Related Experiment Video
Updated: May 22, 2026

Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
Connexins in atherosclerosis
Anna Pfenniger1, Marc Chanson, Brenda R Kwak
1Department of Pathology and Immunology, University of Geneva, Switzerland.
Insights
Connexins, proteins forming cell-to-cell channels, are increasingly recognized for their role in atherosclerosis, a chronic inflammatory disease. This review details connexin expression and function in atherosclerosis development.
Area of Science:
- Cardiovascular Biology
- Cellular Communication
- Inflammatory Diseases
Background:
- Atherosclerosis is a complex inflammatory disease of the vessel wall.
- Cell-cell communication via cytokines and chemokines is central to atherogenesis.
- Direct cell communication through connexin channels is increasingly recognized in atherosclerosis.
Purpose of the Study:
- To systematically review the expression and function of connexins in cells and processes underlying atherosclerosis.
- To highlight the role of connexin channels in atherogenesis.
Main Methods:
- Systematic literature review.
- Analysis of connexin expression patterns in atherosclerotic cells.
- Evaluation of connexin function in atherogenesis.
Main Results:
- Three main connexins (Cx37, Cx40, Cx43) are expressed in cells involved in atherosclerosis.
- Cx37 is found in endothelial cells, monocytes/macrophages, and platelets.
- Cx40 is predominantly an endothelial connexin, while Cx43 is expressed in smooth muscle cells and various leukocytes.
Conclusions:
- Connexins play a significant role in atherosclerosis development through direct cell communication.
- Understanding connexin roles provides insights into potential therapeutic strategies for atherosclerosis.
Abstract:
Atherosclerosis, a chronic inflammatory disease of the vessel wall, involves multiple cell types of different origins, and complex interactions and signaling pathways between them. Autocrine and paracrine communication pathways provided by cytokines, chemokines, growth factors and lipid mediators are central to atherogenesis. However, it is becoming increasingly recognized that a more direct communication through both hemichannels and gap junction channels formed by connexins also plays an important role in atherosclerosis development. Three main connexins are expressed in cells involved in atherosclerosis: Cx37, Cx40 and Cx43. Cx37 is found in endothelial cells, monocytes/macrophages and platelets, Cx40 is predominantly an endothelial connexin, and Cx43 is found in a large variety of cells such as smooth muscle cells, resident and circulating leukocytes (neutrophils, dendritic cells, lymphocytes, activated macrophages, mast cells) and some endothelial cells. Here, we will systematically review the expression and function of connexins in cells and processes underlying atherosclerosis. This article is part of a Special Issue entitled: The Communicating junctions, roles and dysfunctions.
Related Concept Videos
Atherosclerosis I: Introduction
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Atherosclerosis III: Management
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease I: Introduction
Atherosclerosis IV: Nursing Management
