R. V. Fafula, U. P. Efremova, N. E. Lychkovska, Z. D. Vorobets

Danylo Halytski Lviv National Medical University, Ukraine;
e-mail: roman_fafula@ukr.net; vorobets@meduniv.lviv.ua

The comparative analysis of the kinetic proper­ties of ouabain-sensitive Na⁺, K⁺-ATPase activity of saponin-perforated blood lymphocytes of donors and patients with rheumatoid arthritis (RA) and ankylosing spondyloarthritis (AS) was carried out. When analyzing the alterations in hydrolase activity of the examined enzyme it was shown that in the blood lymphocytes of patients with RA and AS the primary active transport of Na⁺ and K⁺ ions is less intensive in comparison with practically healthy donors, but it is characterized by almost the same capacity as in donors. The affinity constant of Na⁺, K⁺-ATPase for ATP in the blood lymphocytes in patients with RA and AS is greater 3.1 and 2.5 times, respectively, in comparison with healthy donor. It was found that in conditions of rheumatic pathology in immunocompetent cells the inhibition of Na⁺, K⁺-ATPase activity is not related to the reduction of maximum reaction rate, but is related to the decrease of Na⁺, K⁺-ATPase affini­ty to ATP. However, Mg²⁺-binding center of Na⁺, K⁺-ATPase in patients with RA and AS remains native. It was identified that the affinity constant of Na⁺, K⁺-ATPase to Na⁺ ions in the blood lymphocytes of patients with RA and AS is 2.75 times lower than its value in healthy donors. Na⁺, K⁺-ATPase of the blood lymphocytes of patients with RA and AS retains its native receptor properties and sensitivity to ouabain does not change.