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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Neurosci.</journal-id>
<journal-title>Frontiers in Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Neurosci.</abbrev-journal-title>
<issn pub-type="epub">1662-453X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnins.2023.1211467</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Neuroscience</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Antiproliferative effect of boldine on neural progenitor cells and on glioblastoma cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Jim&#x00E9;nez-Madrona</surname>
<given-names>Enrique</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<xref rid="fn0001" ref-type="author-notes"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2293319/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Morado-D&#x00ED;az</surname>
<given-names>Camilo J.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="fn0001" ref-type="author-notes"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2367854/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Talaver&#x00F3;n</surname>
<given-names>Roc&#x00ED;o</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<xref rid="aff3" ref-type="aff"><sup>3</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/241167/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tabernero</surname>
<given-names>Arantxa</given-names>
</name>
<xref rid="aff2" ref-type="aff"><sup>2</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2179/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pastor</surname>
<given-names>Angel M.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/26803/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>S&#x00E1;ez</surname>
<given-names>Juan C.</given-names>
</name>
<xref rid="aff4" ref-type="aff"><sup>4</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1766587/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Matarredona</surname>
<given-names>Esperanza R.</given-names>
</name>
<xref rid="aff1" ref-type="aff"><sup>1</sup></xref>
<xref rid="c001" ref-type="corresp"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/239618/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Departamento de Fisiolog&#x00ED;a, Facultad de Biolog&#x00ED;a, Universidad de Sevilla</institution>, <addr-line>Seville</addr-line>, <country>Spain</country></aff>
<aff id="aff2"><sup>2</sup><institution>Instituto de Neurociencias de Castilla y Le&#x00F3;n (INCYL), Universidad de Salamanca</institution>, <addr-line>Salamanca</addr-line>, <country>Spain</country></aff>
<aff id="aff3"><sup>3</sup><institution>Departamento de Bioqu&#x00ED;mica y Biolog&#x00ED;a Molecular, Facultad de Farmacia, Universidad de Sevilla</institution>, <addr-line>Seville</addr-line>, <country>Spain</country></aff>
<aff id="aff4"><sup>4</sup><institution>Instituto de Neurociencia, Centro Interdisciplinario de Neurociencias de Valpara&#x00ED;so, Facultad de Ciencias, Universidad de Valpara&#x00ED;so</institution>, <addr-line>Valpara&#x00ED;so</addr-line>, <country>Chile</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0002"><p>Edited by: Margarita Perez-Martin, University of Malaga, Spain</p></fn>
<fn fn-type="edited-by" id="fn0003"><p>Reviewed by: Samuel Dom&#x00CD;nguez, University of C&#x00E1;diz, Spain; Sumana Chakravarty, Indian Institute of Chemical Technology (CSIR), India</p></fn>
<corresp id="c001">&#x002A;Correspondence: Esperanza R. Matarredona, <email>matarredona@us.es</email></corresp>
<fn fn-type="equal" id="fn0001"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>17</volume>
<elocation-id>1211467</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>04</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2023 Jim&#x00E9;nez-Madrona, Morado-D&#x00ED;az, Talaver&#x00F3;n, Tabernero, Pastor, S&#x00E1;ez and Matarredona.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Jim&#x00E9;nez-Madrona, Morado-D&#x00ED;az, Talaver&#x00F3;n, Tabernero, Pastor, S&#x00E1;ez and Matarredona</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>The subventricular zone (SVZ) is a brain region that contains neural stem cells and progenitor cells (NSCs/NPCs) from which new neurons and glial cells are formed during adulthood in mammals. Recent data indicate that SVZ NSCs are the cell type that acquires the initial tumorigenic mutation in glioblastoma (GBM), the most aggressive form of malignant glioma. NSCs/NPCs of the SVZ present hemichannel activity whose function has not yet been fully elucidated. In this work, we aimed to analyze whether hemichannel-mediated communication affects proliferation of SVZ NPCs and GBM cells.</p>
</sec>
<sec>
<title>Methods and Results</title>
<p>For that purpose, we used boldine, an alkaloid derived from the boldo tree (<italic>Peumus boldus</italic>), that inhibits connexin and pannexin hemichannels, but without affecting gap junctional communication. Boldine treatment (50 &#x03BC;M) of rat SVZ NPCs grown as neurospheres effectively inhibited dye uptake through hemichannels and induced a significant reduction in neurosphere diameter and in bromodeoxyuridine (BrdU) incorporation. However, the differentiation pattern was not modified by the treatment. Experiments with specific blockers for hemichannels formed by connexin subunits (D4) or pannexin 1 (probenecid) revealed that probenecid, but not D4, produced a decrease in BrdU incorporation similar to that obtained with boldine. These results suggest that inhibition of pannexin 1 hemichannels could be partially responsible for the antiproliferative effect of boldine on SVZ NPCs. Analysis of the effect of boldine (25&#x2013;600 &#x03BC;M) on different types of primary human GBM cells (GBM59, GBM96, and U87-MG) showed a concentration-dependent decrease in GBM cell growth. Boldine treatment also induced a significant inhibition of hemichannel activity in GBM cells.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Altogether, we provide evidence of an antimitotic action of boldine in SVZ NPCs and in GBM cells which may be due, at least in part, to its hemichannel blocking function. These results could be of relevance for future possible strategies in GBM aimed to suppress the proliferation of mutated NSCs or glioma stem cells that might remain in the brain after tumor resection.</p>
</sec>
</abstract>
<kwd-group>
<kwd>hemichannels</kwd>
<kwd>neural stem cells</kwd>
<kwd>glioblastoma</kwd>
<kwd>connexins</kwd>
<kwd>pannexins</kwd>
</kwd-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="52"/>
<page-count count="12"/>
<word-count count="7901"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Neurogenesis</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1.</label>
<title>Introduction</title>
