Functional Characterization of Novel Atrial Fibrillation-Linked GJA5 (Cx40) Mutants

Mahmoud Noureldin1, Honghong Chen2, Donglin Bai3

  • 1Department of Physiology and Pharmacology, University of Western Ontario, London, ON, N6A 5C1 Canada. mnourel@uwo.ca.

Insights

Four new connexin 40 (Cx40) mutations were found in atrial fibrillation (AF) patients. The Q236H mutation significantly reduced gap junction function, potentially contributing to AF development.

Area of Science:

  • Cardiovascular Research
  • Molecular Biology
  • Genetics

Background:

  • Atrial fibrillation (AF) is a prevalent cardiac arrhythmia.
  • Connexin 40 (Cx40) mutations are implicated in cardiac arrhythmias.
  • Four novel heterozygous Cx40 mutations (K107R, L223M, Q236H, I257L) were identified in AF patients.

Purpose of the Study:

  • To investigate the functional consequences of novel Cx40 mutations.
  • To assess the cellular localization and gap junction (GJ) function of Cx40 mutants.
  • To determine if Cx40 mutations contribute to AF pathogenesis.

Main Methods:

  • Expression of GFP-tagged and untagged Cx40 mutants in connexin-deficient cells.
  • Analysis of Cx40 mutant localization at cell-cell junctions.
  • Measurement of GJ coupling conductance (Gj) and transjunctional voltage-dependent gating (Vj gating).

Main Results:

  • All four Cx40 mutants localized to cell-cell junctions, similar to wildtype Cx40.
  • The Cx40 Q236H mutant, but not others, significantly reduced GJ coupling conductance (Gj).
  • Co-expression of Cx40 Q236H with Cx43 also decreased Gj.
  • Altered Vj gating properties were observed for GJs formed by Cx40 Q236H.

Conclusions:

  • The Cx40 Q236H mutation impairs GJ function and alters gating properties.
  • Reduced GJ function and altered gating associated with Cx40 Q236H may promote AF.
  • These findings highlight the role of Cx40 mutations in AF pathophysiology.

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