Sgk, a Putative Serine/Threonine Kinase, Is Differentially Expressed in the Kidney of Diabetic Mice and Humans

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J Am Soc Nephrol 10: 2488 –2494, 1999

Sgk, a Putative Serine/Threonine Kinase, Is Differentially
Expressed in the Kidney of Diabetic Mice and Humans
                  JANET M. KUMAR, DAVID P. BROOKS, BARBARA A. OLSON, and
                  NICHOLAS J. LAPING
                  Department of Renal Pharmacology, SmithKline Beecham Pharmaceuticals, King of Prussia, Pennsylvania.

Abstract. Differential display PCR was used to identify alter-                 other tissues from obese db/db mice. An increase in Sgk
nate expression of serum glucocorticoid-regulated kinase (Sgk)                 mRNA was also observed in the human diabetic kidney. In
mRNA in diabetes-induced renal disease. Differential expres-                   addition, thrombin, which may play a role in the progression of
sion of Sgk mRNA was identified in the kidneys of normal and                   renal disease, increased Sgk message in cell culture. Because
obese db/db mice, a model of select aspects of human diabetic                  the diabetes-induced increase in Sgk was only observed in the
nephropathy. Sgk mRNA was selectively increased in diabetic                    kidney, which is particularly susceptible to diabetes-induced
mouse kidneys. The Sgk mRNA levels remained constant in                        damage, Sgk may play a role in diabetic nephropathy.

Chronic renal failure is the progressive loss of functional renal              tially expressed in obese db mouse kidneys. In addition, the
mass, accompanied by hypertrophy and remodeling of renal                       effect of thrombin, a factor implicated in chronic renal disease,
tissue. The molecular and cellular events that take place during               on Sgk message expression in rat epithelial cells (REC) was
chronic renal failure include release of growth factors, mesan-                examined.
gial and epithelial cell proliferation, and expansion of extra-
cellular matrix (1–3). Renal hypertrophy as a result of diabetes               Materials and Methods
is due in part to high ambient glucose levels in the blood.                    RNA Isolation
Recent studies suggest that the effects of hyperglycemia on                       Total RNA was extracted from the entire kidneys, livers, brains,
mesangial matrix expansion and mesangial cell proliferation                    and hearts of 5-mo-old normal and diabetic db mice, strain C57KS/
may be mediated by serine/threonine protein kinases including                  J-m1/1Leprdb, six animals per group (Jackson Laboratories, Bar
protein kinase C and cyclin-dependent protein kinase-2 (4 – 6).                Harbor, ME), and from a section of the cortex of normal and diabetic
Kinases play an essential role in the signal transduction path-                patient kidneys (Department of Veterans Affairs, Case Western Re-
ways of many extracellular stimuli that ultimately affect gene                 serve University, Cleveland, OH). The creatinine levels for the normal
expression. Although kinase activity was thought to be largely                 and diabetic human kidneys were 0.1 to 1.1 mg/dl and 1.8 to 3.3
regulated by posttranslational phosphorylation, transcription-                 mg/dl, respectively. RNA was isolated from these samples as well as
ally regulated kinases that include the polo subfamily of serine/              the REC by guanidinium thiocyanate denaturation and acidified phe-
                                                                               nol chloroform extraction (16).
threonine kinases have been described (7–12). These kinases
have been shown to be involved in cell proliferation and cell
cycle regulation.                                                              Differential Display PCR
   This study was designed to identify additional transcription-                  Total RNA from normal and diabetic mouse kidneys was used as
ally regulated kinases that may be involved in diabetic ne-                    templates for reverse transcription with 200 U Superscript reverse
phropathy. Messenger RNA levels from lean and obese db                         transcriptase (Life Technologies/BRL, Gaithersburg, MD), 25 mM
mice, an animal model of select aspects of diabetic nephropa-                  dNTP, and 1 mM of a 39 primer (Table 1) at 42°C for 1 h. PCR
thy (13), were compared by differential display PCR                            amplification was carried out essentially as described previously
                                                                               (17,18). The primers used for cDNA synthesis and PCR were de-
(DDPCR). This study found that serum glucocorticoid-regu-
                                                                               signed from conserved regions of tyrosine kinase receptors using
lated kinase (Sgk), a putative serine/threonine protein kinase                 BLAST search algorithm. Approximately 1/5 volume of the single-
that is also transcriptionally regulated by serum, glucocorti-                 stranded cDNA mixture was used in the PCR reaction in combination
coids, and follicle-stimulating hormone (14,15), was differen-                 with 20 mM dNTP, 1 mM of each 59 and 39 primer (Table 1), 0.2 mCi
                                                                               of [a-33P] dATP (2000 Ci/mmol), and 1.25 U Amplitaq polymerase
                                                                               (Perkin-Elmer, Foster City, CA). Twenty-five different primer com-
Received March 30, 1998. Accepted June 2, 1999.
Dr. Kumar’s present address: Biology Department, Cabrini College, 610 King
                                                                               binations were used for PCR (Table 1). The cycling parameters were
of Prussia Road, Radnor, PA 19087-3698.                                        as follows: 40 cycles at 94°C for 30 s, 45°C for 2 min and 72°C for
Correspondence to Dr. Nicholas J. Laping, Department of Renal Pharmacology,    30 s with a final extension time of 5 min at 72°C. Amplification
UW2521, 709 Swedeland Road, Box 1539, King of Prussia, PA 19406-0939. Phone:   products were resolved on a 6% denaturing polyacrylamide gel.
610-270-5310; Fax: 610-270-5381; E-mail: Nicholas_J_Laping@sbphrd.com          Fragments were eluted from the gel by incubation in boiling water for
1046-6673/1012-2488                                                            15 min, reamplified with the same primer pair used to generate them,
Journal of the American Society of Nephrology                                  and cloned into PCRII vector (Invitrogen, Carlsbad, CA). The frag-
Copyright © 1999 by the American Society of Nephrology                         ments were then sequenced using the fmol® DNA sequencing system
J Am Soc Nephrol 10: 2488 –2494, 1999                                                               Expression of Sgk in Kidney     2489

