PMID- 33383853 OWN - NLM STAT- MEDLINE DCOM- 20210329 LR - 20210329 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 1 DP - 2020 Dec 29 TI - Cardiac Connexin-43 Hemichannels and Pannexin1 Channels: Provocative Antiarrhythmic Targets. LID - 10.3390/ijms22010260 [doi] LID - 260 AB - Cardiac connexin-43 (Cx43) creates gap junction channels (GJCs) at intercellular contacts and hemi-channels (HCs) at the peri-junctional plasma membrane and sarcolemmal caveolae/rafts compartments. GJCs are fundamental for the direct cardiac cell-to-cell transmission of electrical and molecular signals which ensures synchronous myocardial contraction. The HCs and structurally similar pannexin1 (Panx1) channels are active in stressful conditions. These channels are essential for paracrine and autocrine communication through the release of ions and signaling molecules to the extracellular environment, or for uptake from it. The HCs and Panx1 channel-opening profoundly affects intracellular ionic homeostasis and redox status and facilitates via purinergic signaling pro-inflammatory and pro-fibrotic processes. These conditions promote cardiac arrhythmogenesis due to the impairment of the GJCs and selective ion channel function. Crosstalk between GJCs and HCs/Panx1 channels could be crucial in the development of arrhythmogenic substrates, including fibrosis. Despite the knowledge gap in the regulation of these channels, current evidence indicates that HCs and Panx1 channel activation can enhance the risk of cardiac arrhythmias. It is extremely challenging to target HCs and Panx1 channels by inhibitory agents to hamper development of cardiac rhythm disorders. Progress in this field may contribute to novel therapeutic approaches for patients prone to develop atrial or ventricular fibrillation. FAU - Andelova, Katarina AU - Andelova K AUID- ORCID: 0000-0002-1499-7687 AD - Centre of Experimental Medicine, Slovak Academy of Sciences, Institute for Heart Research, 84104 Bratislava, Slovakia. FAU - Egan Benova, Tamara AU - Egan Benova T AD - Centre of Experimental Medicine, Slovak Academy of Sciences, Institute for Heart Research, 84104 Bratislava, Slovakia. FAU - Szeiffova Bacova, Barbara AU - Szeiffova Bacova B AUID- ORCID: 0000-0001-8394-7459 AD - Centre of Experimental Medicine, Slovak Academy of Sciences, Institute for Heart Research, 84104 Bratislava, Slovakia. FAU - Sykora, Matus AU - Sykora M AUID- ORCID: 0000-0002-0438-3956 AD - Centre of Experimental Medicine, Slovak Academy of Sciences, Institute for Heart Research, 84104 Bratislava, Slovakia. FAU - Prado, Natalia Jorgelina AU - Prado NJ AD - Instituto de Medicina y Biologia Experimental de Cuyo, Consejo Nacional de Investigaciones Cientificas y Tecnicas, M5500 Mendoza, Argentina. FAU - Diez, Emiliano Raul AU - Diez ER AUID- ORCID: 0000-0001-5163-3703 AD - Instituto de Medicina y Biologia Experimental de Cuyo, Consejo Nacional de Investigaciones Cientificas y Tecnicas, M5500 Mendoza, Argentina. FAU - Hlivak, Peter AU - Hlivak P AD - Department of Arrhythmias and Pacing, National Institute of Cardiovascular Diseases, Pod Krasnou Horkou 1, 83348 Bratislava, Slovakia. FAU - Tribulova, Narcis AU - Tribulova N AUID- ORCID: 0000-0002-5904-4249 AD - Centre of Experimental Medicine, Slovak Academy of Sciences, Institute for Heart Research, 84104 Bratislava, Slovakia. LA - eng GR - 2/0002/20, 2/0158/19/Vedecka Grantova Agentura MSVVaS SR a SAV/ GR - 26230120009/EU ITMS/ GR - 18-0548, 15-0376/APVV/ PT - Journal Article PT - Review DEP - 20201229 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Anti-Arrhythmia Agents) RN - 0 (Connexin 43) RN - 0 (Connexins) SB - IM MH - Animals MH - Anti-Arrhythmia Agents/pharmacology MH - Arrhythmias, Cardiac/etiology/metabolism MH - Connexin 43/*metabolism/ultrastructure MH - Connexins/*metabolism/ultrastructure MH - Disease Susceptibility MH - Humans MH - *Ion Channel Gating MH - Mitochondria, Heart/drug effects/genetics/metabolism/ultrastructure MH - Myocardium/*metabolism/ultrastructure PMC - PMC7795512 OTO - NOTNLM OT - Cx43 hemi-channels OT - cardiac arrhythmias OT - cardio-protection OT - mimetic peptides OT - pannexin1 channels COIS- The authors declare no conflict of interest. EDAT- 2021/01/02 06:00 MHDA- 2021/03/30 06:00 PMCR- 2020/12/29 CRDT- 2021/01/01 01:05 PHST- 2020/11/11 00:00 [received] PHST- 2020/12/23 00:00 [revised] PHST- 2020/12/24 00:00 [accepted] PHST- 2021/01/01 01:05 [entrez] PHST- 2021/01/02 06:00 [pubmed] PHST- 2021/03/30 06:00 [medline] PHST- 2020/12/29 00:00 [pmc-release] AID - ijms22010260 [pii] AID - ijms-22-00260 [pii] AID - 10.3390/ijms22010260 [doi] PST - epublish SO - Int J Mol Sci. 2020 Dec 29;22(1):260. doi: 10.3390/ijms22010260.