<p>The mammal brain contains two regions in which neural stem cells (NSCs) persist after birth: the dentate gyrus of the hippocampus and the subventricular zone (SVZ), lining the walls of the lateral ventricles. In rodents, SVZ NSCs generate neural progenitor cells (NPCs) in asymmetric divisions which, in turn, divide to give rise to neuroblasts (<xref ref-type="bibr" rid="ref15">Doetsch et al., 1997</xref>; <xref ref-type="bibr" rid="ref31">Mirzadeh et al., 2008</xref>) that migrate toward the olfactory bulb and generate new neurons (<xref ref-type="bibr" rid="ref16">Gage, 2000</xref>; <xref ref-type="bibr" rid="ref1">Alvarez-Buylla and Garc&#x00ED;a-Verdugo, 2002</xref>). NSCs of the SVZ can also form oligodendrocyte precursors that contribute to the maintenance of the oligodendrocyte population in neighboring regions (<xref ref-type="bibr" rid="ref30">Menn et al., 2006</xref>; <xref ref-type="bibr" rid="ref20">Gonzalez-Perez et al., 2009</xref>; <xref ref-type="bibr" rid="ref6">Capilla-Gonzalez et al., 2014</xref>). In humans, NSCs also remain in the postnatal and adult SVZ, although they are mainly committed to the oligodendrogenic process (<xref ref-type="bibr" rid="ref34">Qui&#x00F1;ones-Hinojosa et al., 2006</xref>; <xref ref-type="bibr" rid="ref7">Capilla-Gonzalez et al., 2015</xref>). Compelling evidence from the last decade suggests that NSCs of the adult SVZ may be the cell of origin that encloses the driver mutations of glioblastoma (GBM), the most malignant primary brain tumor in humans (<xref ref-type="bibr" rid="ref26">Lee et al., 2018</xref>; <xref ref-type="bibr" rid="ref29">Matarredona and Pastor, 2019</xref>). Current treatment for GBM includes maximal surgical resection followed by radiotherapy and chemotherapy with temozolomide (<xref ref-type="bibr" rid="ref39">Stupp et al., 2005</xref>). However, relapses occur, and patients have a median overall survival rate of 14&#x2013;15&#x2009;months (<xref ref-type="bibr" rid="ref42">Thakkar et al., 2014</xref>). A better understanding of the biology of SVZ NSCs/NPCs will allow a deeper understanding of the etiology of this devastating cancer as well as the search for alternative therapies aimed at attacking the population of tumor-initiating cells.</p>
<p>NSCs/NPCs of the postnatal rodent SVZ can be isolated and amplified <italic>in vitro</italic> as floating cellular aggregates known as neurospheres (<xref ref-type="bibr" rid="ref36">Reynolds and Weiss, 1992</xref>; <xref ref-type="bibr" rid="ref8">Carpenter et al., 1999</xref>; <xref ref-type="bibr" rid="ref44">Vescovi et al., 1999</xref>). Neurosphere-derived NPCs present hemichannels (formed by either connexin or pannexin subunits) that are open under control conditions (<xref ref-type="bibr" rid="ref48">Wicki-Stordeur and Swayne, 2012</xref>; <xref ref-type="bibr" rid="ref40">Talaver&#x00F3;n et al., 2015</xref>). Connexin hemichannels allow the passage of ions and small molecules such as second messengers (inositol 3-phosphate, cAMP), and others (glucose, amino acids, nucleotides, ATP, NAD<sup>+</sup>) (<xref ref-type="bibr" rid="ref19">Giaume et al., 2021</xref>). Communication mediated by connexin hemichannels is involved in the regulation of survival, proliferation, migration, oxidative stress, and gene expression in different cell types (<xref ref-type="bibr" rid="ref5">Burra and Jiang, 2011</xref>). However, its precise role in postnatal neurogenesis has not yet been described. Among the 21 different connexin isoforms that form the hemichannels, connexin 43 (Cx43, 43&#x2009;kDa) is the most abundantly expressed in the CNS (<xref ref-type="bibr" rid="ref14">Contreras et al., 2004</xref>). The pannexin family includes three members, of which only the Panx1 and Panx2 isoforms are expressed in the CNS (<xref ref-type="bibr" rid="ref4">Bruzzone et al., 2003</xref>). Panx1 hemichannel permeability is preferentially selective for anions (e.g., Cl<sup>&#x2212;</sup>), and anionic small molecules (<xref ref-type="bibr" rid="ref28">Ma et al., 2012</xref>), but the most studied intracellular metabolite released across the Panx1 channel is ATP (<xref ref-type="bibr" rid="ref51">Yeung et al., 2020</xref>). Wicki-Stordeur et al. demonstrated <italic>in vitro</italic> that Panx1 hemichannels intervene in controlling NPC proliferation (<xref ref-type="bibr" rid="ref46">Wicki-Stordeur et al., 2012</xref>) while <italic>in vivo</italic>, they promote NPC maintenance probably by facilitating the release of ATP, which could act as a survival (&#x201C;do not-eat-me&#x201D;) signal for resident phagocytic NPCs (<xref ref-type="bibr" rid="ref47">Wicki-Stordeur et al., 2016</xref>).</p>
<p>NPC&#x2019;s connexin hemichannels can also assemble and form gap junctions <italic>in vitro</italic> and in the postnatal SVZ neurogenic niche (<xref ref-type="bibr" rid="ref24">Lacar et al., 2011</xref>). The relevance of this functional connectivity is still being studied. To date, some specific functions of gap junctional communication in SVZ-derived NPCs have been reported such as improved survival (<xref ref-type="bibr" rid="ref35">Ravella et al., 2015</xref>), maintenance of the cellular architecture of the SVZ niche (<xref ref-type="bibr" rid="ref49">Wiencken-Barger et al., 2007</xref>), or direct communication with blood vessels (<xref ref-type="bibr" rid="ref24">Lacar et al., 2011</xref>).</p>
<p>Communication mediated by hemichannels is also relevant in the progression of GBM. Hitomi et al. proposed that gap junctions present in GBM and in glioma stem cells are essential for GBM growth, although the pro-tumorogenic role depends on the composition of the connexin subunits (<xref ref-type="bibr" rid="ref22">Hitomi et al., 2015</xref>). Regarding pannexin hemichannels, <italic>in vitro</italic> experiments showed that Panx1 silencing inhibits the proliferation of U87-MG malignant glioma cells (<xref ref-type="bibr" rid="ref45">Wei et al., 2015</xref>).</p>
<p>In this article, we aimed to evaluate the effects caused by the blockade of hemichannels on proliferation and differentiation of NPCs, isolated from the SVZ of postnatal rats. For that purpose, we used boldine, an aporphine alkaloid abundantly found in the leaves and bark of the boldo tree (<italic>Peumus boldus</italic>), that inhibits hemichannels formed by connexins and pannexins without affecting gap junctional communication (<xref ref-type="bibr" rid="ref52">Yi et al., 2017</xref>; <xref ref-type="bibr" rid="ref11">Cea et al., 2020</xref>). Our results show that proliferation of neurosphere-derived NPCs is reduced after treatment with boldine and that the inhibition of Panx1 hemichannels might be involved in this antiproliferative effect.</p>
<p>As SVZ NPCs might be the cell of origin of GBM, we have also explored the effect of boldine on established primary human GBM cells, showing that boldine treatment significantly reduces their growth. Our results suggest a key role for hemichannel-mediated communication in the mechanisms of glioblastoma progression and highlight boldine as an interesting compound to consider in GBM research or treatment.</p>
