XB-ART-50073
Front Physiol
2014 Jan 01;5:519. doi: 10.3389/fphys.2014.00519.
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Long-range gap junctional signaling controls oncogene-mediated tumorigenesis in Xenopus laevis embryos.
Chernet BT
,
Fields C
,
Levin M
.
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In addition to the immediate microenvironment, long-range signaling may be an important component of cancer. Molecular-genetic analyses have implicated gap junctions-key mediators of cell-cell communication-in carcinogenesis. We recently showed that the resting voltage potential of distant cell groups is a key determinant of metastatic transformation and tumor induction. Here, we show in the Xenopus laevis model that gap junctional communication (GJC) is a modulator of the long-range bioelectric signaling that regulates tumor formation. Genetic disruption of GJC taking place within tumors, within remote host tissues, or between the host and tumors significantly lowers the incidence of tumors induced by KRAS mutations. The most pronounced suppression of tumor incidence was observed upon GJC disruption taking place farther away from oncogene-expressing cells, revealing a role for GJC in distant cells in the control of tumor growth. In contrast, enhanced GJC communication through the overexpression of wild-type connexin Cx26 increased tumor incidence. Our data confirm a role for GJC in tumorigenesis, and reveal that this effect is non-local. Based on these results and on published data on movement of ions through GJs, we present a quantitative model linking the GJC coupling and bioelectrical state of cells to the ability of oncogenes to initiate tumorigenesis. When integrated with data on endogenous bioelectric signaling during left-right patterning, the model predicts differential tumor incidence outcomes depending on the spatial configurations of gap junction paths relative to tumor location and major anatomical body axes. Testing these predictions, we found that the strongest influence of GJ modulation on tumor suppression by hyperpolarization occurred along the embryonic left-right axis. Together, these data reveal new, long-range aspects of cancer control by the host's physiological parameters.
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Species referenced: Xenopus laevis
Genes referenced: gjb2 grap2 kcna4 kcna5 kras rel tbx2 tp53
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Figure 1. KRASG12D injection results in the formation of induced tumor like structures that are gap junctionally connected to the host. (A) The schematic shows injection of KRASG12D + RLD (Rhodamine-Lysinated Dextran, M. W. 10 kDa) + LY (M.W. 0.522 kDa) into one cell of a 16-cell stage embryos. The RLD labels injected cells (and their descendants), while LY is small enough to traverse gap junctions. (B) At a stage 34 embryo (white dotted outline), LY signal is present not only in tissue derived from the injected cell (tumor; green arrowheads) but also widely throughout the rest of the host. (C) RLD shows cells injected with oncogene, some of which are in the localized tumors and others that have migrated (metastasized) out into the host. (D) Overlay of the two signals reveals areas (white arrowheads) that exhibit LY signal but not RLD signal, which demarcate cells that are in active GJ communication with the injected (tumor) cells (N = 5 of 5). Schematic in panel A (and in subsequent figures) is used with permission from Nieuwkoop and Faber (1967). | |
Figure 2. Selective disruption of gap junctional communication (GJC) reduced tumor incidence. To determine the effect of GJC disruption on tumorigenesis, H7 and KRASG12D injectionsâaimed at disrupting GJC host-wide, within tumors, and away from tumorsâwere performed. Compared to KRASG12D-only injected embryos (treatment mode A), treatment modes B and D showed significant decrease in % embryos with tumor by 6.6 and 5.8%, respectively, implying that H7 contralateral to the oncogene has no effect if there is H7 ipselateral to the oncogene. Contralateral H7 only (treatment mode C) significantly reduces the % embryos with tumor by 15.8%. Doubling the level of oncogene injected along with host-wide introduction of H7 (treatment mode F) does not affect tumor incidence when compared to oncogene-only (one side) injected embryos (treatment mode A), but is able to counter the 9.9% increase in tumor incidence resulting from excess oncogene introduced (treatment mode G) down to the tumor incidence level of one-side oncogene injection. Similarly, tumor incidence from the excess oncogene introduction can be reduced by H7 introduction to either side of the embryo (treatment mode E). *P < 0.05, **P < 0.001; t-test. | |
