the other side creates an osmotic gradient that drives the absorption of water.Another important task of the Na
+
-K
+
pump is to provide a Na
+
gradient that is used by certain carrier processes. In thegut, for example, sodium is transported out of the resorbing cell on the blood side via the Na
+
-K
+
pump, whereas, onthe resorbing side, the Na
+
-Glucose symporter uses the created Na
+
gradient as a source of energy to import both Na
+
and Glucose, which is far more efficient than simple diffusion. Similar processes are located in the renal tubularsystem.
Mechanism
The pump, with bound ATP, binds 3intracellular Na
+
ions.
ATP is hydrolyzed, leading tophosphorylation of the pump at a highlyconserved aspartate residue and subsequentrelease of ADP.
A conformational change in the pumpexposes the Na
+
ions to the outside. Thephosphorylated form of the pump has a lowaffinity for Na
+
ions, so they are released.
The pump binds 2 extracellular K
+
ions. Thiscauses the dephosphorylation of the pump,reverting it to its previous conformationalstate, transporting the K
+
ions into the cell.
The unphosphorylated form of the pump hasa higher affinity for Na
+
ions than K
+
ions, so the two bound K
+
ions are released. ATP binds, and the processstarts again.
Regulation
Endogenous
The Na
+
/K
+
-ATPase is thought to be downregulated by cAMP.
[1]
Thus, substances causing an increase in cAMP downregulates Na
+
/K
+
-ATPase. These include the ligands of the G
s
-coupled GPCRs.In contrast, substances causing a decrease in cAMP upregulates Na
+
/K
+
-ATPase. These include the ligands of the G
i
-coupled GPCRs. It should be noted that cAMP also acts as a second messenger causing an increase in proteinabundance of Na-K-ATPase.
Exogenous
The Na
+
-K
+
-ATPase can be pharmacologically modified by administrating drugs exogenously. For instance, Na
+
-K
+
-ATPase found in the membrane of heart cells is an important target of cardiac glycosides (forexample digoxin and ouabain), inotropic drugs used to improve heart performance by increasing its force of contraction.Contraction of any muscle is dependent on a 100- to 10,000-times higher-than-resting intracellular Ca
2+
concentration,which, as soon as it is put back again on its normal level by a carrier enzyme in the plasma membrane, and a calciumpump in sarcoplasmic reticulum, muscle relaxes.Page 2 of 10Na+/K+-ATPase - Wikipedia, the free encyclopedia2/17/2008http://en.wikipedia.org/wiki/NaKATPase
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