</sec>
<sec sec-type="materials|methods" id="sec2">
<label>2.</label>
<title>Materials and methods</title>
<sec id="sec3">
<label>2.1.</label>
<title>Neural precursor cell culture</title>
<p>Experiments were carried out on cells isolated from 7-day postnatal Wistar rats (P7) (<italic>Rattus norvegicus</italic>) of either sex according to the guidelines of the European Union (2010/63/EU) and Spanish law (R.D. 53/2013 BOE 34/11370&#x2013;420, 2013) for the use and care of laboratory animals. Experimental procedures used in this study were approved by the ethics committee of the Universidad de Sevilla.</p>
<p>NPCs were isolated from the SVZ of P7 rats and were expanded in the form of neurospheres. Four P7 rats were used for each independent culture. Briefly, the lateral walls of the lateral ventricles were removed and enzymatically dissociated with 1&#x2009;mg/mL trypsin (Invitrogen, Thermo Fisher Scientific, Waltham, MA, USA) at 37&#x00B0;C for 15&#x2009;min. The tissue was then centrifuged at 150&#x2009;g for 5&#x2009;min, rinsed in Dulbecco&#x2019;s modified Eagle&#x2019;s medium/F12 medium 1:1 (DF-12; Invitrogen) and centrifuged again in the same conditions. Then, the cells were resuspended in DF-12 containing 0.7&#x2009;mg/mL ovomucoid (Sigma-Aldrich, St Louis, MO, USA), and mechanically disaggregated by gentle trituration through a fire-polished Pasteur pipette. The dissociated cells were centrifuged and resuspended in defined medium (DM: DF-12 containing B-27 supplement, 2&#x2009;mM Glutamax&#x00AE;, 100&#x2009;units/mL penicillin, 100&#x2009;&#x03BC;g/mL streptomycin and 0.25&#x2009;&#x03BC;g/mL amphotericin B, all from Invitrogen) supplemented with 20&#x2009;ng/mL epidermal growth factor (EGF; PeproTech, Rocky Hill, NJ, USA) and 10&#x2009;ng/mL basic fibroblast growth factor (FGF-2; Millipore, Temecula, CA, USA). The cell suspension was maintained in an atmosphere of 5% CO<sub>2</sub>, at 37&#x00B0;C. After 1&#x2013;2&#x2009;days, cell aggregates named neurospheres were formed. Neurosphere cells were subcultured every 3&#x2013;4&#x2009;days by centrifugation, mechanical dissociation, and resuspension with fresh medium. All the experiments were performed with cells between passages 2 and 6.</p>
</sec>
<sec id="sec4">
<label>2.2.</label>
<title>Glioblastoma cell culture</title>
<p>Patient-derived primary GBM cells (GBM59 and GBM96 cells; kindly donated by Dr. Manuel Sarmiento, University of Seville) and U87-MG cells (ATCC, HTB-14&#x2122;) were grown and maintained in DF-12 supplemented with 10% fetal bovine serum (Invitrogen), 2&#x2009;mM Glutamax&#x00AE;, 100&#x2009;units/mL penicillin, 100&#x2009;&#x03BC;g/mL streptomycin and 0.25&#x2009;&#x03BC;g/mL amphotericin B, all from Invitrogen.</p>
</sec>
<sec id="sec5">
<label>2.3.</label>
<title>Identification of hemichannel proteins by immunocytochemistry</title>
<p>Neurospheres-derived cells or GBM cells were seeded on 12-mm diameter coverslips in DF-12 with 1% fetal calf serum for 4&#x2009;h to facilitate adhesion, at a density of 10,000 cells/coverslip (for neurosphere-derived cells, coverslips were pretreated with poly-L-ornithine, Sigma Aldrich). The coverslips were then fixed with 4% paraformaldehyde in 0.1&#x2009;M phosphate buffer (10&#x2009;min incubation). After several washings with phosphate-buffered saline (PBS), coverslips were incubated for 30&#x2009;min in a blocking solution containing 2.5% bovine serum albumin in PBS and then 2&#x2009;h at room temperature in a solution containing the primary antibodies (goat anti-nestin antibody, Novus Biologicals AF2736, 1:100, to identify neural stem cells, together with rabbit anti-Cx43 antibody, Thermo Scientific 71&#x2013;0700, 1:200, or rabbit anti-Panx1 antibody, Sigma Aldrich HPA016930, 1:500). Then, coverslips were rinsed again and incubated for 30&#x2009;min at room temperature with the corresponding secondary antibodies prepared in blocking solution (anti-goat IgG coupled to TRITC and anti-rabbit IgG coupled to FITC, Jackson ImmunoResearch, West Grove, PA, USA, 1:200). After washing, cells were counterstained with 4&#x2032;-6&#x2032;-diamidino-2-phenylindole (DAPI, Sigma-Aldrich, 0.1&#x2009;&#x03BC;g/mL) for 10&#x2009;min, washed again and mounted on slides with a n-propyl-gallate solution (Sigma-Aldrich, 0.1&#x2009;M) prepared in glycerol:PBS 9:1.</p>
</sec>
<sec id="sec6">
<label>2.4.</label>
<title>Ethidium bromide uptake</title>
<p>Experiments were carried out in 24-well plates seeded with neurosphere-derived NPCs at a density of 10,000 viable cells/cm<sup>2</sup> in DM, or in 24-well plates containing 12-mm coverslips seeded with GBM cells (5,000 cells/cm<sup>2</sup>) in GBM medium. Seventy-two hours after seeding, the medium was replaced by a HEPES buffered salt solution containing: 140&#x2009;mM NaCl, 5.4&#x2009;mM KCl, 1.8&#x2009;mM CaCl<sub>2</sub>, 1&#x2009;mM MgCl<sub>2</sub>, 10&#x2009;mM glucose and 5&#x2009;mM HEPES; pH 7.4, and incubated for 5&#x2009;min. Then, cells were treated for 15&#x2009;min with boldine (50, 100 or 300&#x2009;&#x03BC;M, connexin and pannexin hemichannel inhibitor, hydrochloride form of boldine, kindly provided by H&#x00E4;rting S.A., Chile), or with vehicle (MilliQ&#x00AE; water, control). Subsequently, ethidium bromide (EtBr, 5&#x2009;&#x03BC;M) was added to the treated and control plates. Following a 10-min incubation with the dye, cells were washed with HEPES buffer, and coverslips were fixed with paraformaldehyde 4% in phosphate-buffered saline 0.1 M pH 7.4 for 10&#x2009;min. For neurospheres, six photographs of each plate were taken with a Nikon inverted fluorescence microscope connected to a digital video camera (Leica DC100). For GBM cells, six photographs of each coverslip were captured with a camera DP73 (Olympus) coupled to an epifluorescence microscope (Olympus BX61). The EtBr fluorescence intensity within the cell was measured with the ImageJ (NIH) software and the average of data from the cells of each experimental condition was calculated to obtain the final measurement of dye uptake in each culture.</p>
</sec>
<sec id="sec7">
<label>2.5.</label>
<title>Analysis of proliferation in neurospheres</title>
<p>Each experiment was carried out in parallel with two T25 flasks seeded with neurosphere-derived cells from the same culture, at a density of 10,000 viable cells/cm<sup>2</sup>. One of the flasks received drug treatment, and the other (control) was treated with the vehicle. Seventy-two hours after seedling, photographs of the neurospheres were captured using a Leica EC3 camera coupled to a phase-contrast microscope (Leica DMIL-LED) with a 10X objective (eight photographs of random fields per flask). The diameter of the neurospheres was measured with ImageJ. In every experiment, a mean value of the diameter of the neurospheres was obtained for each condition.</p>
