Gap junctions are clusters of intercellular channels between adjacent cells
. The channels are formed by the direct apposition of oligomeric transmembr
ane proteins, permitting the direct exchange of ions and small molecules (<
1 kDa) between cells without involvement of the extracellular space. Verteb
rate gap junction channels are composed of oligomers of connexins, an enlar
ging family of proteins consisting of perhaps >20 members. This article rev
iews recent advances in understanding the structure of intercellular channe
ls and describes the diverse functions attributable to gap junctions as a r
esult of insights gained from targeted gene disruptions in mice and genetic
diseases in humans.