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Circulation Research. 1999;84:1365-1379

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(Circulation Research. 1999;84:1365-1379.)
© 1999 American Heart Association, Inc.


Original Contribution

Downregulation of Connexin 45 Gene Products During Mouse Heart Development

Sébastien Alcoléa, Magali Théveniau-Ruissy, Thérèse Jarry-Guichard, Irène Marics, Elena Tzouanacou, Jean-Paul Chauvin, Jean-Paul Briand, Antoon F. M. Moorman, Wouter H. Lamers, Daniel B. Gros

From the Laboratoire de Génétique et Physiologie du Développement (S.A., M.T-R., T.J-G., I.M., E.T., J-P.C., D.B.G.), Institut de Biologie du Développement de Marseille, CNRS/INSERM/AP Marseille/Université de la Méditerranée, Campus de Luminy, Marseille, France; Department of Anatomy and Embryology (A.F.M.M., W.H.L.), Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands; and Laboratoire d'Immunochimie des Peptides et des Virus (J-P.B.), Institut de Biologie Moléculaire et Cellulaire, Strasbourg, France. The current affiliation for E.T. is the Centre for Genome Research, University of Edinburgh, United Kingdom.

Correspondence to Daniel Gros, LGPD-IBDM, Campus de Luminy, Case 907, 13288 Marseille Cédex 09, France. E-mail gros{at}lgpd.univ-mrs.fr


*    Abstract
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*Abstract
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Abstract—The electrical activity in heart is generated in the sinoatrial node and then propagates to the atrial and ventricular tissues. The gap junction channels that couple the myocytes are responsible for this propagation process. The gap junction channels are dodecamers of transmembrane proteins of the connexin (Cx) family. Three members of this family have been demonstrated to be synthesized in the cardiomyocytes: Cx40, Cx43, and Cx45. In addition, each of them has been shown to form channels with unique and specific electrophysiological properties. Understanding the conduction phenomenon requires detailed knowledge of the spatiotemporal expression pattern of these Cxs in heart. The expression patterns of Cx40 and Cx43 have been previously described in the adult heart and during its development. Here we report the expression of Cx45 gene products in mouse heart from the stage of the first contractions (8.5 days postcoitum [dpc]) to the adult stage. The Cx45 gene transcript was demonstrated by reverse transcriptase–polymerase chain reaction experiments to be present in heart at all stages investigated. Between 8.5 and 10.5 dpc it was shown by in situ hybridization to be expressed in low amounts in all cardiac compartments (including the inflow and outflow tracts and the atrioventricular canal) and then to be downregulated from 11 to 12 dpc onward. At subsequent fetal stages, the transcript was weakly detected in the ventricles, with the most distinct expression in the outflow tract. Cx45 protein was demonstrated by immunofluorescence microscopy to be expressed in the myocytes of young embryonic hearts (8.5 to 9.5 dpc). However, beyond 10.5 dpc the protein was no longer detected with this technique in the embryonic, fetal, or neonatal working myocardium, although it could be shown by immunoblotting that the protein was still synthesized in neonatal heart. In the major part of adult heart, Cx45 was undetectable. It was, however, clearly seen in the anterior regions of the interventricular septum and in trace amounts in some small foci dispersed in the ventricular free walls. Cx45 gene is the first Cx gene so far demonstrated to be activated in heart at the stage of the first contractions. The coordination of myocytes during the slow peristaltic contractions that occur at this stage would thus appear to be controlled by the Cx45 channels.


Key Words: connexin 45 • heart • development


*    Introduction
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up arrowAbstract
*Introduction
down arrowMaterials and Methods
down arrowResults
down arrowDiscussion
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The gap junctions are clusters of transmembrane channels that mediate direct communication between the cytoplasmic compartments of adjacent cells. These channels, permeable to ions and small molecules (<900 Da), including second messengers, are the structural components responsible for intercellular electrical and metabolic coupling. The proteins that form these channels are encoded by a multigene family, the connexin (Cx) family. Each Cx forms channels that have unique properties of conductance and permeability. The structure and the oligomerization of Cxs into gap junction channels, and the properties and the functions of these channels, have recently been reviewed.1 2 3 4 5 6 7 8

In excitable tissues, such as the myocardial tissues, the gap junction channels are the sites of electrical coupling between myocytes and are responsible for the coordinated propagation of electrical activity that triggers the sequential contraction of the cardiac chambers.9 10 Understanding this conduction phenomenon requires the identification of Cx genes expressed in the myocytes and a detailed investigation of the spatial distribution of Cxs in the heart. It has thus been demonstrated that 3 Cxs are associated with the myocytes in the mammalian heart, Cx43, Cx40, and Cx45, and that each Cx is expressed with its own unique characteristics (for review, see Reference 1010 ).

Cx43 is the major gap junction protein in the adult mammalian heart. It is abundantly expressed in the different myocardial tissues (ventricles, atria, septa, His bundle, etc), but its putative presence in some specific regions such as the sinoatrial and atrioventricular nodes is still a subject of controversy.11 12 In mouse, Cx43 protein was detected as early as 9.5 days postcoitum (dpc) in the primitive ventricle and then at 12.5 dpc in the atria.13 From this stage its abundance steadily increases up to the adult stage.14 Analysis of the heart of mice homozygous or heterozygous for a Cx43 null mutation has demonstrated that this Cx is involved in the propagation of the electrical activity, mainly in the ventricles, but that, in addition, and unexpectedly, Cx43 is essential for normal myocardial development.15 16 17 18 The second Cx expressed in the myocytes is Cx40. A characteristic that emerges from the numerous investigations on Cx40 in adult mammalian heart is its expression in the atrial and conduction tissues associated with its nonexpression in the working ventricular tissue.10 12 19 This distribution pattern of Cx40 in adult heart is the consequence of strong spatiotemporal downregulation that occurs during fetal life.13 20 The abundance of Cx40 in the ventricular conduction system has been interpreted as evidence of the specific implication of this Cx in the fast-conduction phenomenon. Electrophysiological analysis of the heart of mice homozygous for a Cx40 null mutation has confirmed this interpretation and, in addition, demonstrated that the absence of Cx40 leads to cardiac rhythm defects and conduction blocks.21 22 Of the 3 Cxs associated with cardiomyocytes, Cx45 is probably the least known. Human Cx45 channels, for example, have 2 major characteristics, as follows: (1) their unitary conductance ({gamma}j) is low (15 to 30 pS)23 24 25 compared with the unitary conductance of other gap junctional channels, and (2) their macroscopic conductance (gj) is strongly voltage sensitive,10 24 in contrast to the weak voltage dependence of Cx43 and Cx40 channels.10 24 This latter property implies that a slight difference in membrane potential (equivalent to a transjunctional voltage) between myocytes, such as may occur during the normal cardiac cycle, can potentially close Cx45 channels. Cx45 gene transcript was detected in low abundance in adult and embryonic mammalian hearts.20 26 27 28 29 Cx45 protein, which is phosphorylated,30 31 32 was reported to have a widespread distribution in dog and human heart and to be a component of the gap junctions of all types of myocytes (working, conductive, and nodal myocytes).27 28 33 34 35 36 This Cx was also shown to be expressed in quantities that are far from negligible in cultured neonatal rat heart myocytes31 32 33 34 35 36 37 and also in rabbit atrial and ventricular myocardium.38 In marked contrast with these results, recent investigations have demonstrated that Cx45 was very weakly expressed in adult and embryonic mouse and rat heart and had a distribution pattern restricted to the conduction system.29 39

In this study, we report the expression of Cx45 gene products in mouse heart from early stages of cardiac morphogenesis (8.5 dpc) to the adult stage and demonstrate that Cx45, distributed in all cardiac compartments at early stages, is subject to spatiotemporal regulation that restricts both its expression level and distribution in adult heart.


