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Am J Physiol Heart Circ Physiol 277: H1338-H1349, 1999;
0363-6135/99 $5.00
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Vol. 277, Issue 4, H1338-H1349, October 1999

Evidence for an interaction between adducin and Na+-K+-ATPase: relation to genetic hypertension

Mara Ferrandi1, Sergio Salardi1, Grazia Tripodi1, Paolo Barassi1, Rodolfo Rivera2, Paolo Manunta2, Rivka Goldshleger3, Patrizia Ferrari1, Giuseppe Bianchi2, and Steven J. D. Karlish3

1 Prassis Research Institute Sigma-Tau, 20019 Settimo Milanese; 2 Chair of Nephrology, Division of Nephrology and Hypertension, University of Milan and San Raffaele Hospital, 20132 Milan, Italy; and 3 Biochemistry Department, Weizmann Institute of Science, Rehovot, Israel 76100


    ABSTRACT
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Adducin point mutations are associated with genetic hypertension in Milan hypertensive strain (MHS) rats and in humans. In transfected cells, adducin affects actin cytoskeleton organization and increases the Na+-K+-pump rate. The present study has investigated whether rat and human adducin polymorphisms differently modulate rat renal Na+-K+-ATPase in vitro. We report the following. 1) Both rat and human adducins stimulate Na+-K+-ATPase activity, with apparent affinity in tens of nanomolar concentrations. 2) MHS and Milan normotensive strain (MNS) adducins raise the apparent ATP affinity for Na+-K+-ATPase. 3) The mechanism of action of adducin appears to involve a selective acceleration of the rate of the conformational change E2 (K) right-arrow E1 (Na) or E2(K) · ATP right-arrow E1Na · ATP. 4) Apparent affinities for mutant rat and human adducins are significantly higher than those for wild types. 5) Recombinant human alpha - and beta -adducins stimulate Na+-K+-ATPase activity, as do the COOH-terminal tails, and the mutant proteins display higher affinities than the wild types. 6) The cytoskeletal protein ankyrin, which is known to bind to Na+-K+-ATPase, also stimulates enzyme activity, whereas BSA is without effect; the effects of adducin and ankyrin when acting together are not additive. 7) Pig kidney medulla microsomes appear to contain endogenous adducin; in contrast with purified pig kidney Na+-K+-ATPase, which does not contain adducin, added adducin stimulates the Na+-K+-ATPase activity of microsomes only about one-half as much as that of purified Na+-K+-ATPase. Our findings strongly imply the existence of a direct and specific interaction between adducin and Na+-K+-ATPase in vitro and also suggest the possibility of such an interaction in intact renal membranes.

cytoskeleton; blood pressure; genetics


    INTRODUCTION
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

INTERACTIONS BETWEEN cytoskeletal and integral membrane proteins are fundamental for the maintenance of polarity in epithelial or neuronal cells (25, 39) and the regulation of ion transport (4, 10). The actin-based cytoskeleton has been demonstrated to interact with ion transport proteins such as the band 3-anion exchanger (17), epithelial Na+ channels (4), the Na+-K+-Cl- cotransporter (49), and Na+-K+-ATPase (41, 42). In polarized renal tubular cells, the confinement of Na+-K+-ATPase to the basolateral surface involves the direct anchorage of the enzyme to ankyrin (28, 43, 50) and, thence, to fodrin (41). The mechanisms of actin polymerization (21) and the formation of the spectrin/fodrin-actin network (2) are regulated by a variety of proteins, including adducin (34). Adducin is a heterodimeric cytoskeletal protein composed of related but nonidentical subunits (alpha , beta , or gamma ). Adducin is involved in signal transduction mechanisms through the modulation of the actin cytoskeleton at cell-cell contact sites (2, 34). Much experimental evidence indicates that adducin may be a candidate protein to explain genetic alterations in ion transport associated with primary or essential hypertension (8). In rats of the Milan hypertensive strain (MHS), a primary increase of renal tubular Na+ reabsorption (1) is involved in the development of hypertension. In particular, the MHS rat shows an increased activity and expression of Na+-K+-pump units per cell compared with their Milan normotensive strain (MNS) controls (18). In MHS and MNS rats, two missense point mutations in the alpha - (F316Y) and beta -subunits (Q529R) of adducin have been demonstrated to be genetically associated with hypertension (8). Moreover, rat renal cells (NRK-52E) transfected with MHS adducin cDNA show a significant increase of Na+-K+-pump activity and a higher immunohistochemical reactivity for the Na+-K+ pump compared with cells transfected with MNS adducin (47). Finally, adducin polymorphisms in the human alpha -subunit (G460W, S586C) have been found to be genetically associated (12, 13, 38) and linked (13) with essential hypertension in humans and to affect the relationship between renal Na+ excretion and blood pressure (13, 27). Despite the different mutations in hypertensive rat and human adducins, the evidence so far suggests that these mutations produce similar alterations in renal Na+ handling of hypertensive rats and humans (1, 38). To our knowledge, this is the first demonstration showing that a spontaneous polymorphism in the alpha -adducin gene affects blood pressure in two species (rat and human) that diverged ~40 million years ago.

The best characterized functions of adducin are to promote spectrin-actin association and to bind actin and bundle actin filaments (3). The alpha -/beta -dimer of adducin is arranged so that pairs of head domains form a globular core that caps the end of actin filaments, whereas tails of the alpha - and beta -subunits participate in the lateral contacts between several actin filaments and the beta -subunit of spectrin, recruiting additional spectrin units to the actin filaments (26, 35). The increase in Na+-K+-pump activity at maximal stimulation (Vmax) and the promotion of actin bundling on transfection of cells with adducin may therefore lead to a reasonable assumption that an increase in Na+-K+-pump density is the result of a change in cellular turnover due to adducin's property of organizing the cytoskeleton. A direct cytoskeleton-Na+-K+-pump interaction is known to be mediated by ankyrin, which binds both Na+-K+-ATPase and spectrin (3, 43). On the other hand, observations that adducin accumulates at cell-cell contacts (32) have led to a proposal that adducin may itself recognize a specific membrane receptor, in addition to spectrin and actin. Therefore, we were interested in examining whether a direct functional interaction exists between adducin and Na+-K+-ATPase in a cell-free system. The present study has been designed to evaluate this possibility. After preliminary experiments that demonstrated in vitro effects of adducin on renal Na+-K+-ATPase, we looked at differential effects of wild-type and mutant adducins from Milan rats and humans. We have also made some initial observations to examine the possibility that adducin-Na+-K+-ATPase interactions exist in native renal membranes.


