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Published on: March 12, 2013
Cardiac connexins, mutations and arrhythmias
1The Leon H Charney Division of Cardiology, New York University School of Medicine, New York, New York 10016, USA. Mario.Delmar@nyumc.org
Purpose Of Review:
Connexins are the pore forming subunits of gap junction channels. They are essential for cardiac action potential propagation. Connexins are modified at the transcriptional or posttranslational levels under pathological states such as cardiac hypertrophy or ischemia, thus contributing to the arrhythmogenic substrate. However, the relation between nucleotide substitutions in the connexin gene and the occurrence of cardiac arrhythmias remains largely unexplored.
Recent Findings:
Recent studies have reported an association between nucleotide substitutions in the connexin40 (Cx40) and connexin43 (Cx43) genes (GJA5 and GJA1, respectively) and cardiac arrhythmias. Of note, however, germline mutations in Cx43 are considered causative of oculodentodigital dysplasia, a pleiotropic syndrome wherein cardiac manifestations are notoriously absent.
Summary:
Here, we review some of the current knowledge on the association between cardiac connexins and inherited arrhythmias.
Insights
Genetic mutations in cardiac connexins (Cx40 and Cx43) are linked to inherited cardiac arrhythmias. Further research is needed to explore these associations and their clinical implications.
Area of Science:
- Molecular Cardiology
- Genetics of Cardiac Arrhythmias
- Ion Channel Biology
Background:
- Connexins form gap junction channels crucial for cardiac electrical activity.
- Pathological conditions like hypertrophy and ischemia alter connexin expression.
- The link between connexin gene variations and arrhythmias is not well understood.
Purpose of the Study:
- To review current knowledge on the association between cardiac connexins and inherited arrhythmias.
- To explore the role of nucleotide substitutions in connexin genes (GJA5, GJA1) in cardiac arrhythmias.
Main Methods:
- Literature review of recent studies.
- Analysis of reported associations between genetic variations and arrhythmias.
Main Results:
- Nucleotide substitutions in connexin40 (Cx40) and connexin43 (Cx43) genes are associated with cardiac arrhythmias.
- Germline mutations in Cx43 are linked to oculodentodigital dysplasia, typically without cardiac involvement.
Conclusions:
- Cardiac connexins play a role in inherited arrhythmias.
- Further investigation into connexin gene variations and their contribution to arrhythmogenesis is warranted.
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