RT Journal Article SR Electronic T1 A Central Role of Connexin 43 in Hypoxic Preconditioning JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 681 OP 695 DO 10.1523/JNEUROSCI.3827-07.2008 VO 28 IS 3 A1 Jane H.-C. Lin A1 Nanhong Lou A1 Ning Kang A1 Takahiro Takano A1 Furong Hu A1 Xiaoning Han A1 Qiwu Xu A1 Ditte Lovatt A1 Arnulfo Torres A1 Klaus Willecke A1 Jay Yang A1 Jian Kang A1 Maiken Nedergaard YR 2008 UL http://www.jneurosci.org/content/28/3/681.abstract AB Preconditioning is an endogenous mechanism in which a nonlethal exposure increases cellular resistance to subsequent additional severe injury. Here we show that connexin 43 (Cx43) plays a key role in protection afforded by preconditioning. Cx43 null mice were insensitive to hypoxic preconditioning, whereas wild-type littermate mice exhibited a significant reduction in infarct volume after occlusion of the middle cerebral artery. In cultures, Cx43-deficient cells responded to preconditioning only after exogenous expression of Cx43, and protection was attenuated by small interference RNA or by channel blockers. Our observations indicate that preconditioning reduced degradation of Cx43, resulting in a marked increase in the number of plasma membrane Cx43 hemichannels. Consequently, efflux of ATP through hemichannels led to accumulation of its catabolic product adenosine, a potent neuroprotective agent. Thus, adaptive modulation of Cx43 can offset environmental stress by adenosine-mediated elevation of cellular resistance.