Protein / target

Sodium/potassium-transporting ATPase subunit alpha-3

ATP1A3P13637Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
5
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

P-type sodium:potassium-exchanging transporter activity

Primary system

Nervous system

Strongest disease association

alternating hemiplegia of childhood 2

Genetic evidence · score 0.97

Therapeutic maturity

Clinically validated target

5 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

5 approved · 1 in clinical development

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Neuron-specific alpha catalytic component of the Na(+)/K(+)-transporting ATPase, which catalyzes the hydrolysis of ATP coupled with the exchange of Na(+) and K(+) ions across the plasma membrane (PubMed:36075933). Transports 3 Na(+) ions out of the cell and 2 K(+) ions into the cell for each ATP hydrolyze against their electrochemical gradients to maintain ion concentration gradients across the membranes (By similarity). In the brain, ATP1A3 is critical for neuronal cell signaling and for maintenance of electrochemical stability, enabling cell excitation and action potential propagation (PubMed:33880529, PubMed:36075933)

Subcellular location

Cell membrane
Domains and Gene Ontology detail (32)

Gene Ontology

  • Caxon
  • Cendoplasmic reticulum
  • Cextracellular vesicle
  • CGolgi apparatus
  • Cmembrane
  • Cneuron to neuron synapse
  • Cneuronal cell body
  • Cneuronal cell body membrane
  • Corganelle membrane
  • Cphotoreceptor inner segment
  • Cphotoreceptor inner segment membrane
  • Cplasma membrane

1013 aa · 112 kDa · 3 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Synaptic signallingGO
View supporting evidence

Synaptic signalling

  • ·neuron to neuron synapse
  • ·synapse
View underlying pathways (3)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

ATP1B1FXYD2ATP1B3ATP1B2ATP1A2ATP1B4ATP1A1ATP1A4FXYD1MAPK1ATP1A3

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

1

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

Digoxin
ApprovedInhibitor

Sodium/potassium-transporting ATPase inhibitor

Appears in clinical studies involving congestive heart failure, atrial fibrillation, heart failure, cardiovascular disorder

Acts on a complex — shared with ATP1A1, ATP1B2, ATP1B1 +4 more · 1 of 8 recorded protein targets — broad pharmacology

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

alternating hemiplegia of childhood 20.97

Genetic · overall 0.84

Rapid-onset dystonia-parkinsonism0.97

Genetic literature · overall 0.69

cerebellar ataxia-areflexia-pes cavus-optic atrophy-sensorineural hearing loss syndrome0.94

Genetic literature · overall 0.76

dystonia 120.94

Genetic · overall 0.82

developmental and epileptic encephalopathy 990.91

Genetic · overall 0.77

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

congestive heart failure0.99

Clinical · overall 0.60

atrial fibrillation0.98

Clinical · overall 0.59

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

Cerebellar ataxia - areflexia - pes cavus - optic atrophy - sensorineural hearing loss0.79

Genetic literature

alternating hemiplegia of childhood0.73

Genetic literature

ATP1A3-associated neurological disorder0.60

Genetic

Show all associations
alternating hemiplegia of childhood 20.84
dystonia 120.82
Cerebellar ataxia - areflexia - pes cavus - optic atrophy - sensorineural hearing loss0.79
developmental and epileptic encephalopathy 990.77
cerebellar ataxia-areflexia-pes cavus-optic atrophy-sensorineural hearing loss syndrome0.76
alternating hemiplegia of childhood0.73
Rapid-onset dystonia-parkinsonism0.69
ATP1A3-associated neurological disorder0.60
congestive heart failure0.60
atrial fibrillation0.59

Open Targets ranks 1,521 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 6 total

ACETYLDIGITOXINApproval

cardiovascular disorder · congestive heart failure

ISTAROXIMEPhase 2 3

heart disorder · heart failure · heart failure

DESLANOSIDEApproval

cardiovascular disorder · Arrhythmia · heart failure

DIGOXINApproval

congestive heart failure · atrial fibrillation · heart failure

LANATOSIDE CApproval

cardiovascular disorder

DIGITOXINApproval

cardiovascular disorder · Arrhythmia · heart failure

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · Druggable FamilyAB · UniProt loc high confAB · GO CC high confAB · UniProt SigP or TMHMMPR · Database UbiquitinationPR · Half-life DataPR · Small Molecule Binder

Safety liabilities

atrioventricular blockdecreased heart rateincreased urine excretionvomitingincreased cardiac contractilitycardiac arrhythmiaincreased urinary sodium excretionventricular fibrillation

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

RECRUITING · via Digoxin · NCT06588699

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

alternating hemiplegia of childhood 2Well supported
0.97
agreement 0.851.00
Genetic83%Animal model16%Literature1%Genetic literaturedup

Open Targets aggregate 0.84 · 3 independent evidence families · 1 not counted as duplicate

dystonia 12Well supported
0.96
agreement 0.841.00
Genetic75%Animal model17%Literature8%Genetic literaturedup

Open Targets aggregate 0.82 · 3 independent evidence families · 1 not counted as duplicate

developmental and epileptic encephalopathy 99Well supported
0.93
agreement 0.811.00
Genetic86%Animal model14%Genetic literaturedup

Open Targets aggregate 0.77 · 2 independent evidence families · 1 not counted as duplicate

cerebellar ataxia-areflexia-pes cavus-optic atrophy-sensorineural hearing loss syndromeWell supported
0.89
agreement 0.771.00
Genetic80%Animal model16%Literature4%Genetic literaturedup

Open Targets aggregate 0.76 · 3 independent evidence families · 1 not counted as duplicate

Cerebellar ataxia - areflexia - pes cavus - optic atrophy - sensorineural hearing lossWell supported
0.86
agreement 0.740.99
Genetic83%Animal model17%Genetic literaturedup

Open Targets aggregate 0.79 · 2 independent evidence families · 1 not counted as duplicate

The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

3

Recent activity around this target, drawn from one canonical event stream. Every item is reached through a drug that targets this protein, so each event is news about that drug rather than about the protein directly.

  1. Trial status changed2026-07-20

    A Phase 1 Study to Evaluate the Effect of Multiple Doses of ABBV-722 on the Pharmacokinetics of Cocktail Probe Substrates of CYP3A and Select Transporters in Healthy Adult Subjects

    Status changed to Active, not recruiting · ClinicalTrials.gov · via Digoxin

  2. New publication2024-01-25
    Drug-Drug Interactions Between Glucagon-Like Peptide 1 Receptor Agonists and Oral Medications: A Systematic Review.

    Drug safety · 2024 · 37 citations · Europe PMC · via Digoxin

  3. New publication2002-12-01
    Dual-chamber pacing or ventricular backup pacing in patients with an implantable defibrillator: the Dual Chamber and VVI Implantable Defibrillator (DAVID) Trial.

    JAMA · 2002 · 1,354 citations · Europe PMC · via Digoxin

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.