Articles |
From the Department of Medical Physiology and Sports Medicine, Utrecht University, the Netherlands.
Correspondence to Sander Verheule, Department of Medical Physiology and Sports Medicine, Utrecht University, PO 80043, 3508 TA Utrecht, the Netherlands. E-mail verheule{at}med.ruu.nl
| Abstract |
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Key Words: gap junction atrium electrophysiology ventricle immunocytochemistry
| Introduction |
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A single gap junction channel is formed by two hemichannels, with each of the apposing cells contributing one hemichannel. The hemichannel (or connexon) is a hexagonal aggregate of six connexin protein molecules.6 Connexins belong to a large multigene family, of which at present 13 members have been identified in mammals.7
Different cell types express different connexin proteins. Gap junction channels consisting of a single type of connexin protein (homomeric channels) have been shown to differ in biophysical properties, such as single-channel conductance, ionic selectivity (see eg, Reference 88 ), and sensitivity to the transjunctional voltage (eg, see Reference 99 ) Different homomeric channels also vary in their sensitivity to, for example, intracellular second messengers10 and pH.11 In addition, differential connexin expression may electrically isolate different cell types, since some combinations of connexons consisting of a single type of connexin protein (homomeric connexons) do not readily form functional gap junction channels (for an overview, see Reference 1212 ).
In the adult mammalian heart, several connexins are expressed. Connexin37 (Cx37), Cx40, Cx43, Cx45, and Cx46 mRNA have all been detected in homogenates of adult hearts.13 14 15 16 The distribution pattern may vary somewhat among species, but the similarities are striking. Cx43 is the most ubiquitous in myocardia of species investigated: it is abundantly present in atria and ventricles of rats, guinea pigs, pigs, cows, dogs, and humans.17 18 Cx40 is present in the atrial myocardium of guinea pigs, pigs, cows, dogs, and humans; the rat seems to be an exception, in that Cx40 is immunohistochemically not detectable in atrial myocardium.18 19 The presence of Cx45 in adult canine and human ventricular myocardium has also been reported.13 20 Cx37 and Cx40 are expressed in endothelium,14 21 whereas the localization of Cx46 within the heart is unknown.16 Connexin expression in the rabbit heart has hitherto not been described.
Whereas detailed accounts have been published of single gap junction channel recordings in cultured neonatal rat ventricular myocytes (see "Discussion"), only a few reports describe adult myocardial gap junctions electrophysiologically at the single-channel level. Rüdisüli and Weingart22 have studied gap junction channels between guinea pig ventricular cell pairs and have reported a population of single-channel conductances of 37 pS with cesium aspartate as a charge carrier (78 pS in CsCl). Lal and Ansdorf23 have studied rat atrial gap junctions and found a mean single-channel conductance of 36 pS (in CsCl). The latter authors also described a pronounced dependence on transjunctional voltage of the macroscopic gap junctional conductance. In contrast, other researchers found ventricular gap junctions to be voltage insensitive.22 24 25 26
We have performed a combined electrophysiological and immunocytochemical characterization of atrial and ventricular myocardial gap junctions in the adult rabbit. We report that atrial myocytes express Cx40, Cx43, and Cx45, whereas ventricular myocytes express only Cx43 and Cx45. The differential expression of Cx40 might enable differential modulation of gap junctional coupling in these tissues. In recent years, a number of reports have shown that several types of cardiac arrhythmias that occur in the human heart can also be induced in the rabbit heart.27 28 The similarity in connexin distribution in human and rabbit cardiac gap junctions demonstrated in the present study makes the rabbit heart a suitable and convenient model system for studying the role of gap junctions in cardiac arrhythmias.
| Materials and Methods |
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Composition of salines was as follows: normal modified Tyrode's solution (mmol/L): NaCl 140, KCl 5.4, MgCl2 1, CaCl2 1.8, glucose 5, and HEPES 5, pH 7.4 (NaOH); zero-Ca2+ modified Tyrode's solution (mmol/L): NaCl 140, KCl 5.4, MgCl2 0.5, KH2PO4 1.2, glucose 5, and HEPES 5, pH 7.2 (NaOH); and low-Ca2+ modified Tyrode's solution (mmol/L): NaCl 140, KCl 5.4, MgCl2 0.6, CaCl2 0.18, KH2PO4 1.1, glucose 5, and HEPES 5, pH 7.2 (NaOH).
