Biophysical Journal 87:883-898 (2004)
© 2004 The Biophysical Society
Effect of ADP on Na+-Na+ Exchange Reaction Kinetics of Na,K-ATPase
R. Daniel Peluffo
Department of Pharmacology and Physiology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey 07101
Correspondence: Address reprint requests to Dr. R. Daniel Peluffo, Dept. of Pharmacology and Physiology, University of Medicine and Dentistry of New Jersey, 185 S. Orange Ave., PO Box 1709, Newark, NJ 07101-1709. Tel.: 973-972-1490; Fax: 973-972-7950; E-mail: peluffrd{at}umdnj.edu.
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ABSTRACT
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The whole-cell voltage-clamp technique was used in rat cardiac myocytes to investigate the kinetics of ADP binding to phosphorylated states of Na,K-ATPase and its effects on presteady-state Na+-dependent charge movements by this enzyme. Ouabain-sensitive transient currents generated by Na,K-ATPase functioning in electroneutral Na+-Na+ exchange mode were measured at 23°C with pipette ADP concentrations ([ADP]) of up to 4.3 mM and extracellular Na+ concentrations ([Na]o) between 36 and 145 mM at membrane potentials (VM) from 160 to +80 mV. Analysis of charge-VM curves showed that the midpoint potential of charge distribution was shifted toward more positive VM both by increasing [ADP] at constant Na+o and by increasing [Na]o at constant ADP. The total quantity of mobile charge, on the other hand, was found to be independent of changes in [ADP] or [Na]o. The presence of ADP increased the apparent rate constant for current relaxation at hyperpolarizing VM but decreased it at depolarizing VM as compared to control (no added ADP), an indication that ADP binding facilitates backward reaction steps during Na+-Na+ exchange while slowing forward reactions. Data analysis using a pseudo three-state model yielded an apparent Kd of
6 mM for ADP binding to and release from the Na,K-ATPase phosphoenzyme; a value of 130 s1 for k2, a rate constant that groups Na+ deocclusion/release and the enzyme conformational transition E1
P
E2-P; a value of 162 s1M1 for k2, a lumped second-order VM-independent rate constant describing the reverse reactions; and a Hill coefficient of
1 for Na+o binding to E2-P. The results are consistent with electroneutral release of ADP before Na+ is deoccluded and released through an ion well. The same approach can be used to study additional charge-moving reactions and associated electrically silent steps of the Na,K-pump and other transporters.
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INTRODUCTION
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The Na,K-ATPase or Na,K-pump couples a scalar reaction, the hydrolysis of ATP to ADP and inorganic phosphate, to vectorial transport of Na and K ions against their respective electrochemical gradients (Scheme 1). Besides its normal forward-running mode (3 Na+ out/2 K+ in), the Na,K-pump can engage, under appropriate conditions, in a noncanonical mode of ion transport, electroneutral Na+-Na+ exchange (Läuger, 1991
). This exchange occurs in the absence of K+ and in the presence of ATP and ADP (Glynn, 1985
) but without net ATP hydrolysis (Garrahan and Glynn, 1967
). In this regard, ADP has been shown to act as an acceptor of the phosphate group in the phosphoenzyme to yield ATP in a reaction called transphosphorylation or ATP/ADP exchange (Glynn, 1985
). A crucial intermediate for ATP/ADP exchange that has been extensively included in the formulation of models to describe ion transport by the Na,K-ATPase is (Na3)E1
P·ADP (De Weer, 1970
, 1992
; Karlish et al., 1978
; Cornelius and Skou, 1985
; Kennedy et al., 1986
; Forbush and Klodos, 1991
; Pratap et al., 1991
; Keillor and Jencks, 1996
; Suzuki and Post, 1997
; Campos and Beaugé, 1997
). Nevertheless, this phosphorylated intermediate containing occluded Na ions and bound ADP appears to exist in very small amounts during steady-state Na,K-ATPase cycling (Nørby et al., 1983
) and, thus, its kinetic characterization has remained elusive. As an approach to solve this problem, Campos and Beaugé (1997)
studied ATP/ADP exchange in partially purified Na,K-ATPase subjected to chymotrypsin digestion to estimate the kinetics of ADP binding to and release from the phosphoenzyme. However, proteolytic treatment prevents phosphoenzyme conformational transitions and Na+-Na+ exchange, so that it remains unclear how these rate constants relate to those of the native enzyme.

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SCHEME 1 Simplified Post-Albers model (Glynn, 1985 ) describing ATP hydrolysis and ion transport by the Na,K-ATPase. The enzyme exists in two conformations, E1 and E2. In its forward (clockwise) direction, the Na,K-pump binds intracellular Na+ and MgATP with high affinity to form the complex Na3E1ATP (Mg is not shown). The -phosphate of ATP is then transferred to the ATPase, and Na ions become occluded (occluded states are depicted by parentheses). The complex (Na3)E1 P·ADP contains a high-energy phosphate bond since this reaction is reversible. After release of ADP, Na ions are deoccluded and released to the extracellular medium along with or after the enzyme conformational change to E2-P. Extracellular K+ binds to E2-P, favors the release of Pi, and becomes occluded during its transport to the cytoplasm. ATP, acting with low affinity, greatly accelerates K+ deocclusion and release. The enzyme experiences a conformational change from E2 to E1 to restart the cycle. The left-hand loop represents Na-ATPase activity, i.e., ATP hydrolysis and electrogenic Na+ transport in the absence of K+. In K+-free media, the Na,K-pump can also engage in electroneutral Na+-Na+ exchange, reversibly moving from E1ATP to E2-P through the left branch of the scheme. Under these conditions, the enzyme can move charge through the membrane dielectric in response to changes in cell membrane potential, generating transient currents that can be detected with voltage-clamp techniques. The dashed box comprises the reactions isolated by the experimental conditions in this work.
