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Endocrinology Vol. 141, No. 9 3200-3209
Copyright © 2000 by The Endocrine Society


ARTICLES

Secretion of a Lactone-Hydrogenated Ouabain-Like Effector of Sodium, Potassium-Adenosine Triphosphatase Activity by Adrenal Cells1

Hassan M. A. M. Qazzaz, M. Adnan El-Masri and Roland Valdes, Jr.

Departments of Pathology and Laboratory Medicine (H.M.A.M.Q., M.A.E.-M., R.V.) and Biochemistry and Molecular Biology (R.V.), University of Louisville School of Medicine, Louisville, Kentucky 40292

Address all correspondence and requests for reprints to: Dr. Roland Valdes, Jr., Department of Pathology and Laboratory Medicine, University of Louisville, Louisville, Kentucky 40292. E-mail: rvaldes{at}louisville.edu


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Ouabain-like factor (OLF), a mammalian cardenolide, is a counterpart to plant-derived ouabain and is found in the adrenal, hypothalamus, and blood of several mammalian species. We now report the existence of a mammalian lactone-hydrogenated ouabain-like factor (dihydro-OLF) in secretions from cultured mouse adrenal Y-1 cells. Dihydro-OLF structurally and functionally mimics plant-derived dihydroouabain. We measured both OLF and the newly discovered dihydro-OLF using five independent techniques: immunoreactivity with two specific antisera, one against ouabain and one against dihydroouabain; chromatographic mobility; spectral absorbance characteristics; and concentration-dependent inhibition and phosphor-ylation of Na,K-adenosine triphosphatase. All measured physical attributes of dihydro-OLF mimic those of plant-derived dihydroouabain, including a spectral shift maxima, 220 nm (OLF) to 196 nm (dihydro-OLF), with appropriately decreased molar absorptivity. Dihydro-OLF (IC50 = 590 nM) is a 10-fold less potent Na+,K+-adenosine triphosphatase inhibitor than its oxidized mammalian counterpart OLF (IC50 = 60 nM), just as dihydroouabain is less potent than ouabain. Dihydro-OLF is also 3-fold more potent than a recently identified isomer of plant-derived dihydroouabain (IC50 = 1700 nM). Using antiouabain and antidihydroouabain antisera we estimate that 3 x 107 mouse adrenal Y-1 cells secreted 1.3 ng OLF and 8.9 ng dihydro-OLF. The relative abundance of dihydro-OLF is consistently greater than that of its oxidized form, OLF, in bovine adrenals (22-fold), human serum (13-fold), and secretions from cultured mouse Y-1 cells (5-fold). The discoveries of OLF, OLF-genin, and now dihydro-OLF constitute an intriguing structural polymorphism probably involved in the synthesis, regulation, and metabolic control of these new hormone-like compounds.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
RECENTLY, EXTENSIVE efforts have focused on the search for mammalian-derived molecules that inhibit or otherwise regulate Na+,K+-adenosine triphosphatase (Na+,K+-ATPase; NKA) catalytic activity in a manner analogous to that of the plant-derived cardenolides (1, 2, 3) and bufadienolides (4, 5, 6). The cardenolides bind specifically to highly conserved epitopes on the {alpha}-subunit of NKA, stabilizing the phosphorylated intermediate, thus leading to the inhibition of NKA activity and transport of sodium and potassium across cell membranes (7, 8). Control of sodium pump activity is believed to be an underlying mechanism in the pathophysiology of several diseases, including cardiovascular, neurological, renal, hepatic, psychiatric, and metabolic disorders (for reviews, see Refs. 9, 10, 11). A class of compounds known as mammalian cardenolides is now believed to constitute part of an hormonal axis-regulating activity of the sodium pump. Concentrations of these factors in blood have been reported to be increased in physiological and clinical conditions associated with altered sodium pump activity (see reviews in Refs. 12, 13, 14). Most findings to date suggest that two genre of mammalian-derived compounds, digitalis-like factors (DLF or DLIF) and ouabain-like factors (OLF or HIF), exist with properties similar to those of the plant-derived cardenolides, digoxin and ouabain.

There is considerable evidence to indicate that these mammalian-derived molecules are produced by endocrine-secreting tissues such as adrenals and hypothalamus (15, 16, 17) including recent reports indicating the presence of OLF in secretions from cultured bovine adrenocortical cells (18, 19, 20). Of significance is the recent discovery of several congeners of mammalian DLIF, including a series of deglycosylated species, DLIF-genin, -bis, and -mono components (21) as well as a dihydrodigoxin-like form, dihydro-DLIF (22). Of particular interest are recent data indicating a cytochrome p450-mediated metabolic conversion in vitro of a less active dihydro species (dihydrodigoxin) to a more biologically active species with digoxin-like immunoreactive properties (22). Although we recently reported the presence of a deglycosylated congener of OLF (OLF-genin) in humans (23), no reports have yet demonstrated the presence of a dihydro counterpart to OLF in vivo.

Dihydroouabain is a chemically reduced form of ouabain (Fig. 1Go) that is used extensively to study the biological activity of ouabain and its interaction with the sodium pump. The reduced forms of both digoxin and ouabain show relatively lower potencies than the oxidized counterparts for inhibition of sodium pump activity. However, dihydroouabain has biophysical properties (e.g. rapid washout from tissue), making the dihydro species very attractive for potential fine regulation of sodium pump activity if natural counterparts existed.



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Figure 1. Structures of ouabain and dihydroouabain. The cardiac glycoside ouabain contains one sugar molecule of rhamnose attached at the C3 position of the steroid. The aglycone consists of a steroid with the reduced lactone ring attached at the C17 position. The only difference between ouabain and its derivative dihydro species is the hydrogenated lactone ring. Hydrogenation of ouabain using the catalysts palladium-carbon (50 C) or platinum-oxide (room temperature) produces an asymmetrical center at C20 resulting in two isomers (20{alpha} and 20ß) (28 ). The figure is modeled from previously reported data on the conversion of digitoxigenin to dihydrodigitoxigenin (47 ).

