Evidence map›Paper›PMID 33621213›Full record

ArticleThe Journal of clinical investigation2021

Cx43 hemichannel microdomain signaling at the intercalated disc enhances cardiac excitability.

Maarten Aj De Smet, Alessio Lissoni, Timur Nezlobinsky, Nan Wang, Eef Dries, Marta Pérez-Hernández, Xianming Lin, Matthew Amoni, Tim Vervliet, Katja Witschas and 7 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. COeLife · 2026
    Article
  6. Cardiac Impulse Propagation: An Integrated View.JACC. Basic to translational science · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Research progress of connexin 43 in cardiovascular diseases.Frontiers in cardiovascular medicine · 2025
    Review
  18. Article
  19. Calcium Regulation of Connexin Hemichannels.International journal of molecular sciences · 2024
    Review
  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

17 authors at 6 institutions in 4 countries.

Maarten Aj De SmetPhysiology Group, Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.
Alessio LissoniPhysiology Group, Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.
Timur NezlobinskyDepartment of Physics and Astronomy, Ghent University, Ghent, Belgium.
Nan WangPhysiology Group, Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.
Eef DriesExperimental Cardiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Marta Pérez-HernándezLeon H. Charney Division of Cardiology, School of Medicine, New York University, New York, New York, USA.
Xianming LinLeon H. Charney Division of Cardiology, School of Medicine, New York University, New York, New York, USA.
Matthew AmoniExperimental Cardiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Tim VervlietLaboratory of Molecular and Cellular Signaling, Department of Cellular and Molecular Medicine, KU Leuven, Leuven, Belgium.
Katja WitschasPhysiology Group, Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.
Eli RothenbergDepartment of Biochemistry and Molecular Pharmacology, School of Medicine, New York University, New York, New York, USA.
Geert BultynckLaboratory of Molecular and Cellular Signaling, Department of Cellular and Molecular Medicine, KU Leuven, Leuven, Belgium.
Rainer SchulzPhysiologisches Institut, Justus-Liebig-Universität, Giessen, Germany.
Alexander V PanfilovDepartment of Physics and Astronomy, Ghent University, Ghent, Belgium.
Mario DelmarLeon H. Charney Division of Cardiology, School of Medicine, New York University, New York, New York, USA.
Karin R SipidoExperimental Cardiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Luc LeybaertPhysiology Group, Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium.
Ghent University · BENew York University · USKU Leuven · BEUral Federal University · RUVIB-KU Leuven Center for Cancer Biology · BEJustus-Liebig-Universität Gießen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cx43, a major cardiac connexin, forms precursor hemichannels that accrue at the intercalated disc to assemble as gap junctions. While gap junctions are crucial for electrical conduction in the heart, little is known about the potential roles of hemichannels. Recent evidence suggests that inhibiting Cx43 hemichannel opening with Gap19 has antiarrhythmic effects. Here, we used multiple electrophysiology, imaging, and super-resolution techniques to understand and define the conditions underlying Cx43 hemichannel activation in ventricular cardiomyocytes, their contribution to diastolic Ca2+ release from the sarcoplasmic reticulum, and their impact on electrical stability. We showed that Cx43 hemichannels were activated during diastolic Ca2+ release in single ventricular cardiomyocytes and cardiomyocyte cell pairs from mice and pigs. This activation involved Cx43 hemichannel Ca2+ entry and coupling to Ca2+ release microdomains at the intercalated disc, resulting in enhanced Ca2+ dynamics. Hemichannel opening furthermore contributed to delayed afterdepolarizations and triggered action potentials. In single cardiomyocytes, cardiomyocyte cell pairs, and arterially perfused tissue wedges from failing human hearts, increased hemichannel activity contributed to electrical instability compared with nonfailing rejected donor hearts. We conclude that microdomain coupling between Cx43 hemichannels and Ca2+ release is a potentially novel, targetable mechanism of cardiac arrhythmogenesis in heart failure.

Indexed as

Calcium SignalingAnimalsCalciumConnexin 43Gap JunctionsHeart VentriclesMiceMice, KnockoutMyocytes, CardiacSarcoplasmic ReticulumSwineCalciumConnexin 43GJA1 protein, mouseArrhythmiasCalcium signalingCardiologyCell BiologyPeptides

Identifiers

PMID33621213
PMCPMC8011902
OpenAlexW3132962011

What OpenQuestion holds

Textmetadata
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.