    MATERIALS AND METHODS
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Animals. Inbred MHS/Gib and MNS/Gib rats derived from the original stock colony (Prassis Research Institute, Settimo Milanese, Milan, Italy) were used for erythrocyte adducin, ankyrin, and kidney Na+-K+-ATPase purifications. Rats were fed on a standard diet (Altromin MT, Rieper, Vandois, Italy) containing 2.5 g/kg NaCl. Indirect systolic blood pressure was recorded by the tail-cuff method (BP Recorder, Ugo Basile, Comerio, Italy) in 3-mo-old rats and averaged 167 ± 2 and 132 ± 1.8 mmHg in MHS and MNS, respectively.

Purification of erythrocyte adducin and ankyrin. Rat and human erythrocyte adducins were purified from the whole blood of MHS and MNS rats (400 ml) or human volunteers (200 ml). The purification procedure was basically as reported by Hughes and Bennett (26). Briefly, washed erythrocytes were lysed in hypotonic buffer, and membranes were recovered by Pellicon cassette filtration (Millipore). Membranes were extracted with low-ionic strength buffer, and the extract was absorbed on SP-Sepharose (Pharmacia) and eluted with 500 mM NaBr. Final purification was performed on a Resource-Q fast-performance liquid chromatography column (Pharmacia). The fractions were analyzed by SDS-PAGE, and those containing adducin were dialyzed twice versus 20% sucrose, 10 mM Tris · HCl, pH 7.5, 1 mM EDTA, 1 mM dithiothreitol, and 40 mg/l 4-(2-aminoethyl)benzenesulfonyl fluoride hydrochloride (Pefabloc, Sigma). The yield of purified adducin from rat and human erythrocytes was ~0.5 mg of protein for each purification.

Erythrocyte ankyrin was purified from the blood of MHS rats according to the method of Gardner and Bennett (22). Protein content was determined via the Lowry method (36) using BSA as the reference standard.

Expression and purification of full-length and COOH-terminal tails of alpha - and beta -adducins. A pGEMEX plasmid containing cDNA coding for human alpha -adducin and the COOH-terminal domain of alpha - (residues 430-737 and 530-737) and beta -adducin (residues 530-726) were provided by Dr. V. Bennett (Dept. of Cell Biology and Biochemistry, Duke University, Durham, NC). The original human alpha -adducin construct encodes the amino acids Gly-460 and Cys-586. Gly-460 was replaced by Trp via site-directed mutagenesis on the original recombinant vector with a U.S.E. Mutagenesis Kit (Pharmacia) and the target mutagenic primer AHW (5'-GCTTCCATTCTGCCATTCCTCGGAAGCTTC) to obtain the hypertensive variant cDNA. Similarly, Cys-586 was replaced by Ser with the target mutagenic primer AHS (5'-CCAGATTCTCTTCAGAGCCCTTCTCTTCC) to obtain the normotensive variant cDNA. The pGEMEX recombinant expression vectors were transformed into the Escherichia coli BL21pLysS strain (26).

Expression of recombinant polypeptides was induced by the addition of 1 mM isopropyl-1-thio-beta -D-galactopyranoside, and bacteria (1 liter) were incubated for 4 h at 37°C after induction and then harvested and lysed with DNase I in 1% Triton X-100, 20 mM Na-phosphate, pH 7.4, 200 mM NaCl, 1 mM dithiothreitol, and 100 mg/l Pefabloc (lysis buffer). The full-length protein was purified from inclusion bodies, which were dissolved in buffer A (10 mM Na-phosphate, pH 7.4, 1 mM EDTA, 1 mM EGTA, 1 mM dithiothreitol, 0.05% Tween 20, and 40 mg of Pefabloc) containing 7 M urea and 1 M NaBr and centrifuged for 1 h at 30,000 g. The supernatant was dialyzed versus buffer A containing 4 M urea and was loaded on a 6-ml Resource-Q column that was eluted with a NaBr gradient (0-300 mM) in buffer A containing 4 M urea.

The expressed COOH-terminal domains were obtained after lysis of the bacteria and centrifugation for 20 min at 2,700 g. The supernatant was heated for 20 min at 70°C and centrifuged for 1 h at 30,000 g. The supernatant was diluted with buffer A and purified on SP-Sepharose and a Resource-Q column as described above. The expressed recombinant proteins accounted for roughly 25% of the total protein. The yield was ~15-20 milligrams of protein per liter of bacteria. Protein contents of the expressed constructs were estimated from SDS-PAGE by comparing the intensities of their Coomassie blue-stained bands with known amounts of BSA. Reflectance densitometry was carried out with a Bio-Rad model 620 densitometer.

A purified 31-amino acid synthetic peptide, corresponding to the COOH-terminal residues 696-726 of human beta -adducin tail (GSPSKSPSKKKKKFRTPSFLKKSKKKEKVES), was a kind gift of Dr. V. Bennett and Y. Matsuoka (40). The purity of the synthetic peptide was >95% as determined by C18 reversed-phase column HPLC. The concentration of the synthetic peptide was determined by the amino acid composition analysis that confirmed the sequence (40).