<p>The drugs used in our study were: boldine (50 and 100&#x2009;&#x03BC;M), D4 (inhibitor of connexin hemichannels, 500&#x2009;nM and 5&#x2009;&#x03BC;M, Edelris Medicinal Keymistry, V&#x00E9;nissieux, France), and probenecid (inhibitor of Panx1 hemichannels, 0.5 and 1&#x2009;mM, Sigma Aldrich). Boldine and probenecid were prepared in MilliQ&#x00AE; water, whereas the solvent for D4 solution was ethanol. Concentrated 100X or 1,000X stocks of the drugs were prepared from which the corresponding volumes were added to the flasks receiving treatment. The control flasks received the same volume of the respective vehicle (MilliQ&#x00AE; water or ethanol).</p>
<p>For the analysis of bromodeoxyuridine (BrdU) incorporation, experiments were performed as previously described with the novelty that BrdU (Sigma Aldrich; 1&#x2009;&#x03BC;M) was added to the flasks for the last 12&#x2009;h of culture. Then, collected neurospheres from each flask (control and drug treatment) were slightly disaggregated with a P200 pipette and seeded on 12-mm diameter coverslips with DF-12 containing 1% fetal calf serum (Invitrogen), to allow adhesion. After 1&#x2009;h of seeding on the coverslips, cells were fixed with 70% ethanol (30-min incubation) and processed for BrdU immunohistochemistry, as follows.</p>
<p>BrdU immunohistochemistry was always performed in parallel with coverslips from control and treated cultures of the same experiment. After several washes with PBS, cells in the coverslips were exposed to a DNA denaturation treatment consisting of a 20-min incubation with 2&#x2009;N HCl. Subsequently, coverlisps were immersed in borate buffer pH 8.5 for 10&#x2009;min and then washed three additional times with PBS. Then, coverslips were incubated with a solution containing a BrdU antibody (Roche 11170376001; 1:100) for 2.5&#x2009;h, prepared in 2.5% bovine serum albumin (Sigma-Aldrich) in PBS. After rinsing, coverslips were incubated for 30&#x2009;min with anti-mouse IgG coupled to FITC (Jackson ImmunoResearch, 1:200), washed several times with PBS and counterstained with DAPI as previously described. After final washes, coverslips were mounted on slides with n-propyl-gallate solution (Sigma-Aldrich, 0.1&#x2009;M) prepared in glycerol:PBS 9:1.</p>
</sec>
<sec id="sec8">
<label>2.6.</label>
<title>Analysis of differentiation in neurospheres</title>
<p>Neurospheres were mechanically dissociated and seeded on poly-L-ornithine-treated (Sigma-Aldrich) 12-mm diameter coverslips in DF-12 with 1% fetal calf serum for 4&#x2009;h to facilitate adhesion, at a density of 10,000 cells/coverslip. Then, coverslips were washed and maintained in DM without growth factor supplementation. Coverslips from the same experiment were divided in two groups: one received 50&#x2009;&#x03BC;M boldine treatment and the other the corresponding vehicle (MilliQ&#x00AE; water). After 48&#x2009;h of seeding, neurosphere-derived adhered cells in the coverslips were fixed with 4% paraformaldehyde in 0.1&#x2009;M phosphate buffer (10-min incubation). Immunohistochemistry was always performed in parallel with coverslips from control and treated cultures of the same experiment. Coverslips were incubated for 30&#x2009;min in a blocking solution containing 2.5% bovine serum albumin in PBS and then in the primary (2&#x2009;h at room temperature) and, after rinsing, in the secondary (30&#x2009;min at room temperature) antibodies prepared in blocking solution. After washing, cells were counterstained with 0.1&#x2009;&#x03BC;g/mL DAPI for 10&#x2009;min, washed again and mounted on slides with n-propyl-gallate solution. The primary antibodies used were glial fibrillary acidic protein (GFAP, to identify astrocytes, made in mouse, Sigma Aldrich G3893, 1:1500), chondroitin sulfate proteoglycan (NG2, to identify oligodendrocyte precursors, made in rabbit, Millipore AB320, 1:250), and doublecortin (DCX, to identify neurons, made in goat, Novus Biologicals NBP1-72042, 1:100). The secondary antibodies used were anti-mouse IgG labeled with TRITC, anti-rabbit IgG labeled with FITC, and anti-goat IgG labeled with TRITC (Jackson ImmunoResearch, 1:200).</p>
</sec>
<sec id="sec9">
<label>2.7.</label>
<title>Epifluorescence microscopy analysis</title>
<p>Coverslips with neurosphere-derived cells from 5 to 8 independent experiments were visualized by epifluorescence microscopy after the immunohistochemical procedures. Fluorescent images of the cells were captured using a camera DP73 (Olympus) coupled to an epifluorescence microscope (Olympus BX61) with a 20X objective. Omission of primary antibodies resulted in the absence of detectable staining in all cases. Six randomly selected fields were captured per coverslip with the excitation wavelengths for the secondary antibody-associated fluorophores (FITC or TRITC) and for DAPI.</p>
<p>Counting of BrdU-positive cells was performed in the images and expressed as percentage of the total number of cells identified by DAPI staining.</p>
<p>Counting of GFAP-, NG2-, or DCX-positive cells was performed on the merged images of the marker with the DAPI channel. Only cells with clear labeling of the cytoplasm or the processes around the DAPI labeled nuclei were considered immunopositive for each marker.</p>
</sec>
<sec id="sec10">
<label>2.8.</label>
<title>MTT assay</title>
<p>3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) (Sigma-Aldrich) was used to determine the cell viability and the 50% growth inhibitory concentration (IC<sub>50</sub>) of boldine in GBM59, GBM96, and U87-MG cells. GBM cells were cultured in 24-well plates at a density of 5,000 cells/well in GBM medium. Subsequently, boldine was added to the culture medium at final concentrations of 0, 25, 50, 100, 200, 300, or 600&#x2009;&#x03BC;M. After 72&#x2009;h of culture, GBM cells were incubated in the dark with culture medium containing 0.5&#x2009;mg/mL MTT. After 10&#x2009;min in dimethyl sulfoxide (DMSO), absorbance was measured at a wavelength of 570&#x2009;nm using a microplate reader.</p>
</sec>
<sec id="sec11">
<label>2.9.</label>
<title>Statistics</title>
<p>Statistics were performed with Sigma Plot 11 (Systat Software, San Jos&#x00E9;, CA, United States). All values are expressed as the mean&#x2009;&#x00B1;&#x2009;standard error of the mean (SEM).</p>
<p>Comparisons between two groups (control and treatment) in experiments with neurospheres or with GBM cells were achieved by using a Student&#x2019;s <italic>t</italic> test at a significant level of <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05.</p>
<p>Comparisons between groups in MTT assay experiments with GBM cells were performed with a one-way ANOVA test at a significant level of <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="sec12">
<label>3.</label>