 
In this study we report the presence of a unique naturally-occurring molecular form of OLF with a saturated (i.e. hydrogenated) lactone ring (i.e. dihydro-OLF) in bovine adrenals, human serum, and secretions from cultured mouse adrenal Y-1 cells. Dihydro-OLF was consistently found at higher concentration in physiological tissues than was OLF (adrenals, 23-fold; human serum, 13-fold; Y-1 cells, 5-fold). The discovery of structural polymorphism of these compounds now sets the stage for understanding the synthesis, regulation, and metabolism of the mammalian OLFs.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Chemicals and reagents
All chemicals used were reagent grade. 5-Sulfosalicylic acid, calcium carbonate (CaCO3), ouabain, ouabagenin, dihydroouabain, porcine cerebral cortex Na+,K+-ATPase (PCC); reagents for catalytic inhibition of the sodium pump (ATP, ammonium molybdate, Tween-80, and BSA); and reagents for gel electrophoresis (acrylamide, bis-acrylamide, TEMED (N,N,N',N'-tetramethyl-ethylene diamine), TRIZMA base, SDS, glycine, ß-mercaptoethanol, and bromophenol dye) were obtained from Sigma (St. Louis, MO). Ammonium persulfate was purchased from Amresco (Solon, OH). Prestained protein markers were purchased from Bio-Rad Laboratories, Inc. (Richmond, CA). Phosphorus-32P (32Pi; 1 mCi in 100 µl) was purchased from NEN Life Science Products (Boston, MA). Acetonitrile, chromatographic grade, was obtained from Aldrich Chemical Co. (Milwaukee, WI). 3,3',5,5'-tetramethylbenzidine (TMB)-soluble reagent and TMB stop buffer were purchased from SKYTEK Laboratories (Logan, UT).

Equipment and materials
We used a Polytron PT 3000 (Brinkmann Instruments, Inc., Westbury, NY) for homogenizing adrenocortical tissues. Solid phase C18 cartridges (Sep-Pak) were obtained from Waters Corp. (Milford, MA) so as the C18 reverse phase µBondapak columns (3.9 x 300 mm, 10-µm particle size) connected to a Waters 600E system controller and a Waters 966 photodiode array detector. Fractions collected with a Waters fraction collector from Millipore Corp. (Milford, MA) were evaporated with a Jouan Centrifugal Vacuum Concentrator RC 10.22 connected to a Jouan Refrigerated Trap RCT 60 (Winchester, VA). Y-1 murine adrenocortical tumor cells were a gift from Dr. Bernard Schimmer, University of Toronto (Toronto, Canada). These cells were maintained and passaged in the laboratory of Dr. Barbara Clark (University of Louisville, Louisville, KY).

For Western blots, we used monoclonal mouse antirabbit NKA isoform-specific antibodies purchased from Upstate Biotechnology, Inc. (Lake Placid, NY). Goat antimouse horseradish peroxidase-conjugate antibody was purchased from Bio-Rad Laboratories, Inc. (Hercules, CA), and used as the second antibody in the detection of the sodium pump isoforms by Western analysis.

Gel electrophoresis was performed on both a minigel and a vertical slab gel electrophoresis units (models SE245, SE260, and SE400) from Hoefer Scientific (San Francisco, CA). Acid gels were dried on a Slab Gel Dryer (SDG 4050) connected to a Savant gel pump (GP100; Farmingdale, NY). Densitometry measurements of the 32Pi-radiolabeled bands were performed on a laser densitometer (Molecular Dynamics, Inc., Sunnyvale, CA). For cross-reactivity studies an ouabain EIA reagent kit was purchased from NEN Life Science Products.

Purification of OLF and dihydro-OLF
The major steps of the OLF and dihydro-OLF purification procedure from adrenal cortex and human serum are essentially similar to those described previously (23).

Tissue preparation
Bovine adrenal glands were obtained from Pel-Freeze Biologicals (Rogers, AR) or were provided by a local abattoir. The cortexes were separated from medulla, sliced, chopped, homogenized, and centrifuged three times at 34,000 x g for 30 min at 4 C. The proteins were precipitated by incubating the supernatants with 1% 5-sulfosalicylic acid at room temperature for 60 sec with continuous stirring, followed immediately by adding an excess of CaCO3 until a pH of 5.2 was reached. This extract was then centrifuged at 80,000 x g for 10 min at 4 C, followed by vacuum filtration using two layers of Whatman no. 1 filter paper. Initial purification was performed by C18 reverse phase, solid phase Sep-Pak extraction cartridges (Vac 10 cc). The cartridges were primed with 1 vol CH3CN followed by rinsing with 2 vol deionized H2O. The supernatant was passed through the cartridge twice at a rate of 1 ml/min. The cartridge was then washed twice with 2–4 vol H2O (typically 20–30 ml) before the compounds of interest were eluted with 20 ml 10% CH3CN. To remove the CH3CN, the eluates were evaporated to dryness in a vacuum desiccator, reconstituted in H2O, and filtered through a 0.22-µm pore size filter from Whatman for removal of particulates.

The Y-1 cells were grown in DMEM supplemented with 10% FBS (heat inactivated) plus antibiotics. Four tissue culture flasks (75 mm) of Y-1 cells at 2.5 x 106 cells/flask were seeded and grown to 50–70% confluent density (at 37 C, 5% CO2, ~48–56 h). The cells were then washed twice with PBS, followed by adding fresh DMEM/Ham’s F-12 medium without FBS to the cells, and the incubation was continued for additional 48 h. It was estimated that Y-1 cells double in number in approximately 30 h. At the end of the incubation, approximately 3 x 107 cells were centrifuged, and the medium was collected and stored frozen at -80 C before analysis. Before further use, the medium was extracted similarly to that of the bovine adrenal homogenate using primed C18 reverse phase, solid phase Sep-Pak extraction cartridges. Further chromatographic separation is described below.

Reverse phase HPLC
The HPLC separation was accomplished in two steps. In the first step, the reconstituted eluates were fractionated using a linear gradient of 20–80%CH3CN in H2O, and 1 ml fraction/min was collected over 40 min, evaporated, and reconstituted. In the second chromatographic step, fractions of interest eluting at 6 min (from the linear gradient) were further chromatographed using an isocratic mode of 10% mobile phase CH3CN in H2O for 40 min to separate OLF, OLF-genin, and dihydro-OLF from each other. The purified fractions (eluting, respectively, at 20, 24.5, 27.5, and 30 min) were analyzed and measured by EIA for both ouabain and dihydroouabain activities, and the absorbances at 220 and 196 nm were also monitored.

Purification of human serum OLF and dihydro-OLF
Digoxin-free fresh-frozen human plasma obtained from the American Red Cross (Louisville, KY) was treated as previously described (23).

Molar absorptivity and concentration of OLF and dihydro-OLF
UV spectral properties, molar absorptivity, and concentrations of these endogenous factors were calculated according to the method of Qazzaz et al. (21). At their individual maximum absorbance wavelengths, we assumed the molar absorptivities of OLF and dihydro-OLF to be the same as those of ouabain and dihydroouabain (Dho-B), respectively. Using the percent cross-reactivities of OLF and dihydro-OLF obtained by EIA of ouabain or dihydroouabain, the apparent molar immunoreactive concentrations of both molecules were determined. From these data the percent cross-reactivities of OLF and congeners with their respective antibodies were obtained.

