2015
DOI: 10.1042/bst20150059
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Gap junctions–guards of excitability

Abstract: Cardiomyocytes are connected by mechanical and electrical junctions located at the intercalated discs (IDs). Although these structures have long been known, it is becoming increasingly clear that their components interact. This review describes the involvement of the ID in electrical disturbances of the heart and focuses on the role of the gap junctional protein connexin 43 (Cx43). Current evidence shows that Cx43 plays a crucial role in organizing microtubules at the intercalated disc and thereby regulating t… Show more

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Cited by 19 publications
(15 citation statements)
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“…This is especially important in the heart, where the fine-tuned connexindependent cell-cell communication through gap junctions has been shown to be essential to ensure a coordinated contraction and pumping activity (see for instance Beyer et al, 1987;Revel and Karnovsky, 1967;Yeager and Gilula, 1992). Therefore, an impairment in GJIC has been implicated in the development of electric conduction defects that underlie several cardiac disorders (Severs, 2009;Severs et al, 2004;Stroemlund et al, 2015).…”
Section: The Role Of Gjic In the Heartmentioning
confidence: 99%
See 1 more Smart Citation
“…This is especially important in the heart, where the fine-tuned connexindependent cell-cell communication through gap junctions has been shown to be essential to ensure a coordinated contraction and pumping activity (see for instance Beyer et al, 1987;Revel and Karnovsky, 1967;Yeager and Gilula, 1992). Therefore, an impairment in GJIC has been implicated in the development of electric conduction defects that underlie several cardiac disorders (Severs, 2009;Severs et al, 2004;Stroemlund et al, 2015).…”
Section: The Role Of Gjic In the Heartmentioning
confidence: 99%
“…Interestingly, Cx43 expression has been suggested to be necessary for the full activity of Na + currents and for the accumulation of Na v 1.5 at the cardiac intercalated disc (Jansen et al, 2012;Lübkemeier et al, 2013). The disturbance of electrical coupling, which has been implicated in various cardiac disorders, including heart failure and arrhythmogenesis, appears to be modulated, at least in part, by Cx43 expression and distribution, as well as the gating properties of the Cx43 channels (Duffy, 2012;Severs et al, 2004;Stroemlund et al, 2015). For instance, defects of electrical conductance in cardiac ischaemia, which is associated with an increase in cytosolic Ca 2+ concentration, a decrease of intracellular pH and changes in the activity of different protein kinases and phosphatases, have been ascribed to the closure and internalization of gap junction channels, the appearance of Cx43 at the lateral membrane of cardiomyocytes ('lateralization') and the opening of non-opposed Cx43 hemichannels (Fig.…”
Section: The Role Of Gjic In the Heartmentioning
confidence: 99%
“…Moreover, as GJ remodeling occurs in multiple cardiac pathologies (Jongsma and Wilders, 2000; Stroemlund et al, 2015), it is widely held that disrupted GJ coupling is mechanistically central to arrhythmogenesis in heart disease (De Vuyst et al, 2011; Palatinus et al, 2012). Whilst a GJ-based paradigm for cardiac electrical coupling has been in place for over 50 years, a small group of mathematical biologists has proposed that cardiac conduction in health and disease may involve ephaptic mechanisms (Lin and Keener, 2010; Mann and Sperelakis, 1979; Mori et al, 2008; Pertsov and Medvinskiĭ, 1979).…”
Section: Introductionmentioning
confidence: 99%
“…In addition to cadherins, other receptors are targeted to the intercalated discs and regulate cardiomyocytes’ coupling. Specifically, connexin proteins are key components of gap junctions, structures specialized in intercellular electric coupling [6]. In the past years it has become clear that intercalated discs are dynamic structures that are a target of complex signaling events that can alter their composition and compromise their function during disease states.…”
Section: Introductionmentioning
confidence: 99%