Factors that influence the Na/K-ATPase signaling and function
Yingnyu Gao1, Yunhui Xu2, Fang Bai3
1Marshall Institute for Interdisciplinary Research (MIIR), Marshall University, Huntington, WV, United States.
Frontiers in Pharmacology
|August 13, 2025
Summary
The Na/K-ATPase enzyme, crucial for cell function and targeted by digoxin, has signaling roles that are still debated. This review explores its known and controversial signaling mechanisms and regulation.
Area of Science:
- Biochemistry
- Cell Biology
- Cardiology
Background:
- The Na/K-ATPase is a transmembrane protein essential for cellular function, utilizing ATP hydrolysis for ion transport.
- It also participates in cellular signaling pathways, interacting with various proteins and kinases.
- Cardiotonic steroids (CTS), like digoxin, specifically bind to Na/K-ATPase and have been used for cardiovascular diseases (CVD) and heart failure (HF).
Purpose of the Study:
- To examine the established and disputed mechanisms of Na/K-ATPase signaling.
- To review the regulatory mechanisms involved in Na/K-ATPase signaling functions.
Main Methods:
- Literature review of existing research on Na/K-ATPase signaling.
- Analysis of studies investigating the interaction of Na/K-ATPase with other cellular components.
- Examination of data related to CTS levels in various disease states.
Main Results:
- Na/K-ATPase has both pumping and signaling functions, with the latter involving complex protein and kinase interactions.
- Elevated CTS levels are associated with hypertension, chronic kidney disease (CKD), CVD, and congestive heart failure (HF).
- Despite extensive research, significant disagreements persist regarding the precise mechanisms of Na/K-ATPase signaling.
Conclusions:
- The signaling functions of Na/K-ATPase are multifaceted and incompletely understood.
- Further research is required to resolve controversies and elucidate the complete regulatory network of Na/K-ATPase signaling.
- Understanding these mechanisms may offer new therapeutic targets for cardiovascular and other diseases.
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