Pflügers Archiv - European Journal of Physiology

, Volume 457, Issue 3, pp 623–634 | Cite as

The non-gastric H,K-ATPase as a tool to study the ouabain-binding site in Na,K-ATPase

  • Jan Joep H. H. M. De PontEmail author
  • Herman G. P. Swarts
  • Anna Karawajczyk
  • Gijs Schaftenaar
  • Peter H. G. M. Willems
  • Jan B. Koenderink
Open Access
Ion Channels, Receptors and Transporters


Based on studies with chimeras between (non-)gastric H,K-ATPase and Na,K-ATPase, a model for the ouabain binding site has recently been presented (Qiu et al. J.Biol.Chem. 280 (2005) 32349). In this model, hydrogen bonds between specific amino acid residues of Na,K-ATPase and hydroxyl groups of ouabain play a crucial role. In the present study, a series of ouabain analogues were tested on baculovirus-expressed Na,K-ATPase and an ouabain-sensitive mutant of non-gastric H,K-ATPase (D312E/ S319G/ A778P/ I795L/ F802C). For each analogue, the results obtained by measuring ATPase inhibition and [3H]ouabain replacement agreed rather well. In Na,K-ATPase, strophanthidin had a 7–10 times higher and digoxin a 4–12 times lower affinity than ouabain. The results of the non-gastric H,K-ATPase mutant were rather similar to that of Na,K-ATPase with exception of dihydro-ouabain that showed a much lower affinity with the non-gastric H,K-ATPase mutant. Docking studies showed that all analogues bind to the same pocket in Na,K-ATPase. However, the amino acids to which hydrogen bonds were formed differed and depended on the availability of hydroxyl or keto groups in the ouabain analogues.


Non-gastric H,K-ATPase Na,K-ATPase Ouabain Strophanthidin Digoxin 


Na,K-ATPase, gastric H,K-ATPase and non-gastric H,K-ATPase form within the family of P-type ATPases a special subfamily (IIc) [1]. Like all other P-type ATPases, its members have a catalytic subunit (α) with a molecular mass around 100 kDa. However, the members of this special subfamily cannot function unless a β-subunit, a glycoprotein with a protein molecular mass of about 35 kDa, is present. There are four genes that code for the catalytic subunit of Na,K-ATPase and one for the gastric as well as one for the non-gastric H,K-ATPase. These catalytic subunits cross the membrane ten times and are for 60–65% identical. The phylogenic distance between the catalytic subunits of Na,K-ATPase, gastric H,K-ATPase and non-gastric H,K-ATPase is about similar. There are three genes that code for β-subunits of Na,K-ATPase (β1–3) and one for the β-subunit of gastric H,K-ATPase (βHK). The non-gastric H,K-ATPase has no own β-subunit but most likely uses the β1-subunit of Na,K-ATPase [2, 3, 4]. Both Na,K-ATPase (α1) and the gastric H,K-ATPase work optimally with their own subunits (β1 and βHK, respectively), but still show some activity with each other’s β-subunit [5]. All ATPases of this family are localised at the plasma membrane. The gastric H,K-ATPase can be found at the apical plasma membrane of gastric parietal cells, the non-gastric H,K-ATPase at apical membranes of kidney, colon and prostate glands [6]. Na,K-ATPase is present at the plasma membrane of all mammalian cells. In epithelial cells, it is mainly present on basolateral plasma membranes.

It is a common property of P-type ATPases that during the catalytic cycle, they form a phosphorylated intermediate at an aspartate residue present as part of the sequence DKTP, present in the intracellular-located P-domain. The members of the IIc subfamily have in common that K+ stimulates the ATPase reaction through stimulation of the rate of dephosphorylation of this phosphorylated intermediate. The latter cation can be replaced by other monovalent cations like Rb+ and \({\text{NH}}_4^ + \). In the expressed non-gastric H,K-ATPase, the affinity for \({\text{NH}}_4^ + \) is even higher than for K+, and the specific activity with \({\text{NH}}_4^ + \) is much higher than with K+ [4, 7]. K+ ions and similar cations can be transported into the cell by these ATPases.

Despite these similarities, there are differences between the members of this subfamily. Na+ is necessary for the activity of Na,K-ATPase and does not stimulate gastric H,K-ATPase. Regarding the non-gastric H,K-ATPase there is disagreement whether Na+ can activate this ATPase [4, 8, 9]. The gastric H,K-ATPase activity and, most likely, the non-gastric H,K-ATPase activity are stimulated by H+. This is performed by stimulation of the phosphorylation rate of these ATPases. The stimulations by Na+ and H+, respectively, are accompanied by transport of these ions out of the cell.