Table 1. Sequence of primers used in differential display PCR analysis
                         59 Specific Primers                                                  39 Specific Primers

              #1   59-CAC TAA AGA GCG TGC                                          #6 59-CAG TAT ACA GGT CTC
              #2   59-CCT TAA GAA AAC CAC                                          #7 59-TTA GCT TGT ACA GCT
              #3   59-TGC TAG GAA CGT CCT                                          #8 59-CCA TCA GTA TAC AGG
              #4   59-GGA AGC AGC TTG CAT                                          #9 59-CAG TAT ACA GGT TGT
              #5   59-AAC CCG TAC ATC GTG                                          #10 59-TAG GAA ACA AGT CTC

(Promega, Madison, WI). BLAST-N and FASTA programs (Smith-              used for cDNA synthesis and PCR were designed from con-
Waterman algorithm) were used to compare the generated sequences        served regions of tyrosine kinase receptors (using BLAST
with those in the databases. The 500-bp mouse cDNA fragment,            search algorithm) (Table 1). These primers were designed to
referred to as clone RK15 and found to be homologous to the human       increase the likelihood of identifying kinases that are differen-
and rat Sgk, was amplified using primer pair #3 and #10 (Table 1).
                                                                        tially regulated with renal disease. After the PCR, gel electro-
                                                                        phoresis, and autoradiography, 15 different gel bands showed
Cell Culture                                                            a difference in intensity between the normal and diabetic
   REC were obtained from the kidney cortex glomeruli of 55- to 70-g
                                                                        kidney samples. One of these fragments was a 500-bp cDNA
Sprague Dawley rats (Charles River, Wilmington, MA) as described
(19). Lyophilized human plasma thrombin (average activity 1000
                                                                        whose levels increased in all three diabetic kidneys sampled
U/mg), actinomycin D, and cycloheximide were purchased from             (Figure 1A). Cloning and sequencing this cDNA revealed it to
Sigma Chemical Co. (St. Louis, MO). The protein kinase inhibitor        have 91% homology with the rat Sgk gene and 92% homology
RO-32-0432 (20) and peptides corresponding to the tethered ligand of    with human Sgk. To confirm that expression levels increased at
the activated thrombin receptor SFLLRN, FLLRN were synthesized at       the mRNA level, the 500-bp cDNA, designated RK15, was
SmithKline Beecham (King of Prussia, PA). REC were routinely            used as a probe for a Northern blot containing the total RNA
cultured in RPMI 1640 containing 10% fetal bovine serum. Before         from the normal and diabetic mouse kidneys. The message size
treatment, subconfluent cells were placed in serum-depleted media for   was 2.4 kb, which is similar to the 2.4- to 2.6-kb message
24 h. Experiments using thrombin, actinomycin D, and cycloheximide      observed in rat and human cells (14,23,24) (Figure 1B). The
were carried out in serum-free RPMI 1640. For concentrations and        Northern blot results indicate that in all of the samples, Sgk
duration of thrombin treatments, see figure legends. Actinomycin D
                                                                        message levels were sixfold more abundant in the diabetic
and cycloheximide were used at 5 and 10 mg/ml, respectively, for the
times indicated. After incubation in serum-free RMPI 1640, the cells
                                                                        kidney compared with the normal kidney.
received 10 nM thrombin pretreatment for 2 h. The cells were treated       To determine whether the diabetes-induced increase in Sgk
with the tethered ligands at 10 mM for 2 h. REC were pretreated with    message was specific to the kidney, RNA from other organs
RO-32-0432 at 1 mM for 4 h.                                             from normal and diabetic mice were examined. We observed
                                                                        that the Sgk message levels were similar in the liver, brain, and
Northern Analysis                                                       heart of these animals. Of the four tissues examined in this