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Vectorial Na+ transport is influenced by membrane potential (VM), and perturbations in VM produce nonlinear capacitive currents (termed transient charge movements) whose kinetics likely reflect the rate of Na+-Na+ exchange (Rakowski et al., 1997
). The extracellular Na+ (Na+o) and VM dependence of these cardiac glycoside-sensitive transient charge movements have been well characterized (Nakao and Gadsby, 1986
; Rakowski, 1993
; Holmgren and Rakowski, 1994
; Hilgemann, 1994
; Friedrich and Nagel, 1997
; Holmgren et al., 2000
); however, the effect of ADP on VM-dependent presteady-state kinetics of Na+o-related reactions has not been studied. Such an investigation should yield new mechanistic information about ADP interactions with the Na,K-ATPase phosphoenzyme and how they affect electroneutral Na+-Na+ exchange.
To kinetically characterize the intermediate (Na3)E1
P·ADP and study the effect of ADP on Na+o-dependent reactions, the Na,K-ATPase can be trapped in phosphorylated conformations that support Na+-Na+ exchange in the absence of extracellular K+. Under these conditions, the right half of Scheme 1 disappears and, since dephosphorylation is very slow (Glynn, 1985
; Cornelius and Skou, 1985
; Stein, 1986
), phosphoenzyme accumulates as E2-P in the steady state. If, in addition, the level of Na3E1ATP is maximized by high concentrations of intracellular Na+, ATP, and Mg2+, thus favoring enzyme phosphorylation, the Na,K-ATPase will be predominantly confined to reactions in the dashed box of Scheme 1.
Previous works have used the kinetics of transient charge movement to study Na+o release/rebinding reactions by the Na,K-pump (Nakao and Gadsby, 1986
; Rakowski, 1993
; Holmgren and Rakowski, 1994
; Hilgemann, 1994
; Friedrich and Nagel, 1997
; Holmgren et al., 2000
). Unfortunately, apparent rate constants derived from charge movement measurements cannot be directly related to elementary scalar reaction steps without additional information. To circumvent this limitation, this study measured Na+o-dependent charge movements over a wide range of intracellular ADP and extracellular Na+ concentrations. Manipulation of intracellular ligands allowed specific physical meanings to be assigned to the estimated rate constants. Thus, the study of ADP effects on Na+o-dependent charge movements generated during Na+-Na+ exchange permitted determination of the kinetics of ADP binding to the phosphoenzyme and, as a result, kinetic characterization of the intermediate (Na3)E1
P·ADP.
In brief, the results are consistent with a kinetic scheme in which ADP is released from the phosphoenzyme with a k1 of 404 s1 and rebound with a k1 = 6.4 x 104 s1M1, yielding a Kd = 6.3 mM. ADP binding/release reactions do not move charge within the membrane dielectric, i.e., these reactions represent electrically silent events. In addition, ADP is released from (Na3)E1
P·ADP before deocclusion and electrogenic release of Na+o. Finally, the phosphoenzyme conformational transition and/or sodium deocclusion reaction take place at a rate (k2 = 130 s1) that is lower than that of ADP release; however, at least at depolarizing VM, the rate-limiting step for this sequence of reactions seems to depend on Na+o binding (k2 = 162 s1M1). These results also demonstrate the general utility of this approach as a means to gain mechanistic information on electroneutral ligand binding reactions that are closely related to charge-moving reaction steps.
Portions of this work have been previously published in abstract form (Peluffo, 1998
, 1999
).
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GLOSSARY OF SYMBOLS
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- [ADP]: intracellular ADP concentration; pipette ADP concentration.
: fractional electrical distance for Na+o binding in an ion well.
- kmin: value of the apparent rate constant for current relaxation at large positive potentials.
- ktot: apparent rate constant for current relaxation.
- k1: first-order rate constant describing the release of ADP from (Na3)E1
P·ADP.
- k1: second-order rate constant describing binding of ADP to (Na3)E1
P.
1: pseudo first-order rate constant describing binding of ADP to (Na3)E1
P.
- k2: lumped first-order rate constant describing Na+ deocclusion/release and the enzyme conformational change from E1
P to E2-P.
- k2: lumped second-order voltage-independent rate constant describing Na+ binding/occlusion and the enzyme conformational change from E2-P to E1
P.
2: lumped pseudo first-order voltage-dependent rate coefficient describing Na+ binding/occlusion and the enzyme conformational change from E2-P to E1
P.
- n: Hill coefficient for extracellular Na+ binding to E2-P; apparent molecularity of the reaction.
- Na+
: Na ions at the ion binding locus in the Na,K-pump ion well.
- Na+o: extracellular Na ions.
- [Na]o: bulk extracellular Na+ concentration.
- Nao-TCM: extracellular Na+-dependent transient charge movement.
- q: valence of the permeating ion.
Q: the quantity of charge moved.
- Qmin: minimal amount of charge moved at large negative potentials.
- Qmax: maximal amount of charge moved at large positive potentials.
- Qtot: total amount of mobile charge (Qmax Qmin).
- VM: membrane potential; voltage.
- Vq: midpoint potential for steady-state charge distribution.
- z: apparent valence of the permeating species.
- zq: apparent valence obtained from steady-state charge distribution measurements.
- zk: apparent valence for charge translocation obtained from kinetic measurements.
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METHODS
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Single myocytes, enzymatically isolated from rat cardiac muscle following published methods (Mitra and Morad, 1985
), were placed in a superfusion chamber at 23 ± 1°C on the stage of an inverted microscope and superfused with a HEPES-buffered Tyrode's solution (Peluffo and Berlin, 1997
). Cells were whole-cell voltage-clamped with low-resistance (0.81.3 M
) patch electrodes filled with a pipette solution containing (mM): 120 Na+, 85 sulfamic acid, 20 tetraethylammonium chloride (TEACl), 15 ATP (magnesium salt), 5 pyruvic acid, 5 Tris2-creatine phosphate, 10 EGTA/Tris, and 10 HEPES, pH 7.34 (23°C). In those experiments that included ADP, the pipette solution contained (mM): 117126 Na+, 8085 sulfamic acid, 20 TEACl, variable ATP (magnesium salt), variable ADP (sodium salt), variable MgCl2, 10 EGTA/Tris, and 10 HEPES, pH 7.38 (23°C). Since complex patterns of current decay were observed in preliminary assays using [Mg] > 2.0 mM, pipette solutions were designed to keep [Mg]total fairly constant and [Mg]free below 2 mM. This also required a fixed total concentration of nucleotides. Thus, to prepare ADP-containing solutions, [ADP]total was increased at the expense of [ATP]total. Total concentrations of ATP, ADP, and Mg as well as calculated values of [ADP]free, [MgATP], and [Mg]free for all six pipette solutions used in this work are shown in Table 1. ADP concentrations referred to throughout this article are "free ADP" concentrations.
