Key result
Connexin 43 expression and function are altered in right ventricular pathophysiology, including tetralogy of Fallot and pulmonary hypertension, and may serve as a therapeutic target.
Why the study?
While the role of Cx43 is well established in the left ventricle, less is known about its importance for the development of right ventricular dysfunction.
This review highlights the emerging role of Connexin 43 in right ventricular pathophysiology and its potential as a therapeutic target in conditions like pulmonary hypertension and tetralogy of Fallot.
Answers are grounded in this paper and cite their sources.
Cx43 in RV development and dysfunction merits targeted study; extends molecular insights but leaves open clinical translation.
In the heart, connexins form gap junctions, hemichannels, and are also present within mitochondria, with connexin 43 (Cx43) being the most prominent connexin in the ventricles. Whereas the role of Cx43 is well established for the healthy and diseased left ventricle, less is known about the importance of Cx43 for the development of right ventricular (RV) dysfunction. The present article focusses on the importance of Cx43 for the developing heart. Furthermore, we discuss the expression and localization of Cx43 in the diseased RV, i.e., in the tetralogy of Fallot and in pulmonary hypertension, in which the RV is affected, and RV hypertrophy and failure occur. We will also introduce other Cx molecules that are expressed in RV and surrounding tissues and have been reported to be involved in RV pathophysiology. Finally, we highlight therapeutic strategies aiming to improve RV function in pulmonary hypertension that are associated with alterations of Cx43 expression and function.
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Boengler et al. (2021) conducted a review in Right ventricular dysfunction, tetralogy of Fallot, pulmonary hypertension. Connexin 43 (Cx43) was evaluated. Connexin 43 expression and function are altered in right ventricular pathophysiology, including tetralogy of Fallot and pulmonary hypertension, and may serve as a therapeutic target.
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