Silva GB, Garvin JL. Akt1 mediates purinergic-dependent NOS3 activation in thick ascending limbs. Am J Physiol Renal Physiol 297: F646 -F652, 2009. First published July 1, 2009 doi:10.1152/ajprenal.00270.2009.-Extracellular ATP regulates many physiological processes via release of nitric oxide (NO). ATP stimulates NO in thick ascending limbs (TALs), but the signaling cascade involved in the cells of this nephron segment, as well as many other types of cells, is poorly understood. We hypothesized that ATP enhances NO synthase (NOS) activity by stimulating PI3 kinase and Akt. We measured 1) NO in TALs using the NO-sensitive dye DAF-2 DA and 2) Akt activity by fluorescence resonance energy transfer and phosphorylation of Akt isoforms. ATP (100 M) stimulated NO in wild-type mice [26 Ϯ 4 arbitrary units (AU)], but not in NOS3 Ϫ/Ϫ mice (2 Ϯ 2 AU; P Ͻ 0.04). In the presence of the NOS1-and NOS2-selective inhibitors 7-NI and 1400W, ATP stimulated NO by 30 Ϯ 2 and 33 Ϯ 3 AU, respectively (not significant vs. control). In the presence of the PI3 kinase inhibitor LY294002, ATP-increased NO was reduced by 85% (5 Ϯ 2 vs. 28 Ϯ 4 AU; P Ͻ 0.02). ATP alone increased Akt activity and this effect was significantly blocked by suramin, a P2 receptor antagonist. In the presence of an Akt-selective inhibitor, ATP-induced NO was blocked by 90 Ϯ 4%. ATP significantly stimulated Akt1 phosphorylation at Ser 473 by 91 Ϯ 13%, whereas Akt2 phosphorylation remained unchanged and Akt3 phosphorylation decreased. In vivo transduction of TALs with a dominantnegative Akt1 significantly decreased ATP-induced NO by 88 Ϯ 6%. We concluded that ATP increases NOS3-derived NO via Akt1 activation in the TAL. purinergic signaling; adenosine triphosphate; Na-K-2Cl cotransporter IN THE KIDNEY, ADENOSINE triphosphate (ATP) is released from several types of cells. Macula densa cells release ATP in response to an increase in luminal NaCl (19), while mesangial cells release ATP in response to elevated glucose (35). The cells that constitute the thick ascending limb release ATP in response to decreases in osmolality (34) and increases in luminal flow (16). The ATP released from these and other cells has pleotrophic effects. In vivo studies showed that extracellular ATP inhibits fluid absorption (1). In the collecting duct extracellular ATP also decreases Na (32) and water (18) reabsorption. Increases in ATP in the renal interstitium correlate with decreases in renal blood flow (26), most likely related to afferent arterial autoregulation (14). Moreover, we recently demonstrated that extracellular ATP stimulates nitric oxide (NO) by thick ascending limbs via activation of purinergic 2X (P2X) receptors (33). Indeed, ATP has been shown to stimulate NO production in a variety of cells, including platelets (20), endothelial cells (37), and cells of the central nervous system (31). However, the mechanisms by which ATP stimulates NO production are poorly understood.Activation of P2X receptors may lead to stimulation of several signaling cascades. These include glycoge...