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Redox-dependent regulation of the Na⁺-K⁺ pump: new twists to an old target for treatment of heart failure.

Identifieur interne : 000720 ( Main/Exploration ); précédent : 000719; suivant : 000721

Redox-dependent regulation of the Na⁺-K⁺ pump: new twists to an old target for treatment of heart failure.

Auteurs : Chia-Chi Liu [Australie] ; Natasha A S. Fry ; Elisha J. Hamilton ; Karin K M. Chia ; Alvaro Garcia ; Keyvan Karimi Galougahi ; Gemma A. Figtree ; Ronald J. Clarke ; Henning Bundgaard ; Helge H. Rasmussen

Source :

RBID : pubmed:23727392

Descripteurs français

English descriptors

Abstract

By the time it was appreciated that the positive inotropic effect of cardiac glycosides is due to inhibition of the membrane Na(+)-K(+) pump, glycosides had been used for treatment of heart failure on an empiric basis for ~200 years. The subsequent documentation of their lack of clinical efficacy and possible harmful effect largely coincided with the discovery that a raised Na(+) concentration in cardiac myocytes plays an important role in the electromechanical phenotype of heart failure syndromes. Consistent with this, efficacious pharmacological treatments for heart failure have been found to stimulate the Na(+)-K(+) pump, effectively the only export route for intracellular Na(+) in the heart failure. A paradigm has emerged that implicates pump inhibition in the raised Na(+) levels in heart failure. It invokes protein kinase-dependent activation of nicotinamide adenine dinucleotide phosphate oxidase (NADPH oxidase) and glutathionylation, a reversible oxidative modification, of the Na(+)-K(+) pump molecular complex that inhibits its activity. Since treatments of proven efficacy reverse the oxidative Na(+)-K(+) pump inhibition, the pump retains its status as a key pharmacological target in heart failure. Its role as a target is well integrated with the paradigms of neurohormonal abnormalities, raised myocardial oxidative stress and energy deficiency implicated in the pathophysiology of the failing heart. We propose that targeting oxidative inhibition of the pump is useful for the exploration of future treatment strategies. This article is part of a Special Issue entitled "Na(+)Regulation in Cardiac Myocytes".

