Na/K Pump and Beyond: Na/K-ATPase as a Modulator of Apoptosis and Autophagy

Molecules. 2017 Apr 21;22(4):578. doi: 10.3390/molecules22040578.

Abstract

Lung cancer is a leading cause of global cancer deaths. Na/K-ATPase has been studied as a target for cancer treatment. Cardiotonic steroids (CS) trigger intracellular signalling upon binding to Na/K-ATPase. Normal lung and tumour cells frequently express different pump isoforms. Thus, Na/K-ATPase is a powerful target for lung cancer treatment. Drugs targeting Na/K-ATPase may induce apoptosis and autophagy in transformed cells. We argue that Na/K-ATPase has a role as a potential target in chemotherapy in lung cancer treatment. We discuss the effects of Na/K-ATPase ligands and molecular pathways inducing deleterious effects on lung cancer cells, especially those leading to apoptosis and autophagy.

Keywords: Na/K-ATPase; apoptosis; autophagy; cardiotonic steroids; non-small cell lung cancer.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Apoptosis / drug effects
  • Autophagy / drug effects
  • Cardiac Glycosides / pharmacology*
  • Cardiac Glycosides / therapeutic use
  • Humans
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / enzymology
  • Molecular Targeted Therapy
  • Sodium-Potassium-Exchanging ATPase / metabolism*

Substances

  • Antineoplastic Agents
  • Cardiac Glycosides
  • Sodium-Potassium-Exchanging ATPase