Purification and assay of Na+-K+-ATPase. Microsomal membranes and purified Na+-K+-ATPase were prepared from the renal outer medulla of pigs or 3-mo-old MHS rats (29). Na+-K+-ATPase activity was assayed by the release of 32Pi from 32P-labeled ATP ([32P]ATP) as described previously (18, 29). Whenever the reaction medium is unspecified, it consisted of 100 mM NaCl, 3 mM MgCl2, 5 mM KCl, 50 mM HEPES-Tris, 1 mM EGTA, 3 mM Tris-ATP, and 20 nCi of [32P]ATP (0.5-3 Ci/mmol, Amersham), pH 7.4. The specific activities of the purified MHS rat or pig Na+-K+-ATPases used in this study were 30-35 and 15-20 µmol Pi · min-1 · mg protein-1, respectively. The activity was inhibited 99% by 5 mM ouabain. For the study of kinetic effects of adducin, concentrations of Na+, K+, and ATP were varied at saturating concentrations of the other pump ligands. Where necessary, the ionic strength of the medium was maintained constant by the addition of choline chloride. For the study of effects of adducin, 10 µl of purified adducin (0.08-8 µg of protein), or its medium, were incubated in duplicate for 30 min at 37°C with 10-25 ng of purified Na+-K+-ATPase in 100 µl of standard assay medium. With the assumption of a relative molecular mass (Mr) for adducin of 160 kDa (alpha - plus beta -subunits), the final concentration was in the range of 3-300 nM.

Gel electrophoresis, blotting to polyvinylidene fluoride, and immunoblotting. Procedures for running 10% tricine (N-tris[hydroxymethyl]methylglycine) SDS-PAGE, electroblotting to polyvinylidene difluoride paper, and immunoblotting have been described in detail previously (11, 24). Immunoblots were developed by enhanced chemiluminescence (ECL; 3-5 µg protein/lane) with the use of anti-rabbit IgG-horseradish peroxidase conjugate and the protocol supplied with ECL reagents from the 1998 Amersham-Pharmacia Life Science Products catalog. For the quantification of bands, the X-ray films were scanned with a Bio-Rad GS-690 imaging densitometer and analyzed with Bio-Rad Multi-Analyst software (version 1.01). For immunoblots, we used 1) an affinity-purified polyvalent antibody referred to as "anti-KETYY," which recognizes the five COOH-terminal residues of the alpha -subunit of Na+-K+-ATPase (1:200 dilution), and 2) a monoclonal antibody raised against the human adducin alpha -subunit at Prassis laboratories. In brief, mice were immunized with bacterial tail constructs in Freund's adjuvant (4 boosts every 15 days, 100 µg/boost). The spleen was fused with mice myeloma cells, and hybridomas were grown in a selective medium and screened for a positive reaction with antigen on ELISA plates. Positive clones were subcloned twice.

Kinetic analysis. Kinetic parameters were calculated by nonlinear regression (Enzfitter, Elsevier-Biosoft, Cambridge, UK) and expressed as means ± SE. Statistical comparisons were performed by ANOVA. P < 0.05 was regarded as significant.

Materials. All chemicals were reagent grade from Sigma. [32P]ATP (0.5-3 Ci/mmol) was purchased from Amersham.


    RESULTS
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ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

Purity of rat and human erythrocyte adducins and Na+-K+-ATPase. Rat adducin preparations consisted of three bands (Fig. 1, lanes 2-5). The major 105-kDa band contained both alpha - and beta -subunits, which comigrate in this species, and accounted for ~60% of the total. The 70- and 60-kDa bands always copurified with the 105-kDa band and are either proteolytic fragments produced within the erythrocyte or alternatively spliced forms. In preparations of human erythrocyte adducin, alpha - and beta -subunits ran separately, and the 70- and 60-kDa bands were also found, although in much smaller amounts than for rat adducin (Fig. 1, lane 6), as previously shown (22). Several preparations of MHS, MNS, and human adducin were made. Only those batches of adducin showing an electrophoretic pattern like that in Fig. 1 were used for the experiments. The purified MHS rat Na+-K+-ATPase used for most experiments in this study showed essentially only the two bands of the alpha - and beta -subunits with apparent Mr values of 95 and 55 kDa, respectively, and minor impurities (Fig. 1, lane 1). The specific activity of this preparation was particularly high, 30-35 µmol Pi · min-1 · mg protein-1, with an estimated sevenfold enrichment compared with the microsomal fraction with a specific activity of 3.5-4.5 µmol Pi · min-1 · mg protein-1 (see Ref. 29).


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Fig. 1.   Coomassie blue-stained SDS-PAGE gel of purified rat Na+-K+-ATPase and rat and human erythrocyte adducin. Lane 1: Na+-K+-ATPase purified from Milan hypertensive strain (MHS) renal medulla. Lanes 2 and 3: Milan normal strain (MNS) adducin. Lanes 4 and 5: MHS adducin. Lane 6: human adducin. Values at left are relative molecular mass in kDa.

Effects of adducin on Na+-K+-ATPase activity. Figure 2 shows that both MHS and MNS adducin significantly stimulated MHS rat Na+-K+-ATPase activity in a medium containing 0.1 mM ATP, 100 mM NaCl, 5 mM KCl, and 3 mM MgCl2. The extent of stimulation was 78.7 ± 3.1% (n = 11) for MHS adducin and 83.4 ± 1.7% (n = 11) for MNS adducin (see also Table 1). Stimulation by adducin was fitted to hyperbolic curves with an apparent affinity (K0.5) of 14.2 ± 1.7 nM (n = 11) for MHS and 60.9 ± 11.7 nM (n = 11) for MNS (see Table 1). The stimulation of Na+-K+-ATPase activity by adducin was 100% inhibited by ouabain, and no hydrolysis of [32P]ATP by purified adducin was detected (data not shown). The effect of adducin was lost if it was subjected to extensive proteolysis by proteinase K (56°C for 24 h), followed by heating at 95°C for 1 h. Stimulation of Na+-K+-ATPase by adducin was largely prevented by preincubation of the adducin (75 nM) with an anti-adducin antibody (1:100 dilution) (Table 2). This control excluded the possibility that minor protein contaminants in the adducin preparation were responsible for the stimulation of Na+-K+-ATPase activity.