*    Materials and Methods
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*Materials and Methods
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Biological Material
The human SKHep1 and HeLa cells and the rat UMR 106 cells (wild types) were cultured as described previously.24 40 41 Ovaries and hearts were dissected from adult mice. Hearts and forelimb buds were collected from mouse embryos at different developmental stages. The developmental stage of these embryos was checked by determining the number of somites and analyzing the morphology of the heart.42

For the reverse transcriptase (RT)–polymerase chain reaction (PCR) experiments, the hearts from mouse embryos and newborn and adult mice were collected under sterile conditions, and great care was taken to ensure that only the heart was removed.13 RNA was extracted from hearts using the guanidinium thiocyanate-phenol-chloroform method.43

pBluescripts containing either the complete coding region of the mouse Cx45 (pF9-7 and pIVT)26 or the 3' end of the rat sarcoplasmic/endoplasmic reticulum Ca2+-ATPase 2 (SERCA 2; pRH39)44 45 were propagated in Escherichia coli XL1 Blue and purified according to standard protocols.

Identification of Transcripts by RT-PCR
RT-PCR Experiments
RNA samples (2 µg) extracted from mouse hearts at different developmental stages (from 8.5 dpc to the adult stage) were reverse transcribed using the oligo-dT primers included in the First Strand cDNA Synthesis Kit (Pharmacia Biotech). The PCR experiments were carried out as described13 using the murine sequences of GAPDH, Cx45, and desmin genes26 46 47 (TableDown). For the 8.5-dpc samples, products amplified with primers specific for Cx45 were subjected to a second step of PCR using internal primers (TableDown; nested PCR). All of the RNA samples were tested for DNA contamination with experiments carried out in the absence of RT. Blank reactions were also performed without RNA.


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Table 1. Oligonucleotide Primers Used for the Identification of Transcripts by PCR

Analysis of Amplification Products
To determine that the DNA fragments amplified with the primers specific for Cx45 were those predicted, the fragments were digested with endonucleases. The analysis of the mouse Cx45 sequence indicates that the PCR-amplified 915-bp fragment (TableUp) has to contain unique restriction sites for BglII (+65) and BamHI (+407).26 The 915-bp fragment was digested with these enzymes, and the digestion products were analyzed with 1% agarose gel stained with ethidium bromide. Alternatively, the 915-bp fragment was also amplified by nested PCR as described above for the 8.5-dpc samples.

In Situ Hybridization
Whole-Mount In Situ Hybridization
The whole-mount in situ hybridizations carried out with mouse embryos ranging from 8.0 to 12.5 dpc were performed as previously described in detail.13 Control experiments were carried out with anti-digoxigenin antibodies on nonhybridized embryos and embryos treated with the sense probe.

pF9-7 was modified by excision of the 1.6-kb fragment included between the 2 XbaI restriction sites localized in the polylinker and the Cx45 coding region (+667). The single-stranded antisense and sense RNA probes were synthesized from the modified plasmid in the presence of UTP-digoxigenin (Boehringer Mannheim) according to the manufacturer's instructions. The 0.95-kb Cx45 antisense probe was synthesized with T7 RNA-polymerase from the XbaI-linearized plasmid; the sense probe was synthesized with T3 RNA-polymerase from the XhoI-linearized plasmid. The probes matched 521 bp of the C-terminal coding region of the mouse Cx45 gene plus 429 bp of the 3'-untranslated region.26

In Situ Hybridization on Sections
In situ hybridizations were carried out on serial sections of 14-, 16-, and 18-dpc embryos as previously described.45 The hybridizations were performed with 30 pg of 35S-labeled antisense RNA (16 to 18 hours; 54°C) in 6 to 10 µL of hybridization mixture per section (50% formamide, 10% dextransulfate, 2x Denhardt's solution, 0.1% Triton X-100, and 200 ng/µL of herring sperm DNA, and [in mmol/L] NaCl 300, sodium citrate 30, and DTT 10; pH 7.4). The specific activity of the cRNA was 1.5x109 cpm/µg. After hybridization, the sections were washed and treated with RNase (30 minutes; 37°C) to reduce nonspecific binding.

The antisense RNA probes used to detect the Cx45 and SERCA2a transcripts were synthesized in the presence of both [35S]UTP and [35S]CTP with T3 RNA-polymerase from the KpnI-linearized pIVT or the XhoI-linearized pRH39, respectively.17 45 These 1.6- to 1.7-kb probes were degraded to fragments of {approx}100 bp by hydrolysis in 80 mmol/L NaHCO3 and 120 mmol/L Na2CO3 at 60°C for 10 to 20 minutes.

Preparation of Antibodies Directed to Residues 285 to 298 of Cx45
The peptides, (Y)SAPPGYNIAVKPDQ (corresponding to amino acids 285 to 298 of mouse Cx45),26 (Y)SAPPGY, and NIAVKPDQ, were synthesized in solid phase. The first peptide, (Y)SAPPGYNIAVKPDQ, which is conserved in mouse, chick, dog, and human Cx45,26 33 35 48 was conjugated to BSA using bis-diazobenzidine as a cross-linker. The protocols used for the immunization of rabbits with the BSA-peptide complex, the affinity purification of antibodies from immune sera, and the ELISAs have been described previously.13 49 The antibodies directed to residues 285 to 298 of the mouse Cx45 will be referred to as antibodies 285/298. The preimmune sera were subjected to the same purification steps as the immune sera. The collected fractions, used in control experiments, will be referred to as preimmune fractions.

Immunoblotting Analysis
The samples were homogenized in a solubilization buffer (150 mmol/L NaCl, 1% NP-40, 1% sodium deoxycholate, 0.1% SDS, and 50 mmol/L Tris-HCl, pH 7.4) supplemented with inhibitors (2.5 mmol/L pretreated orthovanadate, 2 mmol/L phenylarsine oxide, and 125 µmol/L phenylmethylsulfonyl fluoride) and processed as described.13 Alternatively, the samples were frozen in liquid nitrogen; freeze dried; solubilized for 30 minutes in a solution containing 62.5 mmol/L Tris-HCl (pH 6.8), 20% SDS, 5% mercaptoethanol, 10 mmol/L EDTA, and 5% glycerol, supplemented with the inhibitors described above; and then centrifuged for 30 minutes at 13 000g at 4°C. The supernatants containing the solubilized material according to both protocols were recovered, and the total amount of protein was quantified using a bicinchoninic acid assay (Sigma Aldrich Chimie).

