Mechanisms of ouabain toxicity

FASEB J. 2003 Sep;17(12):1700-2. doi: 10.1096/fj.02-0937fje. Epub 2003 Jul 18.

Abstract

The suggested involvement of ouabain in hypertension raised the need for a better understanding of its cellular action, but the mechanisms of ouabain toxicity are only now being uncovered. In the present study, we show that reduced glutathione (GSH) protected ouabain-sensitive (OS) cells from ouabain-induced toxicity and that the inhibition of GSH synthesis by D, L-buthionine-(S,R)-sulfoximine (BSO) sensitized ouabain-resistant (OR) cells. We could not observe formation of *OH or H2O2, but there was an increase in O2*-only in OS cells. Unexpectedly, an increased number of OR cells depolarized after treatment with ouabain, and BSO blocked this depolarization. Moreover, GSH increased ouabain-induced depolarization in OS cells. A sustained increase in tyrosine phosphorylation (P-Tyr) and Ras expression was observed after treatment of OS cells, and GSH prevented it. Conversely, BSO induced P-Tyr and Ras expression in ouabain-treated OR cells. The results obtained have three major implications: There is no direct correlation between membrane depolarization and ouabain-induced cell death; ouabain toxicity is not directly related to its classical action as a Na+, K+-ATPase inhibitor but seems to be associated to signal transduction, and GSH plays a major role in preventing ouabain-induced cell death.

MeSH terms

  • Animals
  • Cell Death
  • Cell Line
  • Cell Membrane / drug effects
  • Cell Membrane / physiology
  • Glutathione / physiology
  • Membrane Potentials / drug effects
  • Models, Biological
  • Ouabain / toxicity*
  • Phosphorylation
  • Proto-Oncogene Proteins p21(ras) / metabolism
  • Superoxides / metabolism
  • Tyrosine / metabolism

Substances

  • Superoxides
  • Tyrosine
  • Ouabain
  • Proto-Oncogene Proteins p21(ras)
  • Glutathione