Immunoreactive OLF and dihydro-OLF measurements
OLF was measured using ouabain EIA. This assay uses ouabain covalently bound to the microtiter plate to compete with unbound samples or standards for binding to a constant amount of antiouabain antibody (24). Dihydroouabain-like immunoreactivity was measured by EIA using a polyclonal dihydroouabain-specific antibody prepared according to our specifications by HTI Bio-Product, Inc. (Ramona, CA). Dihydroouabain was conjugated to keyhole limpet hemocyanin through the rhamnose sugar ring, and the resulting conjugate was injected into rabbits. The EIA was based on the competitive binding of bound with free (unbound) dihydroouabain or sample to a constant amount of antibody. Bound dihydroouabain-antibody complex was detected using a secondary antibody enzyme conjugate (goat antirabbit horseradish peroxidase conjugate). The breakdown of TMB substrate by the conjugated enzyme resulted in a color change with an intensity inversely proportional to the amount of dihydroouabain or dihydro-like factor in the well. Color development was allowed for 30 min, after which the reaction was stopped with TMB Stop buffer, and the plate was then read at 450 nm. Our immunoasssays have a lower limit of quantitation of 250 pg/ml for OLF and 1000 pg/ml for dihydro-OLF.

Sodium pump catalytic activity inhibition assay
This assay was used to measure the effect of OLF and its congeners on phosphate release in hydrolysis of ATP (25). The inhibition assay was performed briefly by pipetting 20 µl sample containing the desired concentration of glycoside (Tris buffer was used for no inhibitor control) into a well of a microtiter plate placed in a 37 C water bath for 10 min. As a source of {alpha}-subunit (containing three {alpha}-isoforms) of NKA (12), 20 µl of the porcine cerebral cortical NKA solution diluted in Tris buffer, pH 7.8 (1 mg/ml), were added, and a further 20-min incubation was performed. Twenty microliters of ATP solution (10 mM in Tris buffer, pH 7.8) were added and allowed to react for 15 additional min. After the incubation period, we added 150 µl molybdate solution (per liter: 1.0 mmol molybdate, 11 mmol sulfuric acid, and 142 ml Tween-80/methanol solution; 12:88, vol/vol). After 30 min of incubation, color development was allowed to proceed for a maximum of 30 min, after which the color intensity was measured at 340 nm. The color intensity is proportional to the release of phosphate ions, which is a direct indicator of ATP breakdown and therefore NKA activity. Duplicate samples were corrected for background (assay buffer only), averaged, and normalized to ouabain-sensitive NKA activity (100% inhibition at 1 mM ouabain). The percentage of NKA activity inhibition of each compound represents the proportion of ouabain activity that is inhibitable by that compound. The statistical analysis including a best-fit by logit regression curves to determine the concentration of inhibitor required for 50% inhibition (IC50) was performed on SPSS for Windows, advanced statistical program version 7.5 (SPSS, Inc., Chicago, IL).

Ouabain-stimulated 32Pi phosphorylation of NKA
Ouabain-stimulated phosphorylation of NKA by Pi was performed as previously described (26). Acidic pH gel electrophoresis was used to resolve the radioactively labeled protein species. A positive control was preincubated with 20 µl of a 1 mM ouabain solution, and a negative control was preincubated with 20 µl buffer alone. Ten microliters of 32Pi (1 mCi in 100 µl) were diluted with 250 µl phosphoric acid and purified through a 0.2-µm pore size filter to remove polyphosphates. At the end of the incubation, 20 µl of the 32Pi filtrate (8 µCi) were added to the mixture and allowed to incubate at room temperature for an additional 15 min. The reaction was terminated by 8% HClO4, and the sample was then immediately pelleted and resuspended in sample buffer containing (final concentration) 0.5% (by volume) HClO4, 2.5% (by weight) SDS, 10% (by volume) glycerol, and 0.1% (by weight) pyronin Y, a bacterial ferric chloride complex stain. Samples were loaded onto a 12.5% acid polyacrylamide gel and run at 4 C for 4–5 h at a constant current of 30 mA. The gels were fixed in 40% methanol-10% acetic acid, dried, autoradiographed, and quantitated using a soft laser scanning densitometer.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Isolation of dihydro-OLF
In a previous report, we demonstrated a technique for isolating several deglycosylated congeners of both DLIF and OLF in one chromatographic elution (23). Using that procedure, we found that OLF immunoreactivity migrated early in the elution profile (fraction at 6 min). In this study, we further characterized the OLF fraction using an isocratic chromatographic mode of 10% CH3CN in H2O over 40 min. Figure 2AGo shows that this condition separates four well resolved chromatographic peaks corresponding to ouabain (at 30 min), ouabagenin (at 20 min) and two newly reported isomers of dihydroouabain (Dho-A and Dho-B), which elute at 24.5 and 27.5 min, respectively (27). Of significance is that the mammalian adrenocortical OLF (ouabain immunoreactivity), which eluted at 6 min in the linear gradient, when rechromatographed using 10% CH3CN HPLC conditions further separates into three main congeners (see Fig. 2BGo): one previously identified as OLF, one as OLF-genin (20), and a new species we now call dihydro-OLF, with properties almost identical to one (Dho-B) of the two recently identified isomers of plant dihydroouabain (see Fig. 2AGo) (28). This new dihydro-OLF species was also evident in human serum (Fig. 2CGo). Interestingly, cultured mouse adrenal Y-1 cells (Fig. 3Go) also produced these HPLC fractions, indicating active in vivo synthesis of these compounds (OLF and dihydro-OLF) in these cells. The cell pellet was examined for the presence of digoxin and/or ouabain immunoreactivity. Data showed clearly that Y-1 cells at 70% confluence secreted most (~90%) of their mammalian cardenolides and steroids into the medium. Therefore, the medium only was collected for further use. As control, neither the fresh medium (without incubating with Y-1 cells) nor the medium taken after 10 min of incubation with the 70% confluent Y-1 cells showed detectable immunoreactivity to ouabain or dihydroouabain. Note that the elution profiles are monitored by immunoreactivity using antibodies to both ouabain and dihydroouabain and also by absorbance at 220 and 196 nm for OLF and dihydro-OLF, respectively.



