Palytoxin acts through Na+,K+-ATPase.

Palytoxin is the most potent animal toxin, with a unique structure. The author's group has searched for its mode of action with the following results: 1. Palytoxin (1 pM and less) causes a fast K+ outflow from erythrocytes; 2. Extracellular Ca2+ and borate, and intracellular ATP enhance, but ouabain potently inhibits the palytoxin effects; 3. Palytoxin increases the permeability for Na+ and K+ but not for Ca2+; 4. Palytoxin in comparatively high concentrations (100 nM and above) inhibits Na+,K+-ATPase; 5. Palytoxin can be radiolabeled with 125I. Its receptor is very similar to, but not identical to that of ouabain. A reaction scheme has been delineated which allows an explanation to be obtained for all the known actions of palytoxin. It centers on the hypothesis that palytoxin binds to Na+,K+-ATPase and converts the enzyme or its close vicinity into an open channel with the permselectivity measured on erythrocytes. Patch clamp data from myocytes were obtained in other laboratories. They prove the presence of the predicted palytoxin channel.