2011 Homer Smith Award: To Serve and Protect: Classic and Novel Roles for Na+,K+-Adenosine Triphosphatase

被引:29
作者
Aperia, Anita [1 ]
机构
[1] Astrid Lindgren Childrens Hosp, Karolinska Univ Hosp, Karolinska Inst, Dept Womens & Childrens Hlth, SE-17176 Stockholm, Sweden
来源
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY | 2012年 / 23卷 / 08期
关键词
NA+-K+-ATPASE; NF-KAPPA-B; BLOOD-PRESSURE; NA+; K+-ATPASE ACTIVITY; CARDIOTONIC STEROIDS; KINASE-C; SIGNALING MICRODOMAIN; PHOSPHORYLATION SITE; ENDOGENOUS OUABAIN; CATALYTIC SUBUNIT;
D O I
10.1681/ASN.2012010102
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The ability of cells to maintain sharp ion gradients across their membranes is the foundation for the molecular transport and electrical excitability. Across animal species and cell types, Na+,K+-adenosine triphosphatase (ATPase) is arguably the most powerful contributor to this phenomenon. By producing a steep concentration difference of sodium and potassium between the intracellular and extracellular milieu, Na+,K+-ATPase in the tubules provides the driving force for renal sodium reabsorption. Pump activity is downregulated by natriuretic hormones, such as dopamine, and is upregulated by antinatriuretic hormones, such as angiotensin. In the past decade, studies have revealed a novel and surprising role: that Na+,K+-ATPase is a transducer of signals from extracellular to intracellular compartments. The signaling function of Na+,K+-ATPase is activated by ouabain, a mammalian steroid hormone, at far lower concentrations than those that inhibit pump activity. By promoting growth and inhibiting apoptosis, activation of Na+,K+-ATPase exerts tissue-protective effects. Ouabain-stimulated Na+,K+-ATPase signaling has recently shown clinical promise by protecting the malnourished embryonic kidney from adverse developmental programming. A deeper understanding of the tissue-protective role of Na+,K+-ATPase signaling and the regulation of Na+,K+-ATPase pumping activity is of fundamental importance for the understanding and treatment of kidney diseases and kidney-related hypertension.
引用
收藏
页码:1283 / 1290
页数:8
相关论文
共 82 条
[1]   Nephron Mass and Cardiovascular and Renal Disease Risks [J].
Abitbol, Carolyn L. ;
Ingelfinger, Julie R. .
SEMINARS IN NEPHROLOGY, 2009, 29 (04) :445-454
[2]   Ouabain, a steroid hormone that signals with slow calcium oscillations [J].
Aizman, O ;
Uhlén, P ;
Lal, M ;
Brismar, H ;
Aperia, A .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2001, 98 (23) :13420-13424
[3]   Anatomical and physiological evidence for D1 and D2 dopamine receptor colocalization in neostriatal neurons [J].
Aizman, O ;
Brismar, H ;
Uhlén, P ;
Zettergren, E ;
Levey, AI ;
Forssberg, H ;
Greengard, P ;
Aperia, A .
NATURE NEUROSCIENCE, 2000, 3 (03) :226-230
[4]   New roles for an old enzyme: Na,K-ATPase emerges as an interesting drug target [J].
Aperia, A. .
JOURNAL OF INTERNAL MEDICINE, 2007, 261 (01) :44-52
[5]   PHOSPHORYLATED MR 32,000 DOPAMINE- AND CAMP-REGULATED PHOSPHOPROTEIN INHIBITS NA+,K+-ATPASE ACTIVITY IN RENAL TUBULE CELLS [J].
APERIA, A ;
FRYCKSTEDT, J ;
SVENSSON, L ;
HEMMINGS, HC ;
NAIRN, AC ;
GREENGARD, P .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1991, 88 (07) :2798-2801
[6]   CORRELATION BETWEEN FLUID REABSORPTION AND PROXIMAL TUBULE ULTRASTRUCTURE DURING DEVELOPMENT OF THE RAT-KIDNEY [J].
APERIA, A ;
LARSSON, L .
ACTA PHYSIOLOGICA SCANDINAVICA, 1979, 105 (01) :11-22
[7]   HORMONAL INDUCTION OF NA-K-ATPASE IN DEVELOPING PROXIMAL TUBULAR CELLS [J].
APERIA, A ;
LARSSON, L ;
ZETTERSTROM, R .
AMERICAN JOURNAL OF PHYSIOLOGY, 1981, 241 (04) :F356-F360
[8]  
APERIA A, 1983, ACTA PAEDIATR SCAND, P61
[9]   ACTIVATION/DEACTIVATION OF RENAL NA+,K+-ATPASE - A FINAL COMMON PATHWAY FOR REGULATION OF NATRIURESIS [J].
APERIA, A ;
HOLTBACK, U ;
SYREN, ML ;
SVENSSON, LB ;
FRYCKSTEDT, J ;
GREENGARD, P .
FASEB JOURNAL, 1994, 8 (06) :436-439
[10]   CALCINEURIN MEDIATES ALPHA-ADRENERGIC STIMULATION OF NA+,K+-ATPASE ACTIVITY IN RENAL TUBULE CELLS [J].
APERIA, A ;
IBARRA, F ;
SVENSSON, LB ;
KLEE, C ;
GREENGARD, P .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1992, 89 (16) :7394-7397