Cell-to-cell signalling mediated via CO ₂ : activity dependent CO ₂ production in the axonal node opens Cx32 in the Schwann cell paranode

Loss of function mutations of Cx32, which is expressed in Schwann cells, cause X-linked Charcot Marie Tooth disease, a slowly progressive peripheral neuropathy. Cx32 is thus essential for the maintenance of myelin. During action potential propagation, Cx32 hemichannels in the Schwann cell paranode are thought to open and release ATP. As Cx32 hemichannels are directly sensitive to CO ₂ , we have tested whether CO ₂ produced in the axonal node, as a consequence of the energetic demands of action potential propagation, might gate Cx32 hemichannels. Using isolated sciatic nerve from the mouse, we have shown that the critical components required for intercellular CO ₂ signalling are present (nodal mitochondria, the source of CO ₂ ; a CO ₂ -permeable aquaporin, AQP1; paranodal Cx32; and carbonic anhydrase). We have used a membrane impermeant fluorescent dye FITC, which can permeate Cx32 hemichannels, to demonstrate the opening of Cx32 in Schwann cells in response to an external CO ₂ stimulus or during action potential propagation in the isolated nerve. Pharmacological blockade of APQ1 or allosteric enhancement of carbonic anhydrase activity greatly reduced Cx32 gating during action potential firing. By contrast, inhibition of carbonic anhydrase with acetazolamide greatly increased Cx32 gating. Cx32 gating was unaffected by the G-protein blocker GDPβS, indicating that it was not mediated by G protein coupled receptors. This CO ₂ -dependent opening of Cx32 also mediates an activity dependent Ca ²⁺ influx into the paranode and, by increasing the leak current across the myelin sheath, slows the conduction velocity. Our data demonstrate that CO ₂ can act via connexins to mediate neuron-to-glia signalling and that CO ₂ permeable aquaporins and carbonic anhydrase are key components of this signalling mechanism.