Immunochemistry
For immunolabeling of isolated myocytes, cells were plated
on glass coverslips. After 1 hour, the cells were fixed by a 5-minute
incubation in 100% methanol at -20°C. To detect Cx37, Cx40, and
Cx43, rabbit polyclonal antibodies were used, kindly provided by Dr D.
Gros, Department of Biology, University of Aix-Marseille II, France.
Rabbit polyclonal anti-Cx45 was kindly provided by Dr E.C. Beyer,
Department of Pediatrics, Washington University School of Medicine, St.
Louis, Mo. These antibodies were raised against synthetic peptides
corresponding to the following (intracellular) carboxy-terminal
regions: AA315 to AA331 of mouse Cx37,
AA335 to AA356 of rat Cx40,18
AA314 to AA322 of rat Cx43,30 and
AA285 to AA298 of dog Cx45.13 The
specificity of the Cx37 antibody has been tested on
communication-deficient cells transfected with mouse Cx37, and a full
characterization will be published elsewhere (D. Gros, unpublished
data, 1996). In some experiments, mouse monoclonal antibody directed at
AA252 to AA270 of rat Cx43 (Zymed) or mouse
monoclonal anti-desmin antibody (DAKO) was used. Cells were
permeabilized with 0.2% Triton X-100 in PBS (1 hour)
and incubated with 2% BSA in PBS for 30 minutes and with one of the
primary antibodies overnight. Subsequently, cells were incubated with
2% BSA for 30 minutes and then for 2 hours with a secondary antibody
(either goat anti-rabbit or donkey anti-mouse, depending on the primary
antibody) labeled with a FITC or Texas red fluorophore. Between
incubation steps, cells were washed with PBS. To test for the
specificity of the antisera, cells were either incubated with a mixture
of primary antibody and a 500-fold excess of peptide homologous to the
epitope against which the antiserum was directed, or the first antibody
was omitted altogether. For immunohistochemistry of intact tissue,
excised hearts were perfused with normal modified Tyrode's solution
for 10 minutes, after which pieces of atrium and ventricle were frozen
rapidly in liquid nitrogen. Ten-micrometer cryosections
were cut from the ventricles and the left atrium. The procedure for
antibody labeling of these sections was the same as for isolated cells.
All incubations were performed at room temperature.
Electrophysiology
A symmetrical setup with two independent DAGAN 8900
patch-clamp amplifiers was used. Data were stored on a Biologic
DTR-1800 digital tape recorder (Biologic). Afterward, the data were
fed into an Apple Macintosh Quadra 650 computer for further
analysis. Borosilicate electrodes were pulled on a Narishige
PB-7 electrode puller and fire-polished. Electrode resistances were 1
to 5 M
. Junctional currents were recorded using the double
whole-cell voltage-clamp technique.26 31 In short, both
cells of a cell pair were voltage-clamped at 0 mV (the reversal
potential of the membrane for the pipette solution used; see below).
When a step in potential was applied to one cell, the current response
in that cell was the sum of membrane currents, leak current, and
junctional current. In the other cell, however, which was held at a
constant potential of 0 mV, only the junctional current was
recorded. The junctional conductance could then be calculated by
dividing the observed junctional current by the applied transjunctional
potential difference. The voltage drop across the series resistance
(
5 to 10 M
) will cause an error in an applied transjunctional
potential difference.32 The actual series resistance could
be measured by canceling the fast initial voltage step in response to a
small current step in the current-clamp mode. The validity of this
method was ascertained using a model circuit with a variable series
resistance. In this model circuit, the estimate for the series
resistance was accurate within ±20%. To reduce the series resistance
error, the series resistance was partly compensated in voltage clamp
(between 50% and 80%), and the remaining series resistance (the
resistance determined in current-clamp mode minus the resistance
compensated in voltage-clamp mode) was corrected for afterward by
deducting the uncompensated series resistance from the total
resistance.
Halothane was used to reduce the gap junctional conductance to such an extent that currents through single gap junctional channels could be recorded. Data were filtered at 500 Hz and sampled at 2 kHz. The amplitude of single-channel transitions was measured by hand, using the MacDaq analysis software developed by Dr A.C.G. van Ginneken, Department of Physiology, University of Amsterdam, the Netherlands. Only transitions from the closed state to a fully open state were analyzed. Single-channel conductance histograms were fitted in KaleidaGraph (Adelbeck Software) with one, two, or three gaussian distributions using the least-squares method.