Figure 3. Enhanced gap junctional communication (GJC) through connexin 26 (Cx26) overexpression increases tumor incidence. To determine the effect of GJC disruption on tumorigenesis, Cx26 and KRASG12D injectionsâaimed at enhancing GJC host-wide, within tumors, and away from tumorsâwere performed. Compared to KRASG12D-only injected embryos (treatment mode A), long-range and host-wide Cx26 treatment modes (C, D, F) show an increase in the number of embryos with tumor by 6.4 to 11.4%. However, treatments involving the expression of oncogene and Cx26 on the same side (treatment modes B and E), while non-significant, lower tumor incidence when compared to treatment modes A and F, respectively. *P < 0.05; t-test. | |
Figure 4. âLeft-right synchronizationâ model for the establishment (Stage 1) of electrical states that modify long-range gap-junction-mediated influences on tumorigenesis. The âleft-right synchronizationâ model shows that stable, bioelectrically-synchronized cell populations on the left and right sides of the embryo, here represented by red and blue regions, can be generated from a random initial state by nearest-neighbor interactions alone. This model is implemented on a fixed 10 Ã 10 grid with the left and right exterior boundaries mathematically identified to yield a cylindrical topology. This topology allows the two synchronized populations to âwrapâ around the exterior border. The final model shown here was obtained by varying the leftâright polarization bias parameter âXâ while requiring two stable populations with no ectopic islands as output. This procedure allowed the value of the leftâright polarization bias to the predicted to be 27%, consistent with observations (Levin et al., 2002; Adams et al., 2006). While the left-right border is represented at low resolution in the model and most solutions produce a straight, sharp boundary, this is not a biologically-meaningful constraint and the actual border between âleftâ and ârightâ cell populations in the embryo may be irregular as shown. The âleft-right communicationâ model assumes that the two bioelectrically-synchronized sides exchange a long-range, oscillatory bioelectric signal; whether this signal requires an additional trigger for initiation is currently unknown. This model employs a small set of assumptions to quantitatively predict the tumor incidence expected when GJC is either suppressed by H7 or enhanced by Cx26. These predictions are then compared with experimental tumor frequencies (indicated by â?â). See Figure 5 for additional details of this model. | |
Figure 5. The stage-2 âleft-right communicationâ model for the GJC-mediated effects of Vmem change on incidence of tumorigenesis. The âleft-right communicationâ model assumes that the left and right sides of the embryo alternately signal each other to turn the rate of cell division down (A) using an oscillation between polarization and depolarization as the long-range bioelectric signal (B). For example, KRASG12D and H7 expressions on opposite sides of the embryo (as shown in Figure 2 treatment C, and sections through a trunk tumor in Panel D) result in an increase in signaling from the H7-injected side and a consequent suppression in KRASG12D-induced tumors on the opposite side (C,D). The stage-2 model can be visualized as a control network that regulates cellular response to KRASG12D and both the production of ipsilateral signal (IS) and response to contralateral signal (CS). Here unlabeled flat-end arrows indicate a 100% suppressing effect (E). In this model, gap junctions are a central component, contributing to the long-range dynamics by allowing cells to sense neighbors' Vmem. Cellular mechanisms corresponding to these arrows are not yet fully characterized; however, the butyrateâhistone deacetylase pathway previously characterized in these embryos (Chernet and Levin, 2013a,b, 2014); is a plausible candidate for transducing the global bioelectrical signal into a local cellular response to KRASG12D transformation. | |
