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Updated: Jun 27, 2026

Perturbing Endothelial Biomechanics via Connexin 43 Structural Disruption
Published on: October 4, 2019
High glucose-induced downregulation of connexin 43 expression promotes apoptosis in microvascular endothelial cells
1Department of Ophthalmology, University School of Medicine, Boston, Massachusetts 02118, USA.
Purpose:
This study aims to determine whether high glucose-induced inhibition of connexin 43 (Cx43) expression and reduced gap junction intercellular communication (GJIC) promote microvascular endothelial cell loss.
Methods:
To downregulate Cx43 protein expression in rat microvascular endothelial cells (RMECs), the cells were grown in high (30 mM) glucose medium for 7 days, or transfected with antisense-Cx43 (AS-Cx43) oligonucleotides. Western blot analysis confirmed significant inhibition of Cx43 protein expression. Scrape load dye transfer (SLDT) assay showed significant reduction in GJIC activity in these cells compared to cells grown in normal medium or transfected with random oligonucleotides. In parallel, Cx43 immunostaining showed significant decrease in number of Cx43 plaques in cells with reduced Cx43 expression. DNA ladder assay, TUNEL assay, and differential staining were performed to identify cells undergoing apoptosis.
Results:
DNA ladder analysis, TUNEL assay, and differential staining indicated a significant increase in the number of apoptotic cells when Cx43 protein expression was reduced in both high-glucose cells or cells transfected with AS-Cx43 oligonucleotides with concomitant downregulation of GJIC activity. Additionally, DNA fragmentation, which was evident in cells with reduced Cx43 expression, suggested early phases of apoptosis.
Conclusions:
These results provide the first evidence that high glucose-induced downregulation of Cx43 expression is an early trigger for inducing apoptosis in microvascular endothelial cells. This finding may have important implications toward breakdown of vascular homeostasis and initiation of apoptosis in diabetic retinopathy.
Insights
High glucose reduces connexin 43 (Cx43) expression and gap junction communication, triggering apoptosis in microvascular cells. This Cx43 downregulation is an early event in cell loss, potentially impacting diabetic retinopathy.
Area of Science:
- Cell Biology
- Molecular Biology
- Physiology
Background:
- High glucose levels are implicated in microvascular complications.
- Connexin 43 (Cx43) plays a crucial role in maintaining endothelial cell function and communication.
- Gap junction intercellular communication (GJIC) is vital for vascular homeostasis.
Purpose of the Study:
- To investigate if high glucose-induced inhibition of Cx43 expression and reduced GJIC promote microvascular endothelial cell loss.
- To determine the role of Cx43 in high glucose-induced apoptosis of microvascular cells.
Main Methods:
- Rat microvascular endothelial cells (RMECs) were cultured in high glucose (30 mM) or transfected with antisense-Cx43 (AS-Cx43) oligonucleotides to downregulate Cx43.
- Cx43 protein expression was assessed by Western blot.
- GJIC activity was measured using scrape load dye transfer (SLDT) assays.
- Apoptosis was evaluated using DNA ladder assays, TUNEL assays, and differential staining.
Main Results:
- Reduced Cx43 protein expression and GJIC activity were confirmed in high-glucose and AS-Cx43-treated cells.
- A significant increase in apoptotic cells was observed when Cx43 expression was downregulated.
- DNA fragmentation, indicative of early apoptosis, was evident in cells with reduced Cx43.
Conclusions:
- High glucose-induced downregulation of Cx43 expression is an early trigger for apoptosis in microvascular endothelial cells.
- This Cx43 downregulation and subsequent cell loss may contribute to vascular homeostasis breakdown and apoptosis initiation in diabetic retinopathy.
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