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Figure 2. Chromatographic separation of dihydro-OLF and derivatives. A, Separation of ouabain (23.2 µM), ouabagenin (15.9 µM), and dihydroouabain (9.5 µM) by reverse phase C18 HPLC (isocratic elution, 10% CH3CN in water). Absorbance measured at 220 nm (ouabain and ouabagenin) and at 196 nm (two dihydroouabain isomers) shows separation of the three species, including a 2-min baseline resolution of the two dihydroouabain isomers (Dho-A and Dho-B) reported previously (28 ). Assuming comparable molar absorptivities for the two isomers of dihydroouabain, Dho-A is 38% (3.5 µM) and Dho-B is 62% (6 µM) of the total amount injected onto column (9.5 µM). B, Chromatographic resolution of OLF, OLF-genin, and the newly discovered species, dihydro-OLF. A total of 1200 g adrenal cortex were treated as described previously (23 ), and the data shown here are for 50 g adrenal cortex. The chromatographic separation was performed in two steps: first, the linear gradient of 20–80% CH3CN in H2O over 40 min, then eluates of fractions 6 min from the linear gradient rechromatographed on an isocratic 10% CH3CN. The concentrations of OLF and OLF-genin measured by ouabain EIA were 0.085 and 0.015 µg/liter ouabain equivalent, respectively. The dihydro-OLF concentration measured by dihydroouabain EIA was 0.635 µg/liter dihydroouabain equivalent. Thin line, Absorbance; thick line, immunoreactivity. C, Chromatographic separation of dihydro-OLF isolated from human serum. The separation strategy was as described above. Four hundred milliliters of extract were processed, and data shown are for 50 ml. Human serum OLF and OLF-genin concentrations measured using ouabain EIA were 0.02 and 0.027 µg/liter ouabain equivalent, respectively. The dihydro-OLF concentration measured using dihydroouabain-EIA was 0.045 µg/liter dihydroouabain equivalent. Note that the dihydro immunoreactivity measured at fraction 24 is slightly above the detectable limit of the assay. Note that the absorbance peak monitored at 196 nm and the dihydro-OLF bar representing nanograms of Dho equivalents shown in B and C are shifted for illustration purpose only; the two coelute at 27.5 min.

 


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Figure 3. Secretion of dihydro-OLF and OLF by mouse adrenal cultured cells. HPLC separation of dihydro-OLF and OLF measured using their respective antibodies and expressed as nanograms equivalent per number of cells. The culture medium was extracted and measured for the presence of these factors after 70% confluent cells were transferred to fresh serum-free medium and incubated for 48 h. Both factors had no detectable concentrations from confluent cells incubated for 10 min in serum-free medium. We determined that 3 x 107 mouse adrenal Y-1 cells secreted 1.3 ng OLF and 8.9 ng dihydro-OLF. The dihydro immunoreactivity measured at fraction 24 is slightly above the detectable limit of the assay.

 
Spectral analysis and molar concentrations of dihydro-OLF and OLF
The UV spectra of dihydro-OLF and OLF are remarkably similar to those of dihydroouabain ({lambda}max at 196 nm) and ouabain ({lambda}max at 220 nm; Fig. 4Go, A and B). The 196 nm peak absorbance observed for dihydro-OLF is consistent with the presence of a chemically-reduced lactone ring (Fig. 1Go), including the far UV shift and lower absorptivity compared with the oxidized form. Both properties are characteristic of the hydrogenated lactone ring. To estimate the molar concentrations of the two species, OLF and dihydro-OLF, we assumed identical molar absorptivities between OLF and dihydro-OLF and those of the plant-related ouabain and dihydroouabain (Dho-B), respectively. We also assumed similar extraction efficiencies of dihydro-OLF and OLF. Table 1Go shows the amounts and relative concentrations of dihydro-OLF and OLF in bovine adrenal cortical tissue and in human serum.



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Figure 4. Absorbance spectra of endogenous dihydro-OLF and OLF. A, Standards of 10 µM ouabain (6 mg/liter) and 3.5 µM dihydroouabain (2.1 mg/liter) each show UV spectra characteristic maxima at 220 and 196 nm, respectively. Note that dihydroouabain has lower molar absorptivity than ouabain (scales are different). B, The UV absorbance spectra of OLF and dihydro-OLF are similar to those of their counterparts ouabain and dihydroouabain. This includes a lower molar absorptivity observed for dihydro-OLF compared with OLF. Note the characteristic UV shift for {lambda}max associated with chemical reduction of the lactone. Assuming comparable molar absorptivity between ouabain and OLF and between dihydroouabain and dihydro-OLF the concentrations are 2.9 mg/liter ouabain equivalent (4.8 µM o.e.) for OLF and 0.5 mg/liter Dho equivalent (0.85 µM Dho.e.) for dihydro-OLF.

 

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Table 1. OLF and dihydro-OLF in bovine adrenal cortex and human plasma

 
Immunoreactivity of dihydro-OLF and OLF
We used two specific antisera, one raised against ouabain and one against dihydroouabain, to characterize OLF and dihydro-OLF. Both of these antisera are sensitive to structural changes for epitopes formed by the lactone ring of these molecules. Ouabain antibodies showed 2–3% cross-reactivity with dihydroouabain, whereas dihydroouabain antibodies showed 0.1% cross-reactivity with ouabain (29). OLF and dihydro-OLF showed a unity response in reactivity with ouabain and dihydroouabain antibodies, respectively. To compare immunoreactive potencies (Fig. 5Go), we used the molar absorptivities to determine the concentrations needed to achieve a 50% response in the assays.



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Figure 5. Immunoassay response of mammalian dihydro-OLF and OLF compared with plant ouabain and dihydroouabain. A, Displacement of bound ouabain from polyclonal ouabain-specific antibodies by ouabain and OLF. B, Displacement of bound dihydroouabain from polyclonal dihydroouabain-specific antibodies by dihydroouabain and dihydro-OLF. Concentrations of dihydro-OLF and OLF were estimated using their respective molar absorptivities. Note the different scales on vertical axes. The molar reactivities of OLF and dihydro-OLF compared with those of ouabain and dihydroouabain have a unity response in reactivity with ouabain- and dihydroouabain antibodies, respectively.

 
NKA inhibitory potencies of dihydro-OLF and OLF
Figure 6Go shows the relative potencies for inhibition of sodium pump catalytic activity using porcine cerebral cortex (containing three {alpha}-isoforms) by ouabain and dihydroouabain and by OLF and dihydro-OLF. The concentrations of OLF and dihydro-OLF were determined assuming comparable molar absorptivity between ouabain and OLF and between dihydroouabain (isomer Dho-B) and dihydro-OLF. OLF is 10-fold more potent than ouabain, while dihydro-OLF is 3-fold more potent than dihydroouabain (Dho-B). The order of inhibitory activity also shows that OLF is 10-times more potent than dihydro-OLF just as ouabain is more potent than dihydroouabain. Note that the response curves of the mammalian-derived factors do not parallel those of the plant-related counterparts, an indication of possible differences in their binding to the individual NKA-isoforms.



