The effects of Na+ on gastric H,K-ATPase were investigated using leaky
and ion-tight H,K-ATPase vesicles. Na+ activated the total ATPase act
ivity in the absence of K+, reaching levels of 15% relative to those i
n the presence of K+. The Na+ activation, which takes place at the lum
inal side of the membrane, depended on the ATP concentration and the t
ype of buffer used. The steady-state ATP phosphorylation level, studie
d with leaky vesicles, was reduced by Na+ due to both activation of th
e dephosphorylation reaction and a shift to E(2) in the E(1)<->E(2) eq
uilibrium. By studying this equilibrium in ion-tight H,K-ATPase vesicl
es, it was found that Na+ drives the enzyme via a cytosolic site to th
e nonphosphorylating E(2) conformation. No H+-like properties of cytos
olic Na+ could be detected. We therefore conclude that Na+ behaves lik
e K+ rather than like H+ in the H,K-ATPase reaction.