Festoff B W, Appel S H
J Clin Invest. 1968 Dec;47(12):2752-8. doi: 10.1172/JCI105956.
Previous studies have demonstrated that electrically induced seizures in rat result in an increased brain intracellular sodium which can be decreased by treatment with sodium diphenylhydantoin (DPH). The correlation of cation transport with membrane-oriented sodium-potassium-adenosine triphosphatase (Na-K-ATPase) prompted an investigation of the effect of DPH upon ATPase enzyme activity.Rat cerebral cortical synaptosomes isolated in Ficoll gradients were employed as the source for Na-K-ATPase. With 50 mM Na, 10 mM K, 7.5 mM Mg, and 1.8 mM ATP, the specific activity of the preparation was 70 mumoles P(i) released/mg synaptosomal protein per 30 min. The ionic and substrate concentrations yielding one-half maximal velocity were 0.5 mM K, 5 mM Na, and 8.5 x 10(-5) M ATP, respectively. At 50 mM Na and 0.2 mM K, DPH produced an average of 92% stimulation of P(i) release above control. The ratio of Na:K rather than the absolute levels of the ions was critical in determining the effect of DPH. DPH produced significant stimulation of enzyme activity under conditions of a high Na:K ratio (25-50:1). At ratios of 5-10:1, DPH produced little or no effect, and at low Na:K ratios (less than 5:1), DPH was inhibitory. Under all ionic conditions examined, DPH produced no apparent change in enzyme affinity for ATP. Assuming the proposed association of Na-K-ATPase with cation transport in brain, the data suggest the possibility that DPH may control seizures by its stimulation of Na-K-ATPase activity.
先前的研究表明,电诱导大鼠癫痫发作会导致脑内细胞内钠含量增加,而苯妥英钠(DPH)治疗可降低该含量。阳离子转运与膜定向钠钾 - 三磷酸腺苷酶(Na - K - ATPase)的相关性促使人们研究DPH对ATP酶活性的影响。用Ficoll梯度分离的大鼠大脑皮质突触体作为Na - K - ATPase的来源。在含有50 mM钠、10 mM钾、7.5 mM镁和1.8 mM ATP的条件下,该制剂的比活性为每30分钟每毫克突触体蛋白释放70微摩尔无机磷(P(i))。产生最大速度一半时的离子和底物浓度分别为0.5 mM钾、5 mM钠和8.5×10⁻⁵ M ATP。在50 mM钠和0.2 mM钾的条件下,DPH使P(i)释放量平均比对照增加92%。决定DPH作用的关键是钠钾比而非离子的绝对水平。在高钠钾比(25 - 50:1)条件下,DPH能显著刺激酶活性。在5 - 10:1的比例下,DPH几乎没有作用或没有作用,而在低钠钾比(小于5:1)时,DPH具有抑制作用。在所有检测的离子条件下,DPH对酶与ATP的亲和力没有明显影响。假设Na - K - ATPase与大脑中的阳离子转运存在所提出的关联,这些数据表明DPH可能通过刺激Na - K - ATPase活性来控制癫痫发作。