Solubilized proteins were separated by SDS-PAGE and then electrotransferred onto Nitroscreen membranes (Amersham) according to standard procedures. The transferred proteins were probed for the presence of Cx43 or Cx45 using rabbit anti-Cx43 antibodies (0.2 to 0.5 µg/mL)50 or antibodies 285/298 (2.5 to 5 µg/mL) (see above), as described.13 The membranes were then incubated with biotin-conjugated F(ab')2 fragments from goat anti-rabbit IgGs (Immunotech) (dilution 1:1500; 1 hour at room temperature) and then with peroxidase-conjugated streptavidin (Immunotech) (dilution 1:2500; 1 hour at room temperature). Peroxidase was detected with a chemiluminescence detection reagent kit (Boehringer Mannheim) according to the manufacturer's instructions. The chemiluminescence reaction was visualized on Hyperfilm-MP (Amersham). After exposure, some membranes were washed for 90 seconds with Tris-buffered saline containing 0.2% Tween 20 before being re-exposed. The specificity of immunodetections was checked by (1) the omission of the primary antibodies (antibodies 285/298), (2) the replacement of the primary antibodies by a preimmune fraction, and (3) the replacement of the primary antibodies by a solution of primary antibodies preincubated overnight at 4°C with the immunogenic peptide (100 µg/mL).

Immunofluorescence Analyses
Antibodies
The anti-desmin mouse monoclonal antibody (clone DE-U-10, Sigma Aldrich Chimie), diluted to 1:50, was used as marker of myocytes.51 The anti-Cx43 mouse monoclonal antibody (Zymed Laboratories, Inc), the rabbit polyclonal anti-Cx40 antibodies,13 and the rabbit polyclonal antibodies 285/298 were used at 2, 3, and 3 to 10 µg/mL, respectively.13 The antibodies, including the secondary antibodies (see below), were diluted in a saturation solution containing 1% (wt/vol) BSA and 0.05% (vol/vol) saponin.

Single-Labeling Experiments
SKHep1, HeLa, and UMR 106 cells were cultured on gelatin-coated coverslips, fixed, and permeabilized according to a previously described procedure.13 The cells were incubated overnight at 4°C with antibodies 285/298, washed with PBS, and incubated for 1 hour at room temperature with TRITC-labeled goat anti-rabbit IgGs (Sigma Aldrich Chimie; dilution, 1:50) and then processed as described.13

The different organs that were collected were embedded in Tissue-Tek OCT compound (Miles Laboratories), after fixation (15 minutes in 2% formaldehyde solution in PBS) or without fixation, and then frozen in isopentane precooled at -30°C. Frozen sections, mounted on gelatin-coated slides, were incubated overnight at 4°C with antibodies 285/298 and then processed as described above for the cells. No difference was detected between fixed and unfixed samples.

Specimens were examined with a Zeiss III light microscope equipped for epifluorescence. The specificity of the immunolabelings was checked by carrying out control experiments similar to those described above for the immunoblotting analyses.

Double-Labeling Experiments
Samples (young embryos; hearts dissected from embryos, newborns, and adults; and interventricular septa dissected from adult hearts) were embedded in Tissue-Tek OCT compound as above, after fixation or without fixation, and then frozen, and serial sectioned. The sections were incubated overnight at 4°C with the rabbit polyclonal antibodies 285/298 and then for 1 hour at room temperature with the anti-desmin or anti-Cx43 mouse monoclonal antibody. The sections were washed with PBS and then incubated for 1 hour with TRITC-labeled goat anti-rabbit IgGs (see above) or when mentioned with indocarbocyanine (Cy3)–conjugated donkey anti-rabbit F(ab')2 fragments (Jackson ImmunoResearch Laboratories; dilution, 1:400), mixed with FITC-labeled sheep anti-mouse IgGs (Sigma Aldrich Chimie; dilution, 1:200). The sections were processed and analyzed as described above.

Frozen sections from fixed (see above) or unfixed mouse ovary were incubated overnight at 4°C with the rabbit antibodies 285/298 and then for 1 hour at room temperature with the anti-Cx43 mouse monoclonal antibody. The primary antibodies were revealed using a mixture of TRITC-labeled goat anti-rabbit IgGs and FITC-labeled sheep anti-mouse IgGs (see above). The sections were analyzed by confocal laser scanning (CLS) microscopy using a Zeiss LSM 410 system mounted on a Zeiss Axiovert microscope (model 135M). An argon laser and a HeNe laser, both equipped with attenuating filters, were used as excitation sources at 488 and 543 nm, respectively. The confocal system was equipped with filters and detectors designed for either the simultaneous or the separate recording of FITC and TRITC. The emitted images were digitized, and pictures from screen images were printed with an 8800 Sony video printer.

Immunoelectron Microscopy
Samples of mouse ovary were fixed as described52 and embedded in LR Gold resin (TAAB Laboratories Equipment, Ltd). Ultrathin sections were incubated successively with antibodies 285/298 (5 µg/mL) and 10-nm gold-labeled goat anti-rabbit IgGs (Aurion) diluted to 1:30.53 Sections were examined with a Zeiss EM 912 electron microscope. Control experiments were similar to those carried out for immunoblotting analyses.


*    Results
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*Results
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Cx45 Gene Transcript Is Present in Heart From Early Developmental Stages (8.5 dpc) to the Adult Stage
In mouse, the heart starts to beat at 8.5 dpc.42 54 It is at this stage an S-shaped tube traversed by slow peristaltic contractions. This primitive cardiac activity, which has been well characterized in rat heart,55 implies that the myocytes express 1 or more Cxs assembled into gap junction channels. To complete previous investigations on Cx43 and Cx40,13 we have searched for Cx45 gene transcript in mouse heart from the first contraction stage to the adult stage.

RNA extracted from embryonic and fetal hearts (8.5, 9, 10, 11, 12, 14, 16, and 19 dpc), from young mouse heart (1 and 2 weeks postpartum), and from adult heart was reversed transcribed as indicated in Materials and Methods. The cDNAs generated by RT were amplified by PCR or nested PCR (8.5-dpc samples) with primer pairs unique for Cx45 (TableUp), and the resulting amplicons were analyzed by electrophoresis. At all stages investigated, the amplicons were of the predicted size, 363 or 915 bp, for nested PCR or PCR experiments, respectively (Figure 1ADown). The identity of 915-bp amplicons was confirmed by enzymatic digestion with BglII and BamHI (Figure 1BDown) and by nested PCR (not shown). RNA extracted from 8.5-dpc samples was also shown to contain desmin gene transcript (Figure 1ADown, lane 1), which confirmed the presence of differentiated myocytes in these samples.57 Analyses of RT-PCR control experiments revealed no signal. The contamination of the analyzed samples with noncardiac cells had low probability, but it cannot be completely ruled out. These results indicate that Cx45 gene transcript was present in mouse heart as early as the beginning of cardiac activity and throughout development up until the adult stage. The next step was aimed at investigating by in situ hybridization the spatial distribution of this transcript and identifying the cardiac cells that expressed it.



