Epithelial cells treated with high concentrations of ouabain (e.g., 1 μM) retrieve molecules involved in cell contacts from the plasma membrane and detach from one another and their substrates. On the basis of this observation, we suggested that ouabain might also modulate cell contacts at low, nontoxic levels (10 or 50 nM). To test this possibility, we analyzed its effect on a particular type of cell-cell contact: the tight junction (TJ). We demonstrate that at concentrations that neither inhibit K + pumping nor disturb the K + balance of the cell, ouabain modulates the degree of sealing of the TJ as measured by transepithelial electrical resistance (TER) and the flux of neutral 3 kDa dextran (J DEX ). This modulation is accompanied by changes in the levels and distribution patterns of claudins 1, 2, and 4. Interestingly, changes in TER, J DEX , and claudins behavior are mediated through signal pathways containing ERK1/2 and c-Src, which have distinct effects on each physiological parameter and claudin type. These observations support the theory that at low concentrations, ouabain acts as a modulator of cell-cell contacts.claudins | c-Src | ERK1/2 | Madin-Darby canine kidney | occludin S everal lines of evidence, including the high affinity and specificity of ouabain for Na + ,K + -ATPase, suggest that endogenous ouabain analogs might exist. In keeping with this possibility, Hamlyn et al.(1) demonstrated the presence of a substance in plasma that cannot be distinguished from ouabain even by specific antibodies and mass spectrometry (1-4). Endogenous ouabain levels are increased during exercise (5) and in pathological conditions such as arterial hypertension (6-9) and eclampsia (10), raising the possibility that ouabain functions as a hormone and prompting efforts to elucidate physiological role.We have previously demonstrated that ouabain acts on cell-substrate and cell-cell contacts in Madin-Darby canine kidney (MDCK) cells. At 1 μM, ouabain binding to the Na + ,K + -ATPase results in pump inhibition and disassembly of molecules from the tight, adherens, and focal junctions (i.e., a P→A mechanism from pump to adhesion) (11). Consistent with these results, Rajasekaran et al. (12) have observed that 0.5 μM ouabain acts on the tight junction (TJ), decreasing transepithelial electrical resistance (TER) and increasing mannitol and inulin permeability in cultures of human retinal pigment epithelial cells. Furthermore, we have shown that in cocultures of wild-type MDCK and ouabain-resistant MDCK cells, ouabain treatment increases the expression of connexin 32, but not 26 or 43, and increases cell-cell communication via gap junctions to rescue the wild-type cells (13). Although these effects indicate that toxic levels of ouabain affect the structure and function of cell-cell junctions, we do not know how lower levels of ouabain affect adhesive structures.In the present work, we focus on this question and demonstrate that 10 nM ouabain affects neither Na + ,K + -ATPase nor the K + balance of the cells and does not indu...