<title>Results</title>
<sec id="sec13">
<label>3.1.</label>
<title>Boldine inhibits hemichannel activity in neural progenitor cells of the subventricular zone</title>
<p>In order to demonstrate the presence of hemichannel proteins in NPCs derived from rat postnatal neurospheres we performed immunocytochemical experiments for the detection of Cx43 and Panx1. As seen in <xref rid="fig1" ref-type="fig">Figure 1</xref>, most neurosphere-derived NPCs (identified by nestin immunoreactivity) expressed Cx43 (<xref rid="fig1" ref-type="fig">Figures 1A</xref>&#x2013;<xref rid="fig1" ref-type="fig">C</xref>) and Panx1 (<xref rid="fig1" ref-type="fig">Figures 1D</xref>,<xref rid="fig1" ref-type="fig">E</xref>). Boldine, at a concentration of 50&#x2009;&#x03BC;M, effectively inhibited hemichannel activity in neurosphere-derived cells, as demonstrated by a significant reduction in EtBr uptake (<xref rid="fig1" ref-type="fig">Figures 1G</xref>&#x2013;<xref rid="fig1" ref-type="fig">I</xref>, data are mean&#x2009;&#x00B1;&#x2009;SEM: 45.4&#x2009;&#x00B1;&#x2009;8.4 to 13.0&#x2009;&#x00B1;&#x2009;1.8 arbitrary units, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, <italic>n</italic>&#x2009;=&#x2009;3).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Boldine inhibits hemichannel activity in neural progenitor cells of the postnatal rat subventricular zone. <bold>(A&#x2013;C)</bold> Epifluorescence microscopy images of neurosphere-derived cells after double immunostaining for nestin [<bold>(A)</bold>, red] and Cx43 [<bold>(B)</bold>, green]. <bold>(C)</bold> shows the merge image of <bold>(A,B)</bold>. Cell nuclei are identified by staining with DAPI (in blue). Scale bar&#x2009;=&#x2009;50&#x2009;&#x03BC;m. <bold>(D&#x2013;F)</bold>. Epifluorescence microscopy images of neurosphere-derived cells after double immunostaining for nestin [<bold>(D)</bold>, red] and Panx1 [<bold>(E)</bold>, green]. <bold>(F)</bold> shows the merge image of <bold>(D,E)</bold>. Cell nuclei are identified by staining with DAPI (in blue). Scale bar&#x2009;=&#x2009;50&#x2009;&#x03BC;m. <bold>(G,H)</bold>. Representative fluorescence images of neurospheres incubated in a solution containing 5&#x2009;&#x03BC;M EtBr for 10&#x2009;min after a 15-min incubation with milliQ<sup>&#x00AE;</sup> water <bold>(G)</bold> or with 50&#x2009;&#x03BC;M boldine <bold>(H)</bold>. Scale bar&#x2009;=&#x2009;100&#x2009;&#x03BC;m. The bar chart in <bold>(I)</bold> shows EtBr uptake (in arbitrary units, AU) in cells of neurospheres after 15-min incubation with milliQ<sup>&#x00AE;</sup> water (control) or with 50&#x2009;&#x03BC;M boldine. Data are mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;3, &#x002A; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05 compared to control condition, <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fnins-17-1211467-g001.tif"/>
</fig>
</sec>
<sec id="sec14">
<label>3.2.</label>
<title>Boldine treatment reduces proliferation of neural progenitor cells of the subventricular zone</title>
<p>To analyze whether hemichannel inhibition with boldine affects NPC proliferation, we measured the diameter of the neurospheres formed after 72&#x2009;h of incubation of NPCs with vehicle (control) or with 50&#x2009;&#x03BC;M boldine. Additionally, we compared the percentage of BrdU incorporation during the last 12&#x2009;h of culture between control and boldine treatment conditions.</p>
<p>Neurosphere diameter was significantly reduced by 23% after boldine treatment (93.6&#x2009;&#x00B1;&#x2009;6.7&#x2009;&#x03BC;m in control cultures to 72.15&#x2009;&#x00B1;&#x2009;5.2&#x2009;&#x03BC;m in boldine-treated cultures, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, <italic>n</italic>&#x2009;=&#x2009;4) (<xref rid="fig2" ref-type="fig">Figures 2A</xref>,<xref rid="fig2" ref-type="fig">B</xref>,<xref rid="fig2" ref-type="fig">G</xref>). We also tested the effect of an increased boldine concentration, 100&#x2009;&#x03BC;M, on neurosphere diameter. Treatment of NPCs with 100&#x2009;&#x03BC;M boldine affected neurosphere integrity leading to the production of opaque neurospheres and multiple individual, nonforming neurosphere cells (<xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 1</xref>). Therefore, the effect of boldine treatment on BrdU incorporation was tested only with the 50&#x2009;&#x03BC;M concentration. The percentage of BrdU incorporation in neurosphere-derived cells after 72&#x2009;h treatment with 50&#x2009;&#x03BC;M boldine was significantly reduced from a 29.3&#x2009;&#x00B1;&#x2009;4.3% to a 12.7&#x2009;&#x00B1;&#x2009;3.3% (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, <italic>n</italic>&#x2009;=&#x2009;8) (<xref rid="fig2" ref-type="fig">Figures 2C</xref>&#x2013;<xref rid="fig2" ref-type="fig">F,H</xref>).</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>Effect of boldine treatment on neurosphere diameter and BrdU incorporation. Neural progenitor cells (NPCs) of the postnatal rat subventricular zone were cultured in the absence (control) or presence of the hemichannel blocker boldine. The diameter of the formed neurospheres 72&#x2009;h after seeding, as well as the percentage of bromodeoxyuridine (BrdU) incorporation during the last 12&#x2009;h of culture were evaluated. <bold>(A,B)</bold>: Phase-contrast photomicrographs of neurospheres in control cultures <bold>(A)</bold> and in cultures treated with 50&#x2009;&#x03BC;M boldine <bold>(B)</bold>. Scale bar: 100&#x2009;&#x03BC;m. <bold>(C&#x2013;F)</bold>: Epifluorescence images showing BrdU immunohistochemistry (in green) in neurosphere-derived cells obtained from control cultures and cultures treated with 50&#x2009;&#x03BC;M boldine. The total number of cells in each field was identified by DAPI staining (in blue). Scale bar: 50&#x2009;&#x03BC;m. <bold>(G)</bold>: Graph showing the neurosphere (NS) diameter (in &#x03BC;m) in each experimental condition. Data are the mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;4, &#x002A; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, <italic>t</italic> test. <bold>(H)</bold>: Graph showing the percentage of BrdU incorporation in both experimental conditions. Data are the mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;8, &#x002A; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fnins-17-1211467-g002.tif"/>
</fig>