Another difference is the sensitivity for ouabain and other cardiac glycosides. The Na,K-ATPase of most species is very sensitive towards ouabain. The affinity of the α1 form of rat and mouse, however, is about 100 times lower than that of most other species. Lingrel and co-workers have shown that this is due to the presence of an Arg on position 111 and an Asp on position 122 of the catalytic subunits of these rodents, while in all other ouabain-sensitive species, a Gln and an Asn, respectively, are present on these positions [10]. The gastric H,K-ATPase is not sensitive towards ouabain whereas the sensitivity of the non-gastric H,K-ATPase is even lower than that of rodent Na,K-ATPase, despite the fact that in both H,K-ATPases, a Gln and an Asn are present on the positions comparable to positions 111 and 122.

In 2000, we surprisingly showed a high affinity for ouabain in a chimera that had, as basis, the gastric H,K-ATPase (α and β subunits) and in which the transmembrane segments M3/M4 and M5/M6 of the α-subunit were replaced by those of Na,K-ATPase [11]. This chimera was expressed in insect cells using the baculovirus expression system. The four transmembrane segments originating from Na,K-ATPase still contained 48 amino acids that were specific for this enzyme. Later, we could reduce this number to seven and still kept a high affinity for ouabain [12, 13]. In the latter studies, we used the oocyte expression system and restricted ourselves to the measurement of ouabain binding. The resulting chimera (EVIGFTD) had a high affinity for ouabain binding in the oocyte system. The seven amino acids Glu312, Val314, Ile315, Gly319 (all from M4), Phe783 (M5), Thr797 and Asp804 (both from M6) were needed for high-affinity ouabain binding in the sense that replacing one of these amino acids by their counterpart from gastric H,K-ATPase lowered the ouabain binding level considerably. Despite several trials, however, we were not able to get this chimera well expressed in the baculovirus expression system. The latter preparation had a very low ATPase activity and could not be used for obtaining reliable figures for ouabain affinity (unpublished results).

In a next study, we succeeded to convert the rat non-gastric H,K-ATPase that has a very low affinity for ouabain, by mutation of only five amino acids into an enzyme with a high affinity for ouabain [14]. Two of these amino acids (Glu312 and Gly319) were also found to be important in the study with the gastric H,K-ATPase chimera EVIGFTD, whereas three others Pro778, Leu795 and Cys802 were new. This chimera (EGPLC) could, in contrast to chimera EVIGFTD, well be expressed in the baculovirus system and showed a high \({\text{NH}}_4^ + \)-activated ATPase activity that could be inhibited by low ouabain concentrations [14].

In the course of the study with the EVIGFTD chimera, a docking study with ouabain in Na,K-ATPase homologue based on the 1WPG structure (close to the E2P form of Ca2+-ATPase) was performed. The resulting model showed important roles for several of the amino acids that were identified in both studies with the chimeras [13, 14]. In addition, the two amino acids discovered by Lingrel’s group [15] were very important in the model. They formed hydrogen bonds with hydroxyl groups coupled to the steroid skeleton of ouabain. Gln111 had hydrogen bonds with both OH groups on places 1 and 11 of the steroid skeleton of ouabain, whereas Asn122 had a hydrogen bridge with the OH on position 11 (see Fig. 1). Such a model explains, at least qualitatively, the lower affinity for ouabain of rat and mouse Na,K-ATPase.
Fig. 1

Chemical structure of the ouabain analogues

There are many heart glycosides that can inhibit Na,K-ATPase. They differ from ouabain by the absence or type of sugars, by the functional groups attached to the steroid skeleton and by the presence of a double bond in the lactone ring. One would expect that this would lead to large differences in binding affinities between these analogues. Moreover, the species difference as observed with ouabain would be absent for analogues in which these particular hydrogen bridges could not be formed. By testing these analogues on the EGPLC mutant, one could moreover establish whether or not the binding site for heart glycosides in this mutant is completely similar to that in Na,K-ATPase. We studied, in addition to ouabain, the following five analogues: digoxin, dihydro-ouabain, digoxigenin, strophanthidin and ouabagenin. We used the baculovirus-expressed rat Na,K-ATPase, the QN mutant of rat Na,K-ATPase (Arg and Asp on positions 111 and 121 replaced by Gln and Asn, respectively), the rat non-gastric H,K-ATPase and its EGPLC mutant. We determined the affinity of these compounds in two different ways. We measured their inhibitory potency in ATPase assays (for Na,K-ATPase and its QN mutant with both Na+ and K+ as activating ions and for non-gastric H,K-ATPase and the EGPLC mutant with \({\text{NH}}_4^ + \) as activating ion). In addition, we determined the apparent affinity for these compounds when they competed with [3H]-ouabain for the binding to these constructs.

