Evidence map›Paper›PMID 21220045›Full record

ArticleHeart rhythm2011

A novel desmocollin-2 mutation reveals insights into the molecular link between desmosomes and gap junctions.

Katja Gehmlich, Pier D Lambiase, Angeliki Asimaki, Edward J Ciaccio, Elisabeth Ehler, Petros Syrris, Jeffrey E Saffitz, William J McKenna

Open access · hybridAbstract read
In one paragraph

Article in Heart rhythm, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Comprehensive analysis of desmosomal protein remodelling identifies desmocollin-2 as potential biomarker for arrhythmogenic cardiomyopathy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
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  11. Pediatric Restrictive Cardiomyopathies.Frontiers in pediatrics · 2021
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  19. Protein⁻Protein Interactions with Connexin 43: Regulation and Function.International journal of molecular sciences · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 2 countries.

Katja GehmlichInstitute of Cardiovascular Science, University College London, and The Heart Hospital, London, United Kingdom. katja.gehmlich@cardiov.ox.ac.uk
Pier D Lambiase
Angeliki Asimaki
Edward J Ciaccio
Elisabeth Ehler
Petros Syrris
Jeffrey E Saffitz
William J McKenna
University College Hospital at Westmoreland Street · GBBeth Israel Deaconess Medical Center · USColumbia University Irving Medical Center · USHarvard University · USKing's College London · GBUniversity College London · GB

Funding

Disease Mechanisms in ARVCR01HL102361 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI SAFFITZ, JEFFREY E · 2010 to 2013
$1.7M
British Heart Foundation PG/05/112British Heart Foundation RG/04/010Department of HealthMedical Research Council G0400153NHLBI NIH HHS HL102361NHLBI NIH HHS R01 HL102361
6 · The paper itself

Abstract

backgroundCellular adhesion mediated by cardiac desmosomes is a prerequisite for proper electric propagation mediated by gap junctions in the myocardium. However, the molecular principles underlying this interdependence are not fully understood.

objectiveThe purpose of this study was to determine potential causes of right ventricular conduction abnormalities in a patient with borderline diagnosis of arrhythmogenic right ventricular cardiomyopathy.

methodsTo assess molecular changes, the patient's myocardial tissue was analyzed for altered desmosomal and gap junction (connexin43) protein levels and localization. In vitro functional studies were performed to characterize the consequences of the desmosomal mutations.

resultsLoss of plakoglobin signal was evident at the cell junctions despite expression of the protein at control levels. Although the distribution of connexin43 was not altered, total protein levels were reduced and changes in phosphorylation were observed. The truncation mutant in desmocollin-2a is deficient in binding plakoglobin. Moreover, the ability of desmocollin-2a to directly interact with connexin43 was abolished by the mutation. No pathogenic potential of the desmoglein-2 missense change was identified.

conclusionThe observed abnormalities in gap junction protein expression and phosphorylation, which precede an overt cardiac phenotype, likely are responsible for slow myocardial conduction in this patient. At the molecular level, altered binding properties of the desmocollin-2a mutant may contribute to the changes in connexin43. In particular, the newly identified interaction between the desmocollin-2a isoform and connexin43 provides novel insights into the molecular link between desmosomes and gap junctions.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaConnexin 43DesmocollinsDesmosomesGap JunctionsGene ExpressionHeart Conduction SystemHumansConnexin 43DesmocollinsDSC2 protein, human

Identifiers

PMID21220045
PMCPMC3085091
OpenAlexW2050043492

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.