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Figure 1. Analysis by RT-PCR of Cx45 gene transcript expression at different developmental stages of mouse heart. A, Analysis of amplicons. RNA (2 µg) extracted from mouse heart at different developmental stages were reverse transcribed as indicated in Materials and Methods. The cDNAs generated by RT were amplified by nested PCR (8.5-dpc samples) or PCR with primers unique for Cx45 (TableUp). The predicted and measured sizes of Cx45 amplicons were of 363 and 915 bp for nested PCR (lane 2; 8.5 dpc) and PCR (even-numbered lanes 4 to 22), respectively. At all developmental stages, investigated RNA was demonstrated to contain desmin transcript, but only the desmin amplicon (229 bp) generated from 8.5-dpc samples is shown (lane 1). Note that the intensity of bands corresponding to the amplified GAPDH fragments (320 bp) indicates that similar amounts of RNA were used at all stages (odd-numbered lanes 3 to 23). DNA standards are shown in lane S (from top to bottom, 10, 8, 6, 5, 4, 3, 2.5, 2.0, 1.5, 1.0, 0.75, 0.5, and 0.25 kb). B, Identity of amplicons. Amplicons (915 bp) were digested with BglII and BamHI and then analyzed by electrophoresis. These amplicons yielded fragments of 710 and 205 bp with BamHI (lane b) and 545 and 370 bp with BglII (lane c), as expected for amplification products derived from Cx45 transcript. Lane a, DNA standards (see above).

Changes of Expression Pattern of Cx45 Gene Transcript During Heart Development, as Seen by In Situ Hybridization
The 8- to 8.5-dpc embryos hybridized with antisense Cx45 probe presented a strong and specific labeling of the ectoderm (Figure 2ADown and 2BDown), which substantially weakened at further developmental stages. At 8 dpc, the whole primitive heart appeared to be labeled with a stronger expression of the transcript in the inflow tract (Figure 2BDown). At 8.5 dpc, the transcript was detected in all of the cardiac compartments (Figure 2CDown), including again the inflow tract, and this expression pattern persisted until 10 dpc (Figure 2DDown, 9Down dpc; Figure 2EDown, 2GDown, and 2HDown, 10 dpc). At this stage the most remarkable labelings were those of the atrioventricular canal and the outflow tract (Figures 2GDown, 2HDown, 3ADown, and 3DDown). The 11-dpc stage was characterized by a weakening of the labeling in the left ventricle, as was clearly visible in ventral views of the heart (Figure 2IDown), whereas the expression of the transcript was maintained in the other cardiac regions (Figure 2JDown). In the ventricles of 12- to 12.5-dpc hearts, the transcript was expressed, weakly and diffusely (Figure 2KDown and 2LDown), whereas more distinct expression was always seen in the outflow tract (Figure 2KDown) and the anterior part of the right ventricle (Figure 2LDown). Weak labeling was sometimes observed in the atria at 12 dpc, but it was no longer detected by 12.5 dpc (Figure 2LDown). In previous experiments,13 the detection of Cx40 transcript by whole-mount in situ hybridization in 9- to 11-dpc embryonic hearts had required 2- to 4-hour incubation times (4°C) with the chromogenic substrate. For the detection of Cx45 transcript, no labeling was seen for incubations shorter than 8 to 10 hours (4°C), which testifies to the low abundance of this transcript in heart.



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Figure 2. Expression pattern of Cx45 gene transcript. Shown is whole-mount in situ hybridization. Mouse embryos (from 8 to 12.5 dpc) were hybridized with sense (A) or antisense (panels B through L) Cx45 RNA probes. A, Lateral view of an 8-dpc embryo hybridized with the Cx45 sense probe (ar indicates anterior region; pr, posterior region). No labeling is detected in these embryos. In contrast, embryos of the same stage (8 dpc) hybridized with the Cx45 antisense probe (B) present a general labeling of the ectoderm and of the heart (*). More intense labelings are observed in the inflow tract (arrowhead) and the neural folds (nf). A heart dissected from an 8.5-dpc hybridized embryo is shown in panel C. The primitive ventricle (v), which partially hides the primitive atrium (a), opens into the outflow tract (oft) extended by the aortic sac from which the arch 1 arteries (*) emerge. Note that all of the cardiac regions, including the outflow tract, are labeled. This expression pattern is found again in the heart of 9-dpc embryos. This is illustrated in panel D, which shows part of a 9-dpc embryo. The primitive atrium (a), the primitive ventricle (v), and the outflow tract (oft) are clearly identified in this ventral view of the heart. md indicates the (unlabeled) mandibular component of the first branchial arch. E and F, Lateral views of whole embryos at 10 and 11 dpc, respectively. Labeling of the ectoderm has substantially weakened compared with the previous developmental stages. The strongest expressions of Cx45 transcript are observed in the forebrain (fb), the heart, and the forelimb (fl) and hindlimb (hl) buds. Note also the labeling of the paired dorsal aortae (da). Hearts collected from 10-dpc hybridized embryos are shown in panels G (ventral view) and H (dorsal view). The left and right parts of the embryonic atrium (la and ra) and the left and right parts of the embryonic ventricle (lv and rv) are well differentiated. These regions of the myocardium as well as the outflow tract (oft) and the atrioventricular canal (H, *) express the Cx45 transcript. I and J, Ventral (I) and dorsal (J) views of a heart dissected from an 11-dpc hybridized embryo. Legends for these panels are the same as those for panels G and H. A significant weakening of the labeling is observed in the ventral side of the left embryonic ventricle (I, lv). Hearts (ventral views) from 12- and 12.5-dpc embryos are shown in panels K and L, respectively. Note the absence of labeling in the atria of these samples. Labeling observed in the ventricles was always weak and diffuse at these stages. In contrast, distinct expression of the transcript was usually detected in the outflow tract (K) or the anterior part of the right ventricle (L, *).



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Figure 9. Expression pattern of Cx45 protein in mouse embryonic heart. Shown are frozen sections of mouse embryos (8.5 dpc) or isolated hearts (9.5 dpc), double-labeled with anti-Cx45 (10 µg/mL) and anti-desmin antibodies. A through D: A, Cross section through an 8.5-dpc embryo at the level of the cardiac tube (ec indicates endocardium; dm, dorsal mesocardium; ng, neural groove; pr, pharyngeal region of the foregut diverticulum; and pv, primitive ventricle; phase-contrast micrograph). B, The myocytes that form the myocardium (my) are identified by their immunoreactivity with anti-desmin antibodies (immunofluorescence micrograph). The endocardium, which is desmin negative, is surrounded by the myocardium. C and D, Tissues bordered by the box in panel B shown at higher magnification (C, phase-contrast micrograph; D, immunofluorescence micrograph). Note in panel D the expression of Cx45 at the periphery of the myocytes, except on their free surfaces. Bar in A=200 µm; in B, 60 µm; and in D, 20 µm (representative of panels C and D). E through I: E, Cross section of a 9.5-dpc isolated embryonic heart (avc indicates atrioventricular canal, and pa, primitive atrium; phase-contrast micrograph). Panels F and G and panels H and I are enlargements of boxes 1 and 2 of panel E, respectively. F and H, Phase-contrast micrographs; G and I, immunofluorescence micrographs. A few sites immunoreactive to anti-Cx45 antibodies are detected in the outermost myocytes of the atrial wall (panel G; box 1 in E). Note also that Cx45 is expressed in myocytes of the atrioventricular canal (panel I; box 2 in E). ac (in F) indicates atrial chamber. Bar in E=200 µm; bar in F=20 µm (representative of panels F through I). J through L: J, Cross section through the ventricular wall of a 9.5-dpc isolated embryonic heart (vc indicates ventricular chamber; tvl, trabecular ventricular layer; and cvl, compact ventricular layer; phase-contrast micrograph). Panels K and L (immunofluorescence micrographs) are enlargements of the box in J. Myocytes of the outer compact layer of the ventricular wall express both desmin (panel K) and Cx45 (panel L). Note that there is no labeling on the free surfaces of the myocytes of the compact layer. Myocytes of the trabecular layer express little or no Cx45 (left upper corner in panel L). Bar in J=40 µm; bar in K=20 µm (representative of panels K and L).



