Sodium and Proton Effects on Inward Proton Transport through Na/K Pumps

The Na/K pump hydrolyzes ATP to export three intracellular Na (Na_i) as it imports two extracellular K (K_o) across animal plasma membranes. Within the protein, two ion-binding sites (sites I and II) can reciprocally bind Na or K, but a third site (site III) exclusively binds Na in a voltage-dependent fashion. In the absence of Na_o and K_o, the pump passively imports protons, generating an inward current (I_H). To elucidate the mechanisms of I_H, we used voltage-clamp techniques to investigate the H]_o, Na]_o, and voltage dependence of I_H in Na/K pumps from ventricular myocytes and in ouabain-resistant pumps expressed in Xenopus oocytes. Lowering pH_o revealed that H_o both activates I_H (in a voltage-dependent manner) and inhibits it (in a voltage-independent manner) by binding to different sites. Na_o effects depend on pH_o; at pH_o where no H_o inhibition is observed, Na_o inhibits I_H at all concentrations, but when applied at pH_o that inhibits pump-mediated current, low Na]_o activates I_H and high Na]_o inhibits it. Our results demonstrate that I_H is a property inherent to Na/K pumps, not linked to the oocyte expression environment, explains differences in the characteristics of I_H previously reported in the literature, and supports a model in which 1), protons leak through site III; 2), binding of two Na or two protons to sites I and II inhibits proton transport; and 3), pumps with mixed Na/proton occupancy of sites I and II remain permeable to protons.