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2.Cardiotonic glycoside which presents a buIadienolide-steroid structure.

Besides ouabain, Irom


the class oI cardenolides hellebrin is the second unique water soluble cardiotonic glycoside.
Extremely potent inhibitor oI Na

/K

-ATPase (sodium pump) blocking the active eIIlux oI Na


and reuptake oI K

oI this membrane enzyme. Shows a positive inotropic eIIect by increasing the


intracellular Ca
2
concentration. Strong immunosuppressor inhibiting T cell activity with much
higher potency than cortisol or cyclosporin A Induces caspase-dependent apoptosis.

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