Cellular Biology Novel Pharmacophores of Connexin43 Based on the “RXP” Series of Cx43-Binding Peptides Vandana Verma, Bjarne Due Larsen, Wanda Coombs, Xianming Lin, Gaelle Spagnol, Paul L. Sorgen, Steven M. Taffet, Mario Delmar Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Abstract—Gap junction pharmacology is a nascent field. Previous studies have identified molecules that enhance intercellular communication, and may offer potential for innovative antiarrhythmic therapy. However, their specific molecular target(s) and mechanism(s) of action remain unknown. Previously, we identified a 34-aa peptide (RXP-E) that binds the carboxyl terminal domain of Cx43 (Cx43CT) and prevents cardiac gap junction closure and action potential propagation block. These results supported the feasibility of a peptide-based pharmacology to Cx43, but the structure of the core active element in RXP-E, an essential step for pharmacological development, remained undefined. Here, we used a combination of molecular modeling, surface plasmon resonance, nuclear magnetic resonance and patch-clamp strategies to define, for the first time, a unique ensemble of pharmacophores that bind Cx43CT and prevent closure of Cx43 channels. Two particular molecules are best representatives of this family: a cyclized heptapeptide (called CyRP-71) and a linear octapeptide of sequence RRNYRRNY. These 2 small compounds offer the first structural platform for the design of Cx43-interacting gap junction openers. Moreover, the structure of these compounds offers an imprint of a region of Cx43CT that is fundamental to gap junction channel function. (Circ Res. 2009;105:176-184.) Key Words: gap junctions 䡲 arrhythmias 䡲 connexin 43 G and modify its function. Gating of Cx43 relies on an intramolecular particle–receptor interaction between the C-terminal domain and the cytoplasmic loop.12–15 Using phage display, we identified a series of peptides containing the sequence “RXP” (arginine, any amino acid, proline) as a consensus Cx43CT binding motif and reported that a particular 34-aa peptide within this RXP series (dubbed RXP-E) binds to Cx43, prevents heptanol- and low pH–induced gap junction closure, and prevents action potential propagation block.16,17 Although these studies have shown significant and promising results, further applications of RXP-E are hampered because of the molecular size and low membrane permeability of this peptide, as well as the metabolic instability and poor oral bioavailability of peptides in general. Peptide mimetics, on the other hand, can be developed to retain the desired biological properties of a peptide. Steps in the design of mimetic molecules include identification of the essential active components (or amino acids) of the peptide sequence (the pharmacophores), determination of their structure/conformation in aqueous solution and finally, development of a corresponding pharmacophore model.18 Here, we have combined molecular modeling (based on structural analysis of the RXP series16) and experimental methods to identify the first ap junctions are intercellular channels formed by oligomerization of connexin proteins. In the heart, the most abundant connexin is the 43-kDa isotype connexin (Cx)43. Cardiac gap junctions conduct electric impulses between cells to maintain normal rhythm, and their closure can be a substrate for cardiac arrhythmias.1 As such, drugs that selectively open gap junctions may offer a novel strategy for antiarrhythmic therapy and/or treatment of cardiovascular disorders.2–5 Gap junction pharmacology is a nascent field (see elsewhere for review6). Recently, hexapeptides such as AAP10 and its stable analog ZP123 (rotigaptide), together with a novel peptide, GAP134, have been found to modify gap junctional communication, and to show potential as antiarrhythmic agents.7–10 This accumulated evidence supports the notion of gap junction modification as a suitable pharmacological target.10 Yet, further development of these molecules is limited by the fact that their precise molecular target remains undefined, thus reducing their potential as platforms for target-specific drug design.11 As an alternative strategy, we have applied knowledge on the mechanisms of Cx43 chemical gating to design molecules that bind the carboxyl-terminal domain of Cx43 (Cx43CT) Original received December 17, 2008; resubmission received May 8, 2009; revised resubmission received June 9, 2009; accepted June 12, 2009. From the Center for Arrhythmia Research (V.V., X.L., M.D.), Department of Internal Medicine, University of Michigan, Ann Arbor; Zealand Pharma (B.D.L.), Glostrup, Denmark; Department of Microbiology and Immunology (W.C., S.M.T.), Upstate Medical University, State University of New York, Syracuse; and Department of Biochemistry and Molecular Biology (G.S., P.L.S.), University of Nebraska Medical Center, Omaha. Correspondence to Address correspondence to: Mario Delmar, MD, PhD, Center for Arrhythmia Research, University of Michigan Medical School, 5025 Venture Dr, Ann Arbor MI 48104. E-mail mdelmar@umich.edu © 2009 American Heart Association, Inc. Circulation Research is available at http://circres.ahajournals.org DOI: 10.1161/CIRCRESAHA.109.200576 176 Verma et al group of pharmacophores (cyclized and linear peptides 6 to 8 aa long), that bind Cx43CT and prevent closure of Cx43 channels. This ensemble of pharmacophores represents a new platform for future development of small molecules with high efficacy and affinity that can prevent closure of gap junctions. Furthermore, we provide the first 3D imprint of a potential site in Cx43CT that can be used for binding of exogenous molecules. Novel Pharmacophores With Cx43 Action A V K R H2N-F P-P R Y D R 6 Asn 5 Tyr 1 Arg Y P-P K L F-NH2 Y Linker amino acid H-R R A RB P-P C Materials and Methods P-P V H-R R L H-R Experimental methods for molecular modeling, electrophysiological experiments, surface plasmon resonance, and GST-binding assays, as well as nuclear magnetic resonance experiments followed standard, previously published procedures.16,19,20 Details (including statistical analysis) are provided in the Online Data Supplement at http://circres.ahajournals.org. B P-P H-R 177 P-P Y-NH 2 2 Arg 4 Pro 3 Pro E Y Results Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Cyclized Hexapeptides Based on Analysis of the RXP Series Molecular Modeling Our previous studies revealed that 12-mer peptides that bind Cx43CT share at least 2 common features (see the previous report,16 including table 1 and online figure I of that article): the (1) presence of an RXP motif and (2) a predominance of basic amino acids. Thus, for identification of a core active element with Cx43CT binding activity, we modeled the structure of a peptide that fulfilled the following criteria: (1) was capable of binding Cx43CT, (2) showed an abundance of RXP sites, (3) was strongly basic, and (4) its primary sequence suggested a high-ordered secondary structure. A peptide labeled “RXP-4” by Shibayama et al16 best fulfilled these criteria. Analysis of its sequence (RRPPYRVPPKLF) showed 4 