<p>We also aimed to test putative effects of boldine treatment on NPC differentiation. For that purpose, we seeded NPCs on differentiation-inducing conditions, that is, on an adhesive substrate and in the absence of growth factors. After 48&#x2009;h of culture under these conditions, 23.7&#x2009;&#x00B1;&#x2009;4.3% of the seeded NPCs differentiated to astrocytes (<xref rid="fig3" ref-type="fig">Figures 3A</xref>,<xref rid="fig3" ref-type="fig">C</xref>), 21.7&#x2009;&#x00B1;&#x2009;5.1% to oligodendrocyte-progenitor cells (<xref rid="fig3" ref-type="fig">Figures 3D</xref>,<xref rid="fig3" ref-type="fig">F</xref>), and 12.5&#x2009;&#x00B1;&#x2009;2.3% to neurons (<xref rid="fig3" ref-type="fig">Figures 3G</xref>,<xref rid="fig3" ref-type="fig">H</xref>). Treatment of the cultures with 50 &#x03BC;M boldine for 48 h did not induce any significant modification in this differentiation pattern (30.1&#x2009;&#x00B1;&#x2009;5.8% astrocytes (<xref rid="fig3" ref-type="fig">Figures 3B</xref>,<xref rid="fig3" ref-type="fig">C</xref>), 26.1&#x2009;&#x00B1;&#x2009;5.2% oligodendrocyte-progenitor cells (<xref rid="fig3" ref-type="fig">Figures 3E</xref>,<xref rid="fig3" ref-type="fig">F</xref>), and 14.0&#x2009;&#x00B1;&#x2009;2.7% neurons (<xref rid="fig3" ref-type="fig">Figures 3H</xref>,<xref rid="fig3" ref-type="fig">I</xref>), <italic>p</italic>&#x2009;&#x003E;&#x2009;0.05, <italic>n</italic>&#x2009;=&#x2009;8).</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>Effect of boldine treatment on neural progenitor cell differentiation. Fluorescence microscopy images of neurosphere-derived adhered cells immunostained with antibodies to identify astrocytes [GFAP, red, <bold>(A,B)</bold>], oligodendroglial precursors [NG2, green, <bold>(D,E)</bold>], and neurons [DCX, red, <bold>(G,H)</bold>], and counterstained with DAPI (blue), in cultures treated for 48&#x2009;h with vehicle [control, <bold>(A,D,G)</bold>] or with 50&#x2009;&#x03BC;M boldine <bold>(B,E,H)</bold>. Scale bars: 50&#x2009;&#x03BC;m. <bold>(C,F,I)</bold>: Percentage of cells immunoreactive to GFAP <bold>(C)</bold>, NG2 <bold>(F)</bold>, and DCX <bold>(I)</bold>, in neurosphere-derived cells grown on adhesive substrate for 48&#x2009;h and treated either with vehicle (control) or with 50&#x2009;&#x03BC;M boldine. Data are the mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;8, <italic>p</italic>&#x2009;&#x003E;&#x2009;0.05, <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fnins-17-1211467-g003.tif"/>
</fig>
</sec>
<sec id="sec15">
<label>3.3.</label>
<title>Other hemichannel blockers differentially affect neural progenitor cell proliferation</title>
<p>Since hemichannels blocked by boldine can be formed by either connexin or pannexin proteins, we decided to test the effect on NPC proliferation of other drugs that specifically target hemichannels formed specifically by connexins or pannexins. Therefore, we first analyzed the effect of D4, a molecule that inhibits connexin hemichannels, but not connexin gap junctions (<xref ref-type="bibr" rid="ref13">Cisterna et al., 2020</xref>). As seen in <xref rid="fig4" ref-type="fig">Figures 4A</xref>&#x2013;<xref rid="fig4" ref-type="fig">E</xref>, D4 (500 nM) treatment of neurosphere-derived cells did not significantly affect BrdU incorporation (26.5&#x2009;&#x00B1;&#x2009;5.8% in control cultures <italic>vs</italic> 31.4&#x2009;&#x00B1;&#x2009;4.2% in cultures treated with 500&#x2009;nM D4, <italic>n</italic>&#x2009;=&#x2009;8, <italic>p</italic>&#x2009;&#x003E;&#x2009;0.05), which suggests that Cx43 hemichannel inhibition is not relevant for NPC proliferation. A 10X increase in D4 concentration (5&#x2009;&#x03BC;M) did not modify BrdU incorporation in NPCs either (data not shown). Next, we proceeded to treat NPC cultures with probenecid, a molecule that inhibits Panx1 hemichannels (<xref ref-type="bibr" rid="ref38">Silverman et al., 2008</xref>). Previous findings demonstrated that 1&#x2009;mM probenecid reduced neurosphere diameter in NPC cultures after 7&#x2009;days <italic>in vitro</italic> (<xref ref-type="bibr" rid="ref46">Wicki-Stordeur et al., 2012</xref>). Therefore, we decided to use this concentration to evaluate BrdU incorporation under our experimental conditions. Interestingly, BrdU incorporation in NPCs treated with 1&#x2009;mM probenecid resulted significantly reduced as compared to NPCs treated with the vehicle (<xref rid="fig4" ref-type="fig">Figures 4F</xref>&#x2013;<xref rid="fig4" ref-type="fig">J</xref>; 24.8&#x2009;&#x00B1;&#x2009;1.0% in control cultures <italic>vs</italic> 16.4&#x2009;&#x00B1;&#x2009;0.8% in cultures treated with probenecid, <italic>n</italic>&#x2009;=&#x2009;6, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001).</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>Effect of other hemichannel blockers on BrdU incorporation in neural progenitor cells. Neural progenitor cells (NPCs) of the postnatal rat subventricular zone were cultured for 72&#x2009;h in the absence (control) or presence of the connexin hemichannel blocker D4 (500&#x2009;nM) or the Panx1 hemichannel blocker probenecid (1&#x2009;mM). The percentage of bromodeoxyuridine (BrdU) incorporation during the last 12&#x2009;h of culture was evaluated. <bold>(A&#x2013;D)</bold>: Epifluorescence images showing BrdU immunohistochemistry (in green) in neurosphere-derived cells obtained from control cultures and cultures treated with 500&#x2009;nM D4. The total number of cells in each field was identified by DAPI staining (in blue). Scale bar: 50&#x2009;&#x03BC;m. <bold>(E)</bold>: Graph showing the percentage of BrdU incorporation in both experimental conditions. Data are the mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;8, <italic>p</italic>&#x2009;&#x003E;&#x2009;0.05, <italic>t</italic> test. <bold>(F&#x2013;I)</bold>: Epifluorescence images showing BrdU immunohistochemistry (in green) in neurosphere-derived cells obtained from control cultures and cultures treated with 1&#x2009;mM probenecid. The total number of cells in each field was identified by DAPI staining (in blue). Scale bar: 50&#x2009;&#x03BC;m. <bold>(J)</bold>: Graph showing the percentage of BrdU incorporation in both experimental conditions. Data are the mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;6, &#x002A;&#x002A; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fnins-17-1211467-g004.tif"/>
</fig>
</sec>
<sec id="sec16">
<label>3.4.</label>
<title>Boldine inhibits cell growth in glioblastoma cells</title>
