Evidence map›Paper›PMID 30241906›Full record

ReviewProgress in biophysics and molecular biology2019

The role of the gap junction perinexus in cardiac conduction: Potential as a novel anti-arrhythmic drug target.

Daniel T Hoagland, Webster Santos, Steven Poelzing, Robert G Gourdie

Open access · hybridAbstract readReview
In one paragraph

Review in Progress in biophysics and molecular biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Interstitial cells and arrhythmia.American journal of physiology. Cell physiology · 2026
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  18. Peptidic Connexin43 Therapeutics in Cardiac Reparative Medicine.Journal of cardiovascular development and disease · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Daniel T HoaglandVirginia Tech Carilion Research Institute, Roanoke, VA, USA.
Webster SantosDepartment of Chemistry, Blacksburg, VA, USA.
Steven PoelzingVirginia Tech Carilion Research Institute, Roanoke, VA, USA; Department of Biomedical Engineering and Mechanics, Blacksburg, VA, USA.
Robert G GourdieVirginia Tech Carilion Research Institute, Roanoke, VA, USA; Department of Biomedical Engineering and Mechanics, Blacksburg, VA, USA; Department of Emergency Medicine, Virginia Tech Carilion School of Medicine, Roanoke, VA, USA. Electronic address: gourdier@vtc.vt.edu.
Mechanics' Institute · USCarilion Clinic · US

Funding

Patterning by Invasive Mesenchyme in the Embryonic HeartP01HD039946 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GOURDIE, ROBERT G · 2001 to 2005
$5.9M
PATTERNING OF GAP JUNCTION COUPLING IN DEVELOPING HEARTR01HL056728 · NHLBI · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI GOURDIE, ROBERT G · 1997 to 2021
$5.6M
The Role of the Sodium Channel Beta Subunit in Cardiac ConductionR01HL141855 · NHLBI · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI GOURDIE, ROBERT G, POELZING, STEVEN · 2018 to 2021
$1.8M
NHLBI NIH HHS R01 HL056728NHLBI NIH HHS R01 HL141855NICHD NIH HHS P01 HD039946
6 · The paper itself

Abstract

Cardiovascular disease remains the single largest cause of natural death in the United States, with a significant cause of mortality associated with cardiac arrhythmias. Presently, options for treating and preventing myocardial electrical dysfunction, including sudden cardiac death, are limited. Recent studies have indicated that conduction of electrical activation in the heart may have an ephaptic component, wherein intercellular coupling occurs via electrochemical signaling across narrow extracellular clefts between cardiomyocytes. The perinexus is a 100-200 nm-wide stretch of closely apposed membrane directly adjacent to connexin 43 gap junctions. Electron and super-resolution microscopy studies, as well as biochemical analyses, have provided evidence that perinexal nanodomains may be candidate structures for facilitating ephaptic coupling. This work has included characterization of the perinexus as a region of close inter-membrane contact between cardiomyocytes (<30 nm) containing dense clusters of voltage-gated sodium channels. Here, we review what is known about perinexal structure and function and the potential that the perinexus may have novel and pivotal roles in disorders of cardiac conduction. Of particular interest is the prospect that cell adhesion mediated by the cardiac sodium channel β subunit (Scn1b) may be a novel anti-arrhythmic target.

Indexed as

Action PotentialsAnimalsAnti-Arrhythmia AgentsGap JunctionsHeartHumansMolecular Targeted TherapyMyocardiumAnti-Arrhythmia AgentsArrhythmiaConductionEphapticGap junctionsHeartNa(V)1.5/Scn5aPerinexusβ1/Scn1b

Identifiers

PMID30241906
PMCPMC6422736
OpenAlexW2891886138

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.