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Figure 6. Inhibition of Na,K-ATPase catalytic activity by dihydro-OLF and OLF. The concentration-dependent inhibition of Na,K-ATPase from porcine cerebral cortex by standards of ouabain and dihydroouabain (isomer Dho-B), and by OLF and dihydro-OLF isolated from adrenocortical tissue. Concentrations of OLF and dihydro-OLF were determined assuming similar molar absorptivities to ouabain (at 220 nm) and dihydroouabain (196 nm), respectively. The y-axis represents the extent of inhibition of the ouabain-inhibitable ATPase activity (1.0 = 100% inhibition as determined at a ouabain concentration of 1 mmol/liter).

 
Phosphorylation of NKA by dihydro-OLF and OLF
Ouabain-stimulated 32Pi phosphorylation of the NKA {alpha}-subunit is dependent on the binding of ouabain to its binding site on the {alpha}-subunits (7). This phosphorylation is enhanced specifically by the cardenolides and incorporates Pi covalently into the same aspartyl amino acid of the {alpha}- subunit of NKA that is phosphorylated by ATP during ATP hydrolysis (30). Figure 7Go shows phosphorylation of the {alpha}-subunits induced by the mammalian-derived OLF and dihydro-OLF isolated from both bovine adrenals as well as from human serum. Moreover, the incorporation of 32Pi into the {alpha}-subunit, when incubated with OLF and dihydro-OLF, is dependent on the concentrations of these factors (Fig. 8Go). In addition, the concentration of dihydro-OLF required for phosphorylation is consistent with the concentration range required for NKA catalytic inhibition (Fig. 6Go).



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Figure 7. Ouabain-induced phosphorylation of Na,K-ATPase. Phosphorylation of all three {alpha}-isoforms ({alpha}-1, {alpha}-2, and {alpha}-3) of NKA from PCC tissue induced by mammalian OLF and dihydro-OLF from human serum and adrenal cortex. Concentrations used are: human serum OLF, 0.1 µM; dihydro-OLF, 1.0 µM; bovine adrenal cortex OLF, 1.2 µM; and dihydro-OLF, 24 µM. Phosphorylation induced by ouabain (2 µM) and dihydroouabain (10 µM) is included for comparison. The reaction mixture of enzyme (PCC), 8 µCi 32Pi, and 2 mM Mg2+ was incubated with endogenous mammalian OLF and its derivatives, with ouabain and its derivatives, or with buffer only (negative control, NC). The labeled phosphoenzyme intermediate was resolved by electrophoresis on 12.5% SDS-PAGE acid gels. The NKA {alpha}-subunit (112 kDa) and ß-subunit (55 kDa) migrate appropriately compared with the molecular mass standards 207 and 79 kDa used in these experiments.

 


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Figure 8. Concentration-dependant phosphorylation of Na,K-ATPase induced by dihydro-OLF. For a fixed amount of Na,K-ATPase and reagents, incorporation of 32Pi into the {alpha}-subunit of NKA is increased with concentration of dihydro-OLF. Top, Gel separation as in Fig. 7Go; the density is plotted in the graph below.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Plant-derived cardiac glycosides are of two main classes: bufadienolides (e.g. bufalin and proscillaridin) and cardenolides (e.g. digitalis and ouabain), which differ primarily in the structure of the lactone ring. Whereas bufadienolides have a six-member lactone ring (hexadienolactone), the cardenolides contain a five-member lactone ring (pentenolactone) both at C17 of the steroid nucleus (31). Recently, extensive efforts have focused on the search for mammalian-derived molecules that inhibit or otherwise regulate Na+,K+-ATPase (NKA) catalytic activity in a manner analogous to that of the plant-derived cardenolides (1, 2, 3) and bufadienolides (4, 5, 6).

In this study, we demonstrate the existence of a new molecular form of OLF in mammals that we term dihydro-OLF. Dihydro-OLF is unique in that it contains a chemically reduced lactone ring and is thus a hydrogenated counterpart to OLF, much like plant-derived dihydroouabain is to ouabain. The concentration of dihydro-OLF is considerably greater than that of OLF in bovine adrenal tissue, human blood, and cultured mouse adrenal Y-1 cells. The fact that both OLF and dihydro-OLF are produced by Y-1 cells indicates that these compounds can be synthesized de novo endogenously. The potency of mammalian dihydro-OLF to inhibit the catalytic activity of and to phosphorylate NKA is lower in specific activity compared with that of mammalian OLF.

The HPLC separation pattern of the mammalian endogenous pair, OLF and dihydro-OLF, is similar to those of their respective plant-derived counterparts, ouabain and dihydroouabain. A hydrogenated lactone ring on dihydro-OLF was confirmed using absorbance spectra and antibody reactivity. The {lambda}max of ouabain and OLF are 220 nm, whereas the hydrogenated forms of these molecules (dihydroouabain and dihydro-OLF) have maximum absorbance at 196 nm. The UV shift in {lambda}max observed for dihydro-OLF is consistent with the double bond of the lactone ring being chemically reduced (32). Two antibodies, one specific for ouabain and the other specific for dihydroouabain and both sensitive to the lactone ring epitopes of these molecules, indicate the presence of a reduced lactone ring on dihydro-OLF. The ouabain antiserum has 100% cross-reactivity to ouabain and less than 2% cross-reactivity to dihydroouabain. Similarly, the dihydroouabain antiserum has 100% cross-reactivity to dihydroouabain and less than 0.1% cross-reactivity to ouabain. The HPLC elution pattern shows a separate immunoreactive peak that is not ouabain-like, but is dihydroouabain-like by antibody reactivity and by having an absorbance spectra characteristic of a cardenolide with a reduced lactone ring. In addition, we detected both OLF and OLF-genin (which has 60% cross-reactivity to the ouabain antiserum) as two separate immunoreactive peaks eluting from the HPLC at 20 and 30 min, respectively, on the same isocratic mode of 10% CH3CN in dH2O for the mobile phase. This finding is consistent with our previous report identifying an OLF-genin species from mammalian tissues (23). It is of interest to note that no detectable level (100 pg/ml) of dihydroouabain-immunoreactive material comparable in HPLC elution to the Dho-A fraction of dihydroouabain was observed in extracts from any of the mammalian tissue sources used in the present study.

