Nishida H
Hokkaido Igaku Zasshi. 1975 Jan;50(1):34-41.
Experiments were undertaken to substantiate the hypothesis that the mechanism of the direct effect of ouabain on the renal excretion of electrolytes is the result of inhibition of the transport enzyme, (Na+, K+)-ATPase. In dogs hydrated with saline, an injection of 3H-ouabain into the unilateral renal artery produced a continuing marked increase in excretion of water and sodium from the kidney, but not from the counter kidney. At maximal diuresis -- 90 min after ouabain injection, both kidneys were removed to assay microsomal ATPase activity and determine radioactivity distributed in subcellular structures. It was demonstrated that 3H-ouabain was deposited in the microsome fraction obtained from the injected kidney in concentrations ranging from 10(-7) to 10(-6) M/kg wet weight and (Na+, K+)-ATPase activity of this fraction was inhibited as compared with that of the microsomal fraction obtained from the counter kidney. Since (Na+, K+)-ATPase activity of renal microsomes was significantly inhibited in vitro by more than 10(-7) M of ouabain, ouabain concentration in microsomes obtained from the injected kidney was considered to be sufficient to inhibit ATPase activity. These findings indicate that ouabain diuresis under the present condition is closly related to direct inhibitory effect of ouabain on (Na+, K+)-ATPase activity of microsomes in tubular cells.
哇巴因对电解质肾排泄的直接作用机制是其对转运酶(Na⁺,K⁺)-ATP酶的抑制作用。在用盐水补液的犬中,向单侧肾动脉注射³H-哇巴因后,注射侧肾脏的水和钠排泄持续显著增加,而对侧肾脏则无此现象。在最大利尿时(注射哇巴因后90分钟),将双侧肾脏切除以测定微粒体ATP酶活性并确定亚细胞结构中的放射性分布。结果表明,³H-哇巴因以10⁻⁷至10⁻⁶M/kg湿重的浓度沉积在注射侧肾脏获得的微粒体部分中,与对侧肾脏获得的微粒体部分相比,该部分的(Na⁺,K⁺)-ATP酶活性受到抑制。由于肾微粒体的(Na⁺,K⁺)-ATP酶活性在体外被超过10⁻⁷M的哇巴因显著抑制,因此认为从注射侧肾脏获得的微粒体中的哇巴因浓度足以抑制ATP酶活性。这些发现表明,在当前条件下,哇巴因利尿与哇巴因对肾小管细胞微粒体(Na⁺,K⁺)-ATP酶活性的直接抑制作用密切相关。