<p>Based on common features between SVZ NPCs and glioma stem cells we proceeded to analyze the effect of boldine on cell growth in three different primary human GBM cells: GBM59, GBM96, and U87-MG, using the MTT assay. Five boldine concentrations were tested to perform concentration-dependent curves and to calculate the IC<sub>50</sub> values. As seen in <xref rid="fig5" ref-type="fig">Figure 5</xref>, boldine induced a concentration-dependent reduction in cell growth in the three tested GBM cell lines. U87-MG cells were less sensitive to boldine treatment than GBM59 and GBM96 cells. Therefore, higher boldine concentrations were required to achieve significant reductions in cell growth (<xref rid="fig5" ref-type="fig">Figure 5</xref>). The IC<sub>50</sub> values obtained were: 68.6&#x2009;&#x03BC;M, 141.7&#x2009;&#x03BC;M, and 213.8&#x2009;&#x03BC;M, for GBM59, GBM96, and U87-MG cells, respectively.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>Effect of boldine on glioblastoma cell growth. Cell viability in GBM cells treated for 72&#x2009;h with different concentrations of boldine (25, 50, 100, 200, and 300&#x2009;&#x03BC;M for GBM59 and GBM96 cells, and 50, 100, 200, 300, and 600&#x2009;&#x03BC;M for U87-MG cells). Phase-contrast photomicrographs in the left panel show examples of GBM59, GBM96, and U87-MG cells in control conditions and after 72&#x2009;h of treatment with boldine at the indicated concentrations. Scale bars: 100 &#x00B5;m. Bar histograms in the right panel show the growth inhibition (as percentage with respect to control) of every tested concentration of boldine in GBM59, GBM96 and U87-MG cells. Data are the mean&#x2009;&#x00B1;&#x2009;SEM, <italic>n</italic>&#x2009;=&#x2009;9&#x2013;12, &#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05, &#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.0001, compared to control, one-way ANOVA test.</p>
</caption>
<graphic xlink:href="fnins-17-1211467-g005.tif"/>
</fig>
</sec>
<sec id="sec17">
<label>3.5.</label>
<title>Boldine reduces EtBr uptake in glioblastoma cells</title>
<p>To analyze whether boldine treatment affects hemichannel activity in GBM cells we first demonstrated the presence of hemichannel proteins in these cells. As seen in <xref ref-type="supplementary-material" rid="SM1">Supplementary Figure 2</xref>, both Cx43 and Panx1 were expressed by the three tested GBM cell lines.</p>
<p>Subsequently, EtBr uptake was evaluated in GBM cells in the absence or presence of boldine. As seen in <xref rid="fig6" ref-type="fig">Figure 6</xref>, boldine, at concentrations close to the IC<sub>50</sub> of each GBM cell line, produced a significant reduction in EtBr uptake in GBM59, GBM96 and U87-MG cells. These results demonstrate that boldine inhibits hemichannel activity in patient-derived GBM cells.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>Boldine reduces hemichannel activity in glioblastoma cells. Representative fluorescence images of GBM59 <bold>(A,B)</bold>, GBM96 <bold>(D,E)</bold>, and U87-MG cells <bold>(G,H)</bold> incubated in a solution containing 5&#x2009;&#x03BC;M EtBr (in red) for 10&#x2009;min after a 15-min incubation with milliQ<sup>&#x00AE;</sup> water (control) or with boldine at the indicated concentrations. Scale bars: 100&#x2009;&#x03BC;m. <bold>(C,F,I)</bold>: Bar charts showing EtBr uptake (in arbitrary units, AU) in GBM59, GBM96, and U87-MG cells after 15-min incubation with milliQ<sup>&#x00AE;</sup> water (control) or with boldine (100&#x2009;&#x03BC;M for GBM59 and GBM96 cells, and 300&#x2009;&#x03BC;M for U87-MG cells). Data are mean&#x2009;&#x00B1;&#x2009;SEM from 3 to 4 independent experiments, &#x002A; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05 compared to control condition, <italic>t</italic> test.</p>
</caption>
<graphic xlink:href="fnins-17-1211467-g006.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussions" id="sec18">
<label>4.</label>
<title>Discussion</title>
<p>In this article, we show that boldine, a molecule that inhibits hemichannels, but not gap junctions, exerts an antiproliferative effect on postnatal rat SVZ NPCs which indicates that, communication mediated by hemichannels intervenes in the control of NPC proliferation. Boldine treatment also induces a significant reduction in GBM cell growth. Therefore, the alkaloid boldine might be an interesting compound to test, alone or in combination with temozolomide, as an adjuvant therapy for gliomas or to reduce the possibility of recurrences after tumor resection.</p>
<p>Boldine has been extensively reported as a potent natural antioxidant and possesses several health-promoting properties mainly based on its free radical scavenger and/or anti-inflammatory actions (<xref ref-type="bibr" rid="ref2">Backhouse et al., 1994</xref>; <xref ref-type="bibr" rid="ref32">O&#x2019;Brien et al., 2006</xref>). In addition to these well-known effects, boldine has been reported to inhibit hemichannel activity without affecting gap junctional communication (<xref ref-type="bibr" rid="ref21">Hern&#x00E1;ndez-Salinas et al., 2013</xref>; <xref ref-type="bibr" rid="ref52">Yi et al., 2017</xref>) and to block P2X<sub>7</sub> receptors (<xref ref-type="bibr" rid="ref12">Cea et al., 2023</xref>; <xref ref-type="bibr" rid="ref43">Toro et al., 2023</xref>). The inhibition of these channels and receptors might be involved in boldine-induced antioxidant effects since, as Ca<sup>2+</sup> promotes the formation of superoxide anions, hemichannel blockers might prevent the generation of free radicals by blocking the influx of Ca<sup>2+</sup> (<xref ref-type="bibr" rid="ref3">Balboa et al., 2020</xref>). In fact, this mechanism of action accounts for additional protective effects, such as decreased neuronal damage in a murine model of Alzheimer&#x2019;s disease (<xref ref-type="bibr" rid="ref52">Yi et al., 2017</xref>) and myofiber protection in a mouse model of muscular dystrophy (<xref ref-type="bibr" rid="ref11">Cea et al., 2020</xref>) or after endotoxemia (<xref ref-type="bibr" rid="ref10">Cea et al., 2019</xref>).</p>
<p>In this work, we have demonstrated the presence of hemichannel proteins (Cx43 and Panx1) in NPCs of the SVZ grown as neurospheres. In a previous article we showed that neurosphere-derived NPCs express mRNA for different hemichannel protein subtypes and present hemichannel activity in control conditions (<xref ref-type="bibr" rid="ref40">Talaver&#x00F3;n et al., 2015</xref>). Other authors have also reported the existence of Cx43 and Panx1 in the NPC population in the SVZ neurogenic niche (<xref ref-type="bibr" rid="ref46">Wicki-Stordeur et al., 2012</xref>; <xref ref-type="bibr" rid="ref35">Ravella et al., 2015</xref>) and they have defined possible roles of gap junctional communication between NPCs within the SVZ (<xref ref-type="bibr" rid="ref24">Lacar et al., 2011</xref>; <xref ref-type="bibr" rid="ref35">Ravella et al., 2015</xref>). When used for therapeutic purposes, NPCs are also able to form functional gap junctions with the host tissue that could be relevant for their survival and beneficial effects (<xref ref-type="bibr" rid="ref23">J&#x00E4;derstad et al., 2010</xref>; <xref ref-type="bibr" rid="ref41">Talaver&#x00F3;n et al., 2014</xref>). However, the effect of the communication by hemichannels in this population of progenitor cells has not been analyzed yet. By selectively inhibiting hemichannels, but not gap junctions, with boldine, we have shown that the proliferation rate of cultured SVZ NPCs is reduced by 55%. Interestingly, NPC differentiation pattern was not affected by boldine treatment which suggests that the entry or the release of molecules by hemichannels might intervene in the control of the mitotic activity of NPCs but not in their commitment to a specific lineage.</p>