After establishing a gigaohm seal, the superfusion solution was switched to a K+-free solution containing (mM): 36.3/72.5/145 NaCl, 2.3 MgCl2, 2.0 BaCl2, 0.2 CdCl2, 5.5 dextrose, and 10 HEPES/NaOH, pH 7.38 (22°C). Na+ concentration was changed by equimolar substitution of tetramethylammonium ion with total monovalent cation concentration equal to 148 mM. Ba2+, Cd2+, and TEA were added to prevent contaminating ohmic ionic currents (McDonald et al., 1994
). Control experiments showed that Ba2+ and pipette TEA had no effect on either steady-state Na,K-pump current or ouabain-sensitive Nao-TCM at the concentrations used (R. D. Peluffo and J. R. Berlin, unpublished results), consistent with previous reports (Gadsby et al., 1985
, 1992
; Gadsby and Nakao, 1989
). Cadmium, in concentrations twice as large as those used in this work, had no appreciable effect on steady-state or transient currents by the Na,K-pump (Gadsby et al., 1992
). Voltage-clamped myocytes were exposed to these blocking agents for 5 min before further manipulations. Extracellular Na+-dependent transient charge movements were measured as 1 mM ouabain-sensitive difference currents as previously described (Peluffo and Berlin, 1997
).
Voltage-clamp protocol
Voltage-clamp pulses of 100-ms duration were applied from a holding potential of 40 mV to various potentials over the range 160 to +80 mV at 2 Hz. These voltage jumps were elicited before ouabain application, during superfusion with ouabain-containing solution (1 and 2 min), and again 3 and 6 min after withdrawal of the inhibitor to obtain the respective current-voltage relationships. Since inhibition of the pump was complete in
2 min and total recovery of the enzyme was achieved
6 min after removal of ouabain, two ouabain-sensitive difference currents were typically calculated for each cell, i.e., traces obtained after 2 min in the presence of ouabain were subtracted from those recorded either before exposure or 6 min after removal of ouabain. Both subtraction procedures yielded similar results, with only small differences in the kinetics of current relaxation. In some cells, ouabain was added and withdrawn more than once. The parameters calculated from kinetic analysis of these current-voltage relationships were averaged for each cell.
Linear cell capacitance was calculated by integrating current elicited by 5-mV depolarizations. Data were sampled at 10 kHz and low-pass filtered at 2.02.5 kHz.
Data analysis
Data are displayed as mean ± SE for the indicated number of experiments. Pairwise comparisons were performed using a Student's t-test (p < 0.05). Curve fitting was carried out by nonlinear least-squares routines using commercial software, Clampfit (Axon Instruments, Foster City, CA) or SigmaPlot 2002 for Windows v8.0 (SPSS, Chicago, IL).
Pseudo three-state reaction scheme to account for ADP effects on Nao-TCM
The pseudo three-state model shown in Scheme 2 is proposed to explain the results that follow and, thus, is tested throughout this article. The general characteristics of the model are: 1), the enzyme is reversibly distributed among three phosphorylated states, i.e., while engaged in electroneutral Na+-Na+ exchange, the Na,K-ATPase is not cycling through any of the loops in Scheme 1 but rather shuttling back and forth between phosphointermediates; 2), Na+-occluded forms contain three Na ions; 3), ADP release from and rebinding to (Na3)E1
P·ADP is VM-independent; 4), ADP is released from the phosphoenzyme before Na+o; 5), Na+o binds to the enzyme in an ion well; and 6), Na+o is in rapid equilibrium with local Na+ (Na+
) in the ion well.
The intermediate (Na3)E1
P·ADP is a phosphoenzyme containing a high-energy phosphate bond with bound ADP and occluded sodium. The first-order rate constant, k1, describes the release of ADP from this intermediate. The pseudo first-order rate constant,
1, describing the reverse process, is defined as:
 | (1) |
where k1 is a second-order rate constant. The VM-independent forward rate constant, k2, is a lumped rate constant describing Na+ deocclusion, Na+ release, and the conformational change E1
P
E2-P. The VM-dependent pseudo first-order reverse rate coefficient,
2, which is a function of local Na+ concentration ([Na]
) at the ion binding locus in the ion well, is described by the equation:
 | (2) |
where n is the Hill coefficient for Na+o and k2 is a second-order VM-independent rate constant that lumps together Na+o binding and occlusion as well as the phosphoenzyme transition E2-P
E1
P. Taking into account assumption 6 above, [Na]
can be related to Na+o bulk concentration ([Na]o) through a Boltzmann function of VM:
 | (3) |
where F is Faraday's constant, R is the gas constant, T is absolute temperature, and z is an apparent valence that may be expressed as (Läuger, 1991
):
 | (4) |
In this equation, n is the apparent molecularity of the charge-moving process, q is the valence of the charged species, and
, the fractional distance, is the portion of the membrane electric field sensed by the moving charges. Combining Eqs. 2 and 3 gives
2 as an explicit function of [Na]o and VM:
 | (5) |
Notice that saturation of the Na,K-pump Na+o binding sites is not included in this formulation.