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Figure 3. Expression pattern of Cx45 gene transcript. Cross section through a 10-dpc mouse embryo hybridized with antisense Cx45 RNA probe. A, General view of a section in the cardiac region. Note the distinct labeling of the atrium and the ventricle. Asterisks indicate red blood cells; avc, atrioventricular canal; aw, atrial wall; la and ra, left and right parts of the embryonic atrium, respectively; and lv and rv, left and right parts of the embryonic ventricle, respectively. Panels B through D are enlargements of boxes B through D in panel A, respectively. Bar=100 µm. B (box B in panel A), Note that the myocytes that form the thin atrial wall are strongly labeled. The red blood cells (*) in the atrial chamber (ac) are free of labeling. ep indicates epidermis; ac, atrial chamber. Bar=25 µm. C (box C in panel A), This part of the section through the ventricular wall shows clearly the expression gradient of Cx45 transcript. The outermost myocytes that form the compact ventricular layer (cvl), adjacent to the epidermis, are distinctly labeled. In contrast, the myocytes of the trabecular ventricular layer (tvl) are not labeled or are very weakly labeled. Note the presence of the transcript in the epidermis cells. vc indicates ventricular chamber. Bar=25 µm. D (box D in panel A), This part of the section deals with the atrioventricular canal, which is delimited by 2 dotted lines. The atrial wall and ventricular wall (vw) meet to form the atrioventricular canal. Mesenchymal cells (mc) that will form the endocardial cushions at later developmental stages are located in the center of the canal. Note that the myocytes of the walls and, to a lesser extent, the mesenchymal cells are both labeled, in contrast to red blood cells (*), which are free of labeling. ac and vc indicate atrial and ventricular chambers, respectively. Bar=25 µm.

Whole-mount hybridized embryos were serial sectioned, and the sections were examined to identify the cardiac cells expressing Cx45 transcript. In the heart, myocytes were seen to express the transcript, and this is illustrated in Figure 3Up for the 10-dpc stage. In the thin atrial walls, all of the myocytes were equally labeled (Figure 3AUp and 3BUp); in contrast, in the ventricular walls, an expression gradient was observed, extending from the outermost-layer myocytes forming a compact layer, which were distinctly labeled, to the trabecular myocytes, which were not labeled or were very weakly labeled (Figure 3AUp and 3CUp). The labeling of the atrioventricular canal observed in whole-mount embryos was confirmed by examination of sections (Figure 3DUp).

At developmental stages later than 12.5 dpc, the hybridization experiments were carried out on sections to avoid the problem of the penetration of the probe in the tissues. These experiments are illustrated in Figure 4Down for the 14-, 16-, and 18-dpc stages. The expression of SERCA2 transcript was used to identify the myocardium45 (Figure 4BDown, 4DDown, and 4FDown). At the 3 developmental stages investigated, very weak and diffuse labeling was detected in the ventricles, with a slightly more distinct staining in the outflow tract myocardium (Figure 4ADown and 4CDown). Besides this labeling, the coronary vessels were also faintly positive in 18-dpc samples (Figure 4EDown), recalling the expression pattern of Cx40 transcript in the ventricular walls.20 56



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Figure 4. Expression pattern of Cx45 gene transcript. Shown is in situ hybridization on sections. Serial sections of mouse embryos of 14 (A and B), 16 (C and D), and 18 dpc (E and F) were hybridized with either antisense Cx45 probe (A, C, and E) or antisense SERCA2 (B, D, and F) probe. The myocardium was identified by the expression of SERCA2. A and B, Sister sections showing the right and left ventricles (rv and lv, respectively) and the left atrium (la) of a 14-dpc embryonic heart. The outflow tract, characterized by a reduced expression of SERCA2 transcript, is delimited by 3 lines in panel B. Note in panel A (antisense Cx45 probe) distinct labeling of the outflow tract (arrows) compared with the very weak and diffuse labeling of the ventricular tissue. Cx45 transcript is also detected in the trachea (tr). ao indicates aorta. Bar=200 µm. C and D, Sister sections showing the right and left atria (ra and la, respectively) and the right ventricle of a 16-dpc embryonic heart. The outflow tract is delimited by 2 lines in panel B. Cx45 transcript (in panel C) is weakly detected in the outflow tract (arrow) and in the trachea. p indicates pulmonary trunk. Bar=200 µm. E and F, Sister sections showing left and right atria and the anterior wall of the left ventricle of an 18-dpc embryonic heart. Note in panel E the labeling of coronary vessels (arrowheads). b indicates bronchus; CV, right superior caval vein; pa, pulmonary arteries; oe, esophagus; and SAN, sinoatrial node. Bar=100 µm.

Immunodetection of Cx45 Protein in Mouse Heart Myocytes Depends on the Developmental Stages Investigated and the Cardiac Tissues Analyzed
The studies described above, dealing with the expression pattern of Cx45 gene transcript, were completed with investigations of the distribution of Cx45 protein at different developmental stages. The first step of these investigations was the characterization of antibodies specific for Cx45. This characterization is reported in the paragraph below.

In a first step, it was demonstrated, using ELISA assays, that the affinity-purified antibodies 285/298 specifically recognized both the immunogenic peptide YSAPPGYNIAVKPDQ and its carboxyl-terminal domain NIAVKPDQ (not shown). In contrast, no affinity was detected between antibodies 285/298 and the amino-terminal domain (YSAPPGY) of the immunogenic peptide. In a second step, biological samples known to express Cx45 gene products abundantly or in low amounts, such as mouse ovary, SKHep1, HeLa, and UMR 106 cell lines,24 26 40 41 57 were used to characterize by immunoblotting antibodies 285/298. A protein with a Mr of 48 000 was detected in the immunoreplicas of all of these samples (Figure 5ADown, lane b, ovary; lane c, HeLa cells; and lane d, SKHep1 cells) (UMR 106 cells are not shown), and the intensity of signals reflected the amount of Cx45 assumed to be expressed in these same samples. No labeling was seen in the immunoreplicas of the control experiments (not shown). Furthermore, Cx43 isoforms present in the ovaries were shown to migrate faster than the above-mentioned 48-kDa protein (compare lanes a and b in Figure 5ADown). These results were in agreement with those previously published,24 30 40 57 although the electrophoretic mobility of the detected protein (48 000) was slightly slower than that reported (45 000). This could be due to either the uncertainty of the Mr measurements or the composition of the polyacrylamide gels used.



