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               membrane is usually impermeable for the hydrated, hydrophilic sodium and potassium ions,
               transport mediators, so-called ionophores can be employed. Alternatively, and more efficiently,
               the transport can occur along ion channels in the membrane.

                                                                           +
                                                                               +
                                                +
                                                       +
                      The active transport for Na  and K  is achieved by a Na /K -specific pump, an ATPase,
               abbreviated E (for enzyme) in the following discussion. The energy necessary for the transport
                                               +
                 +
                                     +
                            +
               Na (in) → Na (ex) // K (ex) → K (in) against a concentration gradient is provided by the
               hydrolysis of ATP. E consists of two glycoprotein subunits of molecular mass 131 and 62 kDa,
               the larger of which is the transport unit. In the course of the ion transport, coupled to
                                                                                                         +
               phosphorylation/dephosphorylation of E, this unit switches between the conformations E 1 (Na
                                                                                                    +
                                                                             +
                                  +
               sensitive) und E 2 (K  sensitive). Per MgATP hydrolysed two 2 K are locked in and 3 Na are
               locked out:

                      -
                                                                      +
                                                        -
                                                               +
                              +
                                     +
               MgATP  + 3Na in + 2K ex → MgADP + P i  + 3Na ex + 2K in

                   extracellular     intracellular
                                +  -
                    +
                                           +
                c(Na ) = 140 mM       c(Na ) = 10 mM
                   +
                                          +
                c(K ) = 5 mM          c(K ) = 150 mM
                             3Na +
                                                 Active transport
                                    2K +         by Na,K-ATPase
                                  +
                                K ,  Na +
                                           Passive transport

                                                                                 2+
                                                                             +
               The charge imbalance thus produced is balanced, in part, by a Na ,Ca -ATPase, and in part by
               passive transport. The various steps of the transport as catalysed by the Na,K-ATPase are
               assembled in Fig. 29; for the conformational changes of E see Fig. 30.
                                             MgATP
                                          +
                             2K +     3Na
                                                     E 1 (Na, Mg, ATP)

                      E 1 (K)            E 1 (Na)                ADP
                                                      E 1 (Na, Mg, P)
                         Mg 2+ ,P i      i  n  n  e  n
                                     E

                                     a  u  ß  e  n   E 2 (Na, Mg, P)
                E 2 (K)
                                                                        Figure 29. Function of the Na,K
                                            E 2 (Mg, P)                 pump (Na,K-dependent ATPase),
                         E 2 (K, Mg, P)                        3Na  +
                                                                        E.
                                           2K +

               Individual events (see Fig. 29):
                                           +
                                                 2+
               (1) Uptake of intracellular Na , Mg  and ATP by E 1;
               (2) Phosphorylation of the enzyme (cf. Fig. 31);
               (3) Conformational change E 1 → E 2 (cf. Fig. 30);
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