Objectives: Loss of cardiac cells and the anatomical or functional remodeli
ng of intercellular coupling occur under several pathological conditions. W
e have assessed the significance of intercellular coupling for cell death.
Methods and Results: Ventricular cells obtained from 1 day old Wistar rats
were cultured. Apoptosis was detected by nick-end labeling. Cells were plat
ed at low and high cell density (3 X 10(4)/ml and 12 X 10(4)/ml, respective
ly). Cultured myocytes died spontaneously by apoptosis in a time dependent
manner. The increase of the apbptotic cell population in a culture with hig
h cell density on day 4 (1+/-1.2%, n=4) was significantly lower than that i
n a culture with low cell density (20+/-5.5%, n=4). The progression of apop
tosis in the culture of low cell density was prevented in part after applic
ation of the medium extract from the culture of high cell density; the apop
totic cell population on day 6 decreased from 57+/-8.0%, (n=4) to 36+/-3.8%
(n=4). Treatment of the cultured myocytes at high cell density with antise
nse oligonucleotide for connexin43 (Cx43) for; 24 h bn day 2 resulted in a
significant decrease in Cx43 expression as judged by Western blot, dye tran
sfer and immunocytochemistry using mouse monoclonal antibody for Cx43. in a
ssociation with the down-regulation of Cx43, the progress of apoptosis was
accelerated; the apoptotic cell population on day 5 in the antisense-treate
d cultures (27+/-5.7%, n=4) was significantly higher than the sense-treated
cultures (5+/-1.1%, n=4). The effect of Cx43 antisense treatment to promot
e apoptosis was not reversed by application of high cell-density culture me
dium. Conclusions: These findings suggest that cell-cell communication thro
ugh gap junction formation and some humoral factors play important roles in
the survival of cultured myocytes. (C) 2000 Elsevier Science B.V. All righ
ts reserved.