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Most vital cellular functions aredependent on a fine-tuned regulation of intracellular ion homeostasis.Here we have demonstrated, using COS cells that were untransfected ortransfected with wild-type rat ouabain-resistantNa+-K+-ATPase, that partial inhibition ofNa+-K+-ATPase has a dramatic influence oncell attachment to fibronectin. Ouabain dose-dependently decreasedattachment in untransfected cells and in cells expressing wild-typeNa+-K+-ATPase, but not in cells expressingouabain-insensitive Na+-K+-ATPase, whereasinhibition of Na+-K+-ATPase by loweringextracellular K+ concentration decreased attachment in allthree cell types. Thirty percent inhibition ofNa+-K+-ATPase significantly attenuatedattachment. Na+-K+-ATPase inhibition caused asustained increase in the intracellular Ca2+ concentrationthat obscured Ca2+ transients observed in untreated cellsduring attachment. Inhibitors of Ca2+ transporterssignificantly decreased attachment, but inhibition ofNa+/H+ exchanger did not. Ouabain reduced focaladhesion kinase autophosphorylation but had no effect on cell surfaceintegrin expression. These results suggest that the level ofNa+-K+-ATPase activity strongly influences cellattachment, possibly by an effect on intracellular Ca2+.

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