Action potentials were recorded at 35°C with the following pipette solution (mmol/L): potassium gluconate 130, KCl 5, MgCl2 2, CaCl2 0.6, Na2ATP 4, EGTA 5, and HEPES 5, pH 7.2 (KOH). Bath medium consisted of normal modified Tyrode's solution. In recordings of junctional conductance, noise from channels in the nonjunctional membrane was reduced by adding 6 mmol/L NiCl2, 2 mmol/L CsCl, and 1 mmol/L BaCl2 to the bath, and the pipette solution consisted of (mmol/L) CsCl 120, tetraethylammonium chloride 10, MgCl2 3, CaCl2 1, Na2ATP 2, EGTA 10, and HEPES 5, pH 7.2 (CsOH). All junctional conductance measurements were performed at room temperature.
| Results |
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Cx43 exhibits yet another distribution pattern: whereas it is
absent in endothelial and endocardial cells (not
shown), it is abundantly present in both atrial and
ventricular myocytes (Fig 1E
and 1F
, respectively).
Moreover, Cx43 protein was expressed in atrial epicardial tissue, which
did not express either Cx37 or Cx40 (not shown).
The distribution pattern of Cx45 was similar to that of Cx43: it was
present in both ventricular and atrial
myocardium (Fig 1G
and 1H
) and absent in
endothelial and endocardial cells.
Thus, all five connexin proteins investigated here have different and
distinct distribution patterns in the adult rabbit heart. Connexin
expression in endothelial and endocardial cells did not
differ between atrium and ventricle. Myocardial tissue, on the other
hand, showed a pronounced difference in connexin expression between
atrium and ventricle. For convenience, these results have been
summarized in the Table
.
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Immunocytochemistry of Isolated Cells
Enzymatic dissociation of adult rabbit hearts yielded
predominantly single cells. However, numerous cell pairs remained
intact (Fig 2A
and 2B
). These were mostly connected
laterally, but because of the branched nature of cardiac myocytes,
longitudinal junctions (perpendicular to the length axes of the cells)
were sometimes present. Labeling with an anti-desmin antibody
showed the typical cross striation of cardiomyocytes,
illustrating that the cytoskeletal organization was not disrupted by
the isolation and fixation procedures. Desmin labeling was especially
intense in the intercalated disk areas and at lateral contact sites
between myocytes (Fig 2C
and 2D
). Other cell types were also
present in the isolate. Most notable of these was a round cell type
that tended to occur in large flat clusters, typical of
endothelial cells. However, the large size of these
clusters and the fact that the clusters occurred relatively more
frequently in the atrial than in the ventricular
preparation make it plausible that these cells originated from the
endocardium rather than from endothelium.
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To determine whether the isolation procedure affected the
connexin localization pattern in single myocytes, we labeled isolated
cells with antibodies directed against Cx37, Cx40, Cx43, and Cx45. As
expected from the results obtained from intact tissue, neither
ventricular nor atrial myocytes were labeled specifically
with anti-Cx37 antibody (Fig 3A
and 3B
, respectively).
In some places, sparse intracellular labeling of
ventricular cells with Cx37 antibody could be observed.
This labeling did not disappear in the presence of an excess of Cx37
peptide and can thus be considered as nonspecific. However, islets of
cells of putative endocardial origin were labeled strongly and
specifically with this antibody (Fig 3B
, center).
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Ventricular myocytes did not show specific binding of
Cx40 antibody (Fig 3C
). In contrast, atrial myocytes displayed specific
labeling with Cx40 antibody in distinct spots along cell borders (Fig 3D
), similar to the pattern observed in intact tissue. Putative
endocardial cells were also labeled with Cx40 antibody (not shown).
Whereas these latter cells were not immunoreactive to Cx43 antibody
(not shown), both ventricular (Fig 3E
) and atrial (Fig 3F
)
myocytes displayed abundant anti-Cx43 staining. Labeling was
present in the intercalated disk areas and along the lateral cell
borders. Similarly, anti-Cx45 staining was present between
ventricular (Fig 3G
) and atrial (Fig 3H
) myocytes. To
establish whether Cx40 and Cx43 in atrial myocytes are distributed in
the same pattern, we performed double-labeling experiments with
monoclonal mouse anti-Cx43 antibody and rabbit polyclonal anti-Cx40
antibody. As can be seen by comparing Fig 4A
with 4B,
Cx40 and Cx43 were strongly colocalized at the light-microscopic level.