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Figure 5. Characterization by immunoblotting of rabbit antibodies raised to residues 285 to 298 of mouse Cx45 (antibodies 285/298 or anti-Cx45 antibodies). A, Mobility of molecular mass standards is indicated in kDa on the left (phosphorylase A, Mr 94 000; BSA, Mr 67 000; ovalbumin, Mr 43 000; carbonic anhydrase, Mr 29 000; and soybean trypsin inhibitor, Mr 21 000). Lanes a and b, Replicas of mouse ovary homogenate (50 µg of protein loaded per well) probed with rabbit anti-Cx43 antibodies and antibodies 285/298, respectively. Cx43 is detected in the form of 2 polypeptides representing different phosphorylation states. Cx45 is detected as an intense band migrating with a Mr of 48 000. Lanes c and d, Replicas of homogenates prepared from HeLa and SKHep1 cells (50 µg of protein loaded for each), respectively. A weak signal (Mr 48 000) is detected in both samples. B, Lanes e and f, Replicas of homogenates prepared from 9.5-dpc mouse embryonic hearts (50 and 25 µg of proteins were loaded in wells e and f, respectively). Two proteins with Mrs of 48 000 and 52 000 are detected in both samples. No signal was seen for lower protein loads. Lanes g and h, Replicas of homogenates prepared from 7-dpp mouse hearts (150 and 75 µg of proteins were loaded in wells g and h, respectively). Two proteins with Mrs of 48 000 and 52 000 are detected in lane g; only the protein with the fastest electrophoretic mobility (48,000) is detected in lane h. No signal was detected in immunoreplicas of control experiments.

The specificity of antibodies 285/298 was further investigated by immunofluorescence. In some HeLa cell preparations, infrequent and dispersed tiny spots were observed between adjacent cells (not shown), as reported29 ; in others, no labeling was observed. In contrast, in SKHep1 cells (Figure 6CDown and 6DDown) and in UMR 106 cells (not shown), conspicuous immunoreactive sites were observed at the cell periphery, as expected for junctional labeling, and also, but to a lesser extent, inside the cells. In the ovaries, immunoreactivity was seen to be mainly associated with the granulosa cells (Figure 6ADown and 6BDown) and partially colocalized with Cx43 (Figure 7Down), as previously reported for anti-Cx45 antibodies.57 No immunoreactive site was seen in the above samples subjected to the control experiments (not shown). In adult mouse heart, where, as in the ovaries, Cx43 is strongly expressed, the major part of the working myocardium was immunonegative to antibodies 285/298 (Figure 10CDown through 10GDown). The specificity of antibodies 285/298 was finally investigated by immunoelectron microscopy. In ovary sections treated for immunoelectron microscopy, numerous gap junctions, between the granulosa cells, were seen decorated with gold particles (Figure 8Down), whereas the intracellular organelles and the cytosol were free of labeling. No immunoreactivity was detected in the sections prepared according to the control procedures (not shown).



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Figure 6. Characterization by immunofluorescence of rabbit antibodies raised to residues 285 to 298 of mouse Cx45 (antibodies 285/298 or anti-Cx45 antibodies). Panels A and C are phase-contrast micrographs; panels B and D, immunofluorescence micrographs. A and B, Frozen section through a mouse ovary at the level of 2 antral follicles characterized by stratified granulosa cells (gr). The follicles are separated by theca cells (tc). Panel B shows the strong immunoreactivity of granulosa cells to antibodies 285/298 (8 µg/mL). C and D, SKHep1 cells. The immunoreactive sites seen in panel D are distributed at the cell periphery, as expected for junctional labeling. A few sites immunoreactive to antibodies 285/298 (10 µg/mL) are also observed inside the cells (arrows). A through D, bars=25 µm.



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Figure 7. Characterization by CLS microscopy of rabbit antibodies raised to residues 285 to 298 of mouse Cx45 (antibodies 285/298 or anti-Cx45 antibodies). Shown is a section through granulosa cells of a mouse ovary antral follicle. The section was incubated with anti-Cx43 mouse monoclonal antibody (2 µg/mL) and rabbit antibodies 285/298 (8 µg/mL), which were revealed with FITC-labeled sheep anti-mouse IgGs and TRITC-labeled goat anti-rabbit IgGs, respectively. This micrograph is a merged picture of signals recorded in the FITC (green) and TRITC (red) channels from 1 single optical section. Immunoreactive sites recognized by the anti-Cx43 antibody (green) and antibodies 285/298 (red) are only very partially colocalized. Arrows indicate some (yellow) colocalization sites. Bar=25 µm.



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Figure 10. Expression pattern of Cx45 protein. A and B, Phase-contrast and immunofluorescence micrographs, respectively, of a cross section in a forelimb bud of a 10.5-dpc mouse embryo. See Figure 2EUp and 2FUp for the expression of Cx45 transcript in the forelimb buds of embryos of similar age. Note in panel B the strong immunoreactivity of keratinocytes due to anti-Cx45 antibodies. Bar in B=50 µm (representative of panels A and B). C through I, Phase-contrast (C and H) and immunofluorescence (D through G and I) micrographs of adult mouse heart sections. Sections were treated with both anti-Cx43 and anti-Cx45 as described in Materials and Methods. Anti-Cx45 antibodies were revealed with Cy3-conjugated donkey anti-rabbit F(ab')2 fragments. Cx43 is abundantly expressed in heart (as illustrated in panels C and D for the ventricular tissue), in contrast to Cx45, which is not detected in the major part of the working myocardium (panels C and E, low magnification; panels F and G, high magnification). However, in some small foci, Cx45 is detectable at high magnification in trace amounts (panels H and I). Bar in E=100 µm (representative of panels C and D); bar in I=50 µm (representative of panels F, G, and H). J through L, Phase-contrast (J and K) and immunofluorescence (L) micrographs of a section in adult mouse heart interventricular septum. In panel J, the top of the septum is in the right upper corner. Panels K and L are enlargements of the box in panel J. The section was treated with anti-Cx45 antibodies revealed with Cy3-conjugated donkey anti-rabbit F(ab')2 fragments. Sister sections were incubated with anti-Cx40 antibodies to identify the conduction system (not shown).10 Note the expression of Cx45 (L) in the common His bundle. Bar in J=100 µm; bar in L=50 µm (representative of panel K).



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Figure 8. Characterization by immunoelectron microscopy of rabbit antibodies raised to residues 285 to 298 of mouse Cx45 (antibodies 285/298 or anti-Cx45 antibodies). Ultrathin section through 2 granulosa cells of a mouse ovary antral follicle. The section was successively incubated with antibodies 285/298 (5 µg/mL) and 10-nm gold-labeled goat anti-rabbit IgGs. A gap junction, decorated with gold particles, is clearly identified between the 2 cells. Bar=0.1 µm.

The results described above demonstrate that antibodies 285/298 are specific for Cx45, and they will hereafter be referred to as anti-Cx45 antibodies. They were used in the experiments described below to investigate the expression and the distribution of Cx45 in mouse heart during its morphogenesis.

