Effects of hypokalemia on the properties and expression of the (Na+,K+)-ATPase of rat skeletal muscle.

Rats maintained on a low potassium diet develop hypokalemia, which is associated with an approximately 80% decrease in the number of (Na+,K+)-ATPase molecules in skeletal muscle sarcolemma (Norgaard, A., Kjeldsen, K., and Clausen, T. (1981) Nature 293, 739-741); the skeletal muscles of the hypokalemic rats become paralyzed after exposure to insulin in low [K+] media (Otsuka, M., and Ohtsuki, I. (1970) Am. J. Physiol. 219, 1178-1182). We have been interested in the interactions between the insulin receptor and the alpha 2 isoform of the (Na+,K+)-ATPase as a mechanism for the insulin activation of (Na+,K+)-pumping and decided to use the hypokalemic rats to obtain additional information on this question. We show here that the amount of the alpha 2 isoform in the skeletal muscles of hypokalemic rats is greatly decreased as determined by immunoblotting and (Na+,K+)-ATPase activity; the effect of hypokalemia on the amount of the alpha 1 isoform is small. The mechanism of the decrease in the alpha 2 isoform is not known, but it is not due to transcriptional regulation of the alpha 2 gene because the amounts of the transcripts for this polypeptide are increased in the rats on the low potassium diet. The (Na+,K+)-pump that remains in the skeletal muscles of rats on a low potassium diet for a period of 2 weeks is still activated by insulin; under these conditions, however, insulin does not bring about a decrease in the intracellular [Na+] in contrast to the situation with normal muscle.