different RXP motifs (one of them in C-to-N direction, another placed terminally), a balance of charge of ⫹4 at physiological pH (7.4), and a combination of 2 proline–proline repeats likely to induce turns in the peptide, thus facilitating a helix-like conformation. We therefore used RXP-4 as a starting point to identify a novel Cx43CT-binding platform. Molecular modeling predicted that, in an ␣-helical conformation, the proline–proline repeats in RXP-4 would face opposite directions (Figure 1A). If extended, this ␣-helix yielded 2 horseshoe conformations (Figure 1B), both containing RXP motifs. Separating the 2 horseshoe-like sequences between tyrosine in position 5 and arginine in position 6 (red dotted line in Figure 1B) yielded 2 shorter peptides, both having terminal RXP motifs and a high content of basic residues (RRPPY and RVPPKLF; see Figure 1B). Given that RRP is a terminal RXP motif in the original RXP-4 peptide, the RRPPY sequence was chosen for further analysis. In a pentapeptide of sequence RRPPY, amino acids R1 and Y5 are placed at the opposite terminal ends, and the horseshoe conformation is anticipated to be at equilibrium with a corresponding “open” linear conformation (see Figure 1C). Thus, to stabilize the horseshoe conformation and keep the correct distance between R1 and Y5, the peptide was backbone-cyclized using an asparagine (N6) as a linker amino acid between R1 and Y5. The cyclic peptide (cycloRRPPYN) is illustrated in Figure 1D (small numbers mark R R Figure 1. Strategy for identification of Cx43-binding pharmacophores based on RXP series.16 A, Position of amino acids in peptide RXP-4 when modeled as an ␣-helix. B, Representation of ␣-helix in A as 2 horseshoe-like structures. Red dotted line marks site where sequence was separated for further study. C, Representation of 2 likely configurations of peptide RRPPY, as a horseshoe, or as linearized molecule. D, Placement of asparagine between first arginine and last tyrosine fixed the R1–Y5 spacing into a cyclic conformation (compound CyRP-61). E, Molecular modeling results comparing position of arginines and tyrosine residues in RXP-4 with those in CyRP-61. the position given to each amino acid). This peptide was dubbed “CyRP-61” because it was the first cyclized, RXPderived hexapeptide in this new series (see Table). Molecular modeling predicted an excellent correlation of the position in space of side chains R1R2Y5 in CyRP-61 (green in Figure 1E) with the equivalent R1R2Y5 side chains of RXP-4 (red in Figure 1E). Similar results were obtained by the conservative substitution N-Q at position 6 (CyRP-62; see the Table). This design strategy, previously used to transform peptide AAP10 to a more potent tripeptide analog, was predicted to generate more stable, smaller peptides with a core active structure capable of binding Cx43CT. This prediction was tested by surface plasmon resonance (SPR) experiments, as described below. Table. Sequence of Cyclic RXP-Derived Peptides Name Molecular Mass (Da) Sequence CyRP-61 783.89 Cyclo-RRPPYN CyRP-62 797.92 Cyclo-RRPPYQ CyRP-63 806.93 Cyclo-RRPPWN CyRP-71 954.11 Cyclo-RRPPYRQ CyRP-72 961.10 Cyclo-RRPPYRN 178 Circulation Research July 17, 2009 Resonance Units CyRP-62 C Normalized Gj -40 -20 0 1.4 1.2 1.0mM 500µM 250µM 125µM 62.5µM 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 Time (sec) CyRP-63 Control 1.0 0.8 0.6 0.4 0.2 Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 0.0 CyRP-62 Control 0 20 40 60 80 100 120 D Normalized Gj 300 250 200 150 100 50 0 -50 -100 Normalized Gj B A 100 200 300 400 500 600 Time (sec) 1.2 CyRP-61 Control 1.0 0.8 0.6 0.4 Figure 2. CyRP peptides bind to Cx43CT and interfere with octanol-induced uncoupling of Cx43 channels. A, Surface plasmon resonance results. Change in angle of incidence of resonance (“resonance units”) plotted against time after onset of peptide exposure. Upward and downward arrows indicate onset and washout of CyRP-62 superfusion. B through D, Patch-clamp results from N2A cells expressing Cx43. Peptides were diluted in patch pipettes (100 mol/L). Time zero: onset of octanol superfusion. Red and black symbols indicate, respectively, results from cells exposed to a given peptide or those kept as control. Significance values were P⬍0.001, P⫽0.148, and P⫽0.019 for data in B, C, and D, respectively. (Each data set compared to results obtained without peptide.) 0.2 0.0 0 100 200 300 400 500 600 Time (sec) 0 100 200 300 400 500 600 Time (sec) CyRP-62 Binds to Cx43CT SPR allows for assessment of ligand–analyte binding in real time and was used for characterization of the RXP series.16 Cx43CT was covalently bound to the matrix of a sensor chip. Figure 2A shows plots of angle of incidence of resonance (in “response units”) as a function of time. Various concentrations of CyRP-62 were introduced in the microfluidics system at the time indicated by the upward arrow. Despite the small size of the analyte (798 Da), which approached the detection limits of the SPR instrument (⬇500 to 700 Da), a clear change in resonance was recorded, thus indicating direct binding of CyRP-62 to Cx43CT. Dissociation ensued on washout (downward arrow). The rapid time course of association and dissociation precluded us from direct calculation of the dissociation constants. Yet, the results show that CyRP-62 binds Cx43CT. In previous studies, we demonstrated that peptide RXP-E prevents chemical gating of Cx43.16 As a next step, we tested whether this property was preserved in the CyRP peptides. Patch-Clamp Results Junctional conductance was measured in N2a cell pairs expressing Cx43. Patch pipettes were filled with an internal solution containing the test peptide. Time course and extent of octanol-induced uncoupling was compared to that observed in the absence of the peptide. Figure 2B shows average measurements of junctional conductance (Gj) recorded at various times after the onset of octanol superfusion. Red symbols and line correspond to data obtained when the cyclized hexapeptide CyRP-62 was dissolved in the internal pipette solution, and black symbols correspond to the average time course of octanol-induced uncoupling in control conditions. The data show that, in the presence of the cyclized peptide, the progression of octanol-induced uncoupling was delayed, and 100% of cells remained coupled after 10 minutes after of octanol superfusion (see also Online Figure I, A). The minimum Gj value recorded at the end of the 10-minute octanol exposure was significantly different from that obtained in the absence of the peptide (P⬍0.01). The results in Figure 2B suggested that CyRP-62 contains an active core sequence capable of interfering with octanolinduced uncoupling. Other studies have demonstrated the importance of aromatic side chains in the preservation of pharmacophore activity.18 Consistent with this notion, substitution of Y5 with a larger aromatic residue (W) disrupted the activity of the peptide (Figure 2C; also see the Table; peptide CyRP-63). Indeed, only 1 of 6 pairs remained coupled at the end of octanol exposure (Online Figure I, B), and