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Fig. 2.   Dose-dependent activation curves of Na+-K+-ATPase in response to increasing concentrations of MHS () and MNS (open circle ) adducin. Na+-K+-ATPase activity was measured at 0.1 mM ATP in presence of 100 mM NaCl, 5 mM KCl, and 3 mM MgCl2 using 25 ng of rat enzyme. Percentages of Na+-K+-ATPase activation were calculated over a control sample run in absence of adducin. Curves represent means ± SE of 11 experiments run in duplicate. Specific activity of purified Na+-K+-ATPase at 0.1 mM ATP was 7.1 µmol · min-1 · mg protein-1.


                              
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Table 1.   Dose-dependent activation of Na+-K+-ATPase by MHS and MNS adducin at different ATP concentrations


                              
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Table 2.   Anti-adducin antibody counteracts the stimulation of Na+-K+-ATPase by adducin

The striking difference in K0.5 between MHS and MNS adducins for stimulating Na+-K+-ATPase activity is confirmed by the data in Table 1. Table 1 also shows that the K0.5 for both MHS and MNS adducin decreased significantly as ATP concentration was raised from 1 µM through 0.1 mM to 3 mM. Evidently, the percentage of stimulation of Na+-K+-ATPase activity also increased greatly when the ATP concentration was lowered from 3 mM to 0.1 mM and 1 µM (Table 1). Because raising the ATP concentration caused adducin to bind more tightly to the enzyme, one could predict that the binding of adducin should also raise the apparent binding affinity of ATP. The data in Fig. 3 are in accord with this prediction. The experiment measured the effect on Na+-K+-ATPase of either MHS or MNS adducin at a near-saturating concentration of 100 nM over a wide range of ATP concentrations. It is clear that both MHS and MNS adducin induced a substantial increase in the apparent affinity for ATP compared with the control without added adducin [control: 424 ± 27 µM (n = 3); MHS adducin, 209 ± 12 µM (n = 3); MNS adducin, 233 ± 10 µM (n = 3)]. The degree of stimulation at the saturating concentration of 3 mM ATP was ~15-20% in the present series of experiments (Fig. 3). With other preparations of MHS and MNS adducin, a somewhat higher degree of stimulation (30%) was observed (Table 1).


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Fig. 3.   Dose-dependent activation curves of Na+-K+-ATPase as a function of ATP concentrations in response to 100 nM MHS () and MNS (open circle ) adducin. A control () curve was run in parallel in absence of adducin. Na+-K+-ATPase was measured in presence of 100 mM NaCl, 5 mM KCl, and 3 mM MgCl2 at varying ATP concentrations (0.05-3 mM) using 25 ng of rat enzyme. Curves represent means of 3 experiments performed in duplicate with both adducins.

We also looked at the effects of MHS and MNS adducin, at a fixed concentration of 100 nM, on the activation of Na+-K+-ATPase by Na+ and K+ (Table 3). The apparent K0.5 value for Na+ was not changed by MHS or MNS adducin, but a slight increase in the Hill number was observed with either adducin. K0.5 values for K+ were increased moderately but significantly by both MHS and MNS adducins, with no change in the Hill number.

                              
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Table 3.   Effect of MHS and MNS adducin on the K0.5 and Hill number for Na and K ions of Na+-K+-ATPase

Tests of the mechanism of stimulation of Na+-K+-ATPase activity. A large stimulation of Na+-K+-ATPase activity by adducin at 1 µM ATP implies that the adducin accelerates the rate of the conformational change E2(K) right-arrow E1Na, which is the rate-limiting step of the Na+-K+-ATPase cycle in this condition (44). This inference can be tested independently by looking at the effect of K+ on Na+-ATPase activity at 1 µM ATP (14, 48). Normally, the addition of K+ to a reaction medium containing Na+, Mg2+, and 1 µM ATP inhibits the rate of ATP hydrolysis because the rate-limiting step E2 right-arrow E1 for Na+-K+-ATPase activity is slower than that for Na+-ATPase activity in the absence of K+ (E2-P right-arrow E2). Thus, in Fig. 4, we compared the effects of K+ on ATP hydrolysis at 1 µM ATP in the absence or presence of adducin. In the absence of adducin, K+ inhibited the ATP hydrolysis as expected. In contrast, in the presence of adducin, the addition of K+ produced a small stimulation first, followed by a reduction of the rate but, overall, no inhibition of the ATPase activity. In the absence of K+ adducin had little or no effect on the rate of Na+-ATPase activity.


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Fig. 4.   Effect of K+ on Na+-ATPase activity at 1 µM ATP in absence (-) or presence (+) of adducin. Rat Na+-K+-ATPase (7.5 ng) was incubated without (open circle ) or with () 50 nM MHS adducin in presence of 100 mM NaCl, 3 mM MgCl2, 1 µM ATP, and increasing concentrations of KCl (0-5 mM). Percentages of Na+-ATPase activity were calculated over control samples run in absence or presence of adducin at 0 mM KCl. Data are means of 2 independent experiments run in duplicate.

Another test of the mechanism of stimulation of adducin utilized prior knowledge that the rate-limiting step of the cycle changes at different pH values. The catalytic cycle is limited partly by E2(K) right-arrow E1Na at pH 6, more so by E1-P right-arrow E2-P at neutral pH, and by the rate of phosphorylation E1 right-arrow E1-P at pH > 8 (20). Data in Table 4 show that the degree of stimulation by adducin is greatest at pH 6, somewhat less at pH 7, and altogether nonexistent at pH 9. 

                              
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Table 4.   Effect of pH on stimulatory effect of adducin

The clear-cut conclusion from both of these tests is that adducin accelerated the rate of E2(K) right-arrow E1Na at the low ATP concentration (see DISCUSSION).

