%0 Journal Article %T Structure of the connexin-43 gap junction channel in a putative closed state. %A Qi C %A Acosta Gutierrez S %A Lavriha P %A Othman A %A Lopez-Pigozzi D %A Bayraktar E %A Schuster D %A Picotti P %A Zamboni N %A Bortolozzi M %A Gervasio FL %A Korkhov VM %J Elife %V 12 %N 0 %D 2023 08 3 %M 37535063 %F 8.713 %R 10.7554/eLife.87616 %X Gap junction channels (GJCs) mediate intercellular communication by connecting two neighbouring cells and enabling direct exchange of ions and small molecules. Cell coupling via connexin-43 (Cx43) GJCs is important in a wide range of cellular processes in health and disease (Churko and Laird, 2013; Liang et al., 2020; Poelzing and Rosenbaum, 2004), yet the structural basis of Cx43 function and regulation has not been determined until now. Here, we describe the structure of a human Cx43 GJC solved by cryo-EM and single particle analysis at 2.26 Å resolution. The pore region of Cx43 GJC features several lipid-like densities per Cx43 monomer, located close to a putative lateral access site at the monomer boundary. We found a previously undescribed conformation on the cytosolic side of the pore, formed by the N-terminal domain and the transmembrane helix 2 of Cx43 and stabilized by a small molecule. Structures of the Cx43 GJC and hemichannels (HCs) in nanodiscs reveal a similar gate arrangement. The features of the Cx43 GJC and HC cryo-EM maps and the channel properties revealed by molecular dynamics simulations suggest that the captured states of Cx43 are consistent with a closed state.