Abstract
The mechanism of the inotropic effect of cardiac glycosides on the heart has long been controversial. Inotropic effects at low concentrations of cardiac glycosides indicate more than one class of receptor or more than one cellular mechanism. In the brain of the rat, high- and low-affinity cardiac glycoside receptors have been shown to be associated with two structurally different isoforms of the catalytic subunit of the Na+,K+-ATPase, termed .alpha. and .alpha.(+). Evidence is presented here that the high- and low-affinity sites in rat cardiac ventricle are associated with Na+, K+-ATPase catalytic subunit forms similar to the .alpha.(+) and .alpha. forms in the brain. Membranes from the rat ventricle contained polypeptides with the electrophoretic mobilities of .alpha. and .alpha.(+), which could be stained by isoform-specific anti-Na+, K+-ATPase antibodies on electrophoretic blots. Both polypeptides also displayed Na+-stimulated phosphorylation with [.gamma.-32P]ATP. Inhibition of Na+, K+-ATPase activity by ouabain demonstrated the presence of both high- and low-affinity ATPases proportional to the presence of the .alpha.(+) and .alpha. polypeptides. The ratios of the two isoforms changes with postnatal maturation, paralleling known changes in cardiac physiology and cardiac glycoside sensitivity. Cardiac glycoside sensitivity can evidently be regulated at the level of gene expression by developmental signals.

This publication has 23 references indexed in Scilit: