“…[17], glucodigitoxigenin(7) [20], sarmentogenin-3-O-β-D-allopyranoside(8) [21], periplogenin glucoside (9)[22], somalin(11) [23], periplocymarin(12) [9], tupichinolide (13)[24], periplogenin digitoxoside(14) [9], 3-O-(β-glucopyranosyl) acovenosigenin A (15)[13], digitoxigenin gentiobioside(16) [14], 1α,14β-dihydroxy-5β-card-20 (22)-enolide-3-O-[O-β-D-glucopyranosyl-(1 → 2)-β-D-digitalopyranoside] (17) [14], acovenosigenin A 3-O-[O-β-D-glucopyranosyl-(1 → 4)-β-D-digitalopyranoside] (18)[14], griffithigenin(19) [14], and 16-dehydrodigitoxigenin glucoside (20)[14] based on comparison of the NMR data with the literature.The binding of sub-inotropic doses of CTSs, such as ouabain, to NKA results in the transactivation of the epidermal growth factor receptors (EGFRs), resulting in the activation of the MAPK/ERK pathway[5]. In addition, ouabain stimulates phosphoinositide 3kinase (PI3K), resulting in the activation of protein kinase B (Akt) ▶ Fig.2Identified structural formula of CTSs from S. juventas.…”