   Approximately 10 mg of total RNA was fractionated on a 1.2%          study, Sgk mRNA was increased only in the kidney of diabetic
agarose/formaldehyde gel by electrophoresis, transferred to nylon       animals compared with the normal littermates (Figure 2).
membrane, prehybridized, hybridized, washed, and stripped according        Sgk message in diabetic human kidneys was examined to
to an established protocol (21). The mouse Sgk fragment, used as a      determine whether Sgk expression in diabetic mouse kidneys
probe in these experiments, was generated by digesting RK15 (de-        resembles expression in human diabetic kidneys. Total RNA
scribed above) with EcoRI. The glyceraldehyde 3-phosphate dehy-         was obtained from the kidney cortex of patients with no overt
drogenase (GAPDH) cDNA was generated by PCR according to the
                                                                        renal disease and from diabetic patients. In addition, RNA
GAPDH Control Amplimer Set protocol (Clontech, Palo Alto, CA).
                                                                        samples from a renal tumor and polycystic kidney were ana-
The probe for ribosomal protein L32 (rpl32) was generated by PCR
(22). The cDNA were labeled with Prime It® II (Stratagene, La Jolla,    lyzed. These samples were probed with the 500-bp mouse Sgk
CA), using [32P] dATP. Membranes were exposed to phosphorimag-          cDNA RK15. Sgk mRNA levels in both diabetic kidneys were
ing plates, and bands were visualized and quantified with ImageQuant    increased more than twofold compared with the control when
software (Molecular Dynamics, Sunnyvale, CA).                           corrected for loading and transfer efficiency with GAPDH
                                                                        (Figure 3). In the tumor sample, there was a slight decrease in
Statistical Analyses                                                    Sgk expression. In the polycystic kidney, there was no change
   Data were analyzed with SuperANOVA software to determine             in Sgk mRNA compared with the control. Thus, it appears that
statistical significance (Abacus Concepts, Berkeley, CA).               increased levels of Sgk mRNA are associated with diabetes but
                                                                        not cancer or polycystic kidney disease.
Results                                                                    Because thrombin activity has been demonstrated in patients
  To identify genes involved in chronic renal failure, DDPCR            with renal disease (25,26) and has been implicated in mediat-
was performed with mRNA from the kidneys of 5-mo-old                    ing renal remodeling during chronic renal failure (19,27–29),
obese diabetic db/db mice and normal littermates. The primers           the effect of thrombin on Sgk mRNA levels was examined.
2490        Journal of the American Society of Nephrology                                              J Am Soc Nephrol 10: 2488 –2494, 1999

                                                                       Figure 2. A comparison of Sgk message expression in the liver, brain,
                                                                       heart, and kidney of normal (N) and diabetic (D) db mice. Ten
                                                                       micrograms of total RNA was loaded per lane. The Sgk and GAPDH
                                                                       mRNA are indicated by arrows.

Figure 1. Differential display PCR analysis of normal and diabetic
mouse kidney cDNA. (A) A 6% denaturing polyacrylamide gel con-
taining normal and diabetic db mouse kidney cDNA after differential
display PCR (DDPCR) using primers #3 and #10 (Table 1). Lanes 1
through 3 show amplification products from normal kidney cDNA,
and lanes 4 through 6 show amplification products from diabetic
kidney cDNA. The arrow highlights a differentially expressed 500-bp
cDNA that was increased in all three of the diabetic kidney samples.
This amplified cDNA fragment (RK15) is complementary to mouse
serum glucocorticoid-regulated kinase (Sgk) mRNA. (B) Northern
blot analysis of normal and diabetic db mouse kidney probed with
RK15. Each lane contained 10 mg of total RNA. The RK15 probe
recognized an mRNA of 2.4 kb. The blot was then stripped and
reprobed with GAPDH.

