived from Cx32-deficient mice, the expression of exogenous Cx32 induced the formation and functions of TJ whereas the expression of Cx26, Cx43 or C-tail truncated Cx32 had no effect . An up-regulation of membrane-associated guanylate kinase with inverted orientation-1 (MAGI-1, a TJ protein) caused by Cx32 protein expression and/or Cx32-mediated GJIC was observed by Murata et al. , and these authors suggested that MAGI-1 might act as a scaffold protein for both adherens and tight junctions. During early embryo development, the initiation of GJIC coincides with the initiation of TJ membrane assembly at compaction but however Eckert and Fleming  did not find evidence supporting the notion that GJIC may be involved in regulating de novo TJ biogenesis at this stage.
Connexin expressions (particularly the ones of Cx26 and Cx32) influence the structure and/or functions of different TJs, as summarized in Table 3. Transfection of Cx32 into immortalized mouse hepatocytes derived from Cx32-deficient mice was associated with the induction of TJ strands and of the integral proteins occludin, claudin-1, and ZO-1, strengthening the TJ functionality . The 18α-glycyrrhetinic acid (AGA)-induced disruption of GJIC between Cx26-transfected Caco-2 cells resulted in an increase in paracellular permeability of the cell monolayer, suggesting that reduced paracellular permeability in the Cx26 transfectants, via claudin-4 up-regulation, was mainly due to enhanced GJIC . In Calu-3 cells, the expression of claudin-14 was significantly increased in Cx26 transfectants compared to parental cells, and in some cells, Cx26 was co-localized with claudin-14. However, in this cell type, GJIC uncouplers (AGA or oleamide) did not affect the changes induced by Cx26 transfection, suggesting that Cx26 expression, but not the mediated intercellular communication, may regulate tight junction barrier and fence functions [83,84]. In different brain and lung endothelial cell types, the same GJIC uncouplers also inhibited the barrier function of tight junctions, findings suggesting that Cx40- and/or Cx43-based GJs might be required to maintain the endothelial barrier function without altering the expression and localization of the tight-junction components analyzed (namely occludin, claudin-5, ZO-1, JAM-A,-B or -C ).
A pan-connexin peptide corresponding to the extracellular binding domain of testis Cxs (Cx31 and Cx33), able to impede the formation of functional intercellular channels, caused a disintegration of occludin-associated protein complexes . The fact that the level of N-cadherin at the basal seminiferous epithelium remained relatively unaffected suggested that these connexins are immediate and preferential regulators of occludin-based TJ instead of N-cadherin-based AJ at the sites of blood-testis barrier see . In contrast, in a 42GPA9 Sertoli cell line assay, lindane (gamma-hexachlorocyclohexane, a lipid-soluble pesticide that exerts carcinogenic and reprotoxic effects) abolished GJIC and dislocated GJ plaques of Cx43 without modification of occludin localization .
In interleukin-1β-treated primary human astrocytes, upregulation of claudin-1 was accompanied with down regulation of Cx43 and occludin, suggesting a reciprocal relationship between GJ and TJ proteins . When human nasal epithelial (HNE) cells are cocultured with primary human nasal fibroblasts in a non-contact system, a differentiation of HNE cells occurred, accompanied by a down-regulation of Cx26 and an upregulation of Cx30.3 and Cx31, together with the development of extensive GJIC. This switch in connexin expression was accompanied by an increase in claudin-1, claudin-4, occludin and ZO-2 expression . Mice lacking either Cx37 or Cx40, the predominant gap junction proteins present in vascular endothelium, are viable and exhibit phenotypes that are largely non-blood vessel related but animals lacking both Cx37 and Cx40 display severe vascular abnormalities, with localized hemorrhages in skin, testis, gastrointestinal tissues, and lungs, and die perinatally . These studies suggest that the expression of these connexins plays a major role in establishing and maintaining the paracellular permeability barrier. Rapid mobilization of leucocytes through endothelial and epithelial barriers, a key in immune system reactivity, is a complex multistep process, which includes leucocyte tethering, rolling, tight adhesion and extravasation (see for example ). Once activated, leucocytes migrate to the junctional region; their extravasation or diapedesis via paracellular transmigration requires rapid opening and closing of intercellular junctions, essential to maintain the integrity of the epithelial barrier. These processes are regulated by adhesion molecules such as PECAM-1 (platelet-endothelial cell adhesion molecule 1), CD99, VE-cadherin (vascular endothelial cadherin) and JAMs (see ). The establishment of GJIC between activated leucocytes and endothelial cells, allowing a heterocellular communication, would be critical for the adhesion and extravasation of leucocytes . Heterocellular GJIC between breast tumor cells and endothelial cells was also shown to up-regulate diapedesis of tumor cells .