Effects of ankyrin and BSA on Na+-K+-ATPase activity. An indication of the specificity of the adducin-Na+-K+-ATPase interaction was obtained by comparing the effects with those of another cytoskeletal protein, ankyrin, which is known to bind to the Na+-K+-ATPase (28, 41-43, 50), and with BSA, which should not bind. Na+-K+-ATPase activity was measured at 0.1 mM ATP, with Na+, K+ and Mg2+ at saturating concentrations and increasing concentrations of adducin, ankyrin, or BSA (Fig. 5). As expected, adducin induced a substantial stimulation of activity (K0.5 = 9.5 nM, 73% Na+-K+-ATPase stimulation). Purified ankyrin also increased the Na+-K+-ATPase activity, although to a lower degree and with lower affinity than adducin (K0.5 = 110 nM, 47% Na+-K+-ATPase stimulation). BSA did not affect the Na+-K+-ATPase activity up to 1 µM. The experiment shown in Fig. 6 looked at the combined effects of adducin and ankyrin on Na+-K+-ATPase using both adducin and ankyrin at saturating or near-saturating concentrations. Evidently the stimulation of Na+-K+-ATPase activity by adducin and ankyrin when acting together is much lower than could be expected for the additive effects of the two proteins acting independently (see DISCUSSION).


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Fig. 5.   Effects of adducin, ankyrin, and BSA on Na+-K+-ATPase. Increasing concentrations of MHS adducin (), ankyrin (), and BSA (triangle ) were incubated with 25 ng rat Na+-K+-ATPase in presence of 100 mM NaCl, 5 mM KCl, 3 mM MgCl2, and 0.1 mM ATP.



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Fig. 6.   Combined effects of adducin and ankyrin on Na+-K+-ATPase activity. MHS adducin (30 nM) and ankyrin (400 nM), alone or in combination, were incubated with 7.5 ng of rat Na+-K+-ATPase in presence of 100 mM NaCl, 3 mM MgCl2, 5 mM KCl, and 1 µM ATP. Percentages of Na+-K+-ATPase activation were calculated over a control sample run in absence of adducin and ankyrin. Predicted percentage of Na+-K+-ATPase activation was calculated by assuming an additive effect between the 2 proteins.

Effects of human recombinant adducin on Na+-K+-ATPase activity. Further evidence of the specificity of the adducin-Na+-K+-ATPase interaction was obtained by comparing the effects on Na+-K+-ATPase of full-length wild-type or mutant human adducins or truncated forms purified from extracts of E. coli (Fig. 7). Erythrocyte adducin is formed by alpha - and beta -subunits, each composed of three distinct domains (40): a 39-kDa NH2-terminal globular protease-resistant head domain connected by a 9-kDa neck domain to a COOH-terminal protease-sensitive tail domain containing the calmodulin binding site and the regions involved in the adducin-spectrin-actin binding (16, 26, 30, 31, 35, 40). The constructs used in this study code for recombinant human full-length alpha -adducin containing the wild-type G460/S586 and mutant W460/C586 substitutions, wild-type and mutant tail fragments of the alpha -subunit (residues 430-737 and 530-737), or wild-type full-length beta -subunit and tail fragments (residues 530-726 and 696-726). The human alpha - and beta -adducins, added alone or as mixtures, and tail fragments stimulated the Na+-K+-ATPase activity, assayed at 0.1 mM ATP and saturating concentrations of Na+, K+ and Mg2+ in a dose-dependent fashion (concentration range: 3-1,000 nM) (Fig. 7). The degree of Na+-K+-ATPase stimulation of wild-type and mutant full-length alpha -subunit or alpha - plus beta -subunit mixtures was ~75%. The K0.5 values for the activation of Na+-K+-ATPase show that mutant W460/C586 full-length alpha -subunit or the W460/C586 alpha - plus beta -subunit mixture had a significantly higher affinity than the wild-type full-length G460/S586 alpha -subunit or wild-type G460/S586 alpha - plus beta -subunit mixture. Both wild-type and mutant tail fragments (residues 430-737) of the alpha -subunit retained the ability to stimulate the Na+-K+-ATPase, although to a lower extent (60%) than the full-length proteins (75%). The apparent affinities of wild-type and mutant alpha -subunit tail fragments were much lower than those of the full-length alpha -adducins or alpha - plus beta -subunit mixtures (25 ± 3.9 vs. 408 ± 67 nM and 9.8 ± 1.3 vs. 157 ± 7 nM for full-length alpha -subunit compared with tail fragments, respectively). It is of interest that the K0.5 values of the alpha -subunit tail fragments (residues 430-737) containing both point mutations were significantly reduced compared with those of wild-type alpha -subunit tail fragments (residues 430-737) (157 ± 7 vs. 408 ± 67 nM). The shorter mutant alpha -subunit tail fragment (residues 530-737) still retained the ability to stimulate the Na+-K+-ATPase activity by ~30% with a K0.5 value comparable to that of the alpha -subunit tail fragment (residues 430-737).


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Fig. 7.   Domain organization for alpha - and beta -subunit of human adducin, according to Matsuoka et al. (40). Full-length alpha - and beta -adducin and COOH-terminal tails of human alpha - (residues 430-737), alpha - (residues 530-737), and beta -adducin (residues 530-726) were obtained as recombinant proteins. The 31-mer peptide corresponding to COOH-terminal residues 696-726 of human beta -adducin tail was obtained as a synthetic peptide. G460W and S586C, point mutations in alpha -subunit of human adducin (G460 and S586, wild types; W460 and C586, mutant substitutions); N, NH2-terminal globular protease-resistant head domain +++C, COOH-terminal polylysine basic domain. Apparent affinities (K0.5, in nM) for Na+-K+-ATPase stimulation at 0.1 mM ATP in presence of 100 mM NaCl, 5 mM KCl, and 3 mM MgCl2 are reported using 25 ng of rat enzyme. Statistical comparisons were performed using ANOVA. * P < 0.05, mutant vs. wild-type proteins.