Figure 6. Predicted tumor incidences that match those of experimental data under GJC perturbations were derived from the stage-2 âleft-right communicationâ model. In predicting tumor incidences, the left-right communication model implements the following assumptions about cellular responses to KRASG12D and H7 (A). Assumption 1: embryos have two sides, A and B. During normal embryonic development, sides A and B exchange a handshaking signal that limits cell division. Each side responds to the other side's (i.e. contralateral) signal but not to its own (ipsilateral) signal. A moderately increased or decreased signal is not detrimental to the normal development of unperturbed embryos. Assumption 2: experimental data showed 35% of KRASG12D-injected embryos produce tumors. KRASG12D injections on opposite sides of 16-cell embryos results in 44.9% tumor incidence. The 44% incidence is evenly split between two sides (22.45% incidence per injected side). Assumption 3: H7 makes cells deaf to the contralateral signal; in response, they increase production of their own ipsilateral signal, by 50%. Assumption 4: Increased (decreased) contralateral signal suppresses (enhances) KRASG12D activity on a % for % basis. Ipsilateral H7 directly suppresses oncogenic transformation of KRASG12D expressing cells by 20%; contralateral H7 has no direct effect. Assumption 5: KRASG12D expressing cells disable the increase in signal generation ipsilaterally by interfering with KRASG12D-ipsilateral side bioelectric synchronization. Taking into account these five assumptions, the predicted tumor values were calculated for each treatment mode and compared to the observed tumor incidence. The model accurately predicts tumor incidence for every oncogene combination. The stage-2 âleft-right communicationâ model implements the following assumptions about cellular responses to KRASG12D and Cx26 to account for enhanced (as opposed to disrupted) GJC (B). Assumptions 1 and 2 of the model remain the same as stated in panel (A). Assumption 3: Cx26 enhances cells' exposure the contralateral signal; in response, they decrease production of their own ipsilateral signal, by 50%. Assumption4: Increased (decreased) contralateral signal suppresses (enhances) KRASG12D activity on a % for % basis. Ipsilateral Cx26 directly increases oncogenic transformation of KRASG12D cells by 20%; Contralateral Cx26 has no direct effect. While the model predicts the general trend of increased tumorigenesis as a result of enhanced GJC, saturation of tumor incidence around 46% is observed, resulting in higher predictive than actual values. | |
Figure 7. Testing a unique prediction of our model: tumor incidence is affected by long-range signaling across the left-right axis but not across the dorso-ventral axis. (A) (i) Embryos were injected with H7 and KRASG12D, separately and randomly, in the dorsal and ventral blastomeres. (ii) Embryos were also injected with H7 and KRASG12D in the left and right blastomeres, or vise versa. Control embryos injected with KRASG12D only displayed a 35% tumor incidence. (B) Compared to controls, embryos injected with KRASG12D and H7 across the dorsoventral axis did not show a change in tumor incidence (32.4%). Whereas perturbation of GJC communication across the left-right axis significantly lowered tumor incidence down to 20.5% (*P < 0.05, X2 test). | |
Figure 8. Long-range signaling in the frog embryo. Oncogene-expressing cells (red, Xrel3-tdTomato) are prevented from forming tumors by hyperpolarizing channel-expressing cells (Kv 1.5-β-gal) located at a distance. Compare (A) without to (B) with Xrel3-tdTomato. The ~4 mm distance from the center of the tdTomato signal to the farthest point on the tail expressing β-gal was estimated to be ~300 cell diameter (average single cell diameter of 13.3 μm). |
References [+] :
Adams,
Early, H+-V-ATPase-dependent proton flux is necessary for consistent left-right patterning of non-mammalian vertebrates.
2006, Pubmed,
Xenbase
Adams, Early, H+-V-ATPase-dependent proton flux is necessary for consistent left-right patterning of non-mammalian vertebrates. 2006, Pubmed , Xenbase
Adams, Endogenous voltage gradients as mediators of cell-cell communication: strategies for investigating bioelectrical signals during pattern formation. 2013, Pubmed
Adams, Measuring resting membrane potential using the fluorescent voltage reporters DiBAC4(3) and CC2-DMPE. 2012, Pubmed , Xenbase
Arcangeli, Targeting ion channels in cancer: a novel frontier in antineoplastic therapy. 2009, Pubmed
Arcangeli, A novel inward-rectifying K+ current with a cell-cycle dependence governs the resting potential of mammalian neuroblastoma cells. 1995, Pubmed