the average Gj value was not statistically different from 0 (P⬎0.05). The side chains of N and Q differ in having only one and 2 methylene groups, respectively. Consistent with this structural preservation, the activity of peptide CyRP-61 (N in position 6) was similar to that observed for CyRP-62 (Figure 2D; Online Figure I, C). These data show that CyRP peptides represent a new class of core active molecules that interfere with Cx43 chemical gating. Additional improvement was achieved by increasing the balance of charge via addition of an arginine residue in the cyclized sequence. Increased Charge: Cyclized Heptapeptides One of the characteristic features of RXP peptides was the high balance of positive charge in their sequence (see16). Thus, an alternative cyclized peptide (in this case, a heptapeptide) was generated by separating the RXP-4 sequence between amino acids R6 and V7 (blue line in Figure 3A), then forming a backbone-cyclic peptide using either asparagine or glutamine to complete the structure (see also the Table; peptides labeled CyRP-71 and CyRP-72, respectively). These peptides, although somewhat larger, had an increased electrostatic balance (⫹3 instead of ⫹2). As shown in Figure 3B, an overlay of CyRP-71 with CyRP-61 reveals that both peptides share similar coordinates for the position of amino acids R1, R2, and Y5, whereas CyRP-71 presents an additional arginine (R6). This simple modification had a significant impact on the binding Cx43CT, as demonstrated by the Verma et al A Novel Pharmacophores With Cx43 Action 179 B V H-R R P-P K R B A Y5 R6 Y5* L R1* F-NH2 Y R1 R2* P-P R2 D C CyRP-71 Control 1.4 CyRP-71 1.0mM 500µM 250µM 125µM 62.5µM 31.25µM 15.63µM 7.8nM Normalized Gj Resonance Units Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 1400 1200 1000 800 600 400 200 0 -200 -40 -20 0 1.2 1.0 0.8 0.6 0.4 0.2 Figure 3. Addition of an arginine in CyRP sequence improved function. A, Diagram indicating RXP-4 sequence. Here, the peptide was separated between R6 and V7. B, Cyclized heptapeptide (CyRP-71; red) showed strong correlation in space with analog CyRP-61 (green and asterisks), although an arginine was exposed as potential site for additional interaction with a ligand. C, SPR results demonstrated binding of CyRP-71 to a sensor chip coated with recombinant Cx43CT. D, Time course of octanol-induced uncoupling in Cx43-expressing N2a cells. Cell pairs were recorded with pipettes containing CyRP-71 (100 mol/L; red symbols) or only the internal filling solution (black symbols). Difference between groups was significant (P⬍0.001). 0.0 20 40 60 80 100 120 Time (sec) 0 100 200 300 400 500 600 Time (sec) SPR experiment shown in Figure 3C (compare data with those in Figure 2A; notice different scale in the ordinates). When normalized by molecular weight, the amplitude of the SPR response elicited by CyRP-62 (125 mol/L) was 3.71 (in arbitrary units); in comparison, the response elicited by CyRP-71 was 9 times higher (33.92 arbitrary units; immediately consecutive experiments conducted on the same sensor chip). In fact, the molecular mass–normalized response from CyRP-71 binding was larger than that obtained from RXP-E on the same sensor chip (9.91 arbitrary units), although there was a noticeable difference in the time course of the reaction (data not shown). Finally, patch-clamp results showed that CyRP-71 also prevented octanol-induced uncoupling (Figure 3D). In fact, there was an improvement in the ability of this core active component to prevent uncoupling after insertion of the basic residue, further underlying the importance of the balance of charge in the activity of these compounds (see also Online Figure I, D). Overall, this is the first demonstration of small cyclized peptides that can interfere with the octanolinduced closure of Cx43 channels. Structural Correlation Between RXP-E and CyRP-71 In previous studies, we reported that RXP-E prevents chemically induced uncoupling of Cx43 channels, and action potential propagation block.16,17 Here, we tested whether structural features thought to be of relevance in the cyclized peptides were also present in RXP-E. Figure 4 (top) shows the entire RXP-E sequence (in the one letter amino acid code), divided into 3 regions: the first RXP-containing domain (the amino side; colored red), the linker (green), and the second RXP-containing domain (the carboxyl side; colored blue). Figure 4A and 4C shows the overlay of peptide CyRP-71 (green) with either the carboxyl terminus (amino acids 29 to 34) or the amino terminus (amino acids 1 to 11) of RXP-E (red), respectively. Clearly, the spatial coordinates of the basic residues R1, R2, and R6 of the cyclic peptide match with those of residues K29, R31 and R34 of RXP-E. The similar dimensions, spatial distribution and electric charge of the core residues make it likely for the carboxyl terminal region of RXP-E and the cyclic peptides to share a common binding motif. The opposite conclusion can be drawn from the comparison of the cyclic peptide with the amino end (N-terminal) of RXP-E; in that case, the space occupied by R6 in the cyclized peptide would correspond to the location of 2 acidic residues (D2, D3) in RXPE. If binding between Cx43CT and the peptide is mediated, at least in part, by electrostatic forces, the presence of negative charges at a relevant position in space would prevent binding. Overall, these modeling results led us to predict that binding of RXP-E to Cx43CT occurs via the carboxyl end of RXP-E. The SPR results shown in Figure 4B and 4D were consistent with this hypothesis. Duplicates of either the carboxyl side, or the amino side of RXPE, separated by the linker region, were used (see sequences at the top of Figure 4B and 4D). As shown in Figure 4B, a significant change in the angle of incidence for resonance was detected when a peptide containing the carboxyl end of RXPE was presented to Cx43CT (upward and downward arrows represent the addition of the peptide and its washout, respectively). In contrast, no binding was detected for the peptide formed by the amino end of RXP-E and its linker (Figure 4D). Overall, these results show a convergence between modeling predictions and experimental results and suggest defined structural constraints for the binding of RXP-derived peptides to Cx43CT. This structural information led us to the prediction of a minimum Cx43CT binding motif. Identification of a Minimally Active Motif: RRNY Cyclized compounds show longer bioavailability given their limited degradation in the intracellular space. An alternative path toward pharmacological development is the use of 180 Circulation Research July 17, 2009 RXPE: SDDLRSPQLHNGGGSAVPFYSHSHMVRRKPRNPR A B HMVRRKPRNPRGGGSAVPFYSHSHMVRRKPRNPR 1400 Resonance Units K29 R6 R31 R1 R34 R2 D2 R6 200 0 -200 -20 0 20 40 60 800 100 1.0mM 250µM 25µM 600 400 200 0 -200 -40 -20 0 20 A 40 60 B N 100 whether RRNY-containing peptides could bind Cx43CT. Assessment of binding was carried out by SPR. Recombinant Cx43CT was used as ligand, covalently linked to the sensor chip, and peptides were presented