Activation of glomerular mesangial cells (MCs) by angiotensin II (Ang II) leads to hypertrophy and extracellular matrix accumulation. Here, we demonstrate that, in MCs, Ang II induces an increase in PDK-1 (3-phosphoinositide-dependent protein kinase-1) kinase activity that required its phosphorylation on tyrosine 9 and 373/376. Introduction into the cells of PDK-1, mutated on these tyrosine residues or kinase-inactive, attenuates Ang II-induced hypertrophy and fibronectin accumulation. Ang II-mediated PDK-1 activation and tyrosine phosphorylation (total and on residues 9 and 373/376) are inhibited in cells transfected with small interfering RNA for Src, indicating that Src is upstream of PDK-1. In cells expressing oxidationresistant Src mutant C487A, Ang II-induced hypertrophy and fibronectin expression are prevented, suggesting that the pathway is redox-sensitive. Ang II also up-regulates Nox4 protein, and siNox4 abrogates the Ang II-induced increase in intracellular reactive oxygen species (ROS) generation. Small interfering RNA for Nox4 also inhibits Ang II-induced activation of Src and PDK-1 tyrosine phosphorylation (total and on residues 9 and 373/376), demonstrating that Nox4 functions upstream of Src and PDK-1. Importantly, inhibition of Nox4, Src, or PDK-1 prevents the stimulatory effect of Ang II on fibronectin accumulation and cell hypertrophy. This work provides the first evidence that Nox4-derived ROS are responsible for Ang II-induced PDK-1 tyrosine phosphorylation and activation through stimulation of Src. Importantly, this pathway contributes to Ang IIinduced MC hypertrophy and fibronectin accumulation. These data shed light on molecular processes underlying the oxidative signaling cascade engaged by Ang II and identify potential targets for intervention to prevent renal hypertrophy and fibrosis.Cellular hypertrophy and extracellular matrix accumulation in glomeruli contributes to the pathogenesis of glomerulosclerosis in fibrotic renal diseases (1-5). The octapeptide hormone angiotensin II (Ang II) 2 is the dominant renin-angiotensin system effector (5-7) and is implicated in the pathogenesis of fibrosis of the glomerular microvascular bed. Up-regulation of the renin-angiotensin system plays a key role in the initiation and the progression of glomerular injury via induction of hypertrophy and extracellular matrix expansion in glomerular mesangial cells (MCs) (6 -13).Ang II-induced oxidative stress has emerged as a critical pathogenic factor in the development of renal and vascular diseases (13-16). NAD(P)H oxidases of the Nox family are major sources of reactive oxygen species (ROS) in many nonphagocytic cells, including renal cells (17-21). The Nox proteins correspond to homologues of gp91 phox (or Nox2), the catalytic moiety found in phagocytes (17,18). Seven members of the Nox family have been identified in the human genome: Nox1 to -5 and the dual oxidases Duox1 and -2 (17, 18, 22). The isoform Nox4 (NAD(P)H oxidase 4) is abundant in the vascular system and kidney cortex (16, 17, 19 -22). We ...