Arcangeli, Targeting ion channels in leukemias: a new challenge for treatment. 2012, Pubmed
Aw, H,K-ATPase protein localization and Kir4.1 function reveal concordance of three axes during early determination of left-right asymmetry. 2008, Pubmed , Xenbase
Barrio, Species-specific voltage-gating properties of connexin-45 junctions expressed in Xenopus oocytes. 1997, Pubmed , Xenbase
Bennett, Gap junctions as electrical synapses. 1997, Pubmed
Bissell, Why don't we get more cancer? A proposed role of the microenvironment in restraining cancer progression. 2011, Pubmed
Bizzarri, Tumor and the microenvironment: a chance to reframe the paradigm of carcinogenesis? 2014, Pubmed
Blackiston, Transmembrane potential of GlyCl-expressing instructor cells induces a neoplastic-like conversion of melanocytes via a serotonergic pathway. 2011, Pubmed , Xenbase
Blackiston, Bioelectric controls of cell proliferation: ion channels, membrane voltage and the cell cycle. 2009, Pubmed
Bregestovski, Regulation of potassium conductance in the cellular membrane at early embryogenesis. 1992, Pubmed
Bruzzone, The cellular Internet: on-line with connexins. 1996, Pubmed
Bruzzone, Connections with connexins: the molecular basis of direct intercellular signaling. 1996, Pubmed
Burr, Changes in the Field Properties of Mice with Transplanted Tumors. 1941, Pubmed
Burr, Bio-Electric Correlates of Methylcolanthrene-Induced Tumors in Mice. 1938, Pubmed
Burr, Electrometric Studies of Tumors in Mice Induced by the External Application of Benzpyrene. 1940, Pubmed
Cao, A quantitative analysis of connexin-specific permeability differences of gap junctions expressed in HeLa transfectants and Xenopus oocytes. 1998, Pubmed , Xenbase
Chernet, Endogenous Voltage Potentials and the Microenvironment: Bioelectric Signals that Reveal, Induce and Normalize Cancer. 2013, Pubmed
Chernet, Transmembrane voltage potential is an essential cellular parameter for the detection and control of tumor development in a Xenopus model. 2013, Pubmed , Xenbase
Chernet, Transmembrane voltage potential of somatic cells controls oncogene-mediated tumorigenesis at long-range. 2014, Pubmed , Xenbase
Clark, The nature of cancer: morphogenesis and progressive (self)-disorganization in neoplastic development and progression. 1995, Pubmed
Dale, Regional specification within the mesoderm of early embryos of Xenopus laevis. 1987, Pubmed , Xenbase
Dale, Fate map for the 32-cell stage of Xenopus laevis. 1987, Pubmed , Xenbase
Dean, Cancer as a complex developmental disorder--nineteenth Cornelius P. Rhoads Memorial Award Lecture. 1998, Pubmed
Diss, A potential novel marker for human prostate cancer: voltage-gated sodium channel expression in vivo. 2005, Pubmed
Donahue, A potential role for gap junctions in breast cancer metastasis to bone. 2003, Pubmed
Duflot-Dancer, Dominant-negative abrogation of connexin-mediated cell growth control by mutant connexin genes. 1997, Pubmed , Xenbase
Elzarrad, Connexin-43 upregulation in micrometastases and tumor vasculature and its role in tumor cell attachment to pulmonary endothelium. 2008, Pubmed
Ewart, Heart and neural tube defects in transgenic mice overexpressing the Cx43 gap junction gene. 1997, Pubmed
Fraser, Voltage-gated sodium channel expression and potentiation of human breast cancer metastasis. 2005, Pubmed
Gee, Connexin 26 is abnormally expressed in bladder cancer. 2003, Pubmed
Goldberg, Selective permeability of gap junction channels. 2004, Pubmed
Goodenough, Connexins, connexons, and intercellular communication. 1996, Pubmed
Grossman, Decreased connexin expression and intercellular communication in human bladder cancer cells. 1994, Pubmed
Haass, Melanoma progression exhibits a significant impact on connexin expression patterns in the epidermal tumor microenvironment. 2010, Pubmed
Hendrix, Reprogramming metastatic tumour cells with embryonic microenvironments. 2007, Pubmed
Hirschi, Gap junction genes Cx26 and Cx43 individually suppress the cancer phenotype of human mammary carcinoma cells and restore differentiation potential. 1996, Pubmed
House, Voltage-gated Na+ channel SCN5A is a key regulator of a gene transcriptional network that controls colon cancer invasion. 2010, Pubmed
Ito, A role for heterologous gap junctions between melanoma and endothelial cells in metastasis. 2000, Pubmed
Jongsma, Gap junctions in cardiovascular disease. 2000, Pubmed
