Evidence for the existence of an endogenous inhibitor of Na, K-ATPase in plasma from cats and rats

Systemic inflammatory response and the splanchnic bed in cardiopulmonary bypass

The splanchnic bed undoubtedly undergoes sub-clinical injury in the majority of patients undergoing routine CPB. Dependent upon patient and perfusion factors, this injury may be self-limiting or develop through a cascade of inflammatory mediators into multisystem organ failure. The gut may be damaged by the bioincompatibility of CPB, but it is, as a consequence of hypoperfusion and dysoxia, also a major source of bacterial and nonbacterial inflammatory mediators.

Effects of cardiopulmonary bypass on gut blood flow, oxygen utilization, and intramucosal pH

Studies documenting rises in endotoxin after cardiopulmonary bypass (CPB) have postulated gut mucosal hypoperfusion. We have investigated alterations in jejunal blood flow by laser Doppler flow measurement, intramucosal pH (pHi) by tonometry, and oxygen utilization in a canine model of hypothermic CPB (n = 11 dogs). After 10 minutes of hypothermic CPB, despite no major reduction in superior mesenteric artery flow, mucosal laser Doppler flow decreased to -38.2% +/- 9.3% of levels obtained before bypass (p = 0.008) and serosal laser Doppler flow, to -47.3% +/- 11.4% (p = 0.006). During the hypothermic phase, mesenteric oxygen consumption fell from 0.18 +/- 0.01 to 0.098 +/- 0.01 mL.min-1.kg-1 (p = 0.005), and mesenteric oxygen delivery fell from 1.97 +/- 0.39 to 1.14 +/- 0.12 mL.min-1.kg-1 (p = 0.05). There was no change in jejunal pHi. During the rewarming phase, there was a substantial increase in mucosal laser Doppler flow, peaking at +69.8% +/- 15.2% (p = 0.03), whereas serosal laser Doppler flow returned to values seen prior to CPB (-16.4% +/- 21.5%; p = 0.25). These changes coincided with a surge in oxygen consumption (0.33 +/- 0.042 mL.min-1.kg-1; p = 0.009), while mesenteric oxygen delivery remained depressed at 1.09 +/- 0.12 mL.min-1.kg-1 (p = 0.04). Jejunal pHi fell from a value of 7.36 +/- 0.04 before CPB to 7.12 +/- 0.07 (p = 0.02), thus indicating mucosal hypoxia. During the rewarming phase of hypothermic CPB, there is a disparity between mesenteric oxygen consumption and oxygen delivery with villus tip ischemia; these findings may explain the pathophysiology of endotoxemia during CPB.

Effect of tissue specificity of brain soluble fractions on Na+, K(+)-ATPase activity

Previous evidence from this laboratory indicated that catecholamines and brain endogenous factors modulate Na+,K(+)-ATPase activity of the synaptosomal membranes. The filtration of a brain total soluble fraction through Sephadex G-50 permitted the separation of two fractions -peaks I and II-which stimulated and inhibited Na+,K(+)-ATPase, respectively (Rodríguez de Lores Arnaiz and Antonelli de Gomez de Lima, Neurochem. Res. 11, 1986, 933). In order to study tissue specificity a rat kidney total soluble was fractionated in Sephadex G-50 and kidney peak I and II fractions were separated; as control, a total soluble fraction prepared from rat cerebral cortex was also processed. The UV absorbance profile of the kidney total soluble showed two zones and was similar to the profile of the brain total soluble. Synaptosomal membranes Na+,K(+)- and Mg2(+)-ATPases were stimulated 60-100% in the presence of kidney and cerebral cortex peak I; Na+,K(+)-ATPase was inhibited 35-65% by kidney peak II and 60-80% by brain peak II. Mg2(+)-ATPase activity was not modified by peak II fractions. ATPases activity of a kidney crude microsomal fraction was not modified by kidney peak I or brain peak II, and was slightly increased by kidney peak II or brain peak I. Kidney purified Na+,K(+)-ATPase was increased 16-20% by brain peak I and II fractions. These findings indicate that modulatory factors of ATPase activity are not exclusive to the brain. On the contrary, there might be tissue specificity with respect to the enzyme source.

Modulatory effect of some steroid hormones, their glucuronides and ouabain-like compounds on Cavia cobaya kidney Na+,K(+)-ATPase activity

1. Ouabain-like compounds (approx. mol. wt 700, 2,000 and 4,000 Da) were purified from plasma of essential hypertensive patients. 2. Dose-response experiments performed with (a) steroid hormones, (b) their glucuronides and (c) ouabain-like compounds, emphasize a modulatory effect [activation of the Na,K-ATPase at very low concentrations of ligand, inhibition at higher levels; apparent Ki: (a) between 1 and 0.5 mM; (b) between 1 and 0.5 microM; and (c) between 10 and 1 nM; maximum enhancement of the enzymatic activity: (a) +20%; (b) +45%; and (c) +100%]. 3. Displacement experiments of [3H]ouabain evidence a high competition of the ligands towards the cardioglycoside. The relative I50s are: (a) between 1 and 0.5 mM; (b) between 10 and 1 microM; and (c) between 10 and 0.01 nM.

Failure to deduce a peptide inhibitor of Na,K-ATPase from the gene coding for the catalytic alpha-subunit of Na,K-ATPase

It has been proposed (Bost et al. 1985, Blalock & Bost 1986, Smith et al. 1987) that the DNA strand opposite the one coding, for example, for a hormone or a neurotransmitter codes for its receptor protein. This proposal was tested with regard to the possibility of deducing a peptide inhibitor of Na,K-ATPase from the known gene of the catalytic alpha-subunit of the enzyme. Three such peptides, deduced from presumed extracellular domains of the catalytic alpha-subunit, were tested in vitro and in vivo with regard to their effects on Na,K-ATPase activity. No effect on the enzyme could be demonstrated.

Effect of Na+ pump suppression on reactivity of rat trachealis to cooling

1. This study tests the hypothesis that suppression of Na+ pump would increase the rate of tension development and the magnitude of contraction induced by cooling in airway smooth muscle. 2. Rat tracheal preparations were incubated in ouabain for 8 h and tested hourly for their response. In a representative specimen the rate of tension development increased from the control value of 0.7 mg/s to 5.5 mg/s after 7 h of incubation in ouabain concentration of 4 X 10(-4) mol/L; likewise, the magnitude of contraction increased from the control value of 80 mg to 550 mg. 3. Using ouabain concentrations between 9 X 10(-5) mol/L and 6 X 10(-3) mol/L, the rate of tension development and the magnitude of contraction first increased in a dose-dependent manner up to 8 X 10(-4) mol/L, then declined with higher doses but the responses were still greater than the control values at all concentrations. 4. After 3 h incubation in ouabain at 8 X 10(-4) mol/L, the mean rate of tension development and the mean magnitude of contraction increased to 647% and 578% of the control value, respectively. 5. These results indicate that depression of Na+ pump results in hypersensitivity and hyper-reactivity of the airway smooth muscle to cooling.