The full-length beta -subunit stimulated the enzyme by ~70%, with a K0.5 of 30 nM, as did the tail fragment (residues 530-726), although to a lower extent (30%). Again, the affinity of the beta -subunit tail fragment was much lower than that of the full-length beta -subunit (109.7 mM vs. 30 nM). The 31-mer synthetic peptide corresponding to the tail of the beta -subunit, with a positively charged COOH-terminal region, was inactive.

For comparison with the recombinant proteins, alpha ,beta -adducin purified from human erythrocytes was also tested. Human alpha -adducin genotypes were established (13), and two subjects with the wild-type G460/S586 form and three subjects with the mutant W460/C586 form of adducin were studied. As was found for the recombinant proteins, the human adducins stimulated Na+-K+-ATPase by 75%, and the mutant erythrocyte adducin showed a higher affinity than the wild-type protein (10.2 ± 1.8 vs. 25.7 ± 2.6 nM, n = 3). These findings provide a strong indication that the properties of the recombinant proteins are similar to those of the native proteins and are not artifactual effects of denatured protein.

An adducin-Na+-K+-ATPase interaction in intact renal membranes? If adducin and Na+-K+-ATPase interact in kidney in vivo, one could expect that membranes isolated from renal medulla would contain adducin. With the use of the anti-adducin antibody to screen immunoblots, preliminary experiments showed that there is very little intact adducin in rat kidney medulla microsomes, although there appear to be adducin fragments. In contrast, in pig kidney medulla microsomes, we detected a band that runs in the same position as intact human adducin alpha -subunit, as well as bands that could be fragments of adducin. The immunoblot in Fig. 8 attempted to quantify the amount of this band in pig kidney medulla microsomes and the pig kidney enzyme with the use of known amounts of human adducin to calibrate the immunoblot. In 30 µg of microsomal protein, the amount of the band corresponding to intact adducin is comparable to ~1 µg of human adducin alpha -subunit, and there is also a substantial amount of smaller bands that recognize the antibody. In contrast, in 40 µg of the pig kidney Na+-K+-ATPase preparation, anti-adducin detected no proteins. For comparison, the immunoblot in which anti-KETYY was used shows that there were approximately equal amounts of alpha -subunit of Na+-K+-ATPase in 1 µg of microsomes and 0.2 µg of purified enzyme, consistent with the fivefold lower specific activity of microsomes (3.5 µmol Pi · min-1 · mg-1) compared with that of purified Na+-K+-ATPase (16.5 µmol Pi · min-1 · mg-1). The absolute amount of alpha -subunit of Na+-K+-ATPase in microsomes is estimated readily from the known site concentration (~0.2-0.3 nmol/mg protein) (18, 24) and Mr value of 153 kDa (alpha  + beta  + gamma -subunits) as 30-45 µg/mg microsomal protein. This value is similar to that of the band tentatively assigned as intact adducin (~30 µg/mg microsomes). If indeed intact endogenous adducin is present in the microsomes and a significant fraction of the Na+-K+-ATPase is bound, one could predict that added adducin would stimulate the Na+-K+-ATPase less than the purified enzyme, which contains no endogenous adducin. This prediction was tested in the experiment shown in Fig. 9. The percentage of control Na+-K+-ATPase activity in each case was plotted as a function of the added adducin concentration. The curves represent best fits to hyperbolas with the following parameters: enzyme, Vmax = 387 ± 32.5% of control and K0.5 = 30.5 ± 6.7 nM adducin; and microsomes, Vmax = 149.5 ± 12.8% of control and K0.5 = 33.5 ± 7.4 nM adducin. Thus added human adducin stimulated the Na+-K+-ATPase activity of the microsomes only one-half as much as purified pig Na+-K+-ATPase, whereas the apparent affinity for adducin was the same on enzyme and microsomes. These two findings indicate that, in microsomes, part of the Na+-K+-ATPase is unavailable for interaction with exogenous adducin, whereas the available fraction of Na+-K+-ATPase interacts with exogenous adducin in the same way as does the purified enzyme preparation.


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Fig. 8.   Detection of adducin and alpha -subunit of Na+-K+-ATPase in purified pig kidney Na+-K+-ATPase and in pig kidney medulla microsomes. Indicated amounts of human adducin, pig kidney medulla microsomes (Micr), and pig kidney Na+-K+-ATPase (Enz) were applied to lanes of 10% tricine gel. Gels were blotted to polyvinylidene difluoride paper, which was incubated with anti-adducin or anti-KETYY antibody, and immunoblot was developed as described in MATERIALS AND METHODS.



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Fig. 9.   Comparison of stimulatory effects of adducin in purified pig kidney Na+-K+-ATPase and medullary microsomes. Microsomal membrane preparations from pig medulla were permeabilized with 1 mg/ml sodium deoxycholate for 20 min at 20°C before measurement of Na+-K+-ATPase activity. Increasing concentrations of human adducin were incubated with 10 ng of pig kidney purified enzyme () or 50 ng of permeabilized medullary microsomes (open circle ). Na+-K+-ATPase activity was measured in presence of 100 mM NaCl, 3 mM MgCl2, 5 mM KCl, and 1 µM ATP. Percentages of Na+-K+-ATPase activation were calculated over a control sample run in absence of adducin.


    DISCUSSION
TOP
ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

In the present study we have provided evidence for a novel interaction between the cytoskeleton and the Na+-K+-ATPase in vitro. The experiments raise questions as to the mechanism of stimulation of Na+-K+-ATPase, the specificity of the adducin-Na+-K+-ATPase interaction, and, in particular, the relation of the in vitro effects to the physiological or pathophysiological roles of adducin polymorphism in modulating Na+-K+-pump activity, renal Na+ transport, and blood pressure in rats and humans that have been inferred from previous work.

