RT Journal Article SR Electronic T1 Myocardial infarction affects Cx43 content of extracellular vesicles secreted by cardiomyocytes JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202000821 DO 10.26508/lsa.202000821 VO 3 IS 12 A1 Martins-Marques, Tania A1 Ribeiro-Rodrigues, Teresa A1 de Jager, Saskia C A1 Zuzarte, Monica A1 Ferreira, Cátia A1 Cruz, Pedro A1 Reis, Liliana A1 Baptista, Rui A1 Gonçalves, Lino A1 Sluijter, Joost PG A1 Girao, Henrique YR 2020 UL https://www.life-science-alliance.org/content/3/12/e202000821.abstract AB Ischemic heart disease has been associated with an impairment on intercellular communication mediated by both gap junctions and extracellular vesicles. We have previously shown that connexin 43 (Cx43), the main ventricular gap junction protein, assembles into channels at the extracellular vesicle surface, mediating the release of vesicle content into target cells. Here, using a comprehensive strategy that included cell-based approaches, animal models and human patients, we demonstrate that myocardial ischemia impairs the secretion of Cx43 into circulating, intracardiac and cardiomyocyte-derived vesicles. In addition, we show that ubiquitin signals Cx43 release in basal conditions but appears to be dispensable during ischemia, suggesting an interplay between ischemia-induced Cx43 degradation and secretion. Overall, this study constitutes a step forward for the characterization of the signals and molecular players underlying vesicle protein sorting, with strong implications on long-range intercellular communication, paving the way towards the development of innovative diagnostic and therapeutic strategies for cardiovascular disorders.