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Resibufogenin and cinobufagin activate central neurons through an ouabain-like action.

Abstract
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.
AuthorsZe-Jun Wang, Liqin Sun, Thomas Heinbockel
JournalPloS one (PLoS One) Vol. 9 Issue 11 Pg. e113272 ( 2014) ISSN: 1932-6203 [Electronic] United States
PMID25420080 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Amphibian Venoms
  • Bufanolides
  • Cardiotonic Agents
  • NAV1.2 Voltage-Gated Sodium Channel
  • chan su
  • bufogenin
  • Ouabain
  • Sodium-Potassium-Exchanging ATPase
  • cinobufagin
Topics
  • Amphibian Venoms (chemistry)
  • Animals
  • Bufanolides (chemistry, pharmacology)
  • CHO Cells
  • Cardiotonic Agents (pharmacology)
  • Central Nervous System (cytology)
  • Cricetinae
  • Cricetulus
  • Dose-Response Relationship, Drug
  • Ion Channel Gating (drug effects, genetics, physiology)
  • Membrane Potentials (drug effects)
  • Mice, Inbred C57BL
  • NAV1.2 Voltage-Gated Sodium Channel (genetics, metabolism, physiology)
  • Neurons (metabolism, physiology)
  • Olfactory Bulb (cytology)
  • Ouabain (pharmacology)
  • Patch-Clamp Techniques
  • Sodium-Potassium-Exchanging ATPase (antagonists & inhibitors, metabolism)

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