The molar concentrations of dihydro-OLF and OLF can be estimated by assuming equivalent molar absorptivity at their respective absorbance maxima between OLF and ouabain (220 nm) and between dihydro-OLF and dihydroouabain (196 nm). This assumption allows estimation of the molar immunoreactivity, the tissue extraction efficiency, the molar concentrations needed to inhibit the catalytic activity (potency) and enhance phosphorylation of the {alpha}-subunit of the sodium pump, and the molar ratio of dihydro-OLF to OLF in different mammalian tissues. The molar immunoreactivities of OLF and dihydro-OLF are almost identical to those of ouabain and dihydroouabain. These particular specific antibodies may have practical use for various clinical studies in humans.

The amounts of dihydro-OLF extractable from tissues are 0.36 ± 0.34 x 10-10 mol/g adrenal cortical tissue and 50 ± 0.46 x 10-10 mol/liter human serum and are greater than those of OLF by 22- and 13-fold, respectively. These data indicate that adrenocortical tissues contain higher amounts of both of the chemically reduced mammalian cardenolides, dihydro-DLIF (22) and dihydro-OLF (this report), than their respective oxidized species DLIF and OLF. This is of particular interest because if the reduced lactone ring species (e.g. dihydro-OLF and dihydro-DLIF) are acting as precursor substrates for biotransformation to OLF and DLIF, respectively, in adrenals, then one might expect higher amounts of the precursor substrate to accommodate enzymatic regulation of secretion of OLF and DLIF into the blood. Understanding control of the molar ratios of these compounds and their respective oxidized/reduced ratios in blood may be important in view of recent reports showing selective reactivity of mammalian cardenolides with specific individual isoforms of the sodium pump (33). Also, recent observations of specific binding proteins in plasma as carriers of these compounds (34, 35, 36) suggest other potential mechanisms for control of plasma concentrations of these factors. Thus, the relative amounts of these compounds in blood (unbound vs. bound to proteins, etc.) may play a role in their physiological function.

Goto and Yamada (1), in a recent review, documented a wide range of concentrations in human plasma for the ouabain-like factors measured by different immunoassays (e.g. RIA, EIA, and RRA). The reported concentrations of OLF in human plasma within each study ranged widely, for example, 25 pM (37), 34–95 pM (38), 50–750 pM (39), 55–168 pM (40), and 204 pM (41). Our EIA measurements of OLF are very consistent with OLF concentrations reported by others. In any event, the concentration of dihydro-OLF we measured by EIA is higher than any of the OLF concentrations reported to date, which suggests that dihydro-OLF may potentially be a richer source of material for further structural and functional characterization.

It has been difficult to characterize the structural features of these mammalian cardenolides (e.g. OLF and DLIF) because of their low concentrations in human tissues. For example, it is thought that OLF is indistinguishable from ouabain using mass spectroscopy and other related techniques (18, 42). However, more recent studies using an exciton-coupled circular dichroism technique showed that OLF and HIF (an isomer of ouabain from bovine hypothalamus) are structurally different from ouabain (43). In the case of DLIF, there is clear evidence of chromatographic, spectral, and molar immunoreactivity differences that suggests that DLIF is more structurally distinct from digoxin than OLF is from ouabain (21). Nonetheless, sufficient quantities of these compounds are still required to fully permit the identification of fine structure.

We assessed the relative biological activities of OLF and dihydro-OLF by their abilities to inhibit the catalytic activity and to phosphorylate the {alpha}-subunit of NKA. OLF and dihydro-OLF are 10 and 3 times more potent than plant-derived ouabain and dihydroouabain (Dho-B), respectively (28). Other studies have shown that a chemically reduced lactone ring on cardenolides decreases their ability to inhibit sodium pump activity compared with the oxidized state (44). Feng and Lingrel (44) have shown that the dihydro species of cardiac glycosides in general have distinctly different inhibitory potencies for individual NKA {alpha}-subunits. It is interesting to note that the concentration-dependent inhibitory responses of the mammalian cardenolides do not parallel those of the plant-derived compounds. One explanation for this may be the presence of three distinct isoforms of the {alpha}-subunit of NKA in porcine cerebral cortex and the likelihood of a difference in {alpha}-subunit isoform-specific interaction with the cardenolides. Differences in affinity for NKA between the mammalian and plant cardenolides as well as their oxidized and reduced species are particularly intriguing because of its implication in targeted selective regulation of individual NKA isoforms by these compounds as reported for the plant-derived counterparts (8, 45, 46). Phosphorylation of the {alpha}-subunit of NKA is a characteristic feature of the specificity of interaction between the cardenolides and sodium pump as receptors. It is well documented that ouabain-stimulated 32Pi phosphorylation of the NKA {alpha}-subunit is dependent on the binding of ouabain to its binding site on the {alpha}-subunits (7). This interaction is specific to ouabain (and other related cardenolides), in that the cardenolides do not enhance phosphorylation of other ATPases, such as the Ca2+-ATPases. This specific phosphorylation incorporates Pi covalently into the same aspartyl amino acid of the {alpha}-subunit of NKA that is phosphorylated by ATP during ATP hydrolysis (30). Our studies indicate that phosphorylation of the {alpha}-subunit by both dihydro-OLF and OLF is specific and concentration dependent. The molar concentration of the newly discovered dihydro-OLF needed to enhance phosphorylation is in a range consistent with the concentration required for inhibition of NKA catalytic.

Our previous studies using a cytochrome P-450 and NADPH-dependent reductase model isolated from cortical cells demonstrated conversion of dihydrodigoxin to an oxidized species, DLIF. This suggests a metabolic route for endogenous conversion of lactone ring-related oxidation-reduction of these compounds by cortical cells. Those findings taken altogether with our present study marking the discovery of a dihydro species of OLF now provides support for an hypothesis that the oxidized (DLIF and OLF) and reduced (Dh-DLIF and dihydro-OLF) species of these mammalian factors are probably metabolically linked.

Interestingly, extensive review of the literature fails to reveal evidence that the cardiac glycoside dihydroouabain occurs naturally in plants. It is known that the dihydro species of the cardenolides are produced in vitro through hydrogenation of the cyclobutenolide ring of the plant-derived oxidized species using either platinum oxide (room temperature) or palladium-carbon (50 C) as catalysts (47). This chemical modification of plant-derived ouabain yields two isomers of dihydroouabain (Dho-A and Dho-B), each with distinct, but similar, properties. However, as reported previously, Dho-B (IC50 = 1.7 µM) has greater potency than Dho-A (IC50 = 7.4 µM) (25). The dihydro-OLF we have now discovered has properties consistent with one of these two isomers (Dho-B). The production and the secretion of these factors in vitro by cultured Y-1 cells suggest that dihydro-OLF is very likely produced de novo in mammals.