as analytes. The mass of the analyte was increased by concatenating 2 “RRNY” motifs (ie, RRNYRRNY). An example of sensograms obtained on introduction of this peptide into the chip containing Cx43CT, is presented in Figure 5C. Clearly, angle of incidence for resonance changed rapidly on onset of superfusion (time “zero”) and returned to baseline on washout (see downward arrow). The rapid transitions signaled a fast on– off ligand– analyte interaction and prevented us from determining dissociation constants for these peptides. However, the data showed that RRNYRRNY was capable of interacting with Cx43CT in a concentration-dependent manner. Similar re- Y Y R R P R R P C D RRNYRRNY RRPPYN Control 1 mM 500µM 250µM 100µM 25µM 500 400 300 200 100 0 Normalized Gj 1.0 600 0.8 0.6 0.4 0.2 0.0 -100 0 80 Time (sec) synthetic scaffolds that mimic peptide structure. Toward that aim, we sought to minimize the active sequence of the cyclized compounds by deleting the proline residues in CyRP-61 (Figure 5A). Indeed, in an ␣-helix, the proline– proline component would retain R1, R2 and Y5 at the appropriate spatial coordinates (see also Figure 1C). We therefore speculated that, because this spatial conformation was achieved by introduction of N6, the prolines would no longer be essential to hold the relative distances. Molecular modeling confirmed this expectation, as shown by the overlay of the side chains for R1, R2, and Y4 in a short tetrapeptide RRNY (green) with R1, R2, and Y5 of the cyclized CyRP-61 hexa-peptide (red; Figure 5B). Functional and biochemical assays were therefore designed to assess the prediction that RRNY is a Cx43CT binding motif. As a first step, we tested -20 80 SDDLRSPQLHNGGGSAVPFYSHSSDDLRSPQLHN 1000 R2 Resonance Units Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 H10 R1 400 Resonance Units D3 R5 1000 800 600 Time (sec) D C 40µM 20µM 10µM 5µM 2.5µM 1.25µM 0.625µM 0.313µM 1200 Figure 4. Structure–function comparison of CyRP-71 with RXP-E. Top, Amino acid sequence (1-letter code) of RXP-E (see also elsewhere16). A, Molecular overlay of predicted spatial position for amino acids R1, R2, and R6 of CyRP-71 (green) with positively charged amino acids K29, R31, and R34 in the carboxyl end of RXP-E (red). L spatial correlation was consistent with the ability of peptide to bind Cx43CT by SPR (B; peptide sequence on top; peptide concentrations as noted). C, At the amino end of RXP-E, overlay of positively charged residues R5 and H10 of RXP-E (red) R1–R2 of CyRP-71 (green) predicts that 2 acidic residues (D2 and D3) occupy the position held by a basic amino acid (R6) in CyRP-71. The latter would be inconsistent with occupation of the same binding pocket. D, As predicted, a peptide of the amino end of RXP-E (sequence at top) failed to bind Cx43CT by SPR. 20 40 60 Time (sec) 80 100 0 100 200 300 400 500 600 Time (sec) Figure 5. Strategy for identification of sequence RRNY as potential core active molecule. A, Proline residues of hexapeptide CyRP-61 were removed, under the assumption that the structure formed by residues R1, R2, and Y5 represented the core Cx43-binding element. B, Overlay of predicted positions of amino acids R1, R2, and Y5 of CyRP-61 with those of RRNY. C, SPR traces obtained by presenting peptide RRNYRRNY to Cx43CT. Peptide concentrations as noted. D, Peptide RRNYRRNY in the pipette (red symbols) prevented octanol-induced uncoupling of Cx43 (P⫽0.005). Octanol uncoupling proceeded as control (black symbols) in the presence of a linearized version of CyRP-61 (RRPPYN; green symbols; P⫽0.63). Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Normalized Gj A 1.0 CyRP-71 Control 0.8 0.6 0.4 0.2 0.0 0 B 0.8 0.6 0.4 0.2 0.0 0 100 200 300 400 500 600 CyRP-71 Control 1.0 0.8 0.6 0.4 0.2 0.0 0 200 400 600 800 1000 1200 Time (sec) 100 200 300 400 500 600 Time (sec) D Normalized Gj C 181 CyRP-71 Control 1.0 Time (sec) Normalized Gj sults were obtained in 3 separate runs. Additional studies showed that RRNY-containing peptides can pull down Cx43 from an adult rat heart lysate preparation (Online Figure II). The binding results led us to assess whether the motif RRNY would be sufficient for preventing octanol-induced uncoupling. Cx43-expressing N2a cells were dialyzed with an internal pipette solution containing peptide RRNYRRNY. Time course of octanol-induced uncoupling is shown in Figure 5D. In the presence of the peptide, average Gj recorded 10 minutes after the onset of octanol was significantly different from that recorded in control at the same time point (P⬍0.05) and coincided with the preservation of electric coupling in 4 of the 6 cells studied (see also Online Figure III, A). These results indicate that RRNY is a minimum sequence capable of interfering with the chemical regulation of gap junctions by octanol. Moreover, because amino acids RRNY are contiguous in the cyclized CyRP-61 peptide (see Figure 1D and the Table), we speculated that a linearized (noncyclic) RRPPYN peptide would fail to affect uncoupling, given the loss of continuity of the RRNY motif. As expected, the time course and extent of octanol-induced uncoupling in the presence of the linear RRPPYN peptide was not different from control (Figure 5D; trace in green; also Online Figure III, B), thus supporting the notion that pharmacophore activity is related not only to the presence of specific amino acids, but to the preservation of their molecular conformation in space. Novel Pharmacophores With Cx43 Action Normalized Gj Verma et al CyRP-71 RRPPYR Control 1.0 0.8 0.6 0.4 0.2 0.0 0 200 400 600 800 Time (sec) Figure 6. CyRP-71 did not prevent octanol-induced uncoupling in N2a cells expressing Cx43 mutant M257 (A) or an alternative connexin isotype, Cx40 (B). CyRP-71 prevented acidificationinduced uncoupling of Cx43-expressing N2a cells (C). CyRP-71 (0.1 mmol/L) was diluted in internal pipette solution buffered to pH 6.2. In the absence of peptide, Gj decreased to 17.3⫾1.7% of initial value. In the presence of CyRP-71, Gj decreased only to 49.0⫾5.9% of maximum (P⫽0.002). D, CyRP-71 prevented acidification-induced uncoupling of neonatal rat ventricular gap junctions (pH 6.2). Fifteen minutes after patch break, Gj in control and in the presence of linear peptide RRPPYR decreased to 8.4⫾3.2% and 16.6⫾6.5% of initial value, respectively (probability value RRPPYR, P⫽0.48 when compared to control). In the presence of CyRP-71 (0.1 mmol/L), Gj decreased only to 47.0⫾9.5% of maximum (P⫽0.006). CyRP-71 and the Integrity of the Cx43CT Domain Figures 1 through 5 describe the various steps taken to identify potential leading compounds. Additional experiments focused on CyRP-71, given its binding and functional efficacy, and its potential as a more biologically stable compound. We hypothesized that binding of CyRP-71 to Cx43CT is linked to the ability of the peptide to prevent uncoupling. As shown in Figure 6A, this hypothesis was supported by experiments demonstrating that CyRP-71 failed to prevent octanol-induced uncoupling in Cx43 channels lacking the C-terminal domain (mutant M25716). In addition, this peptide