Attenuation of Na/K-ATPase Mediated Oxidant Amplification with pNaKtide Ameliorates Experimental Uremic Cardiomyopathy

Sci Rep. 2016 Oct 4:6:34592. doi: 10.1038/srep34592.

Abstract

We have previously reported that the sodium potassium adenosine triphosphatase (Na/K-ATPase) can effect the amplification of reactive oxygen species. In this study, we examined whether attenuation of oxidant stress by antagonism of Na/K-ATPase oxidant amplification might ameliorate experimental uremic cardiomyopathy induced by partial nephrectomy (PNx). PNx induced the development of cardiac morphological and biochemical changes consistent with human uremic cardiomyopathy. Both inhibition of Na/K-ATPase oxidant amplification with pNaKtide and induction of heme oxygenase-1 (HO-1) with cobalt protoporphyrin (CoPP) markedly attenuated the development of phenotypical features of uremic cardiomyopathy. In a reversal study, administration of pNaKtide after the induction of uremic cardiomyopathy reversed many of the phenotypical features. Attenuation of Na/K-ATPase oxidant amplification may be a potential strategy for clinical therapy of this disorder.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cardiomyopathies / therapy*
  • Disease Models, Animal
  • Enzyme Activators / administration & dosage
  • Enzyme Inhibitors / administration & dosage*
  • Heme Oxygenase-1 / metabolism
  • Male
  • Mice, Inbred C57BL
  • Oxidants / metabolism*
  • Protoporphyrins / administration & dosage
  • Reactive Oxygen Species / metabolism
  • Sodium-Potassium-Exchanging ATPase / antagonists & inhibitors*
  • Sodium-Potassium-Exchanging ATPase / metabolism*
  • Treatment Outcome
  • Uremia / complications*

Substances

  • Enzyme Activators
  • Enzyme Inhibitors
  • Oxidants
  • Protoporphyrins
  • Reactive Oxygen Species
  • cobaltiprotoporphyrin
  • Heme Oxygenase-1
  • Sodium-Potassium-Exchanging ATPase