DOI: 10.1016/j.yjmcc.2013.05.013
PubMed: 23727392


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">By the time it was appreciated that the positive inotropic effect of cardiac glycosides is due to inhibition of the membrane Na(+)-K(+) pump, glycosides had been used for treatment of heart failure on an empiric basis for ~200 years. The subsequent documentation of their lack of clinical efficacy and possible harmful effect largely coincided with the discovery that a raised Na(+) concentration in cardiac myocytes plays an important role in the electromechanical phenotype of heart failure syndromes. Consistent with this, efficacious pharmacological treatments for heart failure have been found to stimulate the Na(+)-K(+) pump, effectively the only export route for intracellular Na(+) in the heart failure. A paradigm has emerged that implicates pump inhibition in the raised Na(+) levels in heart failure. It invokes protein kinase-dependent activation of nicotinamide adenine dinucleotide phosphate oxidase (NADPH oxidase) and glutathionylation, a reversible oxidative modification, of the Na(+)-K(+) pump molecular complex that inhibits its activity. Since treatments of proven efficacy reverse the oxidative Na(+)-K(+) pump inhibition, the pump retains its status as a key pharmacological target in heart failure. Its role as a target is well integrated with the paradigms of neurohormonal abnormalities, raised myocardial oxidative stress and energy deficiency implicated in the pathophysiology of the failing heart. We propose that targeting oxidative inhibition of the pump is useful for the exploration of future treatment strategies. This article is part of a Special Issue entitled "Na(+)Regulation in Cardiac Myocytes".</div>
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<AbstractText>By the time it was appreciated that the positive inotropic effect of cardiac glycosides is due to inhibition of the membrane Na(+)-K(+) pump, glycosides had been used for treatment of heart failure on an empiric basis for ~200 years. The subsequent documentation of their lack of clinical efficacy and possible harmful effect largely coincided with the discovery that a raised Na(+) concentration in cardiac myocytes plays an important role in the electromechanical phenotype of heart failure syndromes. Consistent with this, efficacious pharmacological treatments for heart failure have been found to stimulate the Na(+)-K(+) pump, effectively the only export route for intracellular Na(+) in the heart failure. A paradigm has emerged that implicates pump inhibition in the raised Na(+) levels in heart failure. It invokes protein kinase-dependent activation of nicotinamide adenine dinucleotide phosphate oxidase (NADPH oxidase) and glutathionylation, a reversible oxidative modification, of the Na(+)-K(+) pump molecular complex that inhibits its activity. Since treatments of proven efficacy reverse the oxidative Na(+)-K(+) pump inhibition, the pump retains its status as a key pharmacological target in heart failure. Its role as a target is well integrated with the paradigms of neurohormonal abnormalities, raised myocardial oxidative stress and energy deficiency implicated in the pathophysiology of the failing heart. We propose that targeting oxidative inhibition of the pump is useful for the exploration of future treatment strategies. This article is part of a Special Issue entitled "Na(+)Regulation in Cardiac Myocytes".</AbstractText>
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<Keyword MajorTopicYN="N">soluble guanylyl cyclase</Keyword>
</KeywordList>
</MedlineCitation>
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<Year>2013</Year>
<Month>01</Month>
<Day>05</Day>
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<Year>2013</Year>
<Month>05</Month>
<Day>05</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted">
<Year>2013</Year>
<Month>05</Month>
<Day>21</Day>
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<PubMedPubDate PubStatus="entrez">
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<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline">
<Year>2014</Year>
<Month>2</Month>
<Day>14</Day>
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<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">23727392</ArticleId>
<ArticleId IdType="pii">S0022-2828(13)00181-8</ArticleId>
<ArticleId IdType="doi">10.1016/j.yjmcc.2013.05.013</ArticleId>
</ArticleIdList>
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<affiliations>
<list>
<country>
<li>Australie</li>
</country>
<region>
<li>Nouvelle-Galles du Sud</li>
</region>
<settlement>
<li>Sydney</li>
</settlement>
<orgName>
<li>Université de Sydney</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Bundgaard, Henning" sort="Bundgaard, Henning" uniqKey="Bundgaard H" first="Henning" last="Bundgaard">Henning Bundgaard</name>
<name sortKey="Chia, Karin K M" sort="Chia, Karin K M" uniqKey="Chia K" first="Karin K M" last="Chia">Karin K M. Chia</name>
<name sortKey="Clarke, Ronald J" sort="Clarke, Ronald J" uniqKey="Clarke R" first="Ronald J" last="Clarke">Ronald J. Clarke</name>
<name sortKey="Figtree, Gemma A" sort="Figtree, Gemma A" uniqKey="Figtree G" first="Gemma A" last="Figtree">Gemma A. Figtree</name>
<name sortKey="Fry, Natasha A S" sort="Fry, Natasha A S" uniqKey="Fry N" first="Natasha A S" last="Fry">Natasha A S. Fry</name>
<name sortKey="Garcia, Alvaro" sort="Garcia, Alvaro" uniqKey="Garcia A" first="Alvaro" last="Garcia">Alvaro Garcia</name>
<name sortKey="Hamilton, Elisha J" sort="Hamilton, Elisha J" uniqKey="Hamilton E" first="Elisha J" last="Hamilton">Elisha J. Hamilton</name>
<name sortKey="Karimi Galougahi, Keyvan" sort="Karimi Galougahi, Keyvan" uniqKey="Karimi Galougahi K" first="Keyvan" last="Karimi Galougahi">Keyvan Karimi Galougahi</name>
<name sortKey="Rasmussen, Helge H" sort="Rasmussen, Helge H" uniqKey="Rasmussen H" first="Helge H" last="Rasmussen">Helge H. Rasmussen</name>
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<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Liu, Chia Chi" sort="Liu, Chia Chi" uniqKey="Liu C" first="Chia-Chi" last="Liu">Chia-Chi Liu</name>
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</country>
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