did not modify the time course of octanolinduced uncoupling in N2a cells expressing a different connexin isoform, Cx40 (Figure 6B). Consistent with this observation, CyRP-71 caused only a minor SPR deflection when interacting with recombinant Cx40CT (Online Figure IV). The overall data suggest that there is a degree of structural specificity to the effect of CyRP-71 and that the Cx43CT domain is an essential component for peptide action. CyRP-71 and Acidification-Induced Uncoupling Octanol served as a screening tool to identify peptide activity. However, a more biologically relevant question is whether, as in the case of RXP-E, the candidate compound can prevent low pH-induced block.16 Experiments were conducted both in Cx43-expressing N2a cells (Figure 6C) and in pairs of neonatal cardiac myocytes (Figure 6D). Patch pipettes were filled with an internal solution buffered to pH 6.2. In the absence of peptide (black symbols and traces) Gj decreased progressively, reaching minima of 17.3⫾1.7% in N2a cells (Figure 6C) and 8.4⫾3.2% (Figure 6D) in cardiac myocytes. In contrast, cells exposed to CyRP-71 remained coupled throughout the same time course, Gj decreasing only to 49.0⫾5.9% (6C) and 47.0⫾9.5% (6D) of control (red symbols). The green symbols in Figure 6D depict data obtained with a linearized peptide RRPPYR. Results were not different from control, indicating that the structure of CyRP-71, rather than only the net balance of charge, was important for its functional effect. CyRP-71 and Cx43CT Interaction Resolved by NMR The SPR results demonstrated direct interaction between CyRP-71 and Cx43CT. Yet, further refinement of CyRP-71 will require a better understanding of the structural constraints imposed by its binding site in Cx43CT. As an initial step, we identified the amino acids in Cx43CT whose position in space change when presented to the peptide. Resonance assignments for Cx43CT have been published before (X). Figure 7A and 7B shows an 15N-HSQC spectrum for Cx43CT alone (black) which has been overlaid with spectra obtained in the presence of CyRP71 (red). A summary of the Cx43CT residues affected by CyRP-71 is presented in Figure 7C. The predominant regions of resonance shifts were: (1) near or within the proline-rich region of Cx43CT (K258-A276); (2) in the extreme end of the C-terminal domain (I382); and (3) 182 A Circulation Research July 17, 2009 108 B 118.8 G270 C271 G285 Black: Cx43CT Control Red: Cx43CT/CyRP71 G261 Y267 112 119.8 T275 116 N15 N294 S273 F335 Q308 N302,Q304 Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 R293 L356 124 120.8 C271 Y267 N300 Y286 N15 S314 S272 120 Y265 Q308 K264 N269 V289 R299 Y265 Y286 F337 F268 121.8 K287 A305 A266 A315 F268 C 255 128 8.8 A276 8.6 8.4 8.2 H1 8.0 7.8 8.27 Cx43CT 8.17 H1 8.07 7.97 382 SPSKDCGSPKYAYFNGCSSPTAPLSPMSPPGYKLVTGDRNNSSCRNYNKQASEQNWANYSAEQNRMGQAGSTISNSHAQPFDFPDDNQNAKKVAAGHELQPLAIVDQRPSSRASSRASSRPRPDDLEI strongly affected CT residues weakly affected CT residues Figure 7. NMR analysis of structural modification of recombinant Cx43CT when in the presence of CyRP71. A, Cx43CT was titrated with CyRP71 to 1:500 and 1:900 molar ratio. 15N-HSQC spectrum for Cx43CT alone (black) was overlaid with spectra obtained in the presence of CyRP71 (1:500, red; 1:900, green). B, Close-up of resonance peaks from box in A. C, Summary of Cx43CT residues affected by CyRP71. in the region contained within amino acids G285 to E316 of Cx43. These results confirm the binding of Cx43CT to CyRP-71 and provide a first lead as to the amino acids in the C-terminal domain that are involved in the interaction. Future studies will be needed to determine which residues form the actual binding site and which shifts may result from secondary changes, perhaps some consequent changes in Cx43CT dimerization.21 Discussion We have previously demonstrated that RXP-E binds to Cx43CT and prevents chemically induced gap junction closure.16 As such, RXP-E represented a proof of principle, and the RXP series a starting point to develop a pharmacophore model for new compounds capable of modifying gap junctions. Structure–function analysis of the RXP series led us to a new ensemble of pharmacophores that bind Cx43CT and prevent chemically induced uncoupling. To our knowledge, the 2 core active structures hereby reported (one cyclized; one linearized) represent the smallest known Cx43CT-binding molecules with regulatory activity over gap junctions. More- over, CyRPs are the first known cyclized molecules capable of binding Cx43CT. Thus, our results represent a potential foundation for development of target-based gap junction pharmacology. Our compounds represent a new a pharmacophore model for Cx43 regulation. Yet, major milestones need to be reached before considering them of practical application. First, our studies demonstrate that selected peptides prevent closure of Cx43 channels induced by octanol superfusion. CyRP-71 also prevented pH-induced uncoupling. Yet, other assays will be needed to obtain a wider view of the overall functional effects of this peptide on Cx43. Second, we have shown that our candidate compounds interact with Cx43, but a remaining question is whether these peptides bind other cellular components (including other ion channel proteins) and alter their function and/or regulation. Additional studies will be required to characterize the selectivity and specificity of these compounds and their range of pharmacological applications. Yet, it is important to keep in mind that RXP-E, a leading molecule from the RXP series, prevents action potential propagation block without modifying other non- Verma et al Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 junctional membrane channels,17 and our studies show structural similarities between the pharmacophores and the active domain of RXP-E. A lack of increase of Gj during application of both RXPE17 and CyRP71 may also indicate that these pharmacophores act not by recruiting new channels but by stabilizing the open state of those at the membrane. Third, we chose to explore the effect of CyRP-71 at one peptide concentration. Thus, we know that 100 mol/L CyRP-71 delivered through the patch pipette is enough to prevent octanol, and low pH–induced uncoupling (Figure 6). Yet, further structure-based refinement of the pharmacophore will be needed to improve its affinity for the target. Fourth, the linkage between Cx43CT binding in SPR and the patchclamp data may still seem correlative, although the hypothesis of a causative association is supported by results obtained with the mutant lacking Cx43CT (Figure 6A). These caveats notwithstanding, an important goal has been achieved: to find a compound of low molecular mass (⬍1 kDa) that binds the regulatory domain of Cx43, affects function, and shows selectivity for Cx43 over Cx40. Improving the affinity and selectivity of these compounds will make them valuable as potential scaffolds to act as carriers for cargoes with biological activity. Our functional studies are complemented with NMR analysis of Cx43CT in the presence of CyRP-71. The data provide