The importance of intercellular communication to complex cellular proc
esses such as development, differentiation, growth, propagation of ele
ctrical impulses and diffusional feeding has long been appreciated. Th
e realization that intercellular communication is mediated by gap junc
tion channels, which are in turn comprised of a diverse family of prot
eins called the connexins, has provided new tools and avenues for stud
ying the role of intercellular communication in these important cellul
ar processes. The identification of different connexin isoforms has no
t only enabled the development of specific reagents to study connexin
expression patterns, but has also allowed the functional properties of
the different connexin isoforms and how they interact with each other
, to be explored. Increasingly, the knowledge gained from studying con
nexin diversity is being used to investigate the role played by gap ju
nction channels in a number of diseases. In this article we highlight
selected cases where gap junction channels have been shown or are beli
eved to be directly involved in the disease process.