Most labeled areas contained both connexins.
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In conclusion, connexin distribution in the adult rabbit myocardium is similar to the distribution reported by other researchers in guinea pigs, pigs, cows, and humans in that Cx43 and Cx45 are present in atrial and ventricular myocardium, but Cx40 is specifically expressed in atrial myocardium. Furthermore, enzymatic dissociation of myocardial tissue does not affect the distribution pattern of connexins in myocytes.
Macroscopic Junctional Conductance
When both cells of a cell pair were recorded in current clamp,
synchronous action potentials could be elicited by stimulating one of
the two cells. Action potentials had the shape that would be expected
from ventricular and atrial myocytes (Fig 5A
and 5B
, respectively), illustrating that both cell types
remained viable after the isolation procedure.
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To determine the junctional conductance, myocyte pairs were
recorded in the double whole-cell voltage-clamp mode. CsCl was used
as the main charge carrier. After correction for series resistance,
macroscopic junctional conductances ranged from 26 to 647 nS in
ventricular pairs and from 30 to 635 nS in atrial pairs.
Frequency histograms illustrating the wide range in total junctional
conductance encountered between ventricular and atrial
myocyte pairs are depicted in Fig 6A
and 6B
,
respectively. The mean junctional conductance in atrial pairs (175±147
nS [mean±SD]; n=41; median, 116 nS) did not differ
significantly from that in ventricular pairs (169±146 nS
[mean±SD]; n=33; median, 111 nS).
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To determine whether macroscopic junctional conductance is sensitive to
the transjunctional potential difference, we applied large voltage
steps in myocyte pairs. The true transjunctional potential difference
was calculated by subtracting the voltage drops across the
uncompensated part of the series resistances from the total applied
potential afterward. A modest decay of the junctional current with time
could be observed only in relatively weakly coupled pairs. In Fig 7A
and 7B
are shown representative
traces from weakly coupled ventricular and atrial cell
pairs, respectively.
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Single-Channel Recordings
The macroscopic junctional current is the result of stochastic
opening and closing of a large number of single gap junction channels.
Single-channel transitions can be revealed under circumstances of
almost complete uncoupling. Substances like higher alkanols and
halothane are thought to uncouple gap junctions by dramatically
lowering the open probability, without affecting the open-channel
conductance.33 34 Single-channel conductances measured
using these agents have been found to be characteristic for a given
connexin and may vary widely among different connexins (see
"Discussion"). Therefore, the immunochemically observed
differences between connexin distribution in atrial and
ventricular myocardium would be expected to
correlate with differences in single gap junction channel conductances.
To investigate this hypothesis, we recorded single-channel
transitions in atrial and ventricular cell pairs under
halothane-induced uncoupling. Halothane led to a fast and reversible
reduction in gap junctional coupling (Fig 8A
). Just
before total uncoupling and in the early phase of recoupling,
single-channel transitions could be resolved. In these periods, a
continuous transjunctional potential difference was applied.
Transitions resulting from gap junction channel gating could be
recognized easily by the fact that they occur in both cells
simultaneously, but in opposite directions. Fig 8B
shows a
short stretch of single-channel activity recorded from a
ventricular cell pair. Single-channel transitions
recorded in atrial cell pairs showed a wider variation in
open-channel current, as exemplified in Fig 8C
. Here, channels with an
open-channel amplitude similar to the channels observed in
ventricular cell pairs and channels with a notably higher
amplitude could be observed.
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To investigate the influence of the applied transjunctional driving
force on the single gap junction channel conductance, we have
recorded single-channel activity at transjunctional potentials of
25, 50, and 75 mV. Data from several experiments were pooled into the
single-channel conductance histograms depicted in Fig 9
.
These single-channel recordings were limited by high noise
levels, probably originating from unblocked nonjunctional membrane
channels and unresolved gap junction channel openings. The estimated
average detection limits in these experiments are indicated by dotted
lines.
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Ventricular gap junction channels showed a single
predominant population. Indeed, the pattern in Fig 9C
(50-mV driving
force) could best be fit with a single gaussian distribution with an
average conductance of 97.7 pS. The single-channel conductance was not
affected by the applied driving force (Fig 9A
and 9E
).
Strikingly, at a transjunctional potential difference of 50 mV,
atrial gap junction channels showed a much wider distribution (Fig 9D
).
