Cinobufagin and
resibufogenin are two major effective
bufadienolides of
Chan su (
toad venom), which is a Chinese medicine obtained from the skin
venom gland of toads and is used as a
cardiotonic and central nervous system (CNS) respiratory agent, an
analgesic and
anesthetic, and as a remedy for
ulcers. Many clinical cases showed that
Chan su has severe side-effects on the CNS, causing
shortness of breath,
breathlessness, seizure,
coma and
cardiac arrhythmia. We used whole-cell recordings from brain slices to determine the effects of
bufadienolides on excitability of a principal neuron in main olfactory bulb (MOB), mitral cells (MCs), and the cellular mechanism underlying the excitation. At higher concentrations,
cinobufagin and
resibufogenin induced irreversible over-excitation of MCs indicating a toxic effect. At lower concentrations, they concentration-dependently increased spontaneous firing rate, depolarized the membrane potential of MCs, and elicited inward currents. The excitatory effects were due to a direct action on MCs rather than an indirect phasic action.
Bufadienolides and
ouabain had similar effects on firing of MCs which suggested that
bufadienolides activated neuron through a
ouabain-like effect, most likely by inhibiting Na+/K+-
ATPase. The direct action of
bufadienolide on brain Na+ channels was tested by recordings from stably Nav1.2-transfected cells.
Bufadienolides failed to make significant changes of the main properties of Nav1.2 channels in current amplitude, current-voltage (I-V) relationships, activation and inactivation. Our results suggest that inhibition of Na+/K+-
ATPase may be involved in both the pharmacological and toxic effects of
bufadienolide-evoked CNS excitation.