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(Circulation Research. 2000;87:656.)
© 2000 American Heart Association, Inc.


Integrative Physiology

Dephosphorylation and Intracellular Redistribution of Ventricular Connexin43 During Electrical Uncoupling Induced by Ischemia

Michael A. Beardslee, Deborah L. Lerner, Peter N. Tadros, James G. Laing, Eric C. Beyer, Kathryn A. Yamada, André G. Kléber, Richard B. Schuessler, Jeffrey E. Saffitz

From the Departments of Medicine, Surgery, Pediatrics and Pathology, and the Center for Cardiovascular Research, Washington University School of Medicine, St. Louis, Mo, and the Department of Physiology, University of Bern, Bern, Switzerland. Dr Beyer’s current address is Section of Pediatric Hematology/Oncology, University of Chicago Children’s Hospital, Chicago, Ill.

Correspondence to Jeffrey E. Saffitz, MD, PhD, Washington University School of Medicine, Department of Pathology, Box 8118, 660 S Euclid Ave, St. Louis, MO 63110. E-mail saffitz{at}pathology.wustl.edu

Abstract—Electrical uncoupling at gap junctions during acute myocardial ischemia contributes to conduction abnormalities and reentrant arrhythmias. Increased levels of intracellular Ca2+ and H+ and accumulation of amphipathic lipid metabolites during ischemia promote uncoupling, but other mechanisms may play a role. We tested the hypothesis that uncoupling induced by acute ischemia is associated with changes in phosphorylation of the major cardiac gap junction protein, connexin43 (Cx43). Adult rat hearts perfused on a Langendorff apparatus were subjected to ischemia or ischemia/reperfusion. Changes in coupling were monitored by measuring whole-tissue resistance. Changes in the amount and distribution of phosphorylated and nonphosphorylated isoforms of Cx43 were measured by immunoblotting and confocal immunofluorescence microscopy using isoform-specific antibodies. In control hearts, virtually all Cx43 identified immunohistochemically at apparent intercellular junctions was phosphorylated. During ischemia, however, Cx43 underwent progressive dephosphorylation with a time course similar to that of electrical uncoupling. The total amount of Cx43 did not change, but progressive reduction in total Cx43 immunofluorescent signal and concomitant accumulation of nonphosphorylated Cx43 signal occurred at sites of intercellular junctions. Functional recovery during reperfusion was associated with increased levels of phosphorylated Cx43. These observations suggest that uncoupling induced by ischemia is associated with dephosphorylation of Cx43, accumulation of nonphosphorylated Cx43 within gap junctions, and translocation of Cx43 from gap junctions into intracellular pools.


Key Words: connexin43 • gap junctions • ischemia • uncoupling • phosphorylation • arrhythmias




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Am. J. Physiol. Heart Circ. Physiol.Home page
F. Padilla, D. Garcia-Dorado, A. Rodriguez-Sinovas, M. Ruiz-Meana, J. Inserte, and J. Soler-Soler
Protection afforded by ischemic preconditioning is not mediated by effects on cell-to-cell electrical coupling during myocardial ischemia-reperfusion
Am J Physiol Heart Circ Physiol, November 1, 2003; 285(5): H1909 - H1916.
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Am. J. Physiol. Heart Circ. Physiol.Home page
T.-M. Lee and T.-F. Chou
Troglitazone administration limits infarct size by reduced phosphorylation of canine myocardial connexin43 proteins
Am J Physiol Heart Circ Physiol, October 1, 2003; 285(4): H1650 - H1659.
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Cardiovasc ResHome page
J. R de Groot, C. A Schumacher, A. O Verkerk, A. Baartscheer, J. W.T Fiolet, and R. Coronel
Intrinsic heterogeneity in repolarization is increased in isolated failing rabbit cardiomyocytes during simulated ischemia
Cardiovasc Res, September 1, 2003; 59(3): 705 - 714.
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Am. J. Physiol. Heart Circ. Physiol.Home page
J. J. Sims, K. L. Schoff, J. M. Loeb, and N. A. Wiegert
Regional gap junction inhibition increases defibrillation thresholds
Am J Physiol Heart Circ Physiol, June 5, 2003; 285(1): H10 - H16.
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Circ. Res.Home page
S. K. Jain, R. B. Schuessler, and J. E. Saffitz
Mechanisms of Delayed Electrical Uncoupling Induced by Ischemic Preconditioning
Circ. Res., May 30, 2003; 92(10): 1138 - 1144.
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Circ. Res.Home page
R. J. Barker and R. G. Gourdie
JNK Bond Regulation: Why Do Mammalian Hearts Invest in Connexin43?
Circ. Res., October 4, 2002; 91(7): 556 - 558.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Li, S. Brodsky, S. Kumari, V. Valiunas, P. Brink, J.-I. Kaide, A. Nasjletti, and M. S. Goligorsky
Paradoxical overexpression and translocation of connexin43 in homocysteine-treated endothelial cells
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2124 - H2133.
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Cardiovasc ResHome page
H. M.W van der Velden and H. J Jongsma
Cardiac gap junctions and connexins: their role in atrial fibrillation and potential as therapeutic targets
Cardiovasc Res, May 1, 2002; 54(2): 270 - 279.
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Circ. Res.Home page
R. C. Pimentel, K. A. Yamada, A. G. Kleber, and J. E. Saffitz
Autocrine Regulation of Myocyte Cx43 Expression by VEGF
Circ. Res., April 5, 2002; 90(6): 671 - 677.
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Cardiovasc ResHome page
C. M. Johnson, E. M. Kanter, K. G. Green, J. G. Laing, T. Betsuyaku, E. C. Beyer, T. H. Steinberg, J. E. Saffitz, and K. A. Yamada
Redistribution of connexin45 in gap junctions of connexin43-deficient hearts
Cardiovasc Res, March 1, 2002; 53(4): 921 - 935.
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J. Neurosci.Home page
M. V. Frantseva, L. Kokarovtseva, C. G. Naus, P. L. Carlen, D. MacFabe, and J. L. Perez Velazquez
Specific Gap Junctions Enhance the Neuronal Vulnerability to Brain Traumatic Injury
J. Neurosci., February 1, 2002; 22(3): 644 - 653.
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Circ. Res.Home page
A. L. Wit and M. J. Janse
Reperfusion Arrhythmias and Sudden Cardiac Death: A Century of Progress Toward an Understanding of the Mechanisms
Circ. Res., October 26, 2001; 89(9): 741 - 743.
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Cardiovasc ResHome page
D. L Lerner, M. A Beardslee, and J. E Saffitz
The role of altered intercellular coupling in arrhythmias induced by acute myocardial ischemia
Cardiovasc Res, May 1, 2001; 50(2): 263 - 269.
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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Li, S. Brodsky, S. Kumari, V. Valiunas, P. Brink, J.-I. Kaide, A. Nasjletti, and M. S. Goligorsky
Paradoxical overexpression and translocation of connexin43 in homocysteine-treated endothelial cells
Am J Physiol Heart Circ Physiol, June 1, 2002; 282(6): H2124 - H2133.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
W. E. Cascio, H. Yang, T. A. Johnson, B. J. Muller-Borer, and J. J. Lemasters
Electrical Properties and Conduction in Reperfused Papillary Muscle
Circ. Res., October 26, 2001; 89(9): 807 - 814.
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Circ. Res.Home page
R. C. Pimentel, K. A. Yamada, A. G. Kleber, and J. E. Saffitz
Autocrine Regulation of Myocyte Cx43 Expression by VEGF
Circ. Res., April 5, 2002; 90(6): 671 - 677.
[Abstract] [Full Text] [PDF]