REC were treated in triplicate with 0.1, 1.0, and 10 nM
thrombin (Figure 4). Treatment with 0.1 nM thrombin resulted
in a 1.2-fold induction of Sgk mRNA, whereas 1.0 and 10 nM
thrombin increased Sgk mRNA twofold and fivefold, respec-
tively (Figure 4). Sgk message levels were also examined in rat
glomerular mesangial cells. However, Sgk mRNA was only
minimally induced by thrombin treatment at 10 nM (data not             Figure 3. Sgk message levels in normal versus diabetic human kid-
                                                                       neys as well as in a kidney tumor and polycystic kidney. (Top) Total
shown). Thus, thrombin regulation of Sgk mRNA may be
                                                                       RNA from the renal cortex of two nondiabetic patients (N), two
selective for epithelial cells. Therefore, further experiments         diabetic patients (D), a kidney tumor (T), and a polycystic kidney
were done with REC.                                                    (PKD) was probed with RK15. An arrow highlights Sgk and GAPDH
   To determine whether the effect of thrombin is mediated             mRNA. (Bottom) A histogram showing the relative abundance of the
through the PAR1 thrombin receptor, peptides corresponding             Sgk message after correction for loading and transfer with GAPDH.
to the tethered ligand of the activated PAR1 thrombin receptor
were examined. The active 6 amino acid peptide SFLLRN
increased Sgk levels two- to threefold compared with the               that within 15 min of thrombin treatment, Sgk is induced
inactive 5-mer FLLRN (Figure 5). The active peptide produced           nearly twofold (Figure 6). Message levels continue to rise at 30
an increase in Sgk mRNA similar to that observed with throm-           min and are maximally increased at 1 h of treatment (seven-
bin.                                                                   fold). Sgk message levels are maintained at fourfold induction
   A time course study was done to determine the rate of Sgk           for up to 24 h (Figure 6).
induction in response to thrombin. Northern analysis indicates            Previous reports have indicated that induction of Sgk mes-
J Am Soc Nephrol 10: 2488 –2494, 1999                                                                  Expression of Sgk in Kidney       2491

                                                                          Figure 6. Temporal expression of Sgk and rpL32 mRNA in response
                                                                          to thrombin treatment by Northern blot. REC were treated with 10 nM
                                                                          thrombin for the times indicated at the top of each lane. Cells were
                                                                          serum-starved for 24 h. All cells were kept in culture for the same
                                                                          amount of time.

Figure 4. Relative levels of Sgk expression in response to increasing
concentrations of thrombin in rat epithelial cells (REC) by Northern
blot analysis. Before treatment, these cells were placed in serum-free
media for 24 h. They then received either no thrombin (0) or thrombin
at 0.1, 1.0, or 10 nM for 16 h. The histogram shows the levels of Sgk
mRNA in response to thrombin treatment after correcting for loading
and transfer with rpL23 mRNA (n 5 3). Below is a representative
Northern blot for Sgk and rpL32 mRNA.

                                                                          Figure 7. Stability of Sgk message in the presence of thrombin (10
                                                                          nM) was investigated by treating REC with actinomycin D. The cells
                                                                          were then exposed to actinomycin D (5 mg/ml) for times indicated.

Figure 5. Sgk message levels in REC after treatment with peptides
corresponding to the tethered ligand of activated thrombin receptor. C,
control; 6, SFLLRN (10 mM); 5, FLLRN (10 mM); T, thrombin (10             mRNA at the transcriptional level. The induction of Sgk mes-
nM). Cells were treated with peptides or thrombin for 2 h.                sage by thrombin is not affected by the protein synthesis
                                                                          inhibitor cycloheximide (Figure 8). Thrombin increased Sgk
                                                                          message four- to fivefold in the presence or absence of cyclo-
                                                                          heximide. Thus, thrombin is another factor that positively
sage by agents such as serum, glucocorticoids, and follicle-
stimulating hormone, as well as by changes in cell volume, is             regulates Sgk expression through immediate transcriptional
an immediate-early transcriptional response that does not re-             activation.
quire de novo protein synthesis (14,15,23,30). Therefore, the                Thrombin receptor activation has been shown to involve
effect of thrombin on the mRNA half-life of Sgk was deter-                certain second-messenger pathways including protein kinase C
mined in the presence of the RNA synthesis inhibitor actino-              (31). The protein kinase C second-messenger system was in-
mycin D (Figure 7). Sgk message levels decrease within 15                 vestigated to determine whether it plays a role in thrombin
min of actinomycin D treatment. The half-life of Sgk is ap-               receptor-mediated induction of Sgk with the PKC inhibitor
proximately 30 min, which is similar to previous reports (30).            RO-32-0432. As shown in Figure 9, the combined treatment of
This experiment indicates that thrombin does not affect Sgk               RO-32-0432 and thrombin abolished the induction observed
mRNA stability and suggests that thrombin regulates Sgk                   with thrombin treatment alone.
2492        Journal of the American Society of Nephrology                                            J Am Soc Nephrol 10: 2488 –2494, 1999