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RESULTS
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Ouabain-sensitive transient currents
Given the close association between the release of intracellular ADP and extracellular Na+ in the Na,K-ATPase reaction cycle, it seems reasonable to hypothesize that changes in [ADP] will affect extracellular Na+-dependent transient charge movements by this enzyme. With this idea in mind, Nao-TCM can be used to study the kinetics of ADP binding to Na,K-ATPase phosphoenzyme and, reciprocally, the effect of ADP on Nao-TCM can provide new mechanistic insights on Na+-related reactions. Thus, membrane currents were measured in whole-cell voltage-clamped rat cardiac ventricular myocytes internally dialyzed against a 120 mM Na+, high MgATP, K+-free solution in the presence of various [ADP] from 0 to 4.3 mM. Myocytes were superfused with a 145 mM Na+, K+-free external solution to promote electroneutral Na+-Na+ exchange by the Na,K-pump (Glynn, 1985
). Upon application of the voltage-clamp protocol (see Methods) in the absence and presence of 1 mM ouabain, ouabain-sensitive difference currents such as those presented in Fig. 1 were obtained. Traces represent "on" transient currents elicited by voltage-clamp pulses to various VM from a holding potential of 40 mV. Fig. 1 A shows traces from an experiment performed in the presence of 13.2 mM pipette MgATP with no added ADP. Two features are apparent. First, all currents relaxed to a zero steady-state level. Second, current relaxation rates were faster with hyperpolarizing VM. For example, fitting an exponential function to the decaying portion of current traces obtained in response to VM jumps to ;140 and +60 mV yielded values for the apparent rate constant, ktot, of 410 ± 5 s1 and 149 ± 8 s1, respectively. In all cases, currents decayed at rates that were much slower than charging of linear membrane capacitance (typical clamp time constants: 160220 µs).
Transient currents shown in Fig. 1 B were obtained on a cell assayed with 3.7 mM MgATP and 4.3 mM ADP in the pipette solution. The salient feature attributable to the presence of ADP was a significant reduction in the rate of current decay at depolarizing VM as compared to the control, zero-ADP condition. Accordingly, the value of ktot at +60 mV was estimated to be 78 ± 5 s1. Depolarizing potentials should promote Na+ release to the extracellular medium, so this twofold decrease in ktot indicates that binding of ADP slows down forward reactions during electroneutral Na+-Na+ exchange, consistent with Scheme 2.
In addition to [ADP] and VM, [Na]o was experimentally manipulated to study the reactions in Scheme 2. Thus, cells were voltage-clamped with patch electrodes filled with a high Na+, high MgATP solution containing various [ADP] and superfused with either 36.3 or 72.5 mM Na+-containing, K+-free external solutions. After maneuvers similar to those described above for 145 mM Na+o, ouabain-sensitive transient currents were obtained (Fig. 2). Fig. 2 A shows "on" current traces elicited by voltage-clamp pulses from 40 mV to various VM in the range from 140 to +60 mV for a cell superfused with 72.5 mM Na+-containing solution in the absence of pipette ADP. Fig. 2 B exhibits current traces from a cell also superfused with 72.5 mM Na+o but in the presence of 4.3 mM pipette ADP. Comparison of these two panels shows that ADP decreased the rate of current decay at depolarizing potentials, similar to the behavior observed with 145 mM Na+o. The fitted values of ktot (+60 mV), 128 ± 12 s1, and 69 ± 5 s1 with 0 and 4.3 mM ADP, respectively, were not significantly different from those obtained with 145 mM Na+o. A similar pattern was observed for cells superfused with 36.3 mM Na+o in the absence (Fig. 2 C) and presence of 3.0 mM pipette ADP (Fig. 2 D), with values of ktot at +60 mV of 152 ± 11 s1 and 95 ± 6 s1, respectively. The value of ktot obtained by reducing pipette [ADP] from 4.3 to 3.0 mM increased significantly. On the other hand, a two- to fourfold change in [Na]o (at a fixed [ADP]) did not affect ktot at positive VM.

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FIGURE 2 Effect of varying [Na]o and [ADP] on transient charge movements recorded during Na+-Na+ exchange. Rat ventricular myocytes were superfused with 72.5 mM (A and B) or 36.3 mM Na+-containing solutions (C and D) and whole-cell voltage-clamped with patch electrodes containing 0 (A and C), 3.0 (D), or 4.3 mM ADP (B). Each panel shows superimposed ouabain-sensitive "on" difference currents. Voltage-clamp pulses as in Fig. 1. Cell capacitances were 140155 pF. Current records were not averaged. Arrows indicate zero current levels.
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Comparison of traces in Fig. 2 is relatively straightforward because of similar cell sizes. Thus, it is obvious from this figure that reducing both [Na]o (Fig. 2, A and C) and [ADP] (Fig. 2, B and D) can alter the VM dependence of charge movements. These effects are presented in detail in the next sections.
[ADP], [Na]o, and VM dependence of the steady-state charge distribution
The quantity of charge moved (
Q), calculated as the time integral of transient currents generated during voltage pulses from 160 to +80 mV ("on" charge) and after voltage pulses from 40 to +80 mV ("off" charge), was characterized as a function of [ADP] and [Na]o. Fig. 3 A shows
Q-VM relationships for ouabain-sensitive "on" charge at 0 and 4.3 mM ADP in cells superfused with 145 mM Na+o. The value of
Q was found to saturate at both large negative (Qmin) and positive potentials (Qmax), suggesting that the partial reactions being studied involve the movement of a finite number of charged particles in the membrane. At least at depolarizing VM, the value of "off" charge always matched that of "on" charge within experimental error (not shown). Inclusion of 4.3 mM ADP in the electrode solution raised both Qmin and Qmax as compared to the control condition (Fig. 3 A), an effect that can be interpreted as a shift toward more positive VM in the quantity of charge moved. This ADP-dependent rightward shift of
Q along the voltage axis is more clearly seen by normalizing charge with respect to its minimal and maximal values (Fig. 3 B). A similar behavior was observed in the absence of pipette ADP for myocytes superfused with 36.3, 72.5, and 145 mM Na+o (Fig. 3 C), i.e., a rightward shift in the quantity of charge moved along the VM axis became apparent at increasing [Na]o (Fig. 3 D).
Analysis of the data (solid lines in Fig. 3) was performed by fitting the following Boltzmann equation, derived in the Appendix (Eqs. A11A12
):
 | (6) |
where Qtot = Qmax Qmin is the total quantity of mobile charge, zq represents the apparent valence obtained from steady-state charge distribution measurements, and Vq is the midpoint potential. Best-fit parameters for the entire set of experiments are shown in Fig. 4. The values of Vq increased with [ADP] (Fig. 4 A), showing a shift (
Vq) of +16 ± 6 mV between 0 and 4.3 mM ADP, which was independent of [Na]o. Likewise, Vq values increased by
20 mV every time [Na]o was doubled, regardless of the presence of ADP. Lines in Fig. 4 A represent simultaneous fitting of the following function of [ADP] and [Na]o derived from Scheme 2:
 | (7) |
where K1 = k1/k1, K2 = k2/k2, and n is the Hill coefficient for Na+o binding (see Eq. A13). This analysis yielded zq = 0.74 ± 0.12, K1 = 142.1 ± 9.0 M1, K2 = 2.73 ± 0.10 M1, and n = 0.85 ± 0.25.