This distribution could best be fit with a sum of two gaussian
distributions. In this case, the smaller population had a mean
conductance of 99.3 pS, similar to the population found between
ventricular cells. The larger population had a mean
conductance of 184.2 pS. At a transjunctional potential difference of
25 mV (Fig 9B
), a broad distribution between 100 and 300 pS was
observed. This distribution had an average of 185.9 pS. Compared with
recordings from ventricular pairs, noise in
recordings from atrial pairs was notably higher (average noise
bandwidths at 25 mV were 1.2 and 2.3 pA, respectively). Therefore, the
presence of channels in the 100-pS range (with a single-channel current
amplitude of 2.5 pA) was impossible to ascertain at 25-mV driving force
in atrial cell pairs. The distribution at 75-mV driving force (Fig 9F
)
was best fitted by the sum of two gaussian distributions, with mean
conductances of 108.5 and 175.9 pS. Thus, the conductance of the
smaller population was shifted slightly. This is probably related to
higher noise from nonjunctional membrane channels, leading to a poorer
signal-to-noise ratio compared with recordings at 50 mV and a
correspondingly higher detection limit. In comparison, the number of
events above 200 pS is smaller at 75 mV than at 25 mV. This might
reflect a genuine dependence on transjunctional potential difference of
the high-conductance channels present between atrial myocytes.
| Discussion |
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Cx43 and Cx45 protein in ventricular myocytes and Cx40, Cx43, and Cx45 protein in atrial myocytes was mainly localized at lateral contacts to other myocytes and in intercalated disk areas (as assessed by double labeling with anti-desmin antibody, not shown). In electrophysiological experiments, we recorded mainly from laterally connected cell pairs. Our values for the average macroscopic junctional conductance are on the lower side of the range obtained from ventricular myocyte pairs by other researchers, which range from 100 to 1000 nS.22 25 26 35 In contrast, we never found values for macroscopic coupling as low as the values frequently encountered in rat atrial myocyte pairs by Lal and Ansdorf23 (0.3 to 2 nS). An important methodological difference with their study is that we have recorded from cell pairs within a few hours after isolation, whereas Lal and Ansdorf have recorded after culturing myocytes for 18 hours, during which period connexin expression may have changed or previously unconnected cells may have formed new small gap junctions. A related difference with the study of Lal and Ansdorf on rat atrial gap junctions is that in the rabbit the gap junctional conductance of atrial myocytes is, at most, only slightly sensitive to the applied transjunctional potential difference. This is probably related to the observation that fully developed cardiac gap junctions consist of large clusters of gap junction channels (reviewed in Reference 44 ). Wilders and Jongsma32 have shown that even after taking the voltage drops across the series resistances into account, only part of the true transjunctional potential difference is actually sensed by the individual channels. Their theoretical considerations imply that the electrical field line density around a gap junction channel decreases with increasing gap junction size, thus reducing the fraction of the total potential difference that can be detected by voltage-sensitive structures in the junctional channels. In this way, the voltage sensitivity of the individual channel is blunted by the presence of neighboring channels. Therefore, we expect that in the intact working myocardium under nonpathological conditions, voltage sensitivity of gap junctions will not play an important role in the conduction of the action potential.
As stated in the introduction, Cx37, Cx40, Cx43, Cx45, and Cx46 mRNA are all present in heart homogenates.13 14 15 16 The biophysical properties of gap junction channels formed by these connexins vary widely within a given species, but the properties of homologous connexins in different mammalian species bear a remarkable degree of similarity. This also pertains to single-channel conductances (for an overview see References 8 and 368 36 ); therefore, single-channel conductance may be said to be characteristic of a connexin.
