Document Detail


Ouabain, a circulating hormone secreted by the adrenals, is pivotal in cardiovascular disease. Fact or fantasy?
MedLine Citation:
PMID:  19050442     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Substantial evidence points to the presence in human plasma of an inhibitor of the sodium/potassium pump which plays a central role in the pathophysiology of circulatory disorders, including essential hypertension. Studies from the 1980/90s claimed that this inhibitor was identical or very similar in structure to plant-derived ouabain and was synthesized by the adrenal cortex. However, the physical evidence in studies reporting isolation and identification of ouabain in human plasma appears insecure on closer examination. Additionally, reported circulating levels of immunoreactive ouabain in humans vary greatly, the ability of the human adrenal glands to secrete ouabain is questionable and the original commercial assay for measuring immunoreactive ouabain is no longer available. We submit that the position of ouabain as an endogenous, adrenally produced regulator of the sodium pump is of such importance that the current evidence needs either to put on a more secure footing or to lose its current status.
Authors:
M Gary Nicholls; Lynley K Lewis; Tim G Yandle; Gwyn Lord; William McKinnon; Philip J Hilton
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of hypertension     Volume:  27     ISSN:  0263-6352     ISO Abbreviation:  J. Hypertens.     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-03     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8306882     Medline TA:  J Hypertens     Country:  England    
Other Details:
Languages:  eng     Pagination:  3-8     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Otago-Christchurch, Christchurch Hospital, Christchurch, New Zealand. gary.nicholls@cdhb.govt.nz
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MeSH Terms
Descriptor/Qualifier:
Adrenal Glands / secretion*
Animals
Cardenolides / administration & dosage,  blood*,  isolation & purification
Cardiovascular Diseases / etiology*
Chromatography, High Pressure Liquid
Diet
Humans
Ouabain / blood*,  isolation & purification
Saponins / administration & dosage,  blood*,  isolation & purification
Sodium-Potassium-Exchanging ATPase / antagonists & inhibitors*
Chemical
Reg. No./Substance:
0/Cardenolides; 0/Saponins; 0/digoxin-like factors; 630-60-4/Ouabain; EC 3.6.3.9/Sodium-Potassium-Exchanging ATPase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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