The value of Qtot was independent of both the presence of ADP and a fourfold increase in [Na]o (Fig. 4 B). Thus, all best-fit values were averaged to yield Qtot = 25.2 ± 1.5 fC/pF. The apparent valence of the mobile charges also showed no dependence on [ADP] or on changes in [Na]o (Fig. 4 C) and, thus, all best-fit values were averaged to give zq = 0.91 ± 0.12, not statistically significantly different than the value that best fits the data in panel A.
Altogether, the presence of ADP, as well as an increase in [Na]o, seem to reversibly influence the steady-state distribution of phosphoenzyme intermediates under Na+-Na+ exchange conditions with no effect on the total quantity of mobile charge or its apparent valence, as expected for a system that behaves according to Scheme 2.
Effect of ADP and Na+o on the VM-dependent kinetics of current relaxation
A quantitative description of the effect of ADP on electroneutral Na+-Na+ exchange requires estimation of all four rate constants in Scheme 2. To achieve this goal, the apparent rate constant for current relaxation (ktot) was obtained at all VM, [ADP], and [Na]o tested by fitting single exponential functions to the decaying portion of ouabain-sensitive current traces. The results of this analysis are summarized as ktot-VM relationships in Fig. 5. In all cases, ktot for the relaxation of "on" current became smaller at less negative voltage-clamp pulses and reached a minimum (kmin) at positive VM, an asymmetry expected for Na+o binding to the Na,K-pump in an ion well (Gadsby et al., 1993
).

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FIGURE 5 Effects of ADP and Na+o on the VM-dependent kinetics of current decay. (A) The apparent rate constant, ktot, was obtained at each VM from experiments performed with 145 mM Na+o in the absence ( ) and presence of 4.3 mM pipette ADP (). Values at 40 mV are the average of ktot for "off" current relaxation. Symbols are the mean ± SE of data from 45 cells. Lines were drawn by eye. (Inset) Second derivative of ktot with respect to VM, , at hyperpolarizing potentials. Values of were estimated from the experimental data as ( ktot)/ ( VM) with 0 ( ) and 4.3 mM ADP (). Lines connecting the symbols were drawn by eye. Ordinate, (s1mV2); abscissa, (mV). (B) ktot-VM relationships from cells superfused with 36.3 mM Na+-containing solution in the presence of 0.8 ( ), 3.0 ( ), and 4.3 mM pipette ADP (). (C) ktot-VM curves from experiments with 72.5 mM Na+o. Symbol code as in panel B. (D) ktot-VM relationships from cells superfused with 145 mM Na+-containing solution in the presence of 0.8 ( ), 1.7 ( ), and 4.3 mM pipette ADP (). Data at 4.3 mM ADP were redrawn from panel A. Lines in panels B, C, and D are best-fitting curves obtained by simultaneous regression of Eq. 8 to 143 ktot values (each being the average of 35 experiments) that were determined at 13 VM, 5 [ADP] (zero ADP was not included), and 3 [Na]o. Best-fit parameters are reported in the text. (E) [ADP] dependence of ktot at depolarizing VM. ktot values obtained at +80 mV with 36.3 ( ), 72.5 ( ), and 145 mM () were plotted against [ADP]. The curve represents fitting of Eq. 9. Best-fit parameters are listed in the text. (F) VM-dependent kinetics of current decay as a function of [Na]o in the absence of added ADP. ktot-VM curves were obtained from 14 experiments in cells assayed with 36.3 ( ), 72.5 (), and 145 mM ( ). Data at 145 mM Na+o were redrawn from panel A. Dotted lines represent ktot = f(VM, [Na]o) as predicted by Scheme 2 using Eq. 10 with k2 = 130 s1, k2 = 162 s1M1, n = 1.1, and zk = 0.63 for 36.3 (left), 72.5 (middle), and 145 mM Na+o (right). Solid lines represent fitting of Eq. 8.
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Fig. 5 A shows ktot-VM curves at 0 and 4.3 mM pipette ADP for cells superfused with 145 mM Na+o. As illustrated in Figs. 1 and 2, addition of ADP changed the kinetics of current decay. The presence of 4.3 mM ADP produced a twofold decrease in the value of kmin as compared to the zero-ADP control. Also apparent is an [ADP]-dependent increase in the rate of current relaxation at test potentials negative to 70 mV that was less obvious in Figs. 1 and 2. Inspection of Fig. 5 A also shows a change in the concavity of ktot-VM curves at large negative potentials, particularly evident in the absence of ADP. Mathematical demonstration of this concavity change is presented as a corresponding change in the sign of the second derivative of ktot with respect to VM (Fig. 5 A, inset). Addition of ADP shifted the value of the inflexion point toward more negative potentials, closer to the edge of the experimental range of VM. The change in concavity might suggest that ktot saturates at large negative potentials, i.e., a VM-independent reaction becomes rate limiting under those conditions. Unfortunately, saturation of ktot, if any, would occur outside the experimentally accessible range of VM.
Panels B, C, and D of Fig. 5 show ktot-VM relationships at selected pipette [ADP] with 36.3, 72.5, and 145 mM Na+o, respectively. As judged by the values of ktot at hyperpolarizing VM in all three panels, an increase in [Na]o produced a rightward shift in the ktot-VM curves, i.e., the higher the [Na]o the larger the value of ktot at any given [ADP]. Analysis of these curves was carried out by fitting the following equation:
 | (8) |
which is an expression for ktot in terms of the rate constants describing Scheme 2 (see the Appendix for an explanation of this equation). Since
1 is a function of [ADP] (Eq. 1) and
2 depends on [Na]o and VM (Eq. 5), Eq. 8 was simultaneously fitted to the entire pool of ktot data obtained at all VM, [ADP], and [Na]o tested. This nonlinear regression in three variables yielded the following set of best-fit parameters that was used to draw the curves through the data points in panels B, C, and D: k1 = 403.6 ± 6.9 s1, k1 = (6.38 ± 0.54) x 104 s1M1, k2 = 130.1 ± 5.2 s1, k2 = 162.0 ± 34.0 s1M1, n = 0.95 ± 0.20, and zk = 0.63 ± 0.08. The values of the apparent valence, zk, the Hill coefficient for Na+o, n, and the ratio k1/k1 (158.1 ± 13.7 M1), were not significantly different from those obtained with Eq. 7 when analyzing steady-state charge distribution data. The ratio k2/k2 (1.25 ± 0.27 M1), on the other hand, was found to be roughly half the value of K2 obtained with Eq. 7.