This study demonstrates the existence of a previously unrecognized, naturally occurring dihydro-OLF in adrenal tissues and serum. The importance of this discovery lies in its suggestion of a metabolic link with OLF in the adrenal glands or other tissues and provides a possible metabolic route for the formation and secretion of OLF into the circulation. The possibility of in vivo conversion of mammalian OLF to dihydro-OLF or vice versa seems plausible. In addition to the enzymatic P-450 metabolic routes discussed above, there is another route for potential interconversion of the lactone ring in mammals. This, as depicted in Fig. 9Go, is modeled from previously reported data on the conversion of digoxin to dihydrodigoxin by Eubacterium lentum, a common anaerobic bacteria of the human gastrointestinal tract microflora (48).



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Figure 9. Model for in vivo conversion of mammalian OLF to dihydro-OLF or vice versa. The possibility of metabolic conversion of OLF to dihydro-OLF by intestinal microflora in human gastrointestinal tract is diagramed. This process has previously been shown for conversion of digoxin to dihydrodigoxin in which the lactone ring is reduced by the bacteria, Eubacterium lentum, a common anaerobe of the human colonic flora (48 ). In the reverse, we predict the formation of OLF from dihydro-OLF by cytochrome P450-mediated biotransformation (NADPH-dependant reductase) in mammalian adrenocortical microsomes. This hypothesis is based on our previous findings for the conversion of dihydrodigoxin to a species with digoxin-like immunoreactive properties (22 ).

 
It is not surprising that the dihydro species, dihydro-OLF, reported here and dihydro-DLIF (22) were not observed by others using techniques to detect and measure OLF and DLIF. Several reasons are likely for this: first, conventionally applied HPLC modes will not separate the reduced species from the oxidized species; second, their absorbance characteristics are different, in that they absorb in the far UV (196 nm) and thus are not detected at 220 nm; and third, they do not react with antibodies raised against the oxidized compounds. Probably these dihydro species have been measured using biological activity along with the oxidized compounds isolated and reported by others. This would probably reduce the specific bioactivity obtained in those measurements. In general, our findings indicate that the physical and biological properties of dihydro-OLF compare to those of OLF as the properties of plant-related dihydroouabain do to those of ouabain. Our present discovery of a dihydro-OLF now closes the loop relative to defining the three major forms of mammalian cardenolides: OLF, OLF-genin, and dihydro-OLF.


    Acknowledgments
 
We are grateful to Barbara J. Clark, Department of Biochemistry and Molecular Biology, University of Louisville School of Medicine, for providing tissue culture facilities for Y-1 cells, and for the technical assistance of Steve L. Goudy and Renee M. Valdes in some of the initial chromatographic isolation work.


    Footnotes
 
1 This work was supported in part by NIH Grants HL-R01–36172 and R01-HL59404 (to R.V.) and NSF Epscor OSR-9452895 (to R.V.). Back

