Abstract-NaCl loading and plasma volume expansion stimulate 2 natriuretic systems, vasoconstrictor, digitalis-like Na/K-ATPase inhibitors and vasorelaxant ANP peptides. Several hormones, including ANP, regulate activity of the Na/K-ATPase by modulation of its phosphorylation state. We studied effects of ANP on Na/K-ATPase phosphorylation and inhibition by an endogenous sodium pump ligand, marinobufagenin, in the aorta and renal medulla from male Sprague-Dawley rats. Marinobufagenin dose-dependently inhibited the Na/K-ATPase in renal and vascular membranes at the level of higher (nanomolar) and lower affinity (micromolar) binding sites. Marinobufagenin (1 nmol/L) inhibited Na/K-ATPase in aortic sarcolemma (18%) and in renal medulla (19%). prepro-ANP 104 to 123 (ppANP) and ␣-human ANP ([␣-hANP] both 1 nmol/L) potentiated marinobufagenin-induced Na/K-ATPase inhibition in the kidney, but reversed the effect of marinobufagenin in the aorta. Similarly, ppANP and ␣-hANP modulated the sodium pump (ouabain-sensitive 86 Rb uptake) inhibitory effects of marinobufagenin in the aorta and renal medulla. In renal medulla, ppANP and ␣-hANP induced ␣-1 Na/K-ATPase phosphorylation, whereas in aorta, both peptides dephosphorylated Na/K-ATPase. The effect of ppANP on Na/K-ATPase phosphorylation and inhibition was mimicked by a protein kinase G activator, 8-Br-PET-cGMP (10 mol/L), and prevented by a protein kinase G inhibitor, KT5823 (60 nmol/L). Our results suggest that ␣-1 Na/K-ATPase inhibition by marinobufagenin in the kidney is enhanced via Na/K-ATPase phosphorylation by ANP, whereas in the aorta, ANP exerts an opposite effect. The concurrent production of a vasorelaxant, ANP, and a vasoconstrictor, marinobufagenin, potentiate each other's natriuretic effects, but ANP peptides may offset the deleterious vasoconstrictor effect of marinobufagenin. Key Words: sodium-potassium exchanging adenosinetriphosphatase Ⅲ natriuretic hormones Ⅲ ANP Ⅲ ouabain Ⅲ marinobufagenin Ⅲ cGMP T he search for the identity of natriuretic factors that become activated under conditions of sodium retention and that promote natriuresis via inhibition of the Na/KATPase (NKA) in the renal tubules evolved from the concept of a natriuretic hormone. [1][2][3][4] According to this concept, in hypertensive patients, excessive response of natriuretic sodium pump ligands produces inhibition of the sodium pump in vascular smooth muscle sarcolemma, potentiating vasoconstriction. 3 Another group of endogenous natriuretics, members of ANP family, are sensitive to NaCl loading and exhibit natriuretic properties, but, unlike digitalis-like factors, natriuretic peptides relax vascular smooth muscle. 5,6 An endogenous bufadienolide NKA inhibitor, marinobufagenin (MBG), is stimulated after acute 7-9 and chronic 10 -12 Na loading, in contrast to endogenous ouabain, which does not exhibit sustained elevations during chronic high NaCl intake 13 but, rather, becomes elevated during sodium restriction. 14 MBG exhibits greater affinity to rodent ouabain-resistant ␣-1 isoform of t...