The behavior of the ktot-VM relationships at positive potentials is shown in detail in Fig. 5 E, where values of ktot at +80 mV determined from experiments at all three [Na]o are plotted against [ADP]. As suggested in Fig. 2, ktot values were independent of [Na]o at these depolarizing VM. Kinetic information can be also extracted from these data by realizing that
2 approaches zero at large positive VM. Under these conditions, Eq. 8 becomes
 | (9) |
Thus, according to Scheme 2, kmin is a VM- and [Na]o-independent, decreasing function of [ADP]. In addition, kmin equals k2 in the absence of this nucleotide. Fitting Eq. 9 to the ktot data at +80 mV yielded (curve in Fig. 5 E) k1 = 386 ± 36 s1, k1 = (6.89 ± 0.50) x 104 s1M1, and k2 = 145 ± 12 s1, all within the error of the best-fit parameters reported above.
Scheme 2 reduces to two states in the absence of ADP and, thus, Eq. 8 should no longer provide an adequate description of the ktot-VM relationships. For this reason, curves obtained under ADP-free conditions were not included in the previous analysis. Instead, according to Scheme 2, ktot has the following expression (see Appendix, Eq. A18):
 | (10) |
This equation predicts that the rate of relaxation of Nao-TCM in the absence of ADP reaches a minimum value at positive VM equal to k2 (consistent with Eq. 9), increasing proportionally to
and exponentially with VM as potentials are made more negative.
Experimentally, ktot-VM relationships obtained in the presence of 36.3, 72.5, and 145 mM Na+o, with no ADP included in the pipette solution show three distinct features (Fig. 5 F, symbols). First, ktot converged to a minimum value at positive VM that was independent of [Na]o, consistent with the behavior shown in Fig. 5 E and the predictions of Eq. 10. Second, as suggested in panels B, C, and D, curves showed a rightward shift with higher [Na]o at hyperpolarizing voltage clamp pulses, also in agreement with Eq. 10. Finally, as displayed in Fig. 5 A, ktot-VM curves showed a change in concavity, i.e., they did not increase exponentially at hyperpolarizing VM. As a result, Eq. 10 failed to describe the ktot-VM relationships at these potentials, particularly with higher [Na]o (Fig. 5 F, dotted lines). A simple way to explain this apparent inconsistency is to propose that experiments performed under ADP-free conditions were actually carried out in the presence of residual levels of ADP. In this regard, the activity of cellular adenylate kinase as a source of contaminating ADP was ruled out in control experiments with the competitive inhibitor Ap5A (see online supplementary material). Nonetheless, since untested sources (cellular or not) could be responsible for such an ADP contamination, the amount of this nucleotide that would account for the shape of ktot-VM curves at hyperpolarizing VM was estimated by fitting Eq. 8 to the data points in Fig. 5 F (solid lines). This analysis gave an average value of 4.4 s1 for
1, which, using the best-fit value of k1 calculated above, yielded a residual [ADP] of
70 µM.
Ability of the calculated parameters to reproduce experimental results
A test for internal consistency of the best-fit parameters calculated in the previous section was run by solving the expression for time- and VM-dependent current derived for Scheme 2 (see Appendix, Eq. A17) with these parameter values and a residual [ADP] = 70 µM. Transient currents simulated in this way (Fig. 6) followed [ADP]- and VM-dependent time courses that resembled those of their experimental counterparts (Fig. 1). Likewise, simulations performed at various [Na]o were able to reproduce the behavior observed experimentally (not shown). Thus, expressions derived for Scheme 2 can qualitatively reproduce the [Na]o-, [ADP]-, and VM-dependent kinetics of ouabain-sensitive transient charge movements with the rate constants, n, and zk determined experimentally.

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FIGURE 6 Simulated transient currents. Best-fit values of k1, k1, k2, k2, n, and zk were replaced into Eq. A17 and currents were calculated within experimental ranges of time and VM with 0.070 (A) or 4.3 mM ADP (B) and 145 mM . Simulations were carried out using zF[E]T = 0.0252 pC/pF.
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DISCUSSION
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Ouabain-sensitive transient currents were measured in whole-cell voltage-clamped rat cardiac myocytes with a broad range of intracellular ADP and extracellular Na+ concentrations to investigate the kinetics of Na,K-ATPase phosphoenzyme-dependent reactions, such as ADP binding and release, that are otherwise difficult to study. The derived reaction kinetics were then used to gain a more detailed understanding of Na+ transport steps mediated by this enzyme.
Nature of ouabain-sensitive transient currents
Conditions used in this study's experiments were designed to restrict the Na,K-ATPase to functioning in its Na+-Na+ exchange mode. Extracellular K+-free solutions reduced the rate of E2-P breakdown to 13 s1 (Glynn, 1985
; Cornelius and Skou, 1985
; Stein, 1986
), thereby diminishing Na,K-pump forward running, and high Na+ concentrations and millimolar MgATP ensured maximal rates of phosphorylation (Peluffo et al., 1994a
,b
), altogether favoring redistribution of enzyme intermediates among phosphorylated forms (Schemes 1 and 2). The absence of ouabain-sensitive steady-state current in experiments with ADP was consistent with the lack of Na,K-pump forward running and the presence of electroneutral Na+-Na+ exchange. Electrogenic, likely 3 Na+-2 Na+ (Lee and Blostein, 1980
; Apell et al., 1990
), exchange is known to require ATP and Na+ in the absence of both K+ and ADP (Glynn, 1985
; Läuger, 1991
). However, transient currents measured in the absence of pipette ADP also relaxed to a steady-state level that was indistinguishable from zero. This negligible rate of electrogenic Na+-Na+ exchange might suggest the presence of residual levels of ADP in the intracellular milieu even with nominally ADP-free electrode solutions (see below).
