PMID- 26163195 OWN - NLM STAT- MEDLINE DCOM- 20161018 LR - 20211203 IS - 1460-2385 (Electronic) IS - 0931-0509 (Print) IS - 0931-0509 (Linking) VI - 31 IP - 2 DP - 2016 Feb TI - Regulation of the epithelial Na+ channel by the mTORC2/SGK1 pathway. PG - 200-5 LID - 10.1093/ndt/gfv270 [doi] AB - The epithelial Na(+) channel (ENaC) is decisive for sodium reabsorption by the aldosterone-sensitive distal nephron (ASDN) of the kidney. ENaC is regulated by the serum- and glucocorticoid-inducible kinase 1 (SGK1), a kinase genomically upregulated by several hormones including glucocorticoids and mineralocorticoids. SGK1 is activated by the serine/threonine kinase mammalian target of rapamycin (mTOR) isoform mTORC2. SGK1 knockout (sgk1(-/-) mice) impairs renal Na(+) retention during salt depletion. The mTOR catalytic site inhibitor, PP242, but not mTORC1 inhibitor rapamycin, inhibits ENaC, decreases Na(+) flux in isolated perfused tubules and induces natriuresis in wild-type mice. PP242 does not lead to further impairment of Na(+) reabsorption in sgk1(-/-) mice. The mTORC2/SGK1 sensitive renal Na(+) retention leads to extracellular volume expansion with increase of blood pressure. A SGK1 gene variant (prevalence approximately 3-5% in Caucasians, approximately 10% in Africans) predisposes to hypertension, stroke, obesity and type 2 diabetes. Future studies will be required to define the role of mTORC2 in the regulation of further SGK1 sensitive transport proteins, such as further ion channels, carriers and the Na(+)/K(+)-ATPase. Moreover, studies are required disclosing the impact of mTORC2 on SGK1 sensitive disorders, such as hypertension, obesity, diabetes, thrombosis, stroke, inflammation, autoimmune disease, fibrosis and tumour growth. CI - (c) The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. FAU - Lang, Florian AU - Lang F AD - Department of Physiology, University of Tubingen, Tubingen, Germany. FAU - Pearce, David AU - Pearce D AD - Division of Nephrology, Department of Medicine, University of California at San Francisco, San Francisco, CA, USA. LA - eng GR - R01 DK056695/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Review DEP - 20150709 PL - England TA - Nephrol Dial Transplant JT - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JID - 8706402 RN - 0 (Epithelial Sodium Channels) RN - 0 (Immediate-Early Proteins) RN - 0 (Multiprotein Complexes) RN - 0 (Nuclear Proteins) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.1 (serum-glucocorticoid regulated kinase) SB - IM MH - Animals MH - Epithelial Sodium Channels/*metabolism MH - *Gene Expression Regulation MH - Humans MH - Immediate-Early Proteins/biosynthesis/*genetics MH - Kidney/*metabolism/pathology MH - Mechanistic Target of Rapamycin Complex 1 MH - Multiprotein Complexes/biosynthesis/*genetics MH - Nephrons/*metabolism MH - Nuclear Proteins MH - Protein Serine-Threonine Kinases/biosynthesis/*genetics MH - TOR Serine-Threonine Kinases/biosynthesis/*genetics MH - Up-Regulation/*genetics PMC - PMC6281043 OTO - NOTNLM OT - aldosterone OT - epithelial Na+ channel ENaC OT - glucocorticoids OT - mammalian target of rapamycin mTOR OT - renal Na+ excretion EDAT- 2015/07/15 06:00 MHDA- 2016/10/19 06:00 PMCR- 2017/02/01 CRDT- 2015/07/12 06:00 PHST- 2015/04/21 00:00 [received] PHST- 2015/06/05 00:00 [accepted] PHST- 2015/07/12 06:00 [entrez] PHST- 2015/07/15 06:00 [pubmed] PHST- 2016/10/19 06:00 [medline] PHST- 2017/02/01 00:00 [pmc-release] AID - gfv270 [pii] AID - 10.1093/ndt/gfv270 [doi] PST - ppublish SO - Nephrol Dial Transplant. 2016 Feb;31(2):200-5. doi: 10.1093/ndt/gfv270. Epub 2015 Jul 9.