Mechanism of stimulation of Na+-K+-ATPase by adducin. The key to an understanding of the mechanism of stimulation of Na+-K+-ATPase by adducin is the finding that the degree of stimulation increased greatly when ATP concentration was reduced from 3 mM to 0.1 mM and then to 1 µM (Table 1, Fig. 3). At the lowest ATP concentration (1 µM), the rate of ATP hydrolysis is limited almost exclusively by a slow rate of the conformational transition E2(K) right-arrow E1Na, in which occluded K+ is deoccluded and released to the cytoplasmic surface, where Na+ binds. ATP binds with low affinity to E2(K) and greatly accelerates the rate of the conformational transition from E2(K) · ATP to E1Na · ATP, the form to which ATP is bound with a high affinity and phosphorylates the enzyme. In an ATP hydrolysis experiment, the apparent affinity for ATP reflects its binding affinity to E2(K) and the relative proportion of the E2(K) form among the other states of the enzyme (E1, E1-P, E2-P), which itself is determined by the rate constants of the transitions between the different states. With these kinetic considerations in mind, it is clear that the major effect of both MHS and MNS adducin is to accelerate the conformational transition E2(K) right-arrow E1Na. The effect on ATP hydrolysis would be to decrease the relative proportion of E2(K) relative to E1Na and the other forms (E1-P, E2-P) and thereby increase the apparent affinity for ATP. At saturating concentrations of ATP, the rate of ATP hydrolysis is only partially limited by the rate of E2(K) · ATP right-arrow E1Na · ATP, thus explaining the much lower degree of stimulation by adducin. A necessary corollary of the proposed action of adducin, to shift the conformational equilibrium between E2(K) · ATP and E1 · ATP toward the latter form, is that adducin should itself bind more tightly to the E1 · ATP form. This prediction is confirmed by the finding that the apparent affinity for both MHS and MNS adducins is raised when the ATP concentration is raised (Table 1). Independent confirmation that adducin accelerates the rate of the conformational change E2(K) right-arrow E1Na at low ATP concentrations (1 µM) was obtained in the experiment showing no inhibition or even slight stimulation of Na+-ATPase by K+ in the presence of adducin but showing the expected inhibition by K+ in the absence of adducin. The biphasic effect of K+ observed in Fig. 4 is a reproducible phenomenon. It can be explained by assuming that the binding of only one potassium ion is required to catalyze dephosphorylation of E2P and that the rate of the conformational change depends on whether one or two potassium ions are bound in E2. However, this does not affect the conclusion concerning acceleration of the conformational change by adducin. The pH dependence of the effect of adducin as shown in Table 4 (strongest at pH 6, somewhat less at pH 7, and absent at pH 9) is completely in accordance with the stimulation of E2(K) right-arrow E1Na or E2(K) · ATP right-arrow E1Na · ATP.

Adducin may stimulate E2(K) right-arrow E1Na at low ATP, by either interacting with the ATP binding site and raising the binding affinity of ATP to E2(K), thus accelerating E2(K) · ATP right-arrow E1Na · ATP, or accelerating the E2(K) right-arrow E1Na conformational transition directly, with equivalent results on the kinetics. Stimulation by adducin of E2(K) right-arrow E1Na or E2(K) ·ATP right-arrow E1Na · ATP but a lack of effects of adducin on ATP hydrolysis in conditions in which other steps are rate limiting (phosphorylation at pH 9 for Na+-K+-ATPase experiments or E2-P right-arrow E2 for Na+-ATPase) indicates selectivity of the functional effect. This suggests the presence of a specific structural interaction of adducin with the enzyme.

By assuming that adducin accelerates the rate of E2(K) · ATP right-arrow E1Na · ATP, one could predict secondary effects on the apparent K+ and Na+ affinities for activating ATP hydrolysis due to the changes in the distribution of enzyme forms. The direction of these effects should be to lower apparent K+ affinity and raise apparent Na+ affinity, and the size of such changes should be smaller than the change in apparent ATP affinity. A moderate reduction of apparent K+ affinity was indeed observed (Table 3). No significant effect on apparent Na+ affinity was observed. In view of the lower overall affinity of Na+, the expected change might be too small to be detected.

Specificity of the interaction between adducin and Na+-K+-ATPase. The results of this study strongly imply that we are dealing with a direct interaction between adducin and Na+-K+-ATPase. Apart from the inference of a specific structural interaction on the basis of the functional effects, the following features imply that the interaction requires a specific structural domain, or conformation, of adducin. 1) The apparent affinities of MHS and MNS rat and human adducins for stimulating Na+-K+-ATPase are in the tens of nanomolar concentration range. 2) The apparent affinities are associated with the genetic variants found in both hypertensive (MHS) and normotensive (MNS) rats [alpha - (F316Y) and beta -adducin (Q529R)] (8) and in humans (alpha -adducins G460W and S586C) (Fig. 7) (12, 13, 38). In particular, the mutant MHS rat adducin stimulates rat renal Na+-K+-ATPase activity with a higher affinity than does the wild-type MNS rat adducin (Table 1), and a similar phenomenon is observed for wild-type and mutant (G460W, S586C) human adducins (Fig. 7; see also below). 3) The stimulation of Na+-K+-ATPase is retained by restricted portions of both the alpha - and beta -adducin COOH-terminal tails, even though it is lower than that of the full-length protein (60 or 30%, according to the length of the fragment, vs. 75%), whereas it is lost when the tail fragment is reduced to 31 amino acids (see Fig. 7 for domain organization). The finding that the affinity of tail fragments is lower than that of full-length adducin (Fig. 7) could indicate that both head/neck and tail regions are required for binding or that removal of the head/neck region affects the structure of the tail region, making it suboptimal for binding. In addition, the mutant tails show a higher affinity than wild-type tails (Fig. 7). 4) The cytoskeletal protein ankyrin, which is known to bind directly to the Na+-K+-ATPase (28, 41, 42, 43, 50), is also able to stimulate the enzyme activity, although to a lower extent (47 vs. 73%) and with lower affinity than adducin (110 vs. 10 nM), whereas a noncytoskeletal protein (BSA) has no effect (Fig. 5). The finding that the stimulatory effects of adducin and ankyrin are not additive (Fig. 6) implies that these two proteins may interfere with each other on the pump. Ankyrin is known to bind to the alpha -subunit of Na+-K+-ATPase at two distinct cytoplasmic domains (15). These domains have been identified within residues 140-166 of the minor cytoplasmic loop between transmembrane segments M2 and M3 (50) and also to a motif ALLK in the central cytoplasmic loop between transmembrane segments M4 and M5 (28). Therefore, it is possible that adducin also binds at or near one or both of these cytoplasmic ankyrin binding regions.

