Abstract:Acute volume expansion, increased sodium intake, and restraint on sodium excretion endow the plasma with an increased capacity to inhibit sodium transport. Cytochemical techniques can detect the presence of Na+K+-adenosine triphosphatase (ATPase) inhibitor in the plasma of normal humans and rats, the concentration of which is controlled by salt intake. The substance responsible appears to originate in the hypothalamus, where the concentration is also controlled by salt intake. The plasma concentration of the c… Show more
“…In the therapy of chronic reversible obstructive airways disease in which allergic inflammation and bronchial hyperresponsiveness are significant pathophysiological factors there are useful drugs that can prevent the late asthmatic reaction and reduce bronchial hyperreactivity. Mazzoni et al 6 showed that asthmaprophylactic drugs such as disodium cromoglycate, ketotifen or hydrocortisone reduce platelet-activating factor (PAF)-induced bronchial hyperreactivity to bombesin or histamine. …”
Section: Methodsmentioning
confidence: 99%
“…Although the chemical nature and the production site of EDF remain to be elucidated, EDF, supposed to be a circulating natural ligand for the cardiac glycoside receptor of Na +,K +-ATPase, could play an important role in the regulation of sodium excretion and may be related to the pathogenesis of hypertension in humans and animals [3][4][5][6]. Because of the lack of specific assay methods, a variety of different procedures have been employed to monitor digitalis-like activity.…”
We measured endogenous digitalis-like factor (EDF) in rat plasma during acute saline infusion by two different procedures. Na+,K+-ATPase inhibitory activity in the rat plasma significantly increased during saline loading (7.8 +/- 2.2 vs 2.5 +/- 0.9%, with and without acute saline loading, respectively, p less than 0.05). On the other hand, the plasma digoxin-like immunoreactivity significantly decreased during acute saline loading (16.9 +/- 1.6 vs 32.0 +/- 2.8 pg digoxin equivalents/ml, with and without acute saline loading, respectively, p less than 0.01). These results indicate that the major substances detected by digoxin-like immunoreactivity and direct Na+,K+-ATPase inhibitory activity are completely different, at least in rat plasma.
“…In the therapy of chronic reversible obstructive airways disease in which allergic inflammation and bronchial hyperresponsiveness are significant pathophysiological factors there are useful drugs that can prevent the late asthmatic reaction and reduce bronchial hyperreactivity. Mazzoni et al 6 showed that asthmaprophylactic drugs such as disodium cromoglycate, ketotifen or hydrocortisone reduce platelet-activating factor (PAF)-induced bronchial hyperreactivity to bombesin or histamine. …”
Section: Methodsmentioning
confidence: 99%
“…Although the chemical nature and the production site of EDF remain to be elucidated, EDF, supposed to be a circulating natural ligand for the cardiac glycoside receptor of Na +,K +-ATPase, could play an important role in the regulation of sodium excretion and may be related to the pathogenesis of hypertension in humans and animals [3][4][5][6]. Because of the lack of specific assay methods, a variety of different procedures have been employed to monitor digitalis-like activity.…”
We measured endogenous digitalis-like factor (EDF) in rat plasma during acute saline infusion by two different procedures. Na+,K+-ATPase inhibitory activity in the rat plasma significantly increased during saline loading (7.8 +/- 2.2 vs 2.5 +/- 0.9%, with and without acute saline loading, respectively, p less than 0.05). On the other hand, the plasma digoxin-like immunoreactivity significantly decreased during acute saline loading (16.9 +/- 1.6 vs 32.0 +/- 2.8 pg digoxin equivalents/ml, with and without acute saline loading, respectively, p less than 0.01). These results indicate that the major substances detected by digoxin-like immunoreactivity and direct Na+,K+-ATPase inhibitory activity are completely different, at least in rat plasma.
