. Phosphatidylinositol 3-kinase activation is required for insulin-stimulated sodium transport in A6 cells. Am. J. Physiol. 274 (Endocrinol. Metab. 37): E611-E617, 1998.-Insulin stimulates amiloride-sensitive sodium transport in models of the distal nephron. Here we demonstrate that, in the A6 cell line, this action is mediated by the insulin receptor tyrosine kinase and that activation of phosphatidylinositol 3-kinase (PI 3-kinase) lies downstream of the receptor tyrosine kinase. Functionally, a specific inhibitor of PI 3-kinase, LY-294002, blocks basal as well as insulinstimulated sodium transport in a dose-dependent manner (IC 50 Ϸ 6 ”M). Biochemically, PI 3-kinase is present in A6 cells and is inhibited both in vivo and in vitro by LY-294002. Furthermore, a subsequent potential downstream signaling element, pp70 S6 kinase, is activated in response to insulin but does not appear to be part of the pathway involved in insulin-stimulated sodium transport. Together with previous reports, these results suggest that insulin may induce the exocytotic insertion of sodium channels into the apical membrane of A6 cells in a PI 3-kinase-mediated manner.amiloride-sensitive sodium channel; insulin signaling; receptor tyrosine kinase; renal epithelia INSULIN INCREASES SODIUM REABSORPTION in dogs and humans, and this effect appears to be manifested predominantly on the renal distal nephron (21, 10). Models of the distal nephron, toad urinary bladder (Bufo marinus) and the A6 cell line (derived from Xenopus laevis kidney), have been used to demonstrate a direct effect of insulin on amiloride-sensitive sodium transport (12,14). Patch-clamp electrophysiology has indicated that insulin causes an increase in the open probability (P O ) of the apical sodium channel (20). However, blocker-induced noise analysis demonstrated that insulin induces an increase in active sodium channel density in the apical membrane (2, 4, 11). In addition, insulin increases the apical membrane area (11). These results suggest that insulin may induce the insertion of sodium channels into the apical membrane, a hypothesis supported by our study demonstrating that brefeldin A, an inhibitor of secretion, partially inhibits insulin-stimulated sodium transport (9).The first step in insulin signaling is the binding of the hormone to its receptor, followed by autophosphorylation of the receptor and subsequent activation of the receptor tyrosine kinase (IRTK). IRTK has several substrates, including the insulin receptor substrate (IRS) proteins (33). The IRS proteins mediate some of the pleiotropic effects of insulin through interactions with proteins containing SH2 domains, including phosphatidylinositol 3-kinase (PI 3-kinase). This enzyme, a heterodimer, phosphorylates the D-3 position of the myo-inositol ring of phosphatidylinositols (PtdIns; 17). PI 3-kinase is required for several insulin-mediated effects, including the translocation of the insulinresponsive glucose transporter (GLUT-4) to the plasma membrane of adipocytes (7) and skeletal muscle (34), and ...