Therefore, charge movements studied in this work are likely produced by the release and rebinding of Na ions to the Na,K-pump during electroneutral Na+-Na+ exchange reactions, in agreement with previous reports (Nakao and Gadsby, 1986
; Gadsby et al., 1993
).
[ADP], [Na]o, and VM dependence of the steady-state charge distribution
The total quantity of mobile charge, Qtot, was independent of the presence of ADP at concentrations up to 4.3 mM (Fig. 4 B). Since Qtot is proportional to the level of phosphoenzyme, this finding argues against a significant competitive effect of ADP on high-affinity ATP binding. Binding of the nonphosphorylating ADP to the Na,K-ATPase catalytic site should result in a decrease in total levels of phosphoenzyme and, since at least one phosphointermediate must be associated with charge movement, this would produce a decrease in Qtot. Furthermore, considering that the enzyme binds ADP at the catalytic site with 10-fold lower affinity than ATP (Hegyvary and Post, 1971
; Nørby and Jensen, 1971
), a competitive model predicts a ratio v/vmax = 0.90 for the inhibitory effect of 4 mM ADP on binding of 3.7 mM MgATP. Thus, competition between ATP and ADP appeared to be negligible in the range of concentrations tested, consistent with the idea that ADP was acting as a low-affinity ligand in these experiments.
Besides being independent of ADP, Qtot was not affected by changes in [Na]o between 36.3 and 145 mM. The average value calculated for all conditions tested was 25.2 ± 1.5 fC/pF, in agreement with our previous estimates (Peluffo and Berlin, 1997
, 2003
). The invariance of Qtot with [Na]o was consistent with Na+o binding in an ion well. In fact, inspection of Eq. 3 indicates that [Na]
can be made large (by manipulating VM) to maximize Qtot with any [Na]o > 0. Rakowski (1993)
, on the other hand, found that Qtot was an increasing function of [Na]o in Xenopus oocytes. However, this behavior was not observed with squid axons voltage-clamped under conditions promoting electroneutral Na+-Na+ exchange, where the efflux of 22Na reached a maximal value at hyperpolarizing VM that was independent of [Na]o (Gadsby et al., 1993
), consistent with the results of the present work.
The presence of ADP mimicked the effect of increasing Na+o on the
Q-VM relationship. Raising the concentration of either one of these ligands shifted the midpoint potential (Vq) to less negative VM (Fig. 4 A), suggesting a distribution of phosphointermediates that progressively favored E1
P-like conformations, as expected for a system that follows Scheme 2. In fact, the change in Vq values at a fixed [Na]o,
4 mV/mM for the range of [ADP] tested, behaved as anticipated by Scheme 2 (Eq. A14). Likewise, at a fixed [ADP], Vq is expected to shift as a function of [Na]2/[Na]1 (Eq. A15) and, in fact, the experimental values of Vq increased by
20 mV every time [Na]o was doubled, at any given [ADP]. This shift in Vq was used to estimate the portion of the membrane electric field,
, sensed by mobile charges (Eq. A15). For the three [Na]o tested at each of four [ADP], an average value of 0.85 ± 0.04 (n = 12) was calculated for
.
[ADP], [Na]o, and VM dependence of the kinetics of Na,K-pump current relaxation
The apparent rate constant for current relaxation (ktot) showed an asymmetric VM dependence, with faster kinetics at hyperpolarizing potentials and slower kinetics, approaching a constant value, at depolarizing pulses. This behavior, first demonstrated by Nakao and Gadsby (1986)
, is consistent with an ion well model for Na+o binding and has been reported for Na,K-pumps from different tissues using a variety of techniques (Rakowski, 1993
; Fendler et al., 1993
; Hilgemann, 1994
; Holmgren and Rakowski, 1994
; Friedrich and Nagel, 1997
; Holmgren et al., 2000
). A similar asymmetry in ktot-VM curves was demonstrated for extracellular Tl+-dependent charge movements under conditions favoring K+-K+ exchange by the Na,K-pump (Peluffo and Berlin, 1997
).
Inclusion of ADP in the electrode solution decreased the values of ktot at depolarizing potentials and increased them at hyperpolarizing VM as compared to the control, enhancing even more the asymmetry of ktot-VM relationships. The model proposed in Scheme 2, by including one step with measurable VM dependence (Na+o rebinding) and electroneutral ADP binding/release to/from the phosphoenzyme, was able to account for both the asymmetry and the effects of ADP on ktot-VM curves. Accordingly, ktot-VM relationships from experiments at various [ADP] and [Na]o were analyzed with an expression derived from this reaction scheme (Eq. 8) to kinetically describe ADP binding and Na+o-related reaction steps.
Kinetics of ADP binding reactions
The value of the rate constant for ADP release, k1 (404 s1), determined under conditions that strongly favor enzyme phosphorylation, is in fair agreement with that reported by Campos and Beaugé (1997)
in chymotrypsin-digested enzyme (1067 s1, 22°C). Both of these values agree with suggestions that (Na3)E1
P·ADP is a short-lived intermediate in the Na,K-ATPase reaction cycle (Mårdh and Post, 1977
; Nørby et al., 1983
; Hobbs et al., 1985
). The second-order rate constant for ADP binding to the phosphoenzyme, k1, was estimated to be 6.4 x 104 s1M1, allowing us to calculate an apparent equilibrium constant for the dissociation of ADP from the phosphoenzyme, Kd = 6.3 ± 0.5 mM. The agreement between this value and that obtained from steady-state distribution of charge (1000/K1 = 7.0 mM) indicates that the model in Scheme 2 can quantitatively describe presteady- and steady-state ADP effects on Nao-TCM. Our Kd was consistent with the range of
values (16 mM) reported by Suzuki and Post (1997)
. Chymotrypsin-modified enzyme, on the other hand, yielded a Kd = 37 µM (Campos and Beaugé, 1997
; Ks at 2 mM Mg2+). Whether this value represents a true Kd for ADP in the absence of Na+-Na+ exchange or the proteolytic treatment affected ADP binding sites in E1
P, remains to be determined. However, the finding that ADP did not affect Qtot (Fig. 4 B) argues for a low ADP affinity.
