“…In addition, inhibiting Cx43 following bile duct ligation produces detrimental effects with markedly greater hepatocellular necrosis (Balasubramaniyan et al, 2013). Liver injury following ischemia and reperfusion was worse in Cx43 heterozygous mice, resulting in increased liver necrosis (Trevisan et al, 2019), and Cx43 haploinsufficiency resulted in excessive liver fibrosis by CCl4 -induced hepatic injury (Cogliati et al, 2011), highlighting the adaptive role of Cx43 and cell-cell communication in the response of the liver to acute insults. Similarly, when WT and Cx43L-KO mice were exposed to tunicamycin, we observed a key adaptive role for Cx43-mediated hepatocyte coupling in the tissue response to this acute injury.…”