Dose-dependent reversal of digoxin-inhibited activity of an in vitro Na(+)K(+)ATPase model by digoxin-specific antibody

Dose-dependent reversal of digoxin-inhibited activity of an in vitro Na(+)K(+)ATPase model by digoxin-specific antibody
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DOI:
10.1016/0378-4274(96)03647-8
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发表时间:
1996-05-01
期刊:
影响因子:
3.5
通讯作者:
Scherrmann, JMG
Scherrmann, JMG
中科院分区:
医学3区
文献类型:
--
作者:
Cano, NJ;Sabouraud, AE;Scherrmann, JMG

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我们根据(a)Na(+)K(+)ATP酶的初始抑制程度和(B)抗体的中和剂量,研究了地高辛特异性Fab B片段逆转地高辛诱导的大鼠脑微粒体Na(+)K(+)ATP酶抑制的效力。地高辛浓度-Na(+)K(+)ATP酶抑制曲线的数学分析支持存在2种地高辛敏感性Na(+)K(+)ATP酶亚型。低(α 1)和高(α 2)地高辛亲和力同工酶的IC 50分别为1.3 x 10(-4)M和2.5 x 10(-8)M。地高辛诱导的Na(+)K(+)ATP酶抑制的逆转依赖于地高辛特异性Fab的浓度。当Fab:地高辛比例为化学计量时观察到最大效应,并且在研究的4种地高辛浓度下添加过量抗体不会导致抑制完全逆转。这种简单快速的体外模型将是预测新一代抗体疗效的有用工具。
We investigated the potency of digoxin-specific Fab fragments to reverse digoxin-induced Na(+)K(+)ATPase inhibition in rat brain microsomes according to (a) the extent of initial inhibition of Na(+)K(+)ATPase and (b) the neutralizing dose of antibody. Mathematical analysis of the digoxin concentration-Na(+)K(+)ATPase inhibition curve supports the existence of 2 digoxin sensitive Na(+)K(+)ATPase isoforms. The IC50 was 1.3 x 10(-4) M and 2.5 x 10(-8) M for the low (alpha 1) and high (alpha 2) digoxin affinity isoenzyme, respectively. The reversal of digoxin-induced Na(+)K(+)ATPase inhibition was dependent on the digoxin-specific Fab concentration. The maximal effect was observed when the Fab:digoxin ratio was stoichiometrical and addition of an excess of antibodies did not result in a complete reversal of inhibition at the 4 digoxin concentrations studied. This simple and rapid in vitro model will be a useful tool to predict the efficacy of a new generation of antibodies.