The mechanisms underlying the increase in Na+‐K+ pump current (Ip) caused by adrenergic stimulation were investigated in cultured adult rat cardiac myocytes using the whole‐cell patch‐clamp technique at 31‐33 °C.
In myocytes perfused internally with 50 mm Na+ (0 Ki+, 20 nM Ca2+, caesium aspartate solution) and externally with 5.4 mm K+o, noradrenaline (NA) and isoprenaline (Iso) (1‐50 μm) stimulated Ip by 40‐45 %.
Na+‐dependent transient Ip measurements with 0 mm K+i and 0 mm K+o revealed no change in the total charge transferred by the Na+‐K+ pump during the conformational change, suggesting that the pump site density was not changed by adrenergic stimulation (2630 ± 370 pumps μm−2 in control and 2540 ± 190 pumps μm−2 in the presence of 10 μm NA).
With saturating Na+i or K+o (150 and 15‐20 mm, respectively), Ip was still stimulated by NA and Iso. Thus, there was no indication that adrenergic activation of the Na+‐K+ pump was mediated by accumulation of Na+i and K+o or changes in the Na+‐K+ pump affinity for Na+i and K+o.
Both Ip and its increase under adrenergic stimulation were found to depend on [K+]i. While steady‐state Ip decreased from 2.2 ± 0.1 to 1.2 ± 0.1 pA pF−1 (P < 0.05), the stimulation of Ip by 10 μm Iso increased from 0.38 ± 0.04 to 0.67 ± 0.06 pA pF−1 (P < 0.05) with an increase in [K+]i from 0 to 100 mm.
Under conditions that cause the Ip‐Vm (membrane potential) relationship to express a positive slope ([Na+]o, 150 mm; [K+]o, 5.4 mm) or a negative slope ([Na+]o, 0; [K+]o, 0.3 mm) Iso stimulated Ip with no change in the shape of Ip‐Vm curves. Thus, adrenergic stimulation of the Na+‐K+ pump was not due to an alteration of voltage‐dependent steps of the pump cycle.
Simulation of these data with a six‐step model of the Na+‐K+ pump cycle suggested that in rat ventricular myocytes a signal from adrenergic receptors increased the Na+‐K+ pump rate by modulating the rate of K+ de‐occlusion and release by the pump.