Materials and methods

Construction of recombinant Na,K-ATPase and non-gastric H,K-ATPase

The chimeras and mutants used in this study were: the rat Na,K-ATPase α1-subunit (wild type), the R111Q/ D122N mutant (QN) of this enzyme [10, 11], the rat non-gastric H,K-ATPase α2-subunit [13] as well as its EGPLC mutant (D312E, S319G, A778P, I795L, F802C) [14]. Generation of the vectors containing the α2-subunit of rat non-gastric H,K-ATPase with the β1-subunit of rat Na,K-ATPase or the α1-subunit of rat Na,K-ATPase with the β1-subunit of sheep Na,K-ATPase that were suited for the baculovirus expression system, has been reported before [5, 14].

Preparation of Sf9 membranes

Sf9 cells were grown at 27°C in 100-ml spinner flask cultures as described by Klaassen et al. [16]. For expression of the ATPases, 1.5.106−1 were infected with the proper virus at a multiplicity of infection of 1–3 in the presence of 1% (v/v) ethanol and 0.1% (w/v) pluronic F-68 (ICN, Aurora, OH, USA) in Xpress medium (Biowittaker, Walkersville, MD, USA) as described before [17]. After 3 days, Sf9 cells were harvested by centrifugation at 2,000 × g for 5 min. The cells were washed once at 0°C with 0.25 M sucrose, 2 mM EDTA and 25 mM Hepes/Tris (pH 7.0), resuspended in sucrose/EDTA/Tris buffer and sonicated at 60 W (Branson Power Company, Denbury, CT, USA) for 30 s at 0°C. After centrifugation for 30 min at 10,000 × g the supernatant was collected and recentrifuged for 60 min at 100,000 × g at 4°C. The pelleted membranes were resuspended in the above-mentioned buffer and stored at −20°C.

Biochemical methods

Protein determination

The protein concentrations were quantified with the modified Lowry method according to Peterson [18] using bovine serum albumin as a standard.

[3H]Ouabain binding

Sf9 membranes (±100 μg) were incubated at room temperature in 50 mM Tris-acetic acid (pH 7.0), 1 mM ATP, 5.0 mM MgCl2, 25 nM [3H]ouabain, 1 mM H3PO4 at a final volume of 50 μl in the presence of the concentrations of ouabain or its analogues as indicated. After 2 h, the reaction mixture was chilled for 15 min on ice. The ouabain-protein complex was collected by filtration over a 0.8-μm membrane filter (Schleicher and Schuell, Dassel, Germany). After washing twice with ice-cold water, radioactivity was analysed by liquid scintillation analysis.

ATPase assay

The ATPase activity was determined using a radiochemical method [19]. For this purpose, 10–30 μg of Sf9 membranes were added to 100 μl of medium containing 2 mM Mg-[γ-32P]-ATP, 10 mM NH4Cl (non-gastric H,K-ATPase or its EGPLC mutant), 100 mM NaCl and 10 mM KCl (Na,K-ATPase wild type and its QN mutant), 0.8 mM MgCl2, 0.1 mM EGTA, 0.2 mM EDTA, 1 mM TrisN3, 50 mM Tris-HCl (pH 7.0) and concentrations of ouabain or its analogues as indicated. After incubation for 60 min at 37°C, the reaction was stopped by adding 500 μl 10% (w/v) charcoal in 6% (v/v) trichloroacetic acid and after 10 min at 0°C, the mixture was centrifuged for 10 s at 10,000 × g. To 0.15 ml of the clear supernatant, containing the liberated inorganic phosphate (32Pi), 3 ml OptiFluor (Canberra Packard, Tilburg, The Netherlands) was added and the mixture was analysed by liquid scintillation analysis. In general, blanks were prepared by incubating in the absence of membranes. ATPase activity is presented as the difference in activity between membranes of ATPase-expressing cells and mock-infected cells.

