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From the Departments of Pathology and Medicine and the Center for Cardiovascular Research, Washington University, St. Louis, Mo.
Correspondence to Jeffrey E. Saffitz, Department of Pathology, Box 8118, Washington University School of Medicine, 660 S Euclid Ave, St. Louis, MO 63110. E-mail saffitz{at}pathbox.wustl.edu
AbstractElectrical activation of
the heart requires current transfer from one cell to another via gap
junctions, arrays of densely packed intercellular channels. The extent
to which cardiac myocytes are coupled is determined by multiple
mechanisms, including tissue-specific patterns of expression of diverse
gap junction channel proteins (connexins), and regulatory pathways that
control connexin synthesis, intracellular trafficking, assembly into
channels, and degradation. Many connexins, including those expressed in
the heart, have been found to turn over rapidly. Recent studies in the
intact adult heart suggest that connexin43, the principal cardiac
connexin, is surprisingly short-lived (half-life
1.3 hours). Both
the proteasome and the lysosome participate in connexin43
degradation. Other ion channel proteins, such as those forming selected
voltage-gated K+ channels, may also exhibit rapid turnover
kinetics. Regulation of connexin degradation may be an important
mechanism for adjusting intercellular coupling in the heart under
normal and pathophysiological conditions.
Key Words: gap junctions connexins proteolysis proteasome lysosome
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