Key result
Myocardial ischemia impairs the secretion of Cx43 into circulating, intracardiac, and cardiomyocyte-derived extracellular vesicles, with STEMI patients showing lower levels of EV-Cx43 compared to controls.
Why the study?
Ischemic heart disease impairs intercellular communication via gap junctions and extracellular vesicles, where Cx43 mediates vesicle content release into target cells.
Does myocardial ischemia reduce the secretion of Cx43 into extracellular vesicles in cardiac models and STEMI patients?
Does myocardial ischemia reduce the secretion of Cx43 into extracellular vesicles in cardiac models and STEMI patients?
Myocardial ischemia impairs the secretion of Cx43 into extracellular vesicles, suggesting EV-Cx43 levels could serve as a systemic biomarker for cardiac injury.
Ischemic heart disease has been associated with an impairment on intercellular communication mediated by both gap junctions and extracellular vesicles. We have previously shown that connexin 43 (Cx43), the main ventricular gap junction protein, assembles into channels at the extracellular vesicle surface, mediating the release of vesicle content into target cells. Here, using a comprehensive strategy that included cell-based approaches, animal models and human patients, we demonstrate that myocardial ischemia impairs the secretion of Cx43 into circulating, intracardiac and cardiomyocyte-derived vesicles. In addition, we show that ubiquitin signals Cx43 release in basal conditions but appears to be dispensable during ischemia, suggesting an interplay between ischemia-induced Cx43 degradation and secretion. Overall, this study constitutes a step forward for the characterization of the signals and molecular players underlying vesicle protein sorting, with strong implications on long-range intercellular communication, paving the way towards the development of innovative diagnostic and therapeutic strategies for cardiovascular disorders.
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Martins‐Marques et al. (2020) studied ST-segment elevation myocardial infarction (n=57). Myocardial ischemia vs. Healthy controls / Normoxia was evaluated on Cx43 levels in circulating extracellular vesicles. Myocardial ischemia impairs the secretion of Cx43 into circulating, intracardiac, and cardiomyocyte-derived extracellular vesicles, with STEMI patients showing lower levels of EV-Cx43 compared to controls.
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