We have shown before that Na+/K+-ATPase acts as a signal transducer, throug
h protein-protein interactions, in addition to being an ion pump. Interacti
on of ouabain with the enzyme of the intact cells causes activation of Src,
transactivation of EGFR, and activation of the Ras/ERK1/2 cascade. To dete
rmine the role of protein kinase C (PKC) in this pathway, neonatal rat card
iac myocytes were exposed to ouabain and assayed for translocation/activati
on of PKC from cytosolic to particulate fractions. Ouabain caused rapid and
sustained stimulation of this translocation, evidenced by the assay of Ca2
+-dependent and Ca2+-independent PKC activities and by the immunoblot analy
sis of the alpha, delta, and epsilon isoforms of PKC. Dose-dependent stimul
ation of PKC translocation by ouabain (1-100 mum) was accompanied by no mor
e than 50% inhibition of Na+/K+-ATPase and doubling of [Ca2+](i), changes t
hat do not affect myocyte viability and are known to be associated with pos
itive inotropic, but not toxic, effects of ouabain in rat cardiac ventricle
s. Ouabain-induced activation of ERK1/2 was blocked by PKC inhibitors calph
ostin C and chelerythrine. An inhibitor of phosphoinositide turnover in myo
cytes also antagonized ouabain-induced PKC translocation and ERK1/2 activat
ion. These and previous findings indicate that ouabain-induced activation o
f PKC and Ras, each linked to Na+/K+-ATPase through Src/EGFR, are both requ
ired for the activation of ERK1/2. Ouabain-induced PKC translocation and ER
K1/2 activation were dependent on the presence of Ca2+ in the medium, sugge
sting that the signal-transducing and ion-pumping functions of Na+/K+-ATPas
e cooperate in activation of these protein kinases and the resulting regula
tion of contractility and growth of the cardiac myocyte.