The value of kmin was shown to be a decreasing function of [ADP] (Fig. 5 E), a finding that leads to two mechanistic conclusions. First, since kmin is VM-independent (Fig. 5 and Eq. 9), it follows that ADP binding to the phosphoenzyme must be an electrically silent event. A similar conclusion was reached from electrical measurements on chymotrypsin-treated Na,K-ATPase after photochemical release of ATP (Borlinghaus et al., 1987
). Nonetheless, as judged by the [ADP] dependence of Vq (Fig. 4 A), ADP did modify the VM dependence of Nao-TCM, presumably by changing the distribution of phosphointermediates participating in VM-dependent reactions. Second, according to Scheme 2, ADP decreases kmin by reducing the concentration of the intermediate entering the reactions described by k2. Thus, ADP must be released before deocclusion/electrogenic release of Na+ (and before the phosphoenzyme conformational transition) in the forward running Na,K-ATPase. In support of this view, a reaction scheme in which Na+o is released through an ion well before ADP would lead to an [ADP]-independent value of kmin.
Kinetics of reactions associated with
release
According to Scheme 2, the rate constant k2 (130 s1) lumps together Na+ deocclusion and release as well as the transition E1
P
E2-P. Independent of whether the conformational transition takes place before or after Na+ release, the value of k2 represents the rate of the slowest step for charge moving in the forward direction. In this regard, the rate constant for Na+ release has been estimated to be several thousands per second (Heyse et al., 1994
; Wuddel and Apell, 1995
; Hilgemann, 1994
, 1997
; Holmgren et al., 2000
). Therefore, k2 is likely to be an estimation of the rate of Na+ deocclusion or the enzyme conformational change, whichever is slower, assuming they are different microscopic events.
There is no general agreement about the kinetics of the reactions grouped and defined as k2 in this work. Values fall within a wide range: 2025 s1 (2025°C, Taniguchi et al., 1984
; Heyse et al., 1994
; Wuddel and Apell, 1995
; Sokolov et al., 1998
); 6080 s1 (2025°C, Mårdh, 1975
; Steinberg and Karlish, 1989
; Rakowski, 1993
; Klodos et al., 1994
; Pintschovius and Fendler, 1999
); values similar to that calculated here, 130200 s1 (2224°C, Campos and Beaugé, 1992
; Pratap and Robinson, 1993
; Kane et al., 1997
; Gropp et al., 1998
; Clarke et al., 1998
); and values
300 s1 (2124°C, Hobbs et al., 1985
; Froehlich and Fendler, 1991
; Fendler et al., 1993
). Although there is no obvious reason for these differences, possible explanations are the variety of enzyme sources and experimental approaches used to derive these kinetics. An example of the importance of the enzyme source for determining reaction kinetics are the values of k2
300 s1 that were all derived from experiments with eel electric organ Na,K-ATPase. Likewise, the diversity of experimental approaches led to variations in reaction schemes, some of which lumped together enzyme phosphorylation, Na+ occlusion/deocclusion/release, and the transition E1
P
E2-P. As a consequence, the identity of fast and slow steps within this sequence of reactions is uncertain in previous reports.
The results of this study are consistent with fast ADP release followed by a slower conformational change and/or Na+ deocclusion step, i.e., k1 > k2. It could be argued that the intermediate (Na3)E1
P·ADP might go on to resynthesize ATP and release Na+ into the cytoplasm, adding the sequence E1
Na3E1ATP
(Na3)E1
P·ADP to the left in Scheme 2. In the case of E1
Na3E1ATP, high-affinity intracellular binding sites in the pump are likely sensing large concentrations of ATP and Na+ that drive this reaction forward. Control experiments confirmed that even the lowest pipette [MgATP] delivered enough intracellular MgATP to saturate the Na,K-ATPase (see online supplementary material). Likewise, 120 mM pipette-Na+ should supply saturating concentrations of intracellular Na+ (Nakao and Gadsby, 1989
; Schultz and Apell, 1995
). Thus, the reaction(s) E1
Na3E1ATP will be strongly shifted to the right. With respect to Na3E1ATP
(Na3)E1
P·ADP, if enzyme phosphorylation and Na+ occlusion contribute to the relaxation kinetics of transient currents, the rate constant describing these reactions would be
404 s1, thus, yielding a fast phosphorylation/Na+ occlusion reaction followed by a slow conformational change/Na+ deocclusion step.
To complete the kinetic description of Scheme 2, the second-order VM-independent rate constant, k2, was determined to be 162 s1M1. This value agrees with that of 150 s1M1 reported by Rakowski (1993)
. With 145 mM Na+o,
2 has a value of
25 s1 at 0 mV. The question then arises as to which Na+o-related step (binding, occlusion, or phosphoenzyme conformational transition) becomes rate limiting under these conditions. Again, as with Na+ release and k2, Na+o binding seems to be very fast, with charge movements reaching completion within a few microseconds (Hilgemann, 1994
; Holmgren et al., 2000
). Thus, the slowest step in Scheme 2 is likely to be Na+ reocclusion or the transition E2-P
E1
P.
Unlike k1 and k1 that describe equally well presteady- and steady-state data, the ratio k2/k2 was found to be
50% of K2 obtained with steady-state charge distribution. Thus, when k2/k2 was replaced as K2 in Eq. 7, Vq values came out
20 mV more negative than those that best fit Eq. 6. Since k2 was also reliably estimated from kmin, which is independent of [Na]o and VM, the disagreement seems to reside in k2, i.e., this rate constant must be twice as large to account for steady-state data. Alternatively, a similar correction can be attained by adding to Eq. A13 a surface potential (Hille, 1992
), roughly (RT/zqF)ln 2, generated by fixed charges in the Na,K-pump. Irrespective of these alternatives, the pseudo three-state model seems to describe Na+o effects on charge movements only in a qualitative manner.
The values of n (0.95) and zk (0.63) obtained with the kinetic analysis provide a second, independent estimate for
. Thus, replacing these numbers in Eq. 4 (with q = 1), returned a value of
= 0.66 ± 0.16. Recalling the value of
calculated above with Eq. A15, these results suggest that Na ions dissipate,