Kamibayashi, Aberrant expression of gap junction proteins (connexins) is associated with tumor progression during multistage mouse skin carcinogenesis in vivo. 1995, Pubmed
Kasemeier-Kulesa, Reprogramming multipotent tumor cells with the embryonic neural crest microenvironment. 2008, Pubmed
Kenny, Tumor reversion: correction of malignant behavior by microenvironmental cues. 2003, Pubmed
Kenny, Targeting the tumor microenvironment. 2007, Pubmed
King, Connexins as targets for cancer chemoprevention and chemotherapy. 2005, Pubmed
Krysko, Gap junctions and the propagation of cell survival and cell death signals. 2005, Pubmed
Le, Heat shock-inducible Cre/Lox approaches to induce diverse types of tumors and hyperplasia in transgenic zebrafish. 2007, Pubmed
Lee, Connexin mutations causing skin disease and deafness increase hemichannel activity and cell death when expressed in Xenopus oocytes. 2009, Pubmed , Xenbase
Levin, Gap junctional communication in morphogenesis. 2007, Pubmed
Levin, Gap junctions are involved in the early generation of left-right asymmetry. 1998, Pubmed , Xenbase
Levin, The wisdom of the body: future techniques and approaches to morphogenetic fields in regenerative medicine, developmental biology and cancer. 2011, Pubmed
Levin, Endogenous bioelectrical networks store non-genetic patterning information during development and regeneration. 2014, Pubmed
Levin, Gap junction-mediated transfer of left-right patterning signals in the early chick blastoderm is upstream of Shh asymmetry in the node. 1999, Pubmed , Xenbase
Levin, Isolation and community: a review of the role of gap-junctional communication in embryonic patterning. 2002, Pubmed
Levin, Molecular bioelectricity in developmental biology: new tools and recent discoveries: control of cell behavior and pattern formation by transmembrane potential gradients. 2012, Pubmed
Levin, Asymmetries in H+/K+-ATPase and cell membrane potentials comprise a very early step in left-right patterning. 2002, Pubmed , Xenbase
Levin, Morphogenetic fields in embryogenesis, regeneration, and cancer: non-local control of complex patterning. 2012, Pubmed
Levin, Reprogramming cells and tissue patterning via bioelectrical pathways: molecular mechanisms and biomedical opportunities. 2013, Pubmed
Lewalle, Endothelial cell intracellular Ca2+ concentration is increased upon breast tumor cell contact and mediates tumor cell transendothelial migration. 1998, Pubmed
Lobikin, Resting potential, oncogene-induced tumorigenesis, and metastasis: the bioelectric basis of cancer in vivo. 2012, Pubmed , Xenbase
Loewenstein, Junctional intercellular communication and the control of growth. 1979, Pubmed
Loewenstein, Intercellular communication and the control of tissue growth: lack of communication between cancer cells. 1966, Pubmed
Loewenstein, Junctional intercellular communication: the cell-to-cell membrane channel. 1981, Pubmed
Maffini, Stromal regulation of neoplastic development: age-dependent normalization of neoplastic mammary cells by mammary stroma. 2005, Pubmed
Magnon, Autonomic nerve development contributes to prostate cancer progression. 2013, Pubmed
Marongiu, Cancer as a disease of tissue pattern formation. 2012, Pubmed
McCaig, Electrical dimensions in cell science. 2009, Pubmed
McCaig, Controlling cell behavior electrically: current views and future potential. 2005, Pubmed
McManus, Reversed cerebral asymmetry and breast cancer. 1992, Pubmed
Mesnil, A tumor suppressor gene, Cx26, also mediates the bystander effect in HeLa cells. 1997, Pubmed
Mesnil, Defective gap junctional intercellular communication in the carcinogenic process. 2005, Pubmed
Moody, Segregation of fate during cleavage of frog (Xenopus laevis) blastomeres. 1990, Pubmed , Xenbase
Morokuma, KCNQ1 and KCNE1 K+ channel components are involved in early left-right patterning in Xenopus laevis embryos. 2008, Pubmed , Xenbase
Naoi, Connexin26 expression is associated with lymphatic vessel invasion and poor prognosis in human breast cancer. 2007, Pubmed
Nuccitelli, Endogenous electric fields in embryos during development, regeneration and wound healing. 2003, Pubmed
Nuccitelli, A role for endogenous electric fields in wound healing. 2003, Pubmed
Oviedo, Long-range neural and gap junction protein-mediated cues control polarity during planarian regeneration. 2010, Pubmed
Palacios-Prado, Heterotypic gap junction channels as voltage-sensitive valves for intercellular signaling. 2009, Pubmed
Pardo, The roles of K(+) channels in cancer. 2014, Pubmed
