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Ouabain-dependent signaling in caveolae as a novel therapeutic target for hypertension
M Ferrandi1, I Molinari, G Bianchi
1Prassis sigma tau Research Institute, Milan, Italy. mara.ferrandi@prassis.it
Abstract:
Experimental and clinical evidence indicates that Endogenous Ouabain (EO) and Adducin polymorphism play a pathogenetic role in hypertension and related organ complications. These effects occur through a complex interaction of genetic molecular mechanisms regulating renal sodium reabsorption and vascular function. The activation of a Na-K ATPase-Src-EGFr-ERK signaling pathway within the restricted membrane subdomains of caveolae by Ouabain has been associated to hypertension and cardiac remodeling. Rostafuroxin (PST 2238) is a novel anti-hypertensive compound able to selectively antagonize EO/Ouabain and Adducin hypertensive effect and Ouabain-induced cardiac hypertrophy in rats. Studies have been conducted in vivo and in a cell-free system to prove that Rostafuroxin exerts its antihypertensive and antihypertrophic effects by antagonizing the Src-dependent signaling triggered by Ouabain. At the vascular level, Rostafuroxin antagonizes the Ouabain-mediated increase of myogenic vascular tone. This peculiar and novel mechanism of action, together with a good tolerability and efficacy both in animal models and hypertensive patients, make Rostafuroxin the prototype of a new class of antihypertensive compounds able to antagonize EO/ Ouabain and Adducin molecular effects.
Insights
Endogenous Ouabain (EO) and Adducin contribute to hypertension. Rostafuroxin, a novel drug, effectively lowers blood pressure and cardiac hypertrophy by blocking the Ouabain-triggered signaling pathway.
Area of Science:
- Cardiovascular Research
- Pharmacology
- Molecular Biology
Background:
- Endogenous Ouabain (EO) and Adducin polymorphism are implicated in hypertension pathogenesis.
- The Na-K ATPase-Src-EGFr-ERK pathway in caveolae is activated by Ouabain, contributing to hypertension and cardiac remodeling.
Purpose of the Study:
- To investigate Rostafuroxin's mechanism of action as an antihypertensive and antihypertrophic agent.
- To evaluate Rostafuroxin's ability to antagonize Endogenous Ouabain/Ouabain and Adducin effects.
Main Methods:
- In vivo and cell-free studies were conducted.
- Vascular tone and cardiac hypertrophy models were used.
- Analysis of Src-dependent signaling pathways was performed.
Main Results:
- Rostafuroxin selectively antagonizes the hypertensive and cardiac hypertrophy effects of EO/Ouabain and Adducin.
- Rostafuroxin inhibits Ouabain-induced Src-dependent signaling.
- Rostafuroxin reduces Ouabain-mediated increases in myogenic vascular tone.
Conclusions:
- Rostafuroxin represents a new class of antihypertensive drugs targeting EO/Ouabain and Adducin pathways.
- Its novel mechanism involves antagonizing specific molecular signaling involved in hypertension.
- Rostafuroxin demonstrates efficacy and good tolerability in preclinical and clinical studies.
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