Enhanced tubular reabsorption of salt is important in the pathogenesis of obesityrelated hypertension, but the mechanisms remain poorly defined. To identify changes in the regulation of salt transporters in the kidney, C57BL/6 mice were fed a 40% fat diet [high-fat diet (HFD)] or a 12% fat diet (control diet) for 14 wk. Compared with control diet-fed mice, HFD-fed mice had significantly greater elevations in weight, blood pressure, and serum insulin and leptin levels. When we examined Na ϩ transporter expression, Na ϩ -K ϩ -2Cl Ϫ cotransporter (NKCC2) was unchanged in whole kidney and reduced in the cortex, Na ϩ -Cl Ϫ cotransporter (NCC) and ␣-epithelial Na ϩ channel (ENaC) and ␥-ENaC were unchanged, and -ENaC was reduced. Phosphorylation of NCC was unaltered. Activating phosphorylation of NKCC2 at S126 was increased 2.5-fold. Activation of STE-20/SPS1-related prolinealanine-rich protein kinase (SPAK)/oxidative stress responsive 1 kinase (OSR1) was increased in kidneys from HFD-fed mice, and enhanced phosphorylation of NKCC2 at T96/T101 was evident in the cortex. Increased activity of NKCC2 in vivo was confirmed with diuretic experiments. HFD-fed mice had reduced activating phosphorylation of AMP-activated protein kinase (AMPK) in the renal cortex. In vitro, activation of AMPK led to a reduction in phospho-SPAK/ phospho-OSR1 in AMPK ϩ/ϩ murine embryonic fibroblasts (MEFs), but no effect was seen in AMPK Ϫ/Ϫ MEFs, indicating an AMPKmediated effect. Activation of the with no lysine kinase/SPAK/OSR1 pathway with low-NaCl solution invoked a greater elevation in phospho-SPAK/phospho-OSR1 in AMPK Ϫ/Ϫ MEFs than in AMPK ϩ/ϩ MEFs, consistent with a negative regulatory effect of AMPK on SPAK/OSR1 phosphorylation. In conclusion, this study identifies increased phosphorylation of NKCC2 on S126 as a hitherto-unrecognized mediator of enhanced Na ϩ reabsorption in obesity and identifies a new role for AMPK in regulating the activity of SPAK/OSR1. AMP-activated protein kinase; Na ϩ -K ϩ -2Cl Ϫ cotransporter; oxidative stress responsive 1 kinase; STE-20/SPS1-related proline-alaninerich protein kinase LARGE OBSERVATIONAL STUDIES have identified obesity as a major risk factor for the development of hypertension (19,36). Along with animal models of obesity (7,23,44), studies of weight loss in humans have supported a causative role of obesity in elevating blood pressure (34). The mechanisms leading to obesity-related hypertension are multifactorial, including activation of sympathetic nervous and renin-angiotensin systems, alterations in adipokine profiles, insulin resistance, and endothelial dysfunction (for a review, see Ref. 8). Volume expansion through renal Na ϩ retention has been identified as a major contributing factor and occurs as a common downstream consequence of dysregulation of the aforementioned pathways.Human and animal studies have demonstrated that obesity leads to increased renal blood flow and an increase in glomerular filtration rate, indicating that renal Na ϩ retention must occur as a result of enhanced tubul...