In the 8.5-dpc cardiac tube, the myocardium was identified by its immunoreactivity with anti-desmin antibodies.58 It surrounded the endocardium, which was desmin negative (Figure 9AUp and 9BUp). At this stage the detection of Cx45 was homogeneous throughout the myocardium, and the periphery of the myocytes appeared to be more or less regularly labeled with anti-Cx45 antibodies (Figure 9CUp and 9DUp). At 9.5 dpc, the primitive atrium is separated from the common ventricular chamber by the atrioventricular canal (Figure 9EUp). A few immunoreactive sites were observed in the thin atrial wall, always associated with the outermost myocytes (Figure 9EUp through 9GUp). Myocytes expressing Cx45 were also seen in the atrioventricular canal as shown in Figure 9HUp and 9IUp. In the ventricular wall, Cx45 was clearly detected, but its distribution was polymorphic. In some samples, most of the myocytes forming the compact ventricular layer were labeled (Figure 9JUp through 9LUp); in others, only a few myocytes were seen to express Cx45. This latter pattern of expression was found again, in even more marked form, in the 10.5-dpc heart ventricular wall, where Cx45 was detected only in some rare myocytes (not shown). At this same stage, a strong labeling caused by anti-Cx45 antibodies was observed between the differentiating keratinocytes of the forelimb buds (Figure 10AUp and 10BUp), indicating that the loss of immunoreactivity described above was specific and endogenous to the myocardium. Beyond 11 dpc, and until the 7-day postpartum (dpp) stage, no significant immunofluorescence signal was detected in the atrial and ventricular free walls. This also held true at the adult stage for the major part of the working myocardium (Figure 10CUp through 10GUp), as reported.29 However, in a small number of sections, Cx45 was detectable at high magnification, in trace amounts, in some small loci localized in the ventricles (Figure 10HUp and 10IUp). In addition, at this same stage, Cx45 was seen in low amounts in the anterior region of the interventricular septum (Figure 10JUp through 10LUp), associated with the common His bundle, as previously described.29 39 No attempt was made to investigate further the expression of Cx45 in the conduction system (but see References 29 and 3929 39 ). This would have been beyond the scope of the present work. The specificity of the labelings described above was checked at all stages investigated with appropriate control experiments (see Materials and Methods).

In preliminary experiments, several attempts were made by immunoblotting to check for the presence or the absence of Cx45 in the homogenates of hearts collected at the same developmental stages as those used for the immunofluorescence experiments. Because of the poorly reproducible results obtained for certain developmental stages, we finally focused the Western blot experiments on 3 stages: 9.5 dpc, 7 dpp, and the adult stage. The expression of Cx45 in early embryonic heart was confirmed: in 9.5-dpc heart homogenates, Cx45 was detected as a 48-kDa protein, in agreement with the above results, but it was found to be consistently associated with a 52-kDa polypeptide, whatever the amount of material analyzed (Figure 5BUp, lanes e and f). No protein was revealed in immunoreplicas of control experiments (not shown). The 52-kDa polypeptide, which was shown not to be a phosphorylated form of Cx45 (S. Alcoléa et al, unpublished results, 1998), might be derived from the 48-kDa protein by an as-yet-unidentified post-translational modification. Two proteins with Mrs similar to those reported above were also detected in immunoprecipitates resulting from the treatment of cultured neonatal rat myocyte homogenates with anti-Cx45 antibodies (see, eg, Figures 6A and 8A in Reference 3737 ). We observed no significant fluorescence signal in neonatal mouse heart sections treated with anti-Cx45 antibodies, but a 48-kDa protein was specifically detected in 7-dpp heart homogenates, associated or not with the 52-kDa polypeptide (Figure 5BUp, lanes g and h). The detection of this polypeptide was indeed demonstrated to be dependent on the protein load (Figure 5BUp, lanes g and h), which suggests a quantitative decrease of this molecular species during heart development. Finally, no significant signal was revealed in the immunoreplicas of adult heart homogenates probed with anti-Cx45 antibodies.


*    Discussion
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*Discussion
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Cx45 in Developing Mouse Heart
A combination of techniques was used to investigate the expression and the spatiotemporal regulation of Cx45 gene products in mouse heart during development. RT-PCR experiments have conclusively demonstrated, by the completion of previous partial results obtained by Northern blotting,20 that the Cx45 gene transcript was present in mouse heart from the early stages of cardiac morphogenesis (8.5 dpc, stage of the first contractions) to the adult stage. The presence of this transcript in embryonic and fetal hearts was confirmed by in situ hybridization experiments. In addition, these experiments have demonstrated that (1) the transcript was equally expressed in all cardiac compartments, including the inflow and outflow tracts and the atrioventricular canal, at early stages of morphogenesis (8.5 to 10.5 dpc), and (2) the abundance of transcript, which is constitutively low compared with that of Cx40 and Cx43 (see also Reference 2020 ), was downregulated from 11 to 12 dpc onward. At subsequent developmental stages, it was detected in the ventricles only, in a diffuse way, but with a more distinct expression level in the outflow tract.

Examination of sections from whole-mount in situ hybridized embryos has shown that the Cx45 transcript was associated with myocytes. In addition, the expression of Cx45 protein in the myocytes of young embryonic hearts (8.5 to 9.5 dpc) was demonstrated by its immunodetection by fluorescence microscopy. Surprisingly, beyond 10.5 dpc (with the exception of the adult heart, which will be discussed later), Cx45 protein was no longer detected by conventional immunofluorescence microscopy in the embryonic, fetal, or neonatal working myocardium, even though the transcript was present in heart at these developmental stages (as demonstrated by RT-PCR and in situ hybridization experiments), and the protein was detected in Western blots of 7-dpp heart homogenates. The discrepancy between these results is perhaps only apparent, and the following hypothesis might provide the explanation. In early stages of cardiac morphogenesis (8.5 to 9.5 dpc), Cx45 is sufficiently concentrated in the plasma membrane of myocytes to be immunodetected by fluorescence microscopy. At later developmental stages, subsequent to the downregulation of the transcript, the synthesis of Cx45 decreases and its concentration in the membrane of ventricular myocytes is below the detection limit of the fluorescence microscope. One might postulate that the low number of Cx45 molecules present in the membrane could be aggregated into immunofluorescence-detectable gap junctions, but this is apparently not the case, because the channels they form probably remain dispersed in the membrane. The expression of Cx45 in HeLa cells is a similar example that supports the above hypothesis. Although no gap junction plaques have been observed in wild-type HeLa cell plasma membranes,41 high-resolution electrophysiological measurements,23 Western blotting (Figure 5AUp), and immunogold labeling of freeze-fractured membrane41 have demonstrated that Cx45 channels were present, albeit in very low amounts, in wild-type HeLa cells. Nevertheless, the immunodetection of these channels by fluorescence microscopy remains elusive. Immunoreactivity, when detected (References 29 and 3029 30 and this study), is only seen as infrequent and tiny spots between adjacent cells, probably because most of the Cx45 channels are not aggregated into gap junction plaques but dispersed in the plasma membrane, as has been recently demonstrated.41 The elegant technique of freeze-fracture immunogold labeling, associated with the double-patch clamp technique on freshly dissociated embryonic myocyte pairs, should go some way toward confirming the above hypothesis. This hypothesis, which accounts for our results on the working myocardium, does not exclude the possibility that Cx45 might be sufficiently expressed to be immunodetected in some specialized regions of the heart. It is indeed the case in the conduction system of adult and fetal mouse heart, as recently demonstrated.29 39 Strangely enough, the intensity of signal we have detected on sections by in situ hybridization in the fetal conduction system was as low as that seen in the working myocardium. This may suggest a differential regulation of Cx45 expression according to the cardiac tissue in which this Cx is synthesized.

