The a-adrenergic agonist oxymetazoline increased Na+,K+-ATPase activity of single proximal convoluted tubules dissected from rat kidney. Activation of the enzyme by oxymetazoline was prevented by either the a1-adrenergic antagonist prazosin or the a2-adrenergic antagoit yohimbine and was mimicked by the calcium ionophore A23187. The effect of oxymetazoline on Na+,K+-ATPase activity was prevented by a specific peptide inhibitor of calcineurin, as wed as by FK 506, an immunosuppressant agent known to inhibit calcineurin; these results indicate that the action of oxymetazoline is mediated via activation of calcineurin (a calcium/caimodulindependent protein phosphatase). Activation of the Na+,K+-ATPase by either oxymetazoline or A23187 was aocited with a >2-fold increase in its affinity for Na+. The results provide a biochemical me s by which norepinephrine, released from renal nerve terminals, stimulates Na+ retention.Regulation of sodium excretion by renal sympathetic nerve activity plays a major role in the maintenance of Na+ homeostasis (1). However, little is known about the mechanism by which this regulation occurs. Norepinephrine promotes Na+ retention by a mechanism involving a-adrenergic, but not 3-adrenergic (2-4), receptor activation. Activation of a-adrenergic receptors is associated with increased cytosolic calcium in many cell types (5, 6). Here we present evidence that norepinephrine, acting on a-adrenergic receptors, increases Na+,K+-ATPase activity in permeabilized cells of the proximal convoluted tubule of rat kidney. Moreover, norepinephrine appears to increase this activity through a mechanism involving activation of the calcium/calmodulindependent protein phosphatase, calcineurin.MATERIALS AND METHODS Segments from 'the proximal convoluted tubule were dissected from the cortex ofcollagenase-perfused rat kidneys, in a physiological buffer containing 137 mM NaCl, 5 mM KCl, 0.8 mM MgSO4, 0.33 mM Na2HPO4, 0.44 mM KH2PO4, 0.25 mM CaCl2, 1 mM MgCl2, 10 mM Tris HCl, pH 7.4 at 40C. After dissection was completed, the tubule segments were incubated for 30 min at room temperature in the physiological buffer; in most protocols the NaCl concentration was reduced to 20 mM, and isoosmolality was maintained by the addition of 117 mM choline chloride. Oxymetazoline, prazosin, and yohimbine were obtained from Sigma, the Ca2+ ionophore A23187 from Calbiochem, and FK 506 and rapamycin were from Abbott. Test substances were added to the modified physiological buffer. To allow the peptides to enter the cell, the tubule segments were permeabilized with rapid freezing and thawed. This procedure, which allowed dextran molecules of Mr 4000 to enter the cell, was done during inspection in a stereo microscope.Measurement of Na+,K+-ATPase Activity. Segments were subjected to hypotonic shock to permeabilize the tubule cells. Na+,K+-ATPase activity was' measured as described (7) (GFSPPHRITSFEEAKG), which overlaps the first peptide, spans residues 460-475. Its amino terminus coincides with the first cleavage site of c...