The armadillo repeat protein β-catenin is recognized as a component of functional adherens junctions and an intermediate in the “canonical Wnt signalling pathway”, activating the transcription of crucial target genes responsible for cellular proliferation and differentiation. The expression of the mammary Cxs and their association with α, and β-catenins and ZO-2 proteins to form functional GJs was for example found to be crucial for mammary epithelial cell differentiation as monitored by β-casein expression since protein complex in heterocellular cultures would indeed recruit β-catenin and inhibit its entry to the nucleus favouring a differentiated phenotype (see ).
The transcription factor ZO-1-associated Nucleic Acid Binding protein (ZONAB), the canine homologue of mouse Y-box transcription factor 3 (MsY3) and of human DbpA (an E2F target gene found overexpressed in different carcinomas), is known to associate with SH3 domains of ZO-1. The binding of ZONAB to ZO-1 results in its membrane sequestration at intercellular junction level (see ) and hence the inhibition of its transcriptional activity. As MsY3 co-localizes with oligodendrocytic Cx47 and Cx32 as well as with astrocytic Cx43 ) and with Cx36 in mouse retina ), such sequestration of ZONAB would inhibit its transcriptional activity.
Nectins first form cell–cell adhesions, which then induce, via the activation of small GTPases (Rap1, Cdc42 and Rac), a reorganization of the underlying actin cytoskeleton, which then recruits cadherins to the nectin-based cell–cell adhesion sites. Moreover, during or after the formation of AJs, nectins recruit, first, JAM and then claudin and occludin to the apical side of AJs in cooperation with cadherin, which results in the formation of TJs (see ).
In tumorigenic mouse sarcoma cells (S180), which do not express the Ca2+-dependent liver cell adhesion molecule (L-CAM), fluorescent dye microinjected into cells virtually did not spread to adjacent cells, but after cells were transfected with cDNA for L-CAM, an extensive cell-to-cell dye diffusion was observed . In chick neuroectoderm, Keane et al.  noticed that the differentiating cells formed discrete fields of expression, where fields of junctional communication correlated with fields of Neural-CAM (N-CAM) expression. The fact that in primary human astrocytes, GJ and TJ proteins seem inversely regulated by interleukin-1β suggests that, in pathological conditions, increases of this proinflammatory cytokine might alter astrocyte-to-astrocyte connectivity .
The extent of GJIC is a direct measurement of the number and functionality of GJ channels, influenced by a number of factors as transcriptional control, post-transcriptional modifications (e.g. phosphorylation) and rapid degradation of Cxs by both the proteasomal and lysosomal systems. In NRK and HEK293 cells, proteasome inhibition resulted in a reduction of Cx43–ZO-1 association and an accumulation of Cx43 forming large GJ plaques at plasma membranes, and Girao and Pereira  hypothesized that proteasome inhibition could prevent Cx43–ZO-1 interaction by preventing degradation of a putative Cx43-interacting protein. In rabbit lens epithelial cells, ZO-1 down-regulation resulted in loss of dye transfer activity without altering the total amount of Cx43 protein in the cells, as if aggregated Cx43 gap junction channels were not able to transfer dye without ZO-1 located in the specific “ring” arrangement around the plaque .
Interconnection of individual cardiac cells through gap junction channels plays a pivotal role for the velocity and the safety of impulse propagation in cardiac tissues. Most of the intercellular channels are packed at the ends of cardiac myocytes in intercalated discs, where gap junction plaques are intertwined with adherens junctions, desmosomes and CARs. CAR expression is essential for early cardiac development (CAR-null mice die in utero with cardiac defects (see ) and it remains robustly expressed in adults . CAR presence is essential to maintain normal AV conduction [16,102]. In the latter study, authors suggested that, given the difference in morphology between AV-nodal cells and myocardial cells, CAR and ZO-1 protein complex is required to localize Cx 45 to the cell–cell junction of AV-nodal tissue but that they are not required for localization of Cx40 and −43 in the intercalated disc. Coxsackieviruses and adenoviruses are the pathogens most commonly associated with inflammatory heart disease; the fact that these viruses have evolved independently to interact with a receptor normally inaccessible from the epithelial surface is not unprecedented: JAMs were also identified as receptors for mammalian reoviruses .
