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Updated: Aug 10, 2026

Identification of Intracellular Signaling Events Induced in Viable Cells by Interaction with Neighboring Cells Undergoing Apoptotic Cell Death
Published on: December 27, 2016
Inhibition of Na,K-ATPase activates PI3 kinase and inhibits apoptosis in LLC-PK1 cells
1Division of Nephrology, Uniformed Services University, Bethesda, Maryland 20814, USA. xiazhou@usuhs.mil
Abstract:
In the present study we used LLC-PK1 cells, a porcine renal proximal tubular cell line, to investigate whether PI3 kinase activation was involved in the anti-apoptotic effect of ouabain, a specific inhibitor of Na,K-ATPase. Apoptosis was induced by actinomycin D (Act D, 5 microM) and assessed by appearance of hypodiploid nuclei and DNA fragmentation. Ouabain attenuated Act D-induced apoptotic response in a dose-dependent manner. Incubation in a low K(+) medium (0.1 mM) which is another way to decrease Na,K-ATPase activity also had anti-apoptotic effect. Both ouabain and low K(+) medium increased the PI3 kinase activity in p85 immunoprecipitates. Ouabain, as well as incubation in the low K(+) medium, also increased the phosphorylation of Akt. Inhibition of PI3 kinase by either wortmannin or LY294002 reversed the cytoprotective effect of ouabain. These data together indicate that inhibition of Na,K-ATPase activates PI3 kinase in LLC-PK1 cells which could then exert the cytoprotective effect.
Insights
Ouabain, a Na,K-ATPase inhibitor, protects kidney cells from apoptosis by activating PI3 kinase. This pathway is crucial for the cell-survival effects of inhibiting Na,K-ATPase.
Area of Science:
- Cell Biology
- Molecular Biology
- Renal Physiology
Background:
- Na,K-ATPase is a critical ion pump in renal proximal tubules.
- Ouabain is a specific inhibitor of Na,K-ATPase.
- Apoptosis, or programmed cell death, can be triggered by various cellular stressors.
Purpose of the Study:
- To investigate the role of PI3 kinase (Phosphatidylinositol 3-kinase) activation in the anti-apoptotic effects of ouabain.
- To determine if inhibiting Na,K-ATPase activity generally confers cytoprotection.
- To elucidate the signaling pathway linking Na,K-ATPase inhibition to cell survival.
Main Methods:
- LLC-PK1 cells (porcine renal proximal tubular cell line) were used.
- Apoptosis was induced using actinomycin D (Act D).
- PI3 kinase activity, Akt phosphorylation, and cytoprotective effects were assessed.
- PI3 kinase was inhibited using wortmannin and LY294002.
Main Results:
- Ouabain attenuated Act D-induced apoptosis in a dose-dependent manner.
- Low potassium (K+) medium, reducing Na,K-ATPase activity, also showed anti-apoptotic effects.
- Both ouabain and low K+ medium increased PI3 kinase activity and Akt phosphorylation.
- PI3 kinase inhibition reversed the cytoprotective effects of ouabain.
Conclusions:
- Inhibition of Na,K-ATPase activates PI3 kinase in LLC-PK1 cells.
- Activated PI3 kinase mediates the anti-apoptotic and cytoprotective effects.
- This pathway highlights a novel mechanism for renal cell protection.
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