In situ Structure of the Human Gap Junction

Gap junction plaques (GJPs) enable direct intercellular communication and consist of connexin channels arranged into two-dimensional lattices. While structures of purified connexin channels have informed models of gating, they omit key intracellular regions and lack native context. Here, we use cryogenic electron tomography and focused ion beam milling to determine the in situ structure of human connexin-43 (Cx43) GJPs in HEK293 cells at 14 Å resolution. We discover a previously unresolved structural role for the large C-terminal domain in mediating lateral channel–channel interactions critical for plaque assembly. Coarse-grained molecular dynamics simulations reveal how lipids and cholesterol occupy the space between adjacent connexins. These findings resolve a decades-old question regarding gap junction organization and highlight a mechanistic function for the C-terminal domain, likely regulated by phosphorylation. Our study provides a structural blueprint for understanding how connexin diversity and regulation shape tissue-level communication in health and disease.