In the gap junction remodeling observed after human heart failure, ZO-1 (specifically localized at the intercalated discs) was up-regulated in parallel with the reduced expression of Cx43, and these changes were accompanied by an increase in the proportion of Cx43 interacting with ZO-1 .
In adherens junctions (see ), transmembrane proteins (particularly N-cadherins) link actin cytoskeletons via intracellular linker proteins (e.g, plakoglobin, γ-catenin, β-catenin, and α-actinin) whereas desmosome transmembrane molecules (desmocollins and desmogleins, members of the cadherin family) are linked to the intermediate filaments (mainly desmin in cardiac myocytes) by desmoplakin and the armadillo proteins plakoglobin and plakophilin (see ). Adherens junctions appears to nucleate GJs, and disruption of mechanical coupling has been suggested to lead, via the loss of GJIC, to different cardiomyopathies [106,107]. Mutations in genes encoding different desmosomal proteins (plakoglobin, desmoplakin, plakophilin 2 and desmoglein 2) have for example been identified in patients with arrhythmogenic right ventricular dysplasia/cardiomyopathy (see  for references). Cardiac-specific deletion of N-cadherin led to alteration in Cx40 and Cx43, disassembly of the intercalated disc structure and conduction slowing and arrhythmogenesis in adult mice [109,110]. As ectopic expression of cadherins is associated with changes in tumor cell behaviour and pathology, Ferreira-Cornwell et al.  examined the effect of expression of either E-cadherin or N-cadherin in the heart of transgenic mice. Misexpression of E-cadherin led to cardiomyopathy, with earlier onset and increased mortality compared with N-cadherin mice, with a dramatic decrease in Cx43. Silencing of plakophilin 2 expression with siRNA resulted in cardiomyocytes of new-born rat in a drastic loss of Cx43 gap junction plaques, a significant redistribution of Cx43 and a decrease in intercellular dye coupling . Structural and functional links via tight and gap junction were suggested to be temporarily established between heterologous cell types, for example between axon and regenerating Schwann cells, during mammalian peripheral nerve regeneration .
The exact mechanisms mediating these sorts of molecular crosstalk remain to be identified but have important consequences to the synchronization of different cellular events; it was for example observed that Cx43 or N-cadherin knockdown similarly inhibited cell motility of NIH3T3 cells . N-cadherin and Cx43 were proposed to modulate neural crest cell motility by engaging in a dynamic crosstalk with the cell’s locomotory apparatus through p120-catenin signalling .
Interactions of gap junction proteins with proteins of other membrane junctions appear to have been conserved through evolution, between connexins and cadherins in vertebrates, between innexins and core proteins of adherens and septate junctions (the latter providing some of the functions ascribed to tight junctions in vertebrate tissues, see ). In the latter study, such interaction was suggested to play an essential role in epithelial morphogenesis.
Cell–cell-interactions play key roles in the regulation of tissue integrity, the generation of barriers between different tissues and body compartments. Intercellular junctional complexes are composed of the tight junctions or zonula occludens, the adherens junctions or zonula adherens, and desmosomes or macula adherens, whereas gap junctions provide for intercellular communication. There is an intimate spatial relationship between the different types of junctions. These different junctions, sharing common adaptor molecules, particularly ZO-1, frequently present intermingled relationships, the proteins coassemble into macromolecular complexes and their expressions are coordinately regulated.
A close membrane–membrane apposition is required for gap junction formation and maintenance. The structural alterations that are seen in cardiomyocytes from failing hearts reflect the importance of intercalated discs in the heart, where they are involved in both mechanical force transmission and intercellular communication, explaining the fact that in radical acute disease (such as sepsis), both these junctional types are disrupted (see [116,117]). In the heart, defects in cell–cell adhesion, or the presence of discontinuities between adhesion junctions and the cytoskeleton may, as recently emphasized by Saffitz , destabilize GJs, reducing electrical coupling and contributing to the high incidence of ventricular arrhythmias and sudden death observed in these cardiomyopathies. In conclusion, gap junctions are not only structurally but also functionally associated with anchoring and tight junction structures.