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Updated: Jan 16, 2026

Perturbing Endothelial Biomechanics via Connexin 43 Structural Disruption
Published on: October 4, 2019
Connexin 43: Roles in the Pathophysiology of Cardiovascular Diseases and Attractive Target for New Drugs
Yijia Wu1,2,3, Yixiong Zhan4,3, Duoduo Zha4
1School of Pharmacy, Jiangxi Medical College, Nanchang University, Nanchang, 330006, China.
Insights
Connexin43 (Cx43) regulates endothelial cell functions, impacting vascular health. This review summarizes Cx43
Area of Science:
- Cardiovascular Biology
- Cellular Biology
- Molecular Medicine
Background:
- Connexin43 (Cx43), encoded by the GJA1 gene, is vital for hemichannel and gap junction formation, crucial for cell communication.
- Cx43 plays significant roles in endothelial cell functions, including barrier integrity, angiogenesis, and vascular tone regulation.
- Dysfunctional Cx43 contributes to endothelial dysfunction, inflammation, cell death, and increased permeability.
Purpose of the Study:
- To summarize the current understanding of Connexin43's role in endothelial cells.
- To review Cx43's involvement in the pathogenesis of major cardiovascular diseases.
- To explore potential therapeutic strategies targeting Cx43.
Main Methods:
- Literature review of studies on Connexin43 in endothelial cells and disease.
- Synthesis of current knowledge on Cx43's function and dysfunction.
- Analysis of Cx43's role in atherosclerosis, hypertension, stroke, and diabetes.
Main Results:
- Cx43 is essential for normal endothelial cell function.
- Cx43 dysregulation is implicated in endothelial dysfunction and various cardiovascular diseases.
- Evidence suggests Cx43's involvement in atherosclerosis, hypertension, stroke, and diabetes pathogenesis.
Conclusions:
- Connexin43 is a key regulator of endothelial cell function and vascular health.
- Targeting Cx43 presents potential therapeutic avenues for cardiovascular diseases.
- Further research into Cx43's multifaceted roles is warranted for effective treatment strategies.
Abstract:
Connexin43 (Cx43), encoded by the GJA1 gene, plays a crucial role in the formation of hemichannels and the assembly of gap junctions between adjacent cells, facilitating the efficient transport of ions and small molecules. Increasingly studies have revealed the regulatory roles of Cx43 in endothelial cells. Cx43 is not only implicated in the normal function of endothelial cells such as regulating the endothelial barrier, promoting endothelial angiogenesis, regulating vascular tone, and other subtle regulations, but also contributed to endothelial dysfunction, including inflammatory responses, endothelial cell death, and increased endothelial permeability. Here we provide a summary of the current understanding of Cx43 in the pathogenesis of atherosclerosis, hypertension, stroke, and diabetes. In addition, the potential therapeutic approaches targeting Cx43 are also proposed.
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