Why the study?
Cardiotonic steroids targeting NKA for heart failure are clinically limited by a narrow therapeutic window and pro-arrhythmic effects.
Ro 41-0960 is identified as a novel non-steroidal NKA inhibitor with a distinct ATP-dependent mechanism and favorable in vitro electrophysiological profile, offering a potential new scaffold for heart failure therapeutics.
May advance non-steroidal NKA inhibition strategies; extends target validation but leaves clinical utility open.
The Na + /K + ‐ATPase (NKA) is a central regulator of cardiac ion homeostasis and a validated target for heart failure. Yet, cardiotonic steroids used in clinical practice are limited by a narrow therapeutic window and pro‐arrhythmic effects. Here, we identify Ro 41‐0960 as a non‐steroidal inhibitor of NKA with a distinct mechanistic profile. The compound inhibits NKA activity with IC 50 values of 17.9 ± 1.1 µM for purified enzyme and 10.3 ± 1.1 µM in microsomal preparations. ATP‐dependent activity measurements revealed a non‐monotonic response in which inhibition was most pronounced at ATP concentrations below 4 mM and diminished at the highest ATP concentrations tested. Docking and molecular dynamics simulations suggest that Ro 41‐0960 can access both the cardiotonic steroid‐binding pocket and the nucleotide‐binding site; however, the ATP‐dependence data are not consistent with a simple ATP‐competitive mechanism. Furthermore, the compound shows only weak inhibition of SERCA (IC 50 > 100 µM) and does not alter electrophysiological parameters in human iPSC‐derived cardiomyocytes at concentrations producing near‐maximal NKA inhibition, providing initial evidence of a favorable cardiac safety profile. Together, these findings identify Ro 41‐0960 as an NKA inhibitor with a distinct chemical scaffold and provide a framework for the development of non‐steroidal NKA modulators.
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Cruz-Cortes et al. (2026) studied Heart Failure (Preclinical Target Validation). Ro 41-0960 vs. Control (absence of compound) was evaluated on Inhibition of NKA activity (IC50) (IC50 17.9 ± 1.1 µM).
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