Paul, Expression of a dominant negative inhibitor of intercellular communication in the early Xenopus embryo causes delamination and extrusion of cells. 1995, Pubmed , Xenbase
Pereda, Gap junction-mediated electrical transmission: regulatory mechanisms and plasticity. 2013, Pubmed
Pierce, Tumors as caricatures of the process of tissue renewal: prospects for therapy by directing differentiation. 1988, Pubmed
Pisanu, Lung cancer stem cell lose their stemness default state after exposure to microgravity. 2014, Pubmed
Qiu, Localization and loss-of-function implicates ciliary proteins in early, cytoplasmic roles in left-right asymmetry. 2005, Pubmed , Xenbase
Rabionet, Molecular genetics of hearing impairment due to mutations in gap junction genes encoding beta connexins. 2000, Pubmed
Rash, Molecular and functional asymmetry at a vertebrate electrical synapse. 2013, Pubmed
Rose, Gap-junction protein gene suppresses tumorigenicity. 1993, Pubmed
ROSE, Transformation of renal tumors of frogs to normal tissues in regenerating limbs of salamanders. 1948, Pubmed
Rubin, What keeps cells in tissues behaving normally in the face of myriad mutations? 2006, Pubmed
Ruch, Gap-junction communication in chemical carcinogenesis. 2001, Pubmed
Saito-Katsuragi, Role for connexin 26 in metastasis of human malignant melanoma: communication between melanoma and endothelial cells via connexin 26. 2007, Pubmed
Sandson, Reversed cerebral asymmetry in women with breast cancer. 1992, Pubmed
Sauer, Left-right symmetry breaking in mice by left-right dynein may occur via a biased chromatid segregation mechanism, without directly involving the Nodal gene. 2012, Pubmed
SCHARRER, Insect tumors induced by nerve severance: incidence and mortality. 1953, Pubmed
Sirnes, Connexin43 acts as a colorectal cancer tumor suppressor and predicts disease outcome. 2012, Pubmed
Soroceanu, Reduced expression of connexin-43 and functional gap junction coupling in human gliomas. 2001, Pubmed
Stoletov, Role of connexins in metastatic breast cancer and melanoma brain colonization. 2013, Pubmed
Swenson, Formation of gap junctions by expression of connexins in Xenopus oocyte pairs. 1989, Pubmed , Xenbase
Talbot, Loss of connexin43 expression in Ewing's sarcoma cells favors the development of the primary tumor and the associated bone osteolysis. 2013, Pubmed
Tarin, Clinical and biological implications of the tumor microenvironment. 2012, Pubmed
Temme, High incidence of spontaneous and chemically induced liver tumors in mice deficient for connexin32. 1997, Pubmed
Than, The role of KCNQ1 in mouse and human gastrointestinal cancers. 2014, Pubmed
Trosko, The role of stem cells and gap junctions as targets for cancer chemoprevention and chemotherapy. 2005, Pubmed
Tseng, Cracking the bioelectric code: Probing endogenous ionic controls of pattern formation. 2013, Pubmed
Tsonis, Embryogenesis and carcinogenesis: order and disorder. 1987, Pubmed
Vega, Interaction between the transcriptional corepressor Sin3B and voltage-gated sodium channels modulates functional channel expression. 2013, Pubmed
Veltmaat, Positional variations in mammary gland development and cancer. 2013, Pubmed
Vine, Cancer chemoprevention by connexins. 2002, Pubmed
Wallace, Neural membrane microdomains as computational systems: Toward molecular modeling in the study of neural disease. 2007, Pubmed
Wan, Micropatterned mammalian cells exhibit phenotype-specific left-right asymmetry. 2011, Pubmed
Warner, Gap junctions in development--a perspective. 1992, Pubmed
Wilting, Left-right asymmetry in embryonic development and breast cancer: common molecular determinants? 2011, Pubmed
Wong, Role of gap junctions in embryonic and somatic stem cells. 2008, Pubmed
Yamasaki, Gap junctional intercellular communication and carcinogenesis. 1990, Pubmed
Yamasaki, Intercellular communication and carcinogenesis. 1995, Pubmed
Yamasaki, Role of connexin (gap junction) genes in cell growth control and carcinogenesis. 1999, Pubmed
Yang, Membrane potential and cancer progression. 2013, Pubmed
Yildirim, Voltage-gated sodium channel activity promotes prostate cancer metastasis in vivo. 2012, Pubmed
Zhang, Direct gap junction communication between malignant glioma cells and astrocytes. 1999, Pubmed
Zhang, Communication between malignant glioma cells and vascular endothelial cells through gap junctions. 2003, Pubmed
Zhao, Electrical signaling in control of ocular cell behaviors. 2012, Pubmed
Zoidl, Gap junctions in inherited human disease. 2010, Pubmed