“…In LLC-PK1 cells, a low concentration of ouabain (up to 100 nM, about 1/10th of IC 50 ) does not inhibit 86 Rb ϩ uptake nor alter intracellular Na ϩ concentration when administered for up to 15 min (13, 47), but it does inhibit 86 Rb ϩ and Na ϩ uptake when administered for longer periods as we reported previously (13,47,48), due to ouabain-induced Na/K-ATPase endocytosis via Na/KATPase signaling (11,13,21,47,48). In LLC-PK1 cells, ouabain (1 h)-induced inhibition of transepithelial 22 Na ϩ flux is mostly dependent on the coordinated regulation of Na/K-ATPase and NHE3 through Na/K-ATPase signaling (13,21,47). Ouabain induced redistribution of Na/K-ATPase and NHE3 in LLC-PK1 cells, with a resultant reduction in cell surface levels of both transporters to depress apical Na ϩ entry through NHE3 (and other Na ϩ -coupled Na ϩ transporters) and basolateral Na ϩ extrusion through Na/K-ATPase.…”