Gap junction channels composed of connexin43 (Cx43) are essential for normal heart formation and function. We studied the potential role of the Wnt family of secreted polypeptides as regulators of Cx43 expression and gap junction channel function in dissociated myocytes and intact hearts. Neonatal rat cardiomyocytes responded to Li + , which mimics Wnt signaling, by accumulating the effector protein β-catenin and by inducing Cx43 mRNA and protein markedly. Induction of Cx43 expression was also observed in cardiomyocytes cocultured with Rat-2 fibroblasts or N2A neuroblastoma cells programmed to secrete bioactive Wnt-1. By transfecting a Cx43 promoter-reporter gene construct into cardiomyocytes, we demonstrated that the inductive effect of Wnt signaling was transcriptionally mediated. Enhanced expression of Cx43 increased cardiomyocyte cell coupling, as determined by Lucifer Yellow dye transfer and by calcium wave propagation. Conversely, in a transgenic cardiomyopathic mouse model that exhibits ventricular arrhythmias and gap junctional remodeling, β-catenin and Cx43 expression were downregulated concordantly. In response to Wnt signaling, the accumulating Cx43 colocalized with β-catenin in the junctional membrane; moreover, forced expression of Cx43 in cardiomyocytes reduced the transactivation potential of β-catenin. These findings demonstrate that Wnt signaling is an important modulator of Cx43-dependent intercellular coupling in the heart, and they support the hypothesis that dysregulated signaling contributes to altered impulse propagation and arrhythmia in the myopathic heart. perinatal death (13). Although this congenital cardiac defect was unexpected and its occurrence remains unexplained, recent studies support the hypothesis that loss of function of Cx43 in cells of neural crest origin may account for this phenotype (14).One potential regulator of gap junction expression and function that may have important implications for developmental processes as well as for normal function in adult stages is the Wnt family of genes. Wnt genes encode a large family of secreted polypeptides that can influence cell-cell communication, both during embryonic development and in adult life (15). Wnt proteins are thought to act via the Frizzled class of cell-surface proteins. Receptor activation leads to inhibition of glycogen synthase kinase 3β (GSK3β), resulting in stabilization and accumulation of nonphosphorylated β-catenin within the cytosolic compartment. Increased abundance of this pool is associated with entry of β-catenin into the nucleus, where the protein complexes with Tcf transcription factors and modulates the expression of specific target genes (16). β-Catenin also is associated with the plasma membrane, where it acts as a component of the cell-cell adhesive junction. Wnt-1 has been shown to enhance gap junctional communication between ventral cells of the developing Xenopus embryo (17, 18). In addition, ectopic expression of Wnt-1 in the limb mesenchyme of transgenic mice increases the local accumulation of...