Docking of ouabain

The homology model of the QN mutant of rat Na,K-ATPase [13], based on an E2-P-like structure of Ca2+-ATPase (1WPG; [20]), was used for in silico docking with the FlexX program [21], version 1.13.5 L. FlexX predicts the conformations of a set of energetically favourable molecular complexes consisting of the ligand bound to the active site of the protein. The complexes were labelled with a score that approximates binding energy. Because of the huge size of the ATPase model, placement of the ligand was restricted to the previously postulated binding pocket on the extra-cellular side of the membrane [12]. Besides an overall pocket, a sub-pocket was defined to include residues known from mutation experiments to be important for ligand binding. The use of a sub-pocket lets FlexX place the base fragment (the first placed fragment of the ligand) near one of the residues in the sub-pocket. The rest of the ligand still has the freedom to completely move away from these residues as long as the ligand remains within the overall pocket.

The starting structure for ouabain and its analogues was obtained from the Cambridge Structural Database [22]. Hydrogens were added interactively with Molden package [23]. Molden was also used to assign the atom types of the Sybyl force field. This assignment was checked by visual inspection. Bond lengths and bond angles were optimised with the Sybyl force field.

FlexX produced a number of protein-ligand complexes, of which the ten best scoring ones were inspected visually. These so-called poses showed little variation in geometries. The best scoring pose was used for this work. As FlexX keeps the protein completely fixed, the amino acid side-chain rotamers could not be expected to be optimal, as the homology model was built in absence of ouabain. Consequently, the best scoring pose was subjected to an additional energy minimization with the Yamber force field [24, 25], which resulted in improved hydrogen bonding patterns.


IC50 values were determined by analysing the plots using the non-linear curve-fitting program (Hill equation function) of Orgin 6.1 (OriginLab Corp., Northampton, MA, USA). Data are presented as mean values with standard error of the mean of the number experiments. Differences were tested for significance by means of Student’s t test.


Ouabain (O3125), ouabagenin (O2627), digoxigenin (D9026), dihydro-ouabain (D0670), digoxin (D6003) and strophanthidin (S6626) were from Sigma-Aldrich, St. Louis, MO, USA [3H]Ouabain (17 Ci mmol−1) and [γ-32P]ATP (3000 Ci mmol−1) were purchased from Amersham Pharmacia (Buckinghamshire, United Kingdom).


ATPase inhibition studies

The five ouabain analogues (structures given in Fig. 1) were chosen to get a series of analogues with limited differences as compared to ouabain. Whereas ouabain has a rhamnose sugar coupled to the OH group on position 3 of the steroid skeleton, ouabagenin lacks this sugar. In dihydro-ouabain, the lactone ring is saturated. Strophanthidin lacks, like ouabagenin, not only the rhamnose sugar but also the two hydroxyl groups that in ouabain are coupled to the steroid on positions 1 and 11. In addition, a keto group replaces the hydroxyl group on position 19. In digoxin, the rhamnose from ouabain is replaced by trisdigitoxose. Digoxin also lacks the OH groups on positions 1, 5, 11 and 19 of the steroid skeleton and has an additional OH group on position 12. Digoxigenin is similar to digoxin but lacks the sugar chain.

Figure 2 shows that all ouabain analogues only inhibit the Na,K-ATPase activity of the rat wild-type enzyme when very high concentrations were applied. Much lower concentrations were needed when the QN analogue of Na,K-ATPase was used. This means that the presence of an Arg on position 111 and an Asp on position 122 in the rat wild-type enzyme not only lowers the affinity for ouabain but also for the five studied analogues. Table 1 gives the IC50 values, both absolutely (line A) and relative to the value with ouabain (line B). The Table shows that the IC50 value for strophanthidin is lower than for ouabain. The IC50 values for digoxin and ouabagenin are higher than that of ouabain, whereas those of dihydro-ouabain and digoxigenin do not significantly differ with that of ouabain.
Fig. 2

Inhibition of the Na+- and K+-activated ATPase activity of Na,K-ATPase (closed symbols) and its QN-mutant (open symbols) by ouabain and five of its analogues

Table 1

The effect of the ouabain analogs in ATPase activity measurements and [3H]-ouabain displacement studies









ATPase activity measurements

A. IC50 values (μM)

Na,K-ATPase (wt)


60 ± 2

20 ± 2



160 ± 20


Na,K-ATPase (QN)


0.11 ± 0.024

0.48 ± 0.227

0.11 ± 0.010

0.08 ± 0.031

0.02 ± 0.002*

0.23 ± 0.023

HKα2-ATPase (wt)








EGPLC mutant


0.10 ± 0.005

0.07 ± 0.010*

4.7 ± 0.75*

0.20 ± 0.048

0.05 ± 0.005*

0.80 ± 0.246

B. Relative to ouabain

Na,K-ATPase (QN)


1.00 ± 0.300

4.2 ± 2.20*

1.01 ± 0.232

0.66 ± 0.308

0.14 ± 0.035*

2.0 ± 0.47*

EGPLC mutant


1.00 ± 0.070

0.65 ± 0.104

46 ± 7.8*

2.0 ± 0.49

0.48 ± 0.055*

7.9 ± 2.47*

C. Relative to Na,K-ATPase (QN)


1.00 ± 0.308

0.15 ± 0.083

45.8 ± 13.05

3.0 ± 1.6

3.4 ± 0.91

3.9 ± 1.53

Ouabain replacement studies

D. IC50 values (μM)

Na,K-ATPase (QN)


0.07 ± 0.006

0.78 ± 0.252*

0.08 ± 0.002*

0.02 ± 0.005*

0.01 ± 0.002*

0.05 ± 0.019

EGPLC mutant


0.31 ± 0.040

0.76 ± 0.214

27 ± 3.2*

0.75 ± 0.268

0.17 ± 0.032*

2.8 ± 1.31

E. Relative to ouabain

NaK-ATPase (QN)


1.00 ± 0.127

11.6 ± 3.90*

1.21 ± 0.112

0.25 ± 0.078*

0.10 ± 0.031*

0.70 ± 0.290

EGPLC mutant


1.00 ± 0.181

2.4 ± 0.75*

86 ± 15.0*

2.4 ± 0.91*

0.54 ± 0.124

8.9 ± 4.33*

F. Relative to Na,K-ATPase (QN)


1.00 ± 0.221

0.21 ± 0.095

71 ± 14.1

9.5 ± 4.62

5.2 ± 1.95

12.8 ± 8.12

Data from Figs. 2, 3 and 4

A and D inhibition data (IC50 values) in µM, B and E IC50 values relative to ouabain, C and F data from B and E relative to Na,K-ATPase (QN; relative ratio EGPLC/Na,K-ATPase (QN)

*P < 0.05

Figure 3 shows that the wild-type non-gastric H,K-ATPase activity was very insensitive to ouabain and its analogues. Due to the limited solubility of some of these analogues, it is impossible to measure IC50 values for this inhibition. The \({\text{NH}}_4^ + \)-stimulated ATPase activity of the EGPLC mutant, on the other hand, could be inhibited by low concentrations of all analogues. Compared to ouabain, both strophanthidin and digoxin had slightly lower IC50 values, whereas these values for digoxigenin and ouabagenin were two and eight times higher, respectively. The IC50 value for dihydro-ouabain was more than 40 times higher than that for ouabain.
Fig. 3

Inhibition of the \({\text{NH}}_4^ + \)-activated ATPase activity of non-gastric H,K-ATPase (open symbols) and its EGPLC mutant (closed symbols) by ouabain and five of its analogues

Comparison of the IC50 values for ouabain and its analogues on the ATPase activity of Na,K-ATPase (QN) and the EGPLC mutant of non-gastric ATPase (line C) shows that ouabain inhibited both enzymes equally potently. Remarkably, the ATPase activity of the EGPLC mutant was even relatively better inhibited by digoxin than by ouabain, whereas it was much less inhibited by dihydro-ouabain. Strophanthidin, ouabagenin and digoxigenin inhibited the activity of the EGPLC mutant about three times less than that of Na,K-ATPase (QN).

[3H]ouabain replacement studies

Because of the very low affinity for ouabain of the unmodified rat Na,K-ATPase and the rat non-gastric H,K-ATPase, [3H]ouabain replacement studies could only be carried out with the QN-analogue of Na,K-ATPase and the EGPLC mutant of non-gastric H,K-ATPase. Figure 4 shows that all analogues are able to displace [3H]ouabain, either when bound to the Na,K-ATPase (QN) or to the EGPLC mutant of non-gastric H,K-ATPase. The IC50 values for these replacements are presented in Table 1, both as absolute values (line D) and relative to the IC50 value for ouabain (line E). When the QN mutant of Na,K-ATPase was used strophanthidin, digoxigenin and ouabagenin had a two- to tenfold lower IC50 value than ouabain. Digoxin, however, had an 11 times higher IC50 value. The IC50 value for dihydro-ouabain was slightly higher than that of ouabain.
Fig. 4

[3H]ouabain displacement experiments of Na,K-ATPase (QN; open symbols) and the non-gastric H,K-ATPase EGPLC mutant (closed symbols) in the presence of Pi

When [3H]ouabain replacement studies were carried out with the EGPLC mutant of non-gastric H,K-ATPase, strophanthidin had a two times lower IC50 value than ouabain. The IC50 values for both digoxin and digoxigenin were about twice as high and that of ouabagenin was about nine times as high as that of ouabain. The IC50 value for dihydro-ouabain was more than 80 times as high as that of ouabain.

As is clear from both Fig. 4 and line F from Table 1, the EGPLC mutant binds digoxin relatively better than the QN mutant of Na,K-ATPase. The EGPLC mutant binds digoxigenin, strophanthidin and ouabagenin with a five to ten times relative lower affinity than Na,K-ATPase. The EGPLC mutant has a very low affinity for dihydro-ouabain.

Comparison of both methods

The results presented in lines B and E of Table 1 are graphically presented in Fig. 5. Both for the QN mutant of Na,K-ATPase (Fig. 5a) and the EGPLC mutant of non gastric H,K-ATPase (Fig. 5b), there is a very good correlation between the results of the ATPase inhibition and the [3H]ouabain replacement experiments. This indicates that the IC50 values for a single compound and ATPase preparation, obtained by measuring the effects on ATPase inhibition and ouabain replacement, are within a narrow range.
Fig. 5

Correlation between the IC50 values obtained by measuring the inhibition of the ATPase activity and the displacement of [3H]ouabain binding by the ouabain analogues in Na,K-ATPase (QN) and H,K-ATPase EGPLC. The reciprocal value of the IC50 value obtained with ouabain was set at 1 and all other values were related to this value

Docking experiments

Similarly, as described earlier for ouabain [13], docking experiments were carried out with the five analogues in a homology model of the E2-P form of human Na,K-ATPase, based on the 1WPG structure of Ca2+-ATPase. The human ATPase is comparable to the QN mutant. Although all analogues bound in the same pocket as ouabain, they interacted in part with different amino acid residues. As an example, the binding of strophanthidin is presented in Fig. 6. Table 2 gives a summary of the hydrogen bridges with Na,K-ATPase that were found for the various ouabain analogues. All analogues, except digoxin, form one or more hydrogen bridges from hydroxyl groups bound to the steroid skeleton with Gln111. The latter residue forms normally a hydrogen bridge with Asn122. This hydrogen bridge is broken when these analogues are present. Only with digoxin does a binding with Gln111 not occur and the hydrogen bridge with Asn122 stays intact. Most analogues also form hydrogen bridges with Arg972. This residue forms normally a salt bridge with Glu908. With ouabain and dihydro-ouabain, this salt bridge is still intact but with digoxin, digoxigenin, strophanthidin and ouabagenin, the binding energy of the complex between drug and Na,K-ATPase is apparently sufficient to open this salt bridge. Table 2 also shows that in case sugars are present, they always couple to Glu312 with one or more hydrogen bridges. In most cases, the lactone ring binds to the three adjacent amino acid residues Thr797, Val798 and Thr799, in part, through an interaction with the backbone amide groups. There is no clear hydrogen bonding of the lactone ring in dihydro-ouabain because of a different orientation of this ring.
Fig. 6

Molecular model of docking of strophanthidin in Na,K-ATPase. Nitrogen is colored blue, oxygen red and carbon cyan or green (in strophanthidin). Hydrogen bonds are shown as yellow dotted lines. Surrounding parts of the structure have been hidden for clarity. Amino acids that were shown to be essential for ouabain binding [13, 14] are indicated in yellow. Images were created with Yasara (

Table 2

Hydrogen bonds between Na,K-ATPase (QN) and ouabain analogues















His 912





















No a.a.















Steroid 1 + 11


Steroid 11




Lactone E

Lactone E

Lactone K






Lactone E





Sugar (3×)


Steroid 14


Steroid 14



Steroid 19 (2×)


Sugar (2×)



Steroid 5







Steroid 12

Steroid 14

Steroid 12


Lactone K


Steroid 14



Steroid 3 + 5


Lactone E

Lactone K (2×)


Steroid 14

Steroid 19



Steroid 1

Steroid 5

Steroid 19


Lactone K

Lactone K

Steroid 3

Steroid 5


Steroid 19 (2×)

Docking experiments were carried as described in “Materials and methods”. The amino acid in Na,K-ATPase (QN) and the interaction sites are indicated. For comparison, the analogous residues present in gastric (g.) and non-gastric (n.g.) H,K-ATPase are also given. The three sugar residues in digoxin bind not only to Glu312, but also to Trp887 (sugar 1, bound to steroid 3) and twice to Thr303 (sugar 3). All interactions of Val798, that of Thr797 with the lactone of ouabain, and one of the bonds of Thr799 are with the backbone nitrogens

Lactone E: Ether oxygen in lactone ring, Lactone K: keto oxygen in lactone ring, HB hydrogen bridge between Gln111 and Asn122, SB salt bridge between Glu908 and Arg972

Docking experiments were also carried out with the rat wild-type Na,K-ATPase; Arg111 of the wild type is more bulky than Gln111 of the QN mutant. Only two of the possible rotamers of Arg111 do not substantially decrease the space available for the ligands. Both rotamers form a salt bridge with Asp122 but, in addition, offer interaction sites for the ligands. Of these two rotamers, only one yields successful docking results for more than one ligand. With exception of strophanthidin, these docking poses are different from that with the QN mutant.


Two methods were used in this study to determine the apparent affinities for some ouabain analogues. On the one hand, the ability to compete with [3H]ouabain for the binding to several ATPases and on the other hand, the inhibitory effect on the activities of these ATPases. Because of the very low binding level of [3H]ouabain to wild-type rat Na,K-ATPase and rat non-gastric H,K-ATPase, the ouabain replacement method could not be used with these preparations. Only with the QN mutant of rat Na,K-ATPase and the EGPLC mutant of non-gastric H,K-ATPase was the use of both methods possible. Although the results between the QN mutant and the EGPLC mutant for the various analogues differ, the IC50 values obtained with both methods (ATPase inhibition measurements and [3H]ouabain replacement studies) are, in general, rather similar for a single drug used with one of both ATPases. Our findings for Na,K-ATPase (QN) contrast with those of Paula et al. [26] who carried out apparently similar studies on lamb kidney ATPase (that also contains a Gln on position 111 and an Asn on position 122) with a very large series of ouabain analogues. Whereas their results on Na,K-ATPase inhibition, with exception of those for strophanthidin, fit reasonably well with our findings, Paula et al. [26] found for all inhibitors, except digoxin, much higher IC50 values in ouabain replacement studies than we found in the present study (Table 3). An explanation for this discrepancy cannot yet be given. A good correlation between [3H]ouabain replacement and ATPase inhibition, as found by us, is what would be expected.
Table 3

Comparison between the relative IC50 values for a series of ouabain analogues

Relative IC50 values


[3H]ouabain replacement

Na,K-ATPase inhibition

This study


This study
































Ouabain analogues are obtained in the present study and by Paula et al. [26]

For the wild-type rat Na,K-ATPase, only ATPase inhibition measurements could be carried out. As shown in Fig. 3 and Table 1, the IC50 values were very high and only a lower limit of the IC50 values for dihydro-ouabain, digoxigenin and ouabagenin could be given. However, it is clear that the difference in IC50 value for ouabain between the wild-type enzyme and the QN mutant is valid not only for ouabain but also for all the other tested analogues. In our published model for the ouabain-binding site [13], the hydrogen bridges between Gln111 and Asn122 at the one side and the hydroxyl groups on positions 1 and 11 of the steroid skeleton at the other side play an essential role. Because some or all of these hydroxyl groups are absent or are located on different positions in the analogues, there must be another explanation for the low affinity of all these inhibitors for the rat wild-type Na,K-ATPase. It might be that the charged residues at the positions 111 and 122 in rodent species prohibit the entrance of these compounds to the binding pocket. The docking experiments suggest that, in particular, the (bulky) Arg residue on position 111 occupies part of the binding pocket and so prevents binding of ouabain and its analogues. It might also be that Arg111 and Asp122 form a salt bridge that is difficult to break.

There is general agreement that ouabain binds to Na,K-ATPase at the extracellular surface of the α-subunit in the groove between transmembrane segments 1, 2, 4, 5 and 6 and their extracellular loops. In our published model of a QN type Na,K-ATPase [13], the rhamnose unit is directed to the extracellular space, whereas the lactone ring is oriented deeply into the membrane. A similar model is postulated by Munson et al. [27], although, in part, other amino acid residues found by us are close to the ouabain molecule. Especially, the lactone ring is positioned deeper in the binding pocket, which is due to relaxation of the model during the docking experiment. In our opinion, both docking models are plausible. Keenan et al. [28] have postulated a model in which the lactone ring is located close to the extracellular space and the rhamnose is embedded deeply into the membrane. The latter orientation does not fit with earlier nuclear magnetic resonance studies showing that the rhamnose has a high mobility [29].

Glu312 is a residue that, in the models of both Qiu et al. [13, 14] and Munson et al. [27], forms a hydrogen bridge with the rhamnose. In gastric H,K-ATPase, this residue is an Arg, whereas in non-gastric H,K-ATPase, it is an Asp. The presence of a Glu on this position was shown to be necessary for high-affinity ouabain binding in both H,K-ATPases [13, 14]. The binding affinity of ouabain in mutant E312R of human Na,K-ATPase [30] was much lower than that of wild-type enzyme. However, there was no difference in binding affinity when the binding of the sugarless ouabagenin was measured. This strongly supports the models with the rhamnose residue at the extracellular border of the membrane. In our QN rat model, Glu312 always plays a crucial role in sugar binding, also with digoxin where a large tridigitoxose is present.

Docking experiments with the ouabain analogues in the Na,K-ATPase (QN) model gave rather variable results. Although they all bound to the enzyme within the same pocket, they bound in part to different residues due to presence or absence of a sugar residue and to the different groups present at the steroid skeleton. This led to unexpected changes in binding parameters. One could expect that ouabagenin would have a much lower affinity than ouabain because the sugar that binds with several hydrogen bonds to Na,K-ATPase is absent in ouabagenin. The biochemical studies show a roughly similar affinity for ouabain and ouabagenin for the QN mutant of Na,K-ATPase. Radkov et al. [30] even found a twofold lower Ki value for ouabagenin than for ouabain. In the docking experiment, ouabagenin penetrated the membrane more deeply, resulting in hydrogen bridges of the lactone ring with residues of M8. Even more striking is our finding that the apparent affinity for digoxigenin in Na,K-ATPase (QN) is 6–35 times higher than that of digoxin. It might be that the absence of the long hydrophilic trisdigitoxose gives this genin also the chance to penetrate more deeply into the membrane and form hydrogen bridges that could not occur when the sugar is present in the molecule. A deeper penetration into the membrane might also explain the relatively high affinity of Na,K-ATPase (QN) for strophanthidin and ouabagenin.

The wild-type non-gastric H,K-ATPase has a very low affinity for ouabain and the five tested analogues. By mutation of only five residues resulting in the mutant EGPLC, it was possible to obtain a high affinity for ouabain. In the oocyte system, it had a similar affinity for ouabain as the QN-mutant of Na,K-ATPase [14]. In the present study using baculovirus expressed enzymes, it had in the [3H]ouabain replacement studies four times lower apparent affinity than the Na,K-ATPase (QN) whereas in the ATPase inhibition studies, the apparent affinities were similar (Table 1). The EGPLC mutant had in both assays a 5–6 times higher affinity for digoxin than for ouabain compared to Na,K-ATPase (QN). The apparent affinity for digoxigenin, strophanthidin and ouabagenin was a factor 3–13 (depending on compound and assay method) lower than for ouabain. Strikingly, the apparent affinity for dihydro-ouabain in the EGPLC mutant was much higher (46 times in the ATPase assay and 86 times in the ouabain replacement studies) than for Na,K-ATPase. The only difference between dihydro-ouabain and ouabain is the absence of a double bond in the lactone ring of the former compound. This absence leads to another orientation of the lactone ring with respect to the steroid skeleton. It is likely that in the binding pocket of Na,K-ATPase, there is enough space for both orientations, whereas this is not the case in the EGPLC mutant. The catalytic subunits of Na,K-ATPase and the EGPLC mutant of non-gastric H,K-ATPase are only for 60% similar. The EGPLC mutant of non-gastric H,K-ATPase has only mutations in M4, M5 and M6, which was sufficient for obtaining a high-affinity for ouabain. It might be that one or more residues outside M4–M6 stick into the binding pocket without effect on the binding of ouabain but hampering the binding of dihydro-ouabain by occupying the position of the differently oriented lactone ring.


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Copyright information

© The Author(s) 2008

Authors and Affiliations

  • Jan Joep H. H. M. De Pont
    • 1
    Email author
  • Herman G. P. Swarts
    • 1
  • Anna Karawajczyk
    • 3
  • Gijs Schaftenaar
    • 3
  • Peter H. G. M. Willems
    • 1
  • Jan B. Koenderink
    • 2
  1. 1.Department of Biochemistry, Nijmegen Centre for Molecular Life SciencesRadboud University Nijmegen Medical CentreNijmegenThe Netherlands
  2. 2.Department of Pharmacology and Toxicology, Nijmegen Centre for Molecular Life SciencesRadboud University Nijmegen Medical CentreNijmegenThe Netherlands
  3. 3.Centre for Molecular and Biomolecular InformaticsRadboud UniversityNijmegenThe Netherlands

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