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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Membrane and Cell Biology</journal-id><journal-title-group><journal-title xml:lang="en">Membrane and Cell Biology</journal-title><trans-title-group xml:lang="ru"><trans-title>Биологические мембраны</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0233-4755</issn><issn publication-format="electronic">3034-5219</issn><publisher><publisher-name xml:lang="en">The Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">362236</article-id><article-id pub-id-type="doi">10.7868/S3034521925060017</article-id><article-categories><subj-group subj-group-type="toc-heading"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">The Role of Cx43 in the Survival and Death of Neurons and Glial Cells in Injuries of the Central and Peripheral Nervous System</article-title><trans-title-group xml:lang="ru"><trans-title>РОЛЬ Сх43 В ВЫЖИВАНИИ И ГИБЕЛИ НЕЙРОНОВ И ГЛИАЛЬНЫХ КЛЕТОК ПРИ ТРАВМАХ ЦЕНТРАЛЬНОЙ И ПЕРИФЕРИЧЕСКОЙ НЕРВНОЙ СИСТЕМЫ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Nwosu</surname><given-names>Ch. D.</given-names></name><name xml:lang="ru"><surname>Нвосу</surname><given-names>Ч. Д.</given-names></name></name-alternatives><email>chizaramwosu4@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kirichenko</surname><given-names>E. Yu.</given-names></name><name xml:lang="ru"><surname>Кириченко</surname><given-names>Е. Ю.</given-names></name></name-alternatives><email>-</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Logvinov</surname><given-names>A. K.</given-names></name><name xml:lang="ru"><surname>Логвинов</surname><given-names>А. К.</given-names></name></name-alternatives><email>-</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Rodkin</surname><given-names>S. V.</given-names></name><name xml:lang="ru"><surname>Родькин</surname><given-names>С. В.</given-names></name></name-alternatives><email>-</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Research Laboratory "Medical Digital Imaging Based on a Base Model"</institution></aff><aff><institution xml:lang="ru">Донской государственный технический университет</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Academy of Biology and Biotechnology, Southern Federal University</institution></aff><aff><institution xml:lang="ru">Академия биологии и биотехнологии, Южный федеральный университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2025</year></pub-date><volume>42</volume><issue>6</issue><issue-title xml:lang="en">VOL 42, NO6 (2025)</issue-title><issue-title xml:lang="ru">ТОМ 42, №6 (2025)</issue-title><history><date date-type="received" iso-8601-date="2025-12-25"><day>25</day><month>12</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Russian Academy of Sciences</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Российская академия наук</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Russian Academy of Sciences</copyright-holder><copyright-holder xml:lang="ru">Российская академия наук</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2026-12-25"/></permissions><self-uri xlink:href="https://journals.rcsi.science/0233-4755/article/view/362236">https://journals.rcsi.science/0233-4755/article/view/362236</self-uri><abstract xml:lang="en"><p>Connexin 43 (Cx43), a key protein of gap-junctional channels, plays a dual role in regulating the survival and death of neurons and glial cells during injuries to the central (CNS) and peripheral nervous systems (PNS). It supports neuroprotection by maintaining cellular homeostasis but can exacerbate secondary damage by promoting inflammation and apoptosis. This review examines in detail the role of Cx43 in these processes, emphasizing its ambivalent impact, which depends on cell type, injury phase, and molecular microenvironment. Additionally, mechanisms of intercellular communication and prospects for therapeutic modulation of Cx43 to optimize rehabilitation after neurotransmitter are discussed.</p></abstract><trans-abstract xml:lang="ru"><p>Коннексин 43 (Сх43) — ключевой белок шелевых контактов, которые играют двойственную роль в регуляции выживания и гибели нейронов и глиальных клеток при травмах центральной (ЦНС) и периферической нервной системы (ПНС). Он способствует нейропротекции, поддерживая клеточный гомеостаз, но может усиливать вторичные повреждения, провоцируя воспаление и апоптоз. В данном обзоре детально рассмотрена роль Сх43 в этих процессах с акцентом на его амбивалентное влияние, зависящее от типа клеток, фазы травмы и молекулярного микроокружения. Также обсуждаются механизмы межклеточной коммуникации и перспективы терапевтической модуляции Сх43 для оптимизации реабилитации после нейротравм.</p></trans-abstract><kwd-group xml:lang="en"><kwd>connexin Cx43</kwd><kwd>apoptosis</kwd><kwd>traumatic brain injury</kwd><kwd>spinal cord injury</kwd><kwd>peripheral nerve injury</kwd><kwd>neuron</kwd><kwd>glial cells</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>Сх43</kwd><kwd>апоптоз</kwd><kwd>черепно-мозговая травма</kwd><kwd>травма спинного мозга</kwd><kwd>травмы периферических нервов</kwd><kwd>нейрон</kwd><kwd>глиальные клетки</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена за счет гранта Министерства науки и высшего образования Российской Федерации № FZNE-2024-0004.</funding-statement></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Smith C. 2023. Traumatic brain injury. In: Neurobiology of Brain Disorders. 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