1. Selectivity of Digitalis Glycosides for Isoforms of Human Na,K-ATPase
- Author
-
Einat Kapri-Pardes, Steven J.D. Karlish, Yael Lifshitz, Daniel M. Tal, Rivka Goldshleger, Adriana Katz, and Elizabeta Bab-Dinitz
- Subjects
Gene isoform ,Time Factors ,Digitoxin ,Models, Biological ,Biochemistry ,Pichia ,Ouabain ,Cardiac Glycosides ,Membrane Biology ,medicine ,Humans ,Protein Isoforms ,Na+/K+-ATPase ,Molecular Biology ,Cardiac glycoside ,Ions ,chemistry.chemical_classification ,Models, Statistical ,Myocardium ,Cell Membrane ,Cardiac muscle ,Digitalis Glycosides ,Glycoside ,Cell Biology ,Smooth muscle contraction ,Kinetics ,medicine.anatomical_structure ,chemistry ,Potassium ,Sodium-Potassium-Exchanging ATPase ,Protein Binding ,medicine.drug - Abstract
There are four isoforms of the alpha subunit (alpha1-4) and three isoforms of the beta subunit (beta1-3) of Na,K-ATPase, with distinct tissue-specific distribution and physiological functions. alpha2 is thought to play a key role in cardiac and smooth muscle contraction and be an important target of cardiac glycosides. An alpha2-selective cardiac glycoside could provide important insights into physiological and pharmacological properties of alpha2. The isoform selectivity of a large number of cardiac glycosides has been assessed utilizing alpha1beta1, alpha2beta1, and alpha3beta1 isoforms of human Na,K-ATPase expressed in Pichia pastoris and the purified detergent-soluble isoform proteins. Binding affinities of the digitalis glycosides, digoxin, beta-methyl digoxin, and digitoxin show moderate but highly significant selectivity (up to 4-fold) for alpha2/alpha3 over alpha1 (K(D) alpha1alpha2 = alpha3). By contrast, ouabain shows moderate selectivity ( approximately 2.5-fold) for alpha1 over alpha2 (K(D) alpha1or= alpha3alpha2). Binding affinities for the three isoforms of digoxigenin, digitoxigenin, and all other aglycones tested are indistinguishable (K(D) alpha1 = alpha3 = alpha2), showing that the sugar determines isoform selectivity. Selectivity patterns for inhibition of Na,K-ATPase activity of the purified isoform proteins are consistent with binding selectivities, modified somewhat by different affinities of K(+) ions for antagonizing cardiac glycoside binding on the three isoforms. The mechanistic insight on the role of the sugars is strongly supported by a recent structure of Na,K-ATPase with bound ouabain, which implies that aglycones of cardiac glycosides cannot discriminate between isoforms. In conclusion, several digitalis glycosides, but not ouabain, are moderately alpha2-selective. This supports a major role of alpha2 in cardiac contraction and cardiotonic effects of digitalis glycosides.
- Published
- 2010
- Full Text
- View/download PDF