It has been demonstrated that human plasma contains a low molecular weight
sodium-potassium-stimulated adenosine triphosphatase (Na-K-ATPase) inhibito
r, which can be dissociated from a circulating protein:with a molecular wei
ght of approximately 12,000 daltons. The dissociated factor was found to ha
ve a molecular weight <500 daltons, and shared many characteristics with ou
abain. Similar to ouabain, this factor was found to be a potent inhibitor o
f both the Na-K-ATPase and potassium-stimulated para-nitrophenyl phosphatas
e (K-pNPPase) enzyme systems, and to bind to both high- and low-affinity bi
nding sites on Na-K-ATPase, but unlike ouabain did not crossreact with digo
xin antibody. The factor was further separated by HPLC and electrochemical
detection into two active compounds (p-NKAI-1 and p-NKAI-2). P-NKAI-1 was d
emonstrated on mass spectroscopy to have a molecular weight of 408 daltons.
In a vasoconstrictor assay employing rabbit femoral artery segments, this
compound was a direct vasoconstrictor and potentiated the vasoconstriction
produced by norepinephrine. It behaved similarly to ouabain in counteractin
g the relaxing effect on rabbit femoral artery of increasing potassium conc
entrations in the tissue bath. (C) 1999 American Journal of Hypertension, L
td.