us with initial identification of those amino acids whose position in space is affected by the peptide (Figure 7). Differences were found with the resonance shifts caused by RXP-E.16 Of note, resonance shifts detected by HSQC may be consequent to direct binding, distant changes in conformation, and/or modifications of the dimerized state of Cx43CT.21 The larger, more complex structure of RXP-E (several “RXP” domains; likely more than one binding site) may cause a wider range of modifications, direct and indirect, that overlap (and may obscure) those occurring within the binding pocket. The cyclized peptide, on the other hand, may be less restricted for secondary interactions and therefore yield a different resonance shift map. Future identification of the actual binding pocket will be carried out by nuclear Overhauser effect spectroscopy (NOESY). This analysis will be an important step toward optimizing pharmacophore binding and selectivity. Overall, these peptides represent a potential imprint of a region of Cx43CT that is amenable for binding to exogenous molecules that will affect the function of the Cx43 channel as a whole. Combined structural and biological studies may lead to a future generation of molecules of higher efficacy, selectivity and biological stability, capable of crossing the cell membrane barrier to reach their target in a living cell. Although the latter is only a goal, our data suggest that we are heading in the right direction. Identification of the CyRP group of compounds bears relevance, because cyclic peptides are more stable within the intracellular space and, as such, have more potential for future pharmacological applications. Peptide RRNYRRNY failed to prevent uncoupling in ⬇40% of the cell pairs studied. From that standpoint, its efficacy was less than that previously described for RXP-E. On the other hand, CyRP-71 showed an effect similar to that Novel Pharmacophores With Cx43 Action 183 of RXP-E. Interestingly, CyRP-71 also shows homology with the Cx43CT-binding element of RXP-E. This cyclized molecule offers itself as an excellent platform for the next generation of compounds, using peptide–mimetic substitutions on the core structure to minimize the size and maximize the activity, stability, and bioavailability while preserving pharmacological effect. In summary, we have described a new generation of Cx43-binding peptides. Our efforts focused on a series of in silico modeling steps, combined with biochemical and cellular experiments, to identify the core active structure of the RXP series. We have identified new candidate molecules capable of binding Cx43CT and preventing chemically induced uncoupling of Cx43 channels. This is the first demonstration of a small, cyclic core active structure that chemically and functionally interacts with Cx43 to prevent gap junction closure. Our data opens a new line of investigation for development of target-based gap junction pharmacology. Sources of Funding Supported by NIH grants HL39707, HL087226, GM57691, and GM072631 (to P.L.S.) and a grant from the Carol M. Baldwin Research Fund (to S.M.T.). Disclosures B.D.L. holds modest ownership interest in the compounds detailed in this article, which were provided by Zealand Pharma. References 1. Herve JC, Dhein S. Pharmacology of cardiovascular gap junctions. Adv Cardiol. 2006;42:107–131. 2. Dhein S. Cardiac ischemia and uncoupling: gap junctions in ischemia and infarction. Adv Cardiol. 2006;42:198 –212. 3. Srinivas M, Duffy HS, Delmar M, Spray DC. Prospects for pharmacological targeting of gap junction channels. In: Zipes DP, Jalife J, eds. Cardiac Electrophysiology: From Cell to Bedside. 4th ed. Philadelphia, Pa: Saunders; 2004:158 –167. 4. Eloff BC, Gilat E, Wan X, Rosenbaum DS. Pharmacological modulation of cardiac gap junctions to enhance cardiac conduction: evidence supporting a novel target for antiarrhythmic therapy. Circulation. 2003;108: 3157–3163. 5. Haugan K, Petersen JS. Gap junction modifying antiarrhythmic peptides: therapeutic potential in atrial fibrillation. Drugs Future. 2007;32: 245–260. 6. Lewandowski R, Petersen JS, Delmar M. Connexins as potential targets for cardiovascular pharmacology. In: Zipes DP and Jalife J, eds. Cardiac Electrophysiology: From Cell to Bedside. 5th ed. Philadelphia, Pa: Saunders. 2009;205–213 7. Müller A, Schaefer T, Linke W, Tudyka T, Gottwald M, Klaus W, Dhein S. Actions of the antiarrhythmic peptide AAP10 on intercellular coupling .Naunyn Schmiedebergs Arch Pharmacol. 1997;356:76 – 82. 8. Kjolbye AL, Haugan K, Hennan JK, Petersen JS. Pharmacological modulation of gap junction function with the novel compound rotigaptide: a promising new principle for prevention of arrhythmias. Basic Clin Pharmacol Toxicol. 2007;101:215–230. 9. Rossman EI, Liu K, Morgan GA, Swillo RE, Krueger JA, Butera J, Gruver M, Kantrowitz J, Feldman HS, Petersen JS, Haugan K, Gardell SJ, Hennan JK. The gap junction modifier, GAP-134, improves conduction and reduces atrial fibrillation/flutter in the canine sterile pericarditis model. J Pharmacol Exp Ther. 2009;329:1127–1133. 10. Axelsen LN, Haugan K, Stahlhut M, Kjølbye AL, Hennan JK, HolsteinRathlou NH, Petersen JS, Nielsen MS. Increasing gap junctional coupling: a tool for dissecting the role of gap junctions. J Membr Biol. 2007;1:23–35. 11. Dhein S, Polontchouk L, Salameh A, Haefliger JA. Pharmacological modulation and differential regulation of the cardiac gap junction proteins connexin 43 and connexin 40. Biol Cell. 2002;94:409 – 422. 184 Circulation Research July 17, 2009 12. Delmar M, Coombs W, Sorgen P, Duffy HS, Taffet SM. Structural basis for the chemical regulation of connexin43 channels. Cardiovasc Res. 2004 62:268 –275. 13. Morley GE, Taffet SM, Delmar M. Intramolecular interactions mediate pH regulation of connexin43 channels. Biophys J. 1996;70: 1294 –1302. 14. Ek-Vitorin JF, Calero G, Morley GE, Coombs W, Taffet SM, Delmar M. pH regulation of connexin43: molecular analysis of the gating particle. Biophys J. 1996;71:1273–1284. 15. Seki A, Coombs W, Taffet SM, Delmar M. Loss of electrical communication, but not plaque formation, after mutations in the cytoplasmic loop of connexin43. Heart Rhythm. 2004;1:227–233. 16. Shibayama J, Lewandowski R, Kieken F, Coombs W, Shah S, Sorgen PL, Taffet SM, Delmar M. Identification of a novel peptide that interferes with the chemical regulation of connexin 43. Circ Res. 2006;98: 1365–1372. 17. Lewandowski R, Procida K, Vaidyanathan R, Coombs W, Jalife J, Nielsen MS, Taffet SM, Delmar M. RXP-E: a connexin43-binding peptide that prevents action potential propagation block. Circ Res. 2008; 103:519 –526. 18. Che Y, Brooks RB, Marshall RG. Development of small molecules designed to modulate protein–protein Interactions J Comput Aided Mol Des. 2006;20:109 –130. 19. Oxford EM, Musa H, Maass K, Coombs W, Taffet SM, Delmar M. Connexin43 remodeling caused by inhibition of plakophilin-2 expression in cardiac cells. Circ Res. 2007;101:703–711. 