With the limitation of a relatively high noise level, inherent in large cardiomyocytes, we have attempted to correlate the expression of connexin proteins and the distribution of single-channel conductances. Using CsCl as the main charge carrier, single-channel conductance histograms obtained from ventricular cell pairs showed a single predominant peak at 100 pS. This is in fair agreement with the single-channel conductance in guinea pig ventricular myocytes of 80 pS in CsCl, as reported by Rüdisüli and Weingart,22 which was similarly unaffected by the trans-junctional potential difference. In neonatal rat ventricular myocytes, which express mainly Cx43, conductance states of 20, 40 to 45, and 70 pS in potassium gluconate have been observed.37 Other researchers, who have recorded from Cx43 channels in expression systems, have found single-channel conductance states of 30, 60, and 90 pS for rat Cx43 in CsCl10 and states at 60 to 70 and 90 to 100 pS for human Cx43 in CsCl.38 On the basis of the observed expression of Cx43 in rabbit ventricular myocytes, we believe that the 100-pS channel population corresponds with channels formed from Cx43 protein. This value is similar to the highest conductance state of Cx43 in other studies. Possibly, we were not able to resolve the lower conductance states of Cx43 because of an insufficiently high signal-to-noise ratio. It is likely that lower conductance states are present, because it has been reported that Cx43 occurs as a phosphoprotein in the ventricular myocardium,39 and the phosphorylated forms are thought to correspond to the lower conductance states.38 40
We found a much wider distribution of single-channel conductances in atrial myocyte pairs, with peaks at 100 and 185 pS. These data diverge from the results from rat atrial myocytes reported by Lal and Ansdorf,23 who found a single peak at 40 pS in CsCl. However, as mentioned before, the rat differs from other species examined, in that Cx40 is not detectable in the atrial myocardium.18 19 Assuming the 100-pS peak to be caused by gating of Cx43 channels, we believe that the higher conductances are derived from Cx40 channels. Mouse Cx40 has single-channel conductance states of 153 and 121 pS (KCl as a charge carrier).41 For rat Cx40, conductances of 158 pS in potassium glutamate and 180 pS in KCl have been reported.42 Therefore, it seems reasonable to ascribe the observed 185-pS single-channel conductance to gating of Cx40 channels. If all openings in the 140- to 250-pS range resulted from gating of Cx40, then it is possible that Cx40 has more than one conductance state, which is unresolved in our conductance histograms. The shift away from higher conductances, observed with increasing transjunctional potential difference, might reflect a greater voltage sensitivity of the open probability of higher conductance states (>200 pS). Indeed, Bukauskas et al43 have reported that the open probability of mouse Cx40 is strongly voltage sensitive, but these researchers only found a single main conductance state.
The absence of Cx37 from myocardial gap junctions is substantiated by
the absence of specific anti-Cx37 antibody binding. Moreover, the
reported high single-channel conductance of Cx37, 356 pS in
KCl,44 is not present in our single-channel
conductance histograms. Unfortunately, Cx45 forms channels with a
conductance of only
30 pS with CsCl as a charge
carrier,10 45 46 which is too low to be detected, given
the detection limit in our recordings. Therefore, our
recording method does not allow us to study a possible
modulation of the single-channel conductance of Cx45 channels.
From double-labeling experiments, it appears that in atrial myocytes, Cx40 is colocalized with Cx43 at the light-microscopic level. It is unlikely that Cx40 and Cx43 are colocalized at the level of the single atrial gap junction channel, because Cx40 and Cx43 have been shown to be incompatible and do not form heterotypic channels in expression systems.21 47 Cx45 is able to form heterotypic channels with both Cx40 and Cx43 in expression systems,48 but this does not necessarily have to occur in myocytes. In principle, heterotypic and heteromeric Cx37/Cx40 channels could exist between endothelial and endocardial cells.21 However, channels between endothelial cells and myocytes are not likely to be formed, since these cell types are separated by connective tissue.
The observed differential expression of Cx40 in atrial and ventricular myocytes may have important consequences for the regulation of conduction in these tissues. For example, angiotensin II49 and carbachol35 50 reduce junctional coupling between ventricular myocytes, whereas isoproterenol has been reported to increase coupling.47 To date, no examples have been reported of modulation of atrial gap junction channels by these or other compounds. However, if Cx40 channels are affected differently, then this could provide a mechanism for differential modulation of atrial and ventricular conduction by the autonomous nervous system and humoral factors.
Cx43 channels close as a result of a number of factors commonly associated with myocardial ischemia (reviewed in Reference 5151 ). This may lead to "sealing off" of the ischemic area from healthy myocardium. On the other hand, the resulting slow conduction may give rise to reentrant circuits and lethal arrhythmias. We propose that the rabbit myocardium is a suitable system for studying the role of gap junctional communication in cardiac arrhythmias, because the connexin expression pattern in rabbits seems comparable to that observed in humans and because several types of cardiac arrhythmias can actually be evoked in rabbit hearts.27 28
| Acknowledgments |
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Received December 9, 1996; accepted February 6, 1997.
| References |
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