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Am J Physiol Heart Circ Physiol 296: H1833-H1839, 2009. First published April 17, 2009; doi:10.1152/ajpheart.00285.2009
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Marinobufagenin enhances cardiac contractility in mice with ouabain-sensitive {alpha}1 Na+-K+-ATPase

Arshani N. Wansapura,1 Valerie Lasko,1 Zijian Xie,3 Olga V. Fedorova,4 Alexei Y. Bagrov,4 Jerry B Lingrel,2 and John N. Lorenz1

Departments of 1Molecular and Cellular Physiology and 2Molecular Genetics, University of Cincinnati College of Medicine, Cincinnati; 3Department of Physiology and Pharmacology, University of Toledo College of Medicine, Toledo, Ohio; and 4Laboratory of Cardiovascular Science, National Institute on Aging, Baltimore, Maryland

Submitted 24 March 2009 ; accepted in final form 13 April 2009

Endogenous Na+ pump inhibitors are thought to play important (patho)physiological roles and occur in two different chemical forms in the mammalian circulation: cardenolides, such as ouabain, and bufadienolides, such as marinobufagenin (MBG). Although all {alpha} Na+-K+-ATPase isoforms ({alpha}1-4) are sensitive to ouabain in most species, in rats and mice the ubiquitously expressed {alpha}1 Na+-K+-ATPase is resistant to ouabain. We have previously shown that selective modification of the putative ouabain binding site of either the {alpha}1 or {alpha}2 Na+-K+-ATPase subunit in mice substantially alters the cardiotonic influence of exogenously applied cardenolides. To determine whether the ouabain binding site also interacts with MBG and if this interaction plays a functional role, we evaluated cardiovascular function in {alpha}1-resistant/{alpha}2-resistant ({alpha}1R/R{alpha}2R/R), {alpha}1-sensitive/{alpha}2-resistant ({alpha}1S/S{alpha}2R/R), and {alpha}1-resistant/{alpha}2-sensitive mice ({alpha}1R/R{alpha}2S/S, wild type). Cardiovascular indexes were evaluated in vivo by cardiac catheterization at baseline and during graded infusions of MBG. There were no differences in baseline measurements of targeted mice, indicating normal hemodynamics and cardiac function. MBG at 0.025, 0.05, and 0.1 nmol·min–1·g body wt–1 significantly increased cardiac performance to a greater extent in {alpha}1S/S{alpha}2R/R compared with {alpha}1R/R{alpha}2R/R and wild-type mice. The increase in LVdP/dtmax in {alpha}1S/S{alpha}2R/R mice was greater at higher concentrations of MBG compared with both {alpha}1R/R{alpha}2R/R and {alpha}1R/R{alpha}2S/S mice (P < 0.05). These results suggest that MBG interacts with the ouabain binding site of the {alpha}1 Na+-K+-ATPase subunit and can thereby influence cardiac inotropy.

cardiotonic steroids; sodium-potassium-adenosinetriphosphatase isoforms



Address for reprint requests and other correspondence: J. N. Lorenz, Dept. of Molecular and Cellular Physiology, College of Medicine, Univ. of Cincinnati, 231 Albert Sabin Way, P.O. Box 670576, Cincinnati, OH 45267-0576 (e-mail: john.lorenz{at}uc.edu)







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