Once ingested, erythrophleine primarily acts on the body by disrupting the
nervous system. It does this by inhibiting
Na-K ATPase, an enzyme that breaks down
ATP to generate an
electric potential by moving sodium and potassium ions against their
concentration gradient. In vertebrates, this potential is used to transmit signals across neural
synapses. Normally, sodium-potassium pumps move potassium ions into the
nerve cell and sodium ions out, but studies have shown that exposure to erythrophleine reduces this action dramatically. This can have a number of compounding effects including weakened nerve signaling responses and inhibited ability to maintain cellular
homeostasis. While the exact
mechanism of this process is unknown, it is likely similar to that of
cardiac glycosides. Cardiac glycosides inhibit Na-K ATPase by stabilizing it in the E2-P
transition state, preventing sodium ions from being extruded. They do this by mimicking potassium and tightly binding to Na-K ATPase at the potassium
active site. The most well-known of these molecules is the active toxin in
foxglove. ==Use as an ordeal poison==