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 Tania Martins-Marques A1 Teresa Ribeiro-Rodrigues A1 Saskia C de Jager A1 Monica Zuzarte A1 Cátia Ferreira A1 Pedro Cruz A1 Liliana Reis A1 Rui Baptista A1 Lino Gonçalves A1 Joost PG Sluijter A1 Henrique Girao 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.