20. Lang BD, Delmar M, Coombs W. Surface plasmon resonance as a method to study the kinetics and amplitude of protein-protein binding. In: Dhein S, Mohr FW, Delmar M, eds. Practical Methods in Cardiovasc Res. Heidelberg, Germany: Springer; 2005:936 –947. 21. Sorgen PL, Duffy HS, Spray DC, Delmar M. pH-dependent dimerization of the carboxyl terminal domain of Cx43. Biophys J. 2004;87:574–581. Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Downloaded from http://circres.ahajournals.org/ by guest on October 2, 2016 Novel Pharmacophores of Connexin43 Based on the ''RXP'' Series of Cx43-Binding Peptides Vandana Verma, Bjarne Due Larsen, Wanda Coombs, Xianming Lin, Gaelle Spagnol, Paul L. Sorgen, Steven M. Taffet and Mario Delmar Circ Res. 2009;105:176-184; originally published online June 25, 2009; doi: 10.1161/CIRCRESAHA.109.200576 Circulation Research is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 2009 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7330. Online ISSN: 1524-4571 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://circres.ahajournals.org/content/105/2/176 Data Supplement (unedited) at: http://circres.ahajournals.org/content/suppl/2009/06/25/CIRCRESAHA.109.200576.DC1.html Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Circulation Research can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. Further information about this process is available in the Permissions and Rights Question and Answer document. Reprints: Information about reprints can be found online at: http://www.lww.com/reprints Subscriptions: Information about subscribing to Circulation Research is online at: http://circres.ahajournals.org//subscriptions/ ONLINE SUPPLEMENT. MATERIAL AND METHODS Molecular modeling The HyperChem (version 7.5, Hyper Cub. Inc.) program was used for visualization of spatial structures, overlays and conformations. Force-field analysis was conducted using Amber94, and for optimization, the Polak-Ribiere algorithm (conjugate gradient) was applied. Electrophysiological experiments Patch clamp experiments were conducted in N2a cells transiently transfected with either human Cx43, rat Cx40 or with a Cx43CT-truncated mutant coding for amino acids 1-257 of rat Cx431,2. In all cases, the dual-whole-cell voltage clamp technique was used to record gap junction currents. Specifics for cell culture, transfection and recordings are described elsewhere.1 Briefly, N2a cells were obtained from American Type Culture Collection; Manassas, VA). Cells were grown in DMEM (Gibco, Invitrogen, Grand Island, NY) and supplemented with 10% fetal bovine serum, 5000U/L penicillin and 5mg/ml streptomycin (Mediatech, Herndon, VA). Cells were plated at 35-40% and transiently transfected with the above-mentioned plasmids. Transfections were carried out using between 0.25-0.5µg of plasmid DNA and Effectene (Qiagen, CA) according to the manufacturer’s instructions. Transfection efficiency ranged between 70 and 80%. In all cases, the dual-whole-cell voltage clamp technique was used to record gap junction currents. Both cells in the pair (cell 1 and cell 2) were independently voltage clamped at the same holding potential (-40 mV). The prejunctional cell (cell 1) was stepped to +20 mV, creating a potential difference across the junction (Vj) of + 60 mV during repetitive 10-30 sec steps. The current injected by the amplifier in cell 2 to maintain the holding potential of that cell (-40 mV) during the voltage step in cell 1 was considered to be equal and opposite to the current flowing through the gap junctions (Ij) Junctional conductance (Gj) was calculated from Ohm’s law (Gj = Ij/Vj). Octanol superfusion was initiated 5 minutes after patch break and continued for 10 minutes. Concentration of octanol was 1.5 mM in all experiments. For experiments assessing acidification-induced uncoupling patch pipettes were filled with a 2(Nmorpholino)ethanesulfonic acid (MES)-containing solution, buffered to a pH of 6.2. Junctional current (Ij) was measured immediately after patch break and every 20 seconds thereafter. Peptides were diluted in the internal pipette solution to a final concentration of 100μM. A total of 20 experiments were carried out where octanolinduced uncoupling was tested in the absence of peptides. These experiments were averaged, and data used as control for comparison with those series where a given peptide was assessed. Cell dissociation and culture of rat neonatal ventricular myocytes (NRVMs) All experiments involving animals conformed to the protocols in the Guide for the Care and Use of Laboratory Animals (NIH Publication No. 85-23, Revised 1996). Primary cultures of NRVMs for patch clamping, immunofluorescence, and monolayers were obtained using established procedures3,4. Ventricular myocytes from neonatal SpragueDawley rats (Charles River, Mass) were isolated and cultured according to Rohr et al. 5,6 Briefly, the hearts from 1 and 2 day old rats were aseptically removed and collected in calcium- and magnesium-free Hanks’ Balanced Salt Solution (HBSS; without Ca2+ and Mg2+; Sigma). The ventricles were minced and incubated in a solution containing 0.125% trypsin (Roche Applied Science) and 0.15% pancreatin (Sigma). Digestion took place at 36°C in consecutive steps. Two hour periods of differential preplating were used to reduce the presence of noncardiomyocytes. Cells were then suspended in medium M199 (Cambrex) containing 10% fetal bovine serum (FBS) (Mediatech, Herndon, VA), 20 U/mL penicillin, 20 mg/mL streptomycin, and 100 μmol/L bromodeoxyuridine (Sigma) to inhibit fibroblast proliferation. Cells were plated on 35-mm tissue culture dishes at a low density or in 22-mm coverslips for patch clamp experiments. GST-Pulldown assay Bound GST fusion proteins were incubated with approximately 15 mg of pre-cleared rat or mouse heart lysate in 1ml of lysis buffer for 90 minutes, rocking at 4ºC. A separate sample was incubated with lysis buffer only as a control. Unbound proteins were removed by washing 2 times with lysis buffer. The final pellet was resuspended in Laemmli sample buffer and probed by western blotting as described below. Western blots for Cx43 The pulldown pellets from the GST-fusion protein assay described above were kept at 55°C in Laemmli buffer (10μl Laemmli buffer per 50μl of sample) for 10 minutes. Samples were run on an 8-16% tris-glycine gradient gel, transferred to nitrocellulose membranes and blocked for 1 hour at room temperature (blocking buffer consisted of 1% non-fat milk and 0.05% Tween in PBS). Membranes were then incubated in primary o antibodies overnight at 4 C followed by incubation in secondary antibody (anti-mouse HRP, Sigma) for 45 minutes at room temperature. Signal was detected by chemiluminescence (Pierce, SuperSignal West Pico, Chemiluminescent Substrate). The primary antibody used was a monoclonal mouse Cx43 (diluted 1:100 in 0.05% Tween in PBS) that recognizes the amino terminal (NT) domain of Cx43 (Fred Hutchinson Cancer Research Center). Bands were analyzed by densitometry using Adobe Photoshop 7.0 (2002, Adobe Systems Inc., San Jose, CA) and background subtracted for each sample Surface Plasmon Resonance (SPR) SPR is a spectroscopic method to