Background: High glucose-induced matrix protein synthesis in renal cells requires glycogen synthase kinase 3 (GSK3) inactivation. Results: Sodium nitroprusside (SNP) activated GSK3 and inhibited diabetes-induced kidney hypertrophy, matrix deposition, and albuminuria in mice without changing blood glucose. Conclusion: Activation of GSK3 by SNP ameliorates diabetic kidney injury. Significance: GSK3 may be a novel target for intervention in diabetic kidney disease.Increase in protein synthesis contributes to kidney hypertrophy and matrix protein accumulation in diabetes. We have previously shown that high glucose-induced matrix protein synthesis is associated with inactivation of glycogen synthase kinase 3 (GSK3) in renal cells and in the kidneys of diabetic mice. We tested whether activation of GSK3 by sodium nitroprusside (SNP) mitigates kidney injury in diabetes. Studies in kidneyproximal tubular epithelial cells showed that SNP abrogated high glucose-induced laminin increment by stimulating GSK3 and inhibiting Akt, mTORC1, and events in mRNA translation regulated by mTORC1 and ERK. NONOate, an NO donor, also activated GSK3, indicating that NO may mediate SNP stimulation of GSK3. SNP administered for 3 weeks to mice with streptozotocin-induced type 1 diabetes ameliorated kidney hypertrophy, accumulation of matrix proteins, and albuminuria without changing blood glucose levels. Signaling studies showed that diabetes caused inactivation of GSK3 by activation of Src, Pyk2, Akt, and ERK; GSK3 inhibition activated mTORC1 and downstream events in mRNA translation in the kidney cortex. These reactions were abrogated by SNP. We conclude that activation of GSK3 by SNP ameliorates kidney injury induced by diabetes.Diabetes is the major cause of end stage renal disease (1, 2). Diabetic kidney disease is characterized by excessive deposition of extracellular matrix in the form of thickening of glomerular and tubular basement membranes and increased amounts of mesangial matrix (glomerulosclerosis) and tubulo-interstitial fibrosis (3). We have previously reported that high glucose and high insulin, conditions associated with type 2 diabetes, increased protein synthesis, including matrix proteins in the renal proximal tubular epithelial (MCT) 3 cells (4). These changes were associated with inactivation of glycogen synthase kinase 3 (GSK3), a ubiquitously expressed and constitutively active serine/threonine kinase (5). GSK3 regulates a variety of cellular processes, including glycogen metabolism (6), gene transcription (7), apoptosis (8), and microtubule stability (9, 10); our studies have shown that it serves as a constitutive inhibitor of protein synthesis in renal epithelial cells (5). Akt promotes protein synthesis by phosphorylating GSK3 at Ser-9, thereby inhibiting its activity (11,12). GSK3 activity can also be regulated by 14). GSK3 regulates the activity of a broad range of substrates by phosphorylation (e.g. glucose metabolism by phosphorylation and inactivation of glycogen synthase (15) and protei...