Review

Nature Clinical Practice Nephrology (2008) 4, 378-392
doi:10.1038/ncpneph0848  
Received 21 January 2008 | Accepted 29 April 2008 | Published online: 10 June 2008

Endogenous digitalis: pathophysiologic roles and therapeutic applications

Alexei Y Bagrov* and Joseph I Shapiro

Correspondence *Laboratory of Cardiovascular Science, National Institute on Aging, 5600 Nathan Shock Drive, Baltimore, MD 21224, USA

Email
 bagrova@mail.nih.gov

Interest in endogenous digitalis-like factors or 'cardiotonic steroids' has increased as a result of the identification of such factors in humans and the delineation of a mechanism by which these hormones signal through the sodium/potassium-transporting ATPase. The authors of this Review, who have both spent more than 20 years conducting research on this topic, examine the role of endogenous cardiotonic steroids in the pathophysiology of renal and cardiovascular disease. They also highlight potential therapeutic strategies involving modulation of cardiotonic steroids.

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