Cx45 was undetectable in the major part of adult mouse heart. It was, however, clearly seen in the anterior regions of the interventricular septum and in trace amounts in some small foci dispersed in the ventricular free walls. Although this remains to be demonstrated, one might speculate that these immunopositive foci contain terminal elements of the conduction system (ie, Purkinje fibers). In a general way, expression of Cx45 in adult heart is extremely low, as indicated by the failure to detect it by immunoblotting in adult heart homogenates (Reference 2929 and this study). This would appear to reflect the general downregulation of Cx45 gene products, which starts quite early during cardiac morphogenesis. The results we have described are, in addition, in complete disagreement with those reported for dog and human heart, in which Cx45 was shown to be expressed, fairly strongly, in all cardiac tissues.27 28 33 34 35 36 Species difference, or the characteristics of the antibodies used, might account for this discrepancy.

The myocytes have been demonstrated to synthesize Cx45, but other cardiac cells are probably also capable of expressing it. Clues are given in Figures 2EUp and 4EUp in which the paired dorsal aortae and coronary vessels, respectively, are shown to express Cx45 gene transcript. In addition, faint and specific immunolabeling was detected very infrequently in coronary vessels of adult mouse heart (not shown). These observations indicate that vessels, including coronary vessels, can express Cx45. This is remarkably well illustrated by the strong expression of Cx45 in the smooth muscle layers of pig heart coronary vessels (D. Gros et al, unpublished results, 1998).

Cx45, Cx of the Primitive Heart
At the stage of the first contractions (8.5 dpc), the Cx40 and Cx43 gene transcripts have been demonstrated to be present in heart, as is confirmed by the results of RT-PCR experiments,13 but at this same stage Cx40 and Cx43 proteins have not been detected. They are detected successively in the embry-onic ventricle at 9.5 dpc for Cx40 and then in the atrium at 10.5 dpc for Cx4313 (Figure 11Down). How then is the electrical activity propagated from the pacemaker, located in the inflow tract, to the primitive ventricle at the stage of the first contractions? Clearly, Cx45 channels play a role as early as this stage in the conduction phenomenon. The Cx45 gene transcript was shown to be expressed in the heart before the first contractions, at 8 dpc; this transcript and the Cx45 protein were both detected in the 8.5-dpc heart. The coordination of the myocytes during the slow peristaltic contractions that occur at this stage would then be controlled by the low unitary conductance of Cx45 channels. Cx45 could thus be termed the "primitive cardiac Cx," because it is, so far, the only Cx expressed in the primitive tubular heart.



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Figure 11. Molecular bases for the propagation of electrical activity in the embryonic mouse heart. Three Cxs have been demonstrated to be associated with the myocytes, Cx40, Cx43, and Cx45, the expression patterns of which, complementary or partially redundant, should account for the propagation of electrical activity in the embryonic myocardium. The diagrams in this figure illustrate the expression patterns of Cx43 (green), Cx40 (magenta), and Cx45 (blue) gene products at the first stages of cardiac morphogenesis. The heart is schematized as a series of independent compartments that are along the caudorostral axis, as follows: the inflow tract (ift), where the sinoatrial node (ie, the pacemaker) is localized; the atrial compartment (a); the atrioventricular canal (avc); the ventricular compartment (v); and the outflow tract (oft). In the embryonic ventricles, the scalloped region represents the trabecular component of this compartment. Trabeculae differentiate at {approx}9.5 dpc. Blood circulation in the heart is indicated by red arrows. Developmental stages illustrated in the figure are specified at the top of each diagram (E 8.5=8.5 dpc, E 9.5=9.5 dpc, etc). Note that the stages represented change according to the expression pattern of the Cx considered. During heart morphogenesis, the Cx43 gene activation, which is evidenced by the detection of both the transcript and the protein by in situ hybridization and immunofluorescence microscopy, respectively, occurs from 10.5 dpc according to a rostrocaudal gradient, which involves first the embryonic ventricle and then the atrium.13 The expression of Cx43 is stronger in the trabecular component (dark green) than in the outermost-layer myocytes of the ventricular component (light green). The Cx40 gene activation occurs earlier, at 9.5 dpc, according to a caudorostral gradient, which involves first the atrial compartment and then successively the left and right embryonic ventricles.13 As for Cx43, the expression of Cx40 is stronger in the trabeculae (dark magenta) than in the outermost ventricular myocytes (light magenta). Bottom panel (Cx45) represents the expression pattern of the Cx45 gene transcript from 8.5 to 12.5 dpc. The abundance of this transcript in the heart is constitutively much lower than those of the transcripts from Cx43 and Cx40 genes (this study and Reference 2020 ). At the stage of the first contractions (8.5 dpc), the Cx45 gene transcript is detected, in contrast to Cx43 and Cx40 gene products, in all cardiac compartments including the inflow and outflow tracts and the atrioventricular canal. This expression pattern persists until the 10-dpc stage (not shown) with an expression weaker in the trabeculae than in the outermost layer myocytes. From 11 dpc, a progressive downregulation occurs that proceeds along the caudorostral axis. The Cx45 gene transcript is shown to be expressed in the sinoatrial node at 8.5 dpc, although it has not been precisely detected in this specialized region. However, the heart needs a functional pacemaker, and, given that Cx45 is so far the only Cx demonstrated to be expressed in the 8.5-dpc heart, it has been predicted that this Cx could couple the nodal cells.

The expression of Cx40 and Cx43 in the early embryonic heart only concerns the ventricular and atrial tissues (Figure 11Up). At no developmental stages were these Cxs shown to be associated with the myocytes of the inflow and outflow tracts or the atrioventricular canal.12 13 Remarkably, the Cx45 gene was demonstrated to be expressed in those compartments that are characterized by slow impulse conduction.59 The downregulation of Cx45 that occurs in embryonic heart is counterbalanced by the spatiotemporal upregulation of both Cx40 and Cx43. This is illustrated in Figure 11Up, which clearly shows the complementary expression, sometimes partially redundant, of the 3 Cxs associated with the myocytes in the embryonic heart. Cx43 was shown to be involved in the development of the right ventricle and the impulse conduction in the ventricular walls.16 17 18 19 Cx40 was demonstrated to be essential for the rapid conduction of impulse in the His-Purkinje system.21 22 The analysis of heart from Cx45 null mice should confirm, or invalidate, the primordial role that Cx45 should play in the development and the physiology of this organ given the unique characteristics of its expression.


*    Acknowledgments
 
This investigation was supported by grants from the Association Française contre les Myopathies and the European Economic Community (grant BMH4-CT 96-1427) (to D.B.G.). We thank Dr K. Willecke for the F9-7 and IVT clones, Dr A-M. Lompré for the SERCA2 clone, and Dr R. Civitelli for the UMR 106 cells. C. Moretti, P. Weber, and G. Turini were of invaluable help in the analyses by CLS microscopy and the photographic work.

Received October 1, 1998; accepted April 5, 1999.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMaterials and Methods
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up arrowDiscussion
*References
 
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