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. 2022 Jan 12;11(1):2. doi: 10.1038/s41389-022-00378-7

Fig. 6. A model illustrates Cx43/PI3K-mediated TMZ resistance independent of MGMT.

Fig. 6

In MGMT-deficient GBMs, after growth factors bind to their cell surface receptors, Cx43 is expected to recruit p110β/p85 signaling complexes to the membrane through a selective binding to p110β. This in turn activates PI3K/AKT signaling and induces MGMT-independent TMZ resistance. It is also expected that αCT1, a mimetic peptide of Cx43 CT, blocks the interaction between Cx43 and p110β, thereby inactivating p110β and overcoming TMZ resistance. Moreover, p110β-selective inhibitors TGX-221 and GSK2636771, which block p110β kinase activity, synergize with αCT1 to restore TMZ sensitivity in MGMT-deficient GBMs.