<p>As boldine inhibits hemichannels formed both by connexins or pannexins, to elucidate possible involvements of specific protein subtypes, we analyzed BrdU incorporation in NPCs treated with a selective connexin hemichannel blocker (D4) or a Panx1 hemichannel blocker (probenecid). These experiments revealed that communication mediated by Cx43 hemichannels did not exert a significant role in NPC proliferation. Interestingly, Panx1 channel inhibition reduced NPC proliferation, suggesting that, among the different hemichannel subtypes present in NPCs, at least those formed by Panx1 might have a role in controlling NPC division. This agrees with a previous study by <xref ref-type="bibr" rid="ref46">Wicki-Stordeur et al. (2012)</xref> showing a reduction in neurosphere diameter in cultures of neonatal mouse SVZ NPCs treated with 1&#x2009;mM probenecid. ATP is most likely the molecule involved in actions derived from Panx1-mediated communication. The interaction of ATP with different purinergic receptors (mainly P2X7 and P2Y1) modulates adult neurogenesis. Activation of P2Y1 receptors leads to increased proliferation and migration, and this effect is counterbalanced by P2X7 activation that decreases proliferation, induces neuronal differentiation, and apoptosis (<xref ref-type="bibr" rid="ref9">Cavaliere et al., 2015</xref>). Whether ATP is a molecule involved in boldine antiproliferative actions in SVZ NPCs remains to be elucidated.</p>
<p>Connexins and pannexins can also interact through their cytoplasmic domains with different molecules to induce relevant effects on cell growth, migration, or differentiation (<xref ref-type="bibr" rid="ref27">Leithe et al., 2018</xref>; <xref ref-type="bibr" rid="ref25">Laird and Penuela, 2021</xref>). Hemichannel blockers may exert additional effects on the protein channel interactome, and vice versa. For example, probenecid has been described to disrupt the interaction of Panx1 with the microtubule-associated protein Crmp2, leading to an increase in microtubule stability (<xref ref-type="bibr" rid="ref50">Xu et al., 2018</xref>). The penetrating peptide TAT-Cx43<sub>266-283</sub>, which mimics Cx43 interactions with the nonreceptor tyrosine kinase c-Src, also produces hemichannel inhibition (<xref ref-type="bibr" rid="ref17">Gangoso et al., 2017</xref>). Therefore, we cannot rule out the possibility that, through hemichannel inhibition-independent actions, boldine may interfere with the connexin/pannexin interactome leading to antimitotic effects.</p>
<p>Recent evidence supports the notion that primary <italic>IDH</italic>-wild type GBM may arise from SVZ NSCs that acquire driver mutations (<xref ref-type="bibr" rid="ref26">Lee et al., 2018</xref>). Furthermore, glioma stem cells have many similarities with SVZ NSCs, such as nestin expression, high motility, diversity of progeny, proliferative potential, association with blood vessels, and bilateral communication with constituents of the niche (<xref ref-type="bibr" rid="ref37">Sanai et al., 2005</xref>). In our study, we have demonstrated that boldine causes a significant reduction in cell growth in different types of primary GBM cells. Furthermore, we have shown for the first time that boldine inhibits hemichannel activity in GBM cells. Other authors reported earlier that boldine treatment is effective in reducing the mitotic index of other human and rat glioma cell lines, without affecting apoptosis or being toxic to normal brain cells (<xref ref-type="bibr" rid="ref18">Gerhardt et al., 2009</xref>). Treatment with boldine has also been shown to reduce the proliferation of other tumor cells such, as breast cancer cells, <italic>in vitro</italic> and <italic>in vivo</italic> (<xref ref-type="bibr" rid="ref33">Paydar et al., 2014</xref>), although the specific mechanisms by which boldine exerts these antimitotic actions have not been detailed. Additional studies will be necessary to be performed to unravel whether the antiproliferative effect of boldine in GBM cells is derived from the interruption of ion/molecular transfer across open hemichannels or from hemichannel-independent effects.</p>
<p>Our results showing similar antiproliferative actions of boldine in SVZ NPCs and in primary GBM cells could be of clinical relevance to use this drug as a potential therapy for GBM, alone or in combination with existing chemotherapy, to reduce both the proliferation of GBM cells and SVZ NSCs that could act as tumor-initiating cells.</p>
</sec>
<sec sec-type="data-availability" id="sec19">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="sec20">
<title>Ethics statement</title>
<p>The animal study was reviewed and approved by Comit&#x00E9; &#x00C9;tico de Experimentaci&#x00F3;n Animal (Animal Research Ethics Comittee), University of Seville, Spain.</p>
</sec>
<sec id="sec21">
<title>Author contributions</title>
<p>EM, JS, AP, and AT designed the study and analyzed the data. EJ-M, CM-D, RT, and EM performed the experiments. EM wrote the first draft of the manuscript. All authors contributed to manuscript revision, read, and approved the submitted version.</p>
</sec>
<sec sec-type="funding-information" id="sec22">
<title>Funding</title>
<p>This publication was supported by project P20_00529 (Consejer&#x00ED;a de Econom&#x00ED;a, Conocimiento, Empresas y Universidad, Junta de Andaluc&#x00ED;a-FEDER). Research was also funded by project SA125P20 (Consejer&#x00ED;a de Educaci&#x00F3;n, Junta de Castilla y Le&#x00F3;n, FEDER). We also acknowledge funding from VII Plan Propio de Investigaci&#x00F3;n y Transferencia, University of Seville.</p>
</sec>
<sec sec-type="COI-statement" id="sec23">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="sec100" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<p>EJ-M thanks the University of Seville (VII Plan Propio de Investigaci&#x00F3;n y Transferencia) and the Spanish Government for Initiation to Research Fellowships. Epifluorescence microscopy was performed in the Microscopy Central Services of the University of Seville (CITIUS). The authors thank J. L. Ribas (University of Seville) for technical support, Silvia Penuela (University of Western Ontario) for advice on pannexins, and Manuel Sarmiento (University of Seville) for providing GBM59 and GBM96 cells and for advice on GBM cell culture.</p>
</ack>
<sec sec-type="supplementary-material" id="sec24">
<title>Supplementary material</title>
<p>The Supplementary material for this article can be found online at: <ext-link xlink:href="https://www.frontiersin.org/articles/10.3389/fnins.2023.1211467/full#supplementary-material" ext-link-type="uri">https://www.frontiersin.org/articles/10.3389/fnins.2023.1211467/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.PDF" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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