The purpose of this study was to examine the role of the serum-and glucocorticoidinduced kinase (SGK) in the activation of the epithelial sodium channel (ENaC) by aldosterone, arginine vasopressin (AVP), and insulin. We used a tetracycline-inducible system to control the expression of wild-type (SGK wt T ), constitutively active (S425D mutation; SGK S425D abrogates the responses to AVP and insulin; hence, in the signaling pathways of these hormones there is a shared step that is stimulated by SGK. Because AVP and insulin induce fusion of vesicles to the apical membrane, our results support the notion that SGK promotes incorporation of channels in the apical membrane. sodium reabsorption; aldosterone; insulin; vasopressin; serum-and glucose-induced kinase THE ACTIVITY OF the epithelial sodium channel (ENaC) is essential for sodium reabsorption in the kidney. In the distal segment of the renal tubule ENaC is regulated mainly by aldosterone. However, the mechanisms underlying the effects of aldosterone are only partially understood. A number of models for aldosterone action have been proposed, including an increase in the number of active channels in the plasma membrane, in the channel's open probability, or a combination of both (for recent reviews see Refs. 24,29).Different lines of evidence suggest that the serumand glucocorticoid-induced kinase (SGK) mediates the aldosterone upregulation of ENaC. SGK is an aldosterone-induced protein in mammalian and amphibian renal cells (5, 17), and, most significantly, SGK activates ENaC when the two proteins are expressed together in Xenopus oocytes (5, 17) or in renal epithelial cells (8). Activation of SGK is controlled by the phosphoinositide 3-kinase (PI3-kinase) pathway, which promotes the phosphorylation of SGK at serine 422 (human SGK), which in turn increases the phosphorylation of threonine 256 by phosphatidylinositol-dependent kinase (PDK) 1. Phosphorylation of these two residues renders the kinase active (13,19). There is indirect evidence linking aldosterone to the activation of SGK by PI3-kinase. First, inhibition of PI3-kinase by the specific and reversible blocker LY-294002 decreases the basal levels of ENaC activity and abolishes the aldosterone effects (4,20). Second, aldosterone increases one of the products of PI3-kinase, phosphatidylinositol 3,4,5-trisphosphate [PtdIns(3,4,5)P 3 ], in A6 cells (4).Hormones other than aldosterone, such as insulin and arginine vasopressin (AVP), also modulate the activity of ENaC in the kidney. It has been suggested that the actions of these hormones may also require SGK. In muscle and adipose tissues PI3-kinase plays a central role in insulin signaling, making possible the participation of SGK in the insulin-mediated regulation of ENaC (21). Recently, Faletti et al. (8) found that expression of one kinase-inactive SGK mutant (SGK D222A ), but not expression of a different inactive mutant (SGK S422A ), abrogated the insulin response in A6 cells.Involvement of SGK in the AVP response has been proposed in light of the findi...