“…79 This is not in accordance with the working hypothesis that endogenous digitalis is released and causes natriuresis to restore the sodium balance in response to excessive sodium accumulation. 80 Molecules considered to act as EDLFs show exclusively hypertensive effects, 81, 82 but the underlying mechanisms of action seems complex. For example, nanomolar levels of ouabain increase the synthesis and release of angiotensin II (Ang II) from the endothelium of the tail vascular beds of spontaneously hypertensive rats, 83 but also increase nitric oxide release from endothelial cells.…”
Section: The Role Of Endogenous Digitalis In Hypertensionmentioning
confidence: 99%
“…116 Of the bufadienolides, MBG has been studied most extensively. 117, 118, 119, 120 MBG has great affinity for and inhibits the activity of the α 1 -subunit of the Na + ,K + -ATPase, 80 which is the main Na + pump isoform in vascular sarcolemma and renal tubules.…”
Section: The Role Of Endogenous Digitalis In Hypertensionmentioning
The central nervous system has a key role in regulating the circulatory system by modulating the sympathetic and parasympathetic nervous systems, pituitary hormone release, and the baroreceptor reflex. Digoxin- and ouabain-like immunoreactive materials were found >20 years ago in the hypothalamic nuclei. These factors appeared to localize to the paraventricular and supraoptic nuclei and the nerve fibers at the circumventricular organs and supposed to affect electrolyte balance and blood pressure. The turnover rate of these materials increases with increasing sodium intake. As intracerebroventricular injection of ouabain increases blood pressure via sympathetic activation, an endogenous digitalis-like factor (EDLF) was thought to regulate cardiovascular system-related functions in the brain, particularly after sodium loading. Experiments conducted mainly in rats revealed that the mechanism of action of ouabain in the brain involves sodium ions, epithelial sodium channels (ENaCs) and the renin–angiotensin–aldosterone system (RAAS), all of which are affected by sodium loading. Rats fed a high-sodium diet develop elevated sodium levels in their cerebrospinal fluid, which activates ENaCs. Activated ENaCs and/or increased intracellular sodium in neurons activate the RAAS; this releases EDLF in the brain, activating the sympathetic nervous system. The RAAS promotes oxidative stress in the brain, further activating the RAAS and augmenting sympathetic outflow. Angiotensin II and aldosterone of peripheral origin act in the brain to activate this cascade, increasing sympathetic outflow and leading to hypertension. Thus, the brain Na+–ENaC–RAAS–EDLF axis activates sympathetic outflow and has a crucial role in essential and secondary hypertension. This report provides an overview of the central mechanism underlying hypertension and discusses the use of antihypertensive agents.
“…In addition to A N P measurements, we have also studied other hormones implicated in the control o f G F R (catecholamines, renin and vasopressin) [18] and in sodium tubular transport (aldosterone, ouabain-displacing factor, O D F). O D F is a physiological inhibitor of sodium transport competing with ouabain for binding the N a +, K +-ATPase [19] for which association has been demonstrated with vol ume regulation [20], To our knowledge there are no pub lished data in the diabetic state concerning this factor.…”
Evidence that an increase in plasma atrial natriuretic peptide (ANP) concentrations mediates, at least in part, glomerular hyperfiltration in diabetic rats prompted us to study the relationship between ANP and renal haemodynamics in hyperfiltering type 2 diabetic patients in association with other hormones implicated in the control of glomerular filtration rate (GFR) (catecholamines, vasopressin, renin) and in sodium tubular transport (aldosterone, ouabain-dis-placing factor, ODF). Since hyperglycaemia is also associated to hyperfiltration, diabetic patients who presented with secondary drug failure were studied both in hyperglycaemic and in normoglycaemic condition. For this purpose, 11 normo-tensive non-macroproteinuric hyperfiltering patients with type 2 diabetes were treated with an 8-day continuous insulin infusion (days 0-7). Dehydration was prevented or corrected and natriuresis was on day 0 above 100 mmol/day. The following parameters were determined on days 0 and 7: GFR and renal plasma flow (RPF) by 99mTc-DTPA and 131I-hippuran clearances; the extracellular volume, assimilated to the DTPA diffusion volume; urinary ODF by receptor-binding assay and urinary as well as plasma catecholamines by HPLC after extraction on alumin. Plasma ANP and antidiuretic hormone (ADH) were measured by radioimmunoassay after extraction on phenyl-silylsilica (ANP) and with ether (ADH). Unextracted plasma was used for radioimmunological measurement of plasma renin activity and aldosterone. When correcting hyperglycaemia to normoglycaemia GFR decreased from high to normal mean value (138 ± 27 and 115 ± 6 ml/min, p < 0.001), RPF followed the same trend, and the DTPA diffusion volume did not change. Hormone concentrations remained unchanged in the normal range, with the exception of plasma adrenaline and natriuretic hormones: the urinary ODF/creatinine ratio decreased from 7.05 ± 0.86 to 4.89 ± 0.77 nmol/mmol while plasma ANP increased (both p < 0.05). There was no correlation between GFR and hormonal concentrations neither on day 0 nor on day 7 and no correlation was found between their respective changes after insulin infusion. In conclusion, at least on the basis on plasma measurements, ANP does not seem to be involved in the pathogenesis of glomerular hyperfiltration or in the decrease of GFR with correction of hyperglycaemia in human type 2 diabetes.
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