Uremic toxin p-cresol induces disassembly of gap junctions of cardiomyocytes

Yu-Sen Peng1, Hsiu-Chi Ding, Yen-Tung Lin

  • 1Department of Anatomy and Cell Biology, College of Medicine, National Taiwan University, Taipei, Taiwan.

Toxicology
|July 21, 2012
PubMed

Insights

High p-cresol levels disrupt heart cell communication, leading to irregular beating and potential cardiovascular disease. This occurs via protein kinase C alpha (PKCα) and connexin 43 (Cx43) pathways.

Area of Science:

  • Cardiovascular Science
  • Cell Biology
  • Toxicology

Background:

  • Elevated serum p-cresol is linked to cardiovascular diseases.
  • Understanding p-cresol's cellular mechanisms is crucial for disease prevention.

Purpose of the Study:

  • To investigate the impact of p-cresol on gap junctions in cardiomyocytes.
  • To elucidate the molecular pathways involved in p-cresol-induced cardiac dysfunction.

Main Methods:

  • Neonatal rat cardiomyocytes and H9c2 cells were cultured.
  • Effects of p-cresol on cell contraction, connexin 43 (Cx43) localization, and gap junction intercellular communication (GJIC) were assessed.
  • Intracellular calcium levels, protein kinase C alpha (PKCα) activation, and Cx43 phosphorylation status were analyzed.
  • Pharmacological inhibitors (BAPTA-AM, Gö6976) and siRNA knockdown of PKCα were employed.

Main Results:

  • p-Cresol reduced cardiomyocyte contraction rate and induced irregular beating.
  • It decreased junctional Cx43 plaque size, impaired GJIC, and increased intracellular calcium.
  • p-Cresol activated PKCα and altered Cx43 phosphorylation at S368.
  • Inhibition of PKCα or calcium signaling prevented these detrimental effects.

Conclusions:

  • p-Cresol induces cardiac gap junction dysfunction and GJIC impairment.
  • PKCα activation, mediated by increased intracellular calcium, plays a key role in p-cresol toxicity.
  • PKCα mediates p-cresol-induced Cx43 disassembly via S368 serine dephosphorylation, supporting the link between p-cresol and cardiovascular disease.