Glutathionylation-Dependence of Na+-K+-Pump Currents Can Mimic Reduced Subsarcolemmal Na+ Diffusion

The existence of a subsarcolemmal space with restricted diffusion for Na⁺ in cardiac myocytes has been inferred from a transient peak electrogenic Na⁺-K⁺ pump current beyond steady state on reexposure of myocytes to K⁺ after a period of exposure to K⁺-free extracellular solution. The transient peak current is attributed to enhanced electrogenic pumping of Na⁺ that accumulated in the diffusion-restricted space during pump inhibition in K⁺-free extracellular solution. However, there are no known physical barriers that account for such restricted Na⁺ diffusion, and we examined if changes of activity of the Na⁺-K⁺ pump itself cause the transient peak current. Reexposure to K⁺ reproduced a transient current beyond steady state in voltage-clamped ventricular myocytes as reported by others. Persistence of it when the Na⁺ concentration in patch pipette solutions perfusing the intracellular compartment was high and elimination of it with K⁺-free pipette solution could not be reconciled with restricted subsarcolemmal Na⁺ diffusion. The pattern of the transient current early after pump activation was dependent on transmembrane Na⁺- and K⁺ concentration gradients suggesting the currents were related to the conformational poise imposed on the pump. We examined if the currents might be accounted for by changes in glutathionylation of the β₁ Na⁺-K⁺ pump subunit, a reversible oxidative modification that inhibits the pump. Susceptibility of the β₁ subunit to glutathionylation depends on the conformational poise of the Na⁺-K⁺ pump, and glutathionylation with the pump stabilized in conformations equivalent to those expected to be imposed on voltage-clamped myocytes supported this hypothesis. So did elimination of the transient K⁺-induced peak Na⁺-K⁺ pump current when we included glutaredoxin 1 in patch pipette solutions to reverse glutathionylation. We conclude that transient K⁺-induced peak Na⁺-K⁺ pump current reflects the effect of conformation-dependent β₁ pump subunit glutathionylation, not restricted subsarcolemmal diffusion of Na⁺.