determine binding amplitude and kinetics in real time7. Experimental details were as described previously1. Briefly, recombinant rat Cx43CT was covalently bound to a carboxylmethyl dextran matrix and used as ligand. Peptides were presented to the bound ligand, and the amplitude of the response was subtracted from that obtained from a control chamber with no ligand7. No change in angle of resonance was taken as an indication of absence of binding. The amplitude of the change in angle of resonance (expressed as “response units”) is a function of the mass of the analyte7 and therefore, for comparison, response units were calibrated by the molecular weight of the tested compound. Data obtained for various concentrations, tested sequentially on the same chip by serial 50:50 dilutions, are presented. For all peptides presented in the paper, three separate runs were conducted for at least one concentration. Nuclear Magnetic Resonance (NMR) All NMR data were acquired at 7°C using a 600 MHz Varian INOVA NMR spectrometer outfitted with a cryo-probe. Gradient-enhanced two-dimensional were used to observe all backbone amide resonances in 15 N-HSQC experiments 15 N-labeled Cx43CT in presence or absence of unlabelled CyRP71. Data were acquired with 1024 complex points in the direct dimension and 512 complex points in the indirect dimension. Sweep widths were 10,000 Hz in the proton dimension and 2,500 Hz in the nitrogen dimension. Statistical analysis When appropriate, data were statistically compared by Student’s t test. Comparisons were made utilizing the average asymptotic Gj value of either control, or peptide-treated cells. Only one comparison (against control) was allowed for each data set. Differences yielding p values <0.05 were regarded as significant. Average data are presented as mean +/- standard error of the mean. ONLINE RESULTS Online Figure I Kaplan-Meier plot showing percentage of cell pairs that remained coupled (i.e., Gj>0) at the end of each minute after onset of octanol. Time zero corresponds to the onset of octanol (1.5 mmol/L) superfusion (Black line absence of peptide; red line presence of peptide under test). A: Effect of CyRP-62 on octanol-induced uncoupling in Cx43expressing N2a cells. In the absence of CyRP-62, 20 cell pairs were completely uncoupled (Gj=0) whereas octanol failed to uncouple cell pairs when CyRP-62 was present in the pipette solution (0.1 mmol/L; N=6). B: Effect of CyRP-63 on octanolinduced uncoupling in N2a cells; CyRP-63 treated cells showed delayed uncoupling, only one out of five cell pairs (20%) remained coupled after 10 minutes of octanol treatment. C: Effect of CyRP-61 on octanol-induced uncoupling in Cx43- expressing N2a cells. In the absence of CyRP-61, all 20 cell pairs were completely uncoupled (Gj=0) whereas octanol failed to uncouple 60% of cell pairs when CyRP-61 was present in the pipette solution (0.1 mmol/L; N=20 in control; N=5 in the presence of CyRP-61). D: Effect of CyRP-71 octanol-induced uncoupling in Cx43-expressing N2a cells. In the absence of CyRP-71 20 cell pairs were completely uncoupled (Gj=0) whereas octanol failed to uncouple cells when CyRP-71 was present in the pipette solution (0.1 mmol/L; N=6). Online Figure II Western blot of Cx43 from samples obtained from a GST-pulldown assay. Symbols “+“ and “-” represent a sample obtained from tubes where the glutathione bead-bound recombinant protein was presented (“+”) or not (“-“) to the heart lysate. Glutathione beads were bound to either GST alone (first two lanes), RXP-E (lanes 3 and 4) of ZP71. The latter is a protein of the sequence:RRNYGGGSAVPFYSHSRRNYGGGSAVPFYSHSRRNY i.e., three RRNY domains, bound by the same linker sequence as in RXP-E. Online Figure III Kaplan-Meier plot showing percentage of cell pairs that remained coupled (i.e., Gj>0) after the perfusion of octanol. Time zero corresponds to the onset of octanol superfusion (Black line - absence of peptide; red line - presence of peptide under test). A: Effect of RRNYRRNY on octanol-induced uncoupling in Cx43- expressing N2a cells. In the absence of RRNYRRNY, all 20 cell pairs were completely uncoupled within 600 seconds (Gj=0) whereas octanol (1.5mmol/L) failed to uncouple 60% of cell pairs when RRNYRRNY was present in the pipette solution (0.1 mmol/L; N=5). B: Effect of RRPPYN on octanol-induced uncoupling in N2a cells (N=20 in control; N=5 in the presence of RRPPYN). All cells treated with peptide were uncoupled by 220 seconds of octanol treatment. Online Figure IV Surface plasmon resonance trace obtained from presenting peptide CyRP-71 to recombinant Cx40CT, covalently bound to a carboxylmethyldextran surface. Concentration of the peptide was 125 µM. Notice that the amplitude of the sensogram is only a small fraction of that obtained from a chip seeded with Cx43CT (see Figure 3 in the manuscript). Together with patch clamp data in Figure 6B, these data indicate that CyRP-71 has selectivity for Cx43 over the related isotype, Cx40. References 1.Shibayama J, Lewandowski R, Kieken F, Coombs W, Shah S, Sorgen PL, Taffet SM and Delmar M. Identification of a novel peptide that interferes with the chemical regulation of connexin 43. Circ Res. 2006; 98:1365-72. 2. Morley GE, Taffet SM, Delmar M. Intramolecular interactions mediate pH regulation of connexin43 channels. Biophys J. 1996;70:1294 –1302. 3. Kucera JP, Heuschkel MO, Renaud P, Rohr S. Power-law behavior of beat-rate variability in monolayer cultures of neonatal rat ventricular myocytes. Circ Res. 2000;86:1140-1145. 4. Rohr S, Fluckiger-Labrada R, Kucera JP. Photolithographically defined deposition of attachment factors as a versatile method for patterning the growth of different cell types in culture. Pflugers Arch. 2003;446:125-132. 5. Rohr S, Scholly DM, Kleber AG. Patterned growth of neonatal rat heart cells in culture morphological and electrophysiological characterization. Circ Res. 1991;68:114-130. 6. Rohr S. Determination of impulse conduction characteristics at a microscopic scale in patterned growth heart cell cultures using multiple site optical recording of transmembrane voltage. J Cardiovasc Electrophysiol. 1995;6:551-568. 7. Lang BD, Delmar M, Coombs W. Surface plasmon resonance as a method to study the kinetics and amplitude of protein-protein binding. In: Dhein S, Mohr FW, Delmar M, eds. Practical Methods in Cardiovascular Research. Heidelberg, Germany: Springer; 2005; 936 –947. B 100 100 % of coupled cells % of coupled cells A CyRP-62 80 60 40 20 0 0 CyRP-63 80 60 40 20 0 100 200 300 400 500 600 0 Time (sec) Time (sec) D 100 CyRP-61 80 % of coupled cells % of coupled cells C 60 40 20 0 0 100 CyRP-71 80 60 40 20 0 100 200 300 400 500 600 Time (sec) 100 200 300 400 500 600 Online Figure I 0 100 200 300 400 500 600 Time (sec) - + GST - + RXPE Online Figure II - + ZP 71 A B RRNYRRNY % of coupled cells % of coupled cells 100 80 60 40 20 0 0 100 200 300 400 500 600 RRPPYN 100 80 60 40 20 0 0 100 200 300 400 500 600 Time (sec) Time (sec) Online Figure III Resonance Units 350 300 250 200 150 100 50 0 -50 -50 0 50 100 150 200 Time (sec) Online Figure IV