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10.1113/JP272419

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suck abstract from ncbi


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pmid27350568
      J+Physiol 2016 ; 594 (21 ): 6079-6103
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  • Pivotal role of ?2 Na(+) pumps and their high affinity ouabain binding site in cardiovascular health and disease #MMPMID27350568
  • Blaustein MP ; Chen L ; Hamlyn JM ; Leenen FH ; Lingrel JB ; Wier WG ; Zhang J
  • J Physiol 2016[Nov]; 594 (21 ): 6079-6103 PMID27350568 show ga
  • Reduced smooth muscle (SM)-specific ?2 Na(+) pump expression elevates basal blood pressure (BP) and increases BP sensitivity to angiotensin II (Ang II) and dietary NaCl, whilst SM-?2 overexpression lowers basal BP and decreases Ang II/salt sensitivity. Prolonged ouabain infusion induces hypertension in rodents, and ouabain-resistant mutation of the ?2 ouabain binding site (?2(R/R) mice) confers resistance to several forms of hypertension. Pressure overload-induced heart hypertrophy and failure are attenuated in cardio-specific ?2 knockout, cardio-specific ?2 overexpression and ?2(R/R) mice. We propose a unifying hypothesis that reconciles these apparently disparate findings: brain mechanisms, activated by Ang II and high NaCl, regulate sympathetic drive and a novel neurohumoral pathway mediated by both brain and circulating endogenous ouabain (EO). Circulating EO modulates ouabain-sensitive ?2 Na(+) pump activity and Ca(2+) transporter expression and, via Na(+) /Ca(2+) exchange, Ca(2+) homeostasis. This regulates sensitivity to sympathetic activity, Ca(2+) signalling and arterial and cardiac contraction.
  • |Angiotensins/metabolism [MESH]
  • |Animals [MESH]
  • |Binding Sites [MESH]
  • |Cardiotonic Agents/pharmacology [MESH]
  • |Cardiovascular System/drug effects/*metabolism [MESH]
  • |Humans [MESH]
  • |Hypertension/*metabolism/physiopathology [MESH]
  • |Ouabain/*pharmacology [MESH]
  • |Sodium-Potassium-Exchanging ATPase/antagonists & inhibitors/chemistry/*metabolism [MESH]


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