Ewj. Weiler et al., CHARACTERIZATION OF A LOW-MOLECULAR-WEIGHT NA-K-ATPASE INHIBITOR OF URINARY ORIGIN, The American journal of the medical sciences, 307(1), 1994, pp. 27-35
It has been demonstrated that expansion of extracellular fluid volume
induces the release of a low-molecular-weight natriuretic and sodium-p
otassium-activated adenosine triphosphatase inhibiting hormone (NKAI).
In this study, we used a highly purified hormone extracted from poole
d hypertensive urines (u-NKAI). Like ouabain, this compound was found
to be a potent inhibitor of the sodium-potassium-activated adenosine-t
riphosphatase and potassium-stimulated paranitrophenyl phosphatase enz
yme systems as well as a vasoconstrictor in vitro. In contrast to ouab
ain, which is a competitive inhibitor of both enzyme systems with resp
ect to potassium, u-NKAI is noncompetitive. Furthermore, u-NKAI differ
s from ouabain by its lack of cross-reactivity with digoxin antibodies
. In addition, whereas ouabain binds to both high-affinity and low-aff
inity binding sites on the sodium-potassium-activated adenosine-tripho
sphatase enzyme in the absence of potassium, u-NKAI binds only to the
low-affinity binding sites. This study demonstrates that the highly pu
rified u-NKAI, although ouabain-like in certain respects, is not an ''
endogenous ouabain.''