Structure, Function and Pharmacology of the Na+/K+ ATPase pump Flashcards

- Describe what is the pump-leak hhypothesis - Recall evidence that the Na pump is an ATPase - Describe what energises the pump - Describe the nature of the cation transport system - Describe the pump reaction mechanism - Define the five operational modes of the pump - Recall the molecular structure of the Na pump, tissue distribution of pump isoforms and pharmacological interactions with the alpha1 subunit

1
Q

What is the Na-K ATPase pump

A
  • member of the P-type ATPases
  • pumps Na into the cell and K out of the cell
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2
Q

What does an electrochemical gradient do

A

critical for maintaining osmotic balance and a stable membrane potential, and the excitable properties of muscle/nerve cells

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3
Q

What does the Na+ gradient do

A

provides the energy that fuels Na-coupled transporters mediating the translocation of ions and substrates across the plasma membrane

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4
Q

Role of Na-K-ATPase pump in the kidney

A
  • drives the reabsorption of Na+ and water
  • essential in maintenance of body fluid and electrolyte homeostasis
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5
Q

How can cation gradients be abolished

A
  • cell death
  • withholding glucose
  • use of specific inhibitors
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6
Q

What is the pump-leak hypothesis

A
  • active extrusion of Na and uptake of K ions is balanced by a passive leak of these ions in opposing directions
  • transmembrane potential exists -> Na takes place against chemical and potential gradients
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7
Q

Proof that the movement of Na and K across the membrane requires metabolic energy

A

cation transport is still active in red blood cells without oxidative metabolism -> suggests ATP rather than glycolysis/Kerb cycle events energise pump

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8
Q

How does the Na/K-ATPase pump work

A
  • can be stopped at any time and is reversible
    STEP 1: affinity of sodium for three binding sites
    STEP 2: phosphorylation occurs
    STEP 3: conformational change alters protein shape and diminishes affinity of sodium for binding site
    STEP 4: potassium binding sites exposed -> high affinity for potassium
    STEP 5: hydrolysis, detachment of phosphate group from residue
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9
Q

What is the transition step

A

transport step -> ratio of Na release and K binding corresponds to the ratio of 3 Na ions expelled for 2 K ions taken up

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10
Q

What does the Na pump do

A
  • helps maintain normal trans-membrane electrochemical gradients of membrane permeability properties
  • maintains stable membrane potential
  • energy in gradient used to drive secondary active transport systems for sugars and amino acids
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11
Q

What does the catalytic subunit do

A
  • possesses binding sites for Na, K, ATP and Mg and cardiac glycosides
  • intrinsic ATPase activity
  • 4 isoforms
  • molecular szie ~ 112kDa
  • developmentally regulated and expressed in tissue-specific manner
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12
Q

What does the regulatory subunit do

A
  • three isoforms
  • heavily glycosylated (28% w/w)
  • crucially required for full enzyme activity, but also for enzyme assembly, intraacellular transport, and stability of alpha subunit
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13
Q

What is the small auxillary protein

A
  • belongs to the FXYD protein family - named after invariant motif
  • single-spanning membrane peptide
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14
Q

Evidence for multiple isoforms of the Na,K-ATPase

A
  • different curve in brain and kidney, as sensitivity to cardiac glycoside are different when comparing tissues
  • tissue specific antibodies against purified enzyme
  • biphasic curve indicates drug binding to receptor
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15
Q

Expression on alpha 1 subunit

A

ubiquitous expression -> contains binding site for drugs such as digoxin

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16
Q

Expression on alpha 2 subunit

A

excitable tissues / insulin responsive tissues

17
Q

Expression on alpha 3 subunit

A

excitable tissues

18
Q

Expression on alpha 4 subunit

A

only expressed spermatozoa

19
Q

Use of Digoxin clinically

A
  • treat cardiac arrythmias
  • narrow therapeautic window
  • inhibitor of Na/K-ATPase pump
  • binds to alpha subunit
  • increase in intracellular Na
  • reduced action of Na/Ca exchanger
  • increased intracellular Ca in SR
  • Ca release during cardiac AP, increasing force of contraction
20
Q

Mechanism of action of Potassium-sparing diuretics

A
  • block Na reabsorption via ENaC leading to Na excretion
  • reduced Na reabsoprtion leads to reduced K excretion
21
Q

What does the alpha subunit of Na-K pump do

A

ATP binds to alpha subunits and causes conformational change, allowing for closure so that the opening of cavity faces extracellular compartment

22
Q

What is the role of the beta subunit of the Na-K pump

A

generally glycosylated