Ouabain and Marinobufagenin: Physiological Effects on Human Epithelial and Endothelial Cells

E A Klimanova1, D A Fedorov2, S V Sidorenko2

  • 1Lomonosov Moscow State University, Faculty of Biology, Moscow, 119234, Russia. klimanova.ea@yandex.ru.

Insights

Cardiotonic steroids like ouabain and marinobufagenin (MBG) affect cell growth and death. Ouabain at physiological levels may activate Na,K-ATPase, promoting cell proliferation in renal and endothelial cells.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Cardiovascular Research

Background:

  • Endogenous cardiotonic steroids (CTS), including ouabain and marinobufagenin (MBG), are found in mammalian plasma.
  • Elevated ouabain and MBG levels are observed in conditions like essential hypertension and hypervolemia.
  • The specific cellular effects of these CTS on Na,K-ATPase activity, proliferation, and apoptosis require detailed investigation.

Purpose of the Study:

  • To compare the effects of ouabain and MBG on Na,K-ATPase activity, cell proliferation, and cell death.
  • To investigate these effects in human renal epithelial cells (HRECs) and human umbilical vein endothelial cells (HUVECs) expressing α1-Na,K-ATPase.
  • To elucidate the mechanisms underlying CTS actions at physiologically relevant concentrations.

Main Methods:

  • Measurement of Na,K-ATPase activity via ion transport (Na+, K+, Rb+).
  • Assessment of cell proliferation using [3H]thymidine incorporation into DNA.
  • Induction and assessment of apoptosis in HUVECs under serum-free conditions.

Main Results:

  • Ouabain showed significantly higher inhibition of Rb+ influx (IC50 = 0.07 μM) compared to MBG in both HRECs and HUVECs.
  • Low concentrations of ouabain (0.001-0.01 μM) increased DNA synthesis in HRECs and HUVECs, while higher concentrations suppressed it.
  • MBG demonstrated dose-dependent effects on DNA synthesis, activating it at 0.1 μM in HRECs and inhibiting it at higher concentrations in both cell types; both CTS suppressed apoptosis in HUVECs.

Conclusions:

  • At plasma concentrations (<0.01 μM), MBG's effects on HRECs and HUVECs are not mediated by changes in intracellular Na+/K+ ratio.
  • Physiological concentrations of ouabain may stimulate cell proliferation in HRECs and HUVECs through Na,K-ATPase activation.
  • Ouabain and MBG exhibit distinct yet overlapping roles in regulating cell proliferation and survival, with potential implications for cardiovascular diseases.

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