Physiological and pathophysiological role of adducin in modulating Na+-K+-pump activity. How are the present findings relevant to the functional and pathophysiological roles of adducin polymorphism known to be involved in the mechanisms responsible for genetic hypertension (8, 12, 13, 27, 38, 47)? In genetically hypertensive MHS rats, the development of hypertension is linked to a primary renal defect, "transplantable" with the kidney (6, 7), that consists of an increased tubular Na+ reabsorption (5, 9, 19) associated with higher basolateral Na+-K+-pump activity (18). The increase in Na+-K+-pump activity in MHS kidney is already present before the development of hypertension, is accounted for by a higher number of functionally active Na+-K+-pump sites on the cell membrane surface (18), and is also associated with an increased expression of the alpha - and beta -subunit mRNA of the Na+-K+-pump (18).

In view of the important regulatory role that adducin plays in organizing the actin-spectrin complex and the higher density of Na+-K+ pumps in MHS compared with MNS kidneys (18) and after transfection of cells with adducin (47), one may assume that, at the cellular level, adducin affects the density of Na+-K+-ATPase molecules by altering their retention time on the cell membrane (18). One can envision a mechanism involving indirect modulation of the cytoskeleton, bound to the Na+-K+ pump via ankyrin (42, 43, 50), or direct binding of adducin to the Na+-K+ pump. Adducin polymorphisms in rats or humans (8, 12, 13, 47) may differentially affect the rate of membrane cycling.

The findings in Figs. 8 and 9 are compatible with the hypothesis that adducin interacts with the Na+-K+-ATPase in intact renal microsomal membranes, although this must be demonstrated independently, for example, in coimmunoprecipitation or cross-linking experiments. Assuming that independent evidence for such an interaction can be demonstrated, stimulation of Na+-K+-ATPase activity by adducin in vitro appears to be unnecessary if the primary role of adducin in the physiological context is to anchor the pump to the cytoskeleton. One may note that, at physiological concentrations of ATP (2-3 mM), adducin could have only a minor effect on the Na+-K+-ATPase activity. However, it seems paradoxical that a structural interaction should affect ATP binding affinity and stimulate Na+-K+-ATPase activity at all. Recent evidence of the structural events accompanying E1/E2 conformational transitions offers a possible explanation of this paradox. A technique of Fe-catalyzed oxidative cleavage of the Na+-K+-ATPase described recently (23) provides information on the spatial organization of the protein. Specifically, we have proposed that the cytoplasmic loops of the Na+-K+-ATPase alpha -subunit, between transmembrane segments M2 and M3 (minor loop) and between M4 and M5 (major loop), interact in the E2(K) state and move apart in the E1Na state. A variety of structural modifications, such as proteolytic cleavages or mutations in the interacting sequences, appear to interfere with the loop interactions and thereby stabilize the E1 state. It is easy to imagine that extrinsic proteins that bind to the cytoplasmic loops could also hinder their interactions, thus poising the E2/E1 equilibrium toward E1 and raising the apparent ATP affinity. This mechanism could apply to both adducin and ankyrin, which is known to recognize both minor and major cytoplasmic loops (Fig. 5) (15, 28, 50). In other words, the in vitro functional effect of adducin or ankyrin on Na+-K+-ATPase may be incidental to the physiological role. The principal significance of the functional effect could be that it indicates the presence of a specific and direct interaction between adducin and the Na+-K+ pump. In the physiological context this interaction may regulate the cellular cycling of Na+-K+ pumps and their density. Indeed, the higher affinity for mutant MHS compared with that for wild-type MNS adducin (Table 1) may serve to anchor the cytoskeleton to the Na+-K+ pump more tightly and reduce the rate of internalization.

The evidence presented here, which suggests the existence of a novel adducin-Na+-K+-ATPase interaction, supports previous evidence showing that adducin polymorphisms are involved in genetic alterations of cell Na+ transport and the pathogenesis of primary hypertension in rats and humans. In particular, despite the differences in the mutation positions between rat and human adducins, the "hypertensive" adducin variants of both species affect the Na+-K+-ATPase activity similarly. These findings strongly support the notion that rat genetic studies provide relevant information for understanding the genetic and molecular mechanisms of human primary hypertension.


    ACKNOWLEDGEMENTS

We thank Drs. Vann Bennett, Yoichiro Matsuoka, and Xiaolin Li for the kind gift of the human alpha - and beta -adducin expression constructs and the 31-mer peptide mimicking the polybasic domain. We are grateful to Dr. J. Kyte, University of California, San Diego, for providing the anti-KETYY antibody. The excellent technical assistance of Sabrina Pastore is also acknowledged.


    FOOTNOTES

Part of this work was supported by the European Community Biomed Program (EURHYPGEN Concerted Action).

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Address for reprint requests and other correspondence: S. J. D. Karlish, Biochemistry Dept., Weizmann Institute of Science, Rehovot, Israel 76100 (E-mail: bckarlis{at}weizmann.weizmann.ac.il).

Received 7 December 1998; accepted in final form 10 May 1999.


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RESULTS
DISCUSSION
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Am J Physiol Heart Circ Physiol 277(4):H1338-H1349
0002-9513/99 $5.00 Copyright © 1999 the American Physiological Society



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