Received March 10, 2000.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Goto A, Yamada K 1998 Ouabain-like factor. Curr Opin Nephrol Hypertens 7:189–196[Medline]
  2. Yamazato M, Muratani H, Fukiyama K 1997 Endogenous digitalis-like factor. Nippon Rinsho 55:1971–1976[Medline]
  3. Kolbel F, Schreiber V 1996 The endogenous digitalis-like factor. Mol Cell Biochem 160–161:111–115
  4. Lopatin DA, Ailamazian EK, Dmitrieva RI, Shpen VM, Fedorova OV, Doris PA, Bagrov AY 1999 Circulating bufadienolide and cardenolide sodium pump inhibitors in preeclampsia. J Hypertens 17:1179–1187[CrossRef][Medline]
  5. Schneider R, Antolovic R., Kost H, Sich B, Kirch U, Tepel M, Zidek W, Schoner W 1998 Proscillaridin A immunoreactivity: its purification, transport in blood by a specific binding protein and its correlation with blood pressure. Clin Exp Hypertens 20(5–6):593–599
  6. Lichtstein D, Steinitz M, Gati I, Samuelov S 1998 Bufadienolides as endogenous Na, K-ATPase inhibitors: biosynthesis in bovine and rat adrenals. Clin Exp Hypertens 20:573–579
  7. Price EM, Lingrel JB 1988 Structure-function relationships in the Na+,K+-ATPase {alpha} subunit: site-directed mutagenesis of glutamine-111 to arginine and asparagine-122 to aspartic acid generates a ouabain-resistant enzyme. Biochemistry 27:8400–8408[CrossRef][Medline]
  8. Sweadner KJ 1991 Overview: subunit diversity in the Na,K-ATPase. In: Kaplan JH, DeWeer P (eds) The Sodium Pump: Structure, Mechanism, and Regulation. Rockefeller University Press, New York, pp 63–76
  9. Doris PA, Bagrov A 1998 Endogenous sodium pump inhibitors and blood pressure regulation: an update on recent progress. R Soc Exp Biol Med 218:156–167[CrossRef][Medline]
  10. Budzikowski AS, Leenen F 1997 Brain ‘ouabain’ in the median preoptic nucleus mediates sodium-sensitive hypertension in spontaneously hypertensive rats. Hypertension 29:599–605[Abstract/Free Full Text]
  11. Hollenberg NK, Graves SW 1996 Endogenous sodium pump inhibition: current status and therapeutic opportunities. Prog Drug Res 46:9–42[Medline]
  12. Rose AM, Valdes RJr 1994 Understanding the sodium pump and its relevance to disease. Clin Chem 40:1674–1685[Abstract/Free Full Text]
  13. Blaustein MP 1994 Endogenous ouabain: physiological activity and pathophysiological implications. Clin Inv 72:706–707
  14. Blaustein MP 1996 Endogenous ouabain: role in the pathogenesis of hypertension. Kidney Int 49:1748–1753[Medline]
  15. Hamlyn JM, Hamilton BP, Manunta P 1996 Endogenous ouabain, sodium balance and blood pressure: a review and a hypothesis. J Hypertens 14:151–167[CrossRef][Medline]
  16. De Wardener HE 1996 Sodium transport inhibitors and hypertension. J Hypertens [Suppl] 14:S9–S18
  17. Lichtstein D 1995 Na+,K+-ATPase and heart excitability. Adv Exp Med Biol 382:23–30[Medline]
  18. Hamlyn JM, Blaustein MP, Bova S, DuCharme DW, Harris D, Mandel F, Mathews WR, Ludens JH 1991 Identification and characterization of a ouabain-like compound from human plasma. Proc Natl Acad Sci USA 88:6259–6263[Abstract/Free Full Text]
  19. Doris PA, Jenkins LA, Stocco DM 1994 Is ouabain an Authentic endogenous mammalian substance derived from the adrenal? Hypertension 23:632–638[Abstract/Free Full Text]
  20. Perrin A, Brasmes B, Chambaz EM, Defaye G 1997 Bovine adrenocortical cells in culture synthesize an ouabain-like compound. Mol Cell Endocrinol 126:7–15[CrossRef][Medline]
  21. Qazzaz HMA, Goudy SL, Valdes RJr 1996 Deglycosylated products of endogenous digoxin-like immunoreactive factor (DLIF) in mammalian tissue. J Biol Chem 271:8731–8737[Abstract/Free Full Text]
  22. Qazzaz HMA, Jortani SA, Poole JM, Valdes RJr 1996 Evidence for the presence of a reduced form of digoxin-like immunoreactive factor (dihydro-DLIF) in mammalian tissue. Clin Chem 42:270–278[Abstract/Free Full Text]
  23. Qazzaz HMA, Valdes RJr 1996 Simultaneous isolation of endogenous digoxin-like immunoreactive factor (DLIF), ouabain-like factor (OLF), and deglycosylated congeners from mammalian tissues. Arch Biochem Biophys 328:193–200[CrossRef][Medline]
  24. Harris DW, Clark MA, Fisher JF, Hamlyn JM, Kolbasa KP, Luden JH, and DuCharme DW 1991 Development of an immunoassay for endogenous digitalislike factor. Hypertension 17:936–943[Abstract/Free Full Text]
  25. Chan ELP, Swaminathan R 1992 A rapid assay for the measurement of Na+,K+- ATPase inhibitors. Clin Biochem 25:15–19[CrossRef][Medline]
  26. Huang WH, Wang Y, Askari A, Zolotarjova N, Ganjeizadeh M 1994 Different sensitivities of the Na+,K+-ATPase isoforms to oxidants. Biochim Biophys Acta 1190:108–114[Medline]
  27. Qazzaz HMA, El-Masri MA, Valdes RJr 1997 Isolation of two chromatographically and biologically distinct components from a dihydroouabain commercial preparation. FASEB J 11:1423
  28. Qazzaz HMA, El-Masri MA, Stolowich NJ, Valdes RJr 1999 Two bilogically active isomers of dihydroouabain isolated from a commercial preparation. Biochim Biophys Acta 1472:486–497[Medline]
  29. El-Masri MA, Qazzaz HMA, Valdes RJr 1999 An antiserum for detection of a newly discovered dihydroouabain-like factor (dihydro-OLF) isolated from mammals. Clin Chem 45:82
  30. Robinson JD, Flashner MS 1979 The (Na,K)-activated ATPase. Enzymatic and transport properties. Biochim Biophys Acta 549:145–176[Medline]
  31. Steyn PS, van Heerden FR 1998 Bufadienolides of plant and animal origin. Nat Prod Rep 15:397–413[CrossRef][Medline]
  32. Greenwood H, Snedden W, Hayward RP, Landon J 1975 The measurement of urinary digoxin and dihydrodigoxin by radioimmunoassay and mass spectroscopy. Clin Chim Acta 62:213–224[CrossRef][Medline]
  33. Tao Q-F, Hollenberg NK, Price DA, Graves SW 1997 Sodium pump isoform specificity for the digitalis-like factor isolated from human peitoneal dialysate. Hypertension 29:815–821[Abstract/Free Full Text]
  34. Valdes RJr 1985 Endogenous digoxin-like immunoreactive factors: impact on digoxin measurements and potential physiological implications. Clin Chem 31:1525–1532[Abstract/Free Full Text]
  35. Miller JJ, Suarez CP, Valdes RJr 1990 Preliminary characterization of DLIF-binding protein from human serum. Clin Chem 36:1156
  36. Antolovic R, Kost H, Mohadjerani M, Linder D, Linder M, Schoner WA 1998 Specific binding protein for cardiac glycosides exists in bovine serum. J Biol Chem 273:16259–16264[Abstract/Free Full Text]
  37. Balzan S, Montali U, Di Bartolo V, Ghione S 1997 Further evidence for an endogenous digitalis-like compound in human plasma. Life Sci 60:893–898[CrossRef][Medline]
  38. Worgall S, Hanze J, Wagener R, Peiser C, Lang RE, Sulyok E, Rascher W 1996 Characterization of ouabain-like immunoreactivity in human urine. J Hypertens 14:623–628[CrossRef][Medline]
  39. Ferrandi M, Manunta P, Balzan S, Hamlyn JM, Bianchi G, Ferrari P 1997 Ouabain-like factor quantification in mammalian tissues and plasma, comparison of two independant assays. Hypertension 30:886–896[Abstract/Free Full Text]
  40. Harwood S, Little JA, Gallacher G, Perrett D, Edwards R, Dawnay A 1997 Development of enzyme immunoassay for endogenous ouabain-like compound in human plasma. Clin Chem 43:715–722[Abstract/Free Full Text]
  41. Paci A, Ciarimboli G 1996 Human placenta radioactive assay with digoxin and ouabain to detect endogenous digitalis-like factor(s) in human plasma and urine. Clin Chem 42:270–278
  42. Tymiak AA, Norman JA, Bolger M, DiDonato G, Lee H, Parker WL, Lo L-C, Berova N, Nakanishi K, Haber E, Haupert Jr GT 1993 Physicochemical characterization of a ouabain isomer from bovine hypothalamus. Proc Natl Acad Sci USA 90:8189–8193[Abstract/Free Full Text]
  43. Zhao N, Lo L-C, Berova N, Nakanishi K, Ludens JH, Haupert GTJr 1995 Na+, K+-ATPase inhibitors from bovine hypothalamus and human plasma are different from ouabain. Nanogram scale CD structural analysis. Biochemistry 34:9893–9896[CrossRef][Medline]
  44. Feng J, Lingrel JB 1994 Analysis of amino acid residues in the H5–H6 transmembrane and extracellular domains of Na,K-ATPase {alpha} subunit identifies threonine 797 as a determinant of ouabain sensitivity. Biochemistry 33:4218–4224[CrossRef][Medline]
  45. Thomas R, Gray P, Andrews J 1990 Digitalis: its mode of action, receptor, and structure-activity relationships. Adv Drug Res 19:313–545
  46. Shull GE, Greeb J, Lingrel JB 1986 Molecular cloning of three distinct forms of the Na, K, ATPase alpha subunit from rat brain. Biochemistry 25:8125–8132[CrossRef][Medline]
  47. Brown BT, Wright SE 1961 Hydrogenation of digitalis genins and anhydrogenins. J Pharm Pharmacol 13:262–267
  48. Saha JR, Butler VP Jr, Neu HC, Lindenbaum J 1983 Digoxin-inactivating bacteria: identification in human gut flora. Science 220:325–327[Abstract/Free Full Text]



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