                                                                       ogy of the db/db mouse has been shown to resemble the
                                                                       glomerular basement membrane expansion and accumulation
                                                                       of matrix components in human diabetic kidney (36). A recent
                                                                       study demonstrated that progression of renal disease as mea-
                                                                       sured by creatinine clearance and albumin excretion in the
                                                                       db/db mice resembles renal functional changes seen human
                                                                       diabetes (13).
                                                                          The Sgk transcripts were expressed at low levels in kidneys
                                                                       of both normal db/wt mice and healthy patients, whereas Sgk
                                                                       mRNA was elevated in obese db/db kidneys and human dia-
                                                                       betic kidneys. A significant observation was that Sgk mRNA
                                                                       did not increase in the brain, liver, or heart of the db/db mouse
                                                                       and that Sgk message was not elevated in polycystic kidney
                                                                       disease and cancer of patients. The increase in Sgk mRNA was
Figure 8. Sgk and rpL32 mRNA in response to thrombin (Thr.)            seen only in diabetic kidney, which is particularly susceptible
treatment in the presence or absence of cycloheximide (CHX). REC       to diabetes-induced damage and suggests that Sgk plays a
were serum-starved for 24 h. Subsequently, some of the cells were      specific role in diabetes-induced renal disease.
pretreated with 10 mg/ml cycloheximide for 2 h. Thrombin (10 nM)          Several factors have been shown to be involved in diabetic
was then added to certain flasks for 2 h, after which RNA was
                                                                       nephropathy including thrombin. The expression and function
extracted from all of the cells.
                                                                       of the thrombin receptor in the human kidney has been impli-
                                                                       cated as an important regulatory component of glomerular and
                                                                       vascular effects within the normal and diseased kidney (29).
                                                                       Because renal thrombin activity is increased in patients with
                                                                       diabetic nephropathy (25,26), thrombin may influence the ex-
                                                                       pression of Sgk in renal disease. In this study, we demonstrate
                                                                       that thrombin increased Sgk mRNA in glomerular epithelial
                                                                       cells within 15 min and that thrombin does not affect Sgk
                                                                       mRNA stability. Furthermore, de novo synthesis of protein is
                                                                       not required for thrombin-induced increase in Sgk mRNA.
                                                                       This strongly suggests that thrombin regulates Sgk mRNA
                                                                       levels at the transcriptional level.
                                                                          Thrombin acts on the thrombin receptor by cleavage of the
                                                                       N-terminal domain of the receptor, thus unmasking a peptide
Figure 9. Thrombin-induced Sgk expression is influenced by an
                                                                       sequence on the receptor, which can then act as a tethered
inhibitor of PKC. REC were serum-starved for 24 h. Four flasks were    ligand to activate the thrombin receptor (37). It has been
then pretreated with RO-32-0432 (RO) at 1 mM for 4 h. Two of those     determined that the 6 amino-terminal peptide sequence
flasks and two additional flasks received thrombin (Thr., 10 nM) for   SFLLRN of the thrombin receptor PAR1 that is exposed after
2 h.                                                                   thrombin cleavage is sufficient and necessary for thrombin
                                                                       receptor PAR1 activation. Furthermore, the amino-terminal
                                                                       serine is essential for the activity of this peptide. Our data
Discussion                                                             indicate that the 6-mer peptide corresponding to the sequence
   In this study, we identified a 500-bp mouse sequence with           of the tethered ligand can also increase Sgk mRNA. This
90% homology to the previously described rat and human Sgk,            response was dependent on the correct sequence and the pres-
which was increased in obese db/db mouse kidneys by DDPCR              ence of the amino-terminal serine. Thus, thrombin rapidly
using primers designed to conserved regions of kinase catalytic        increased Sgk mRNA by direct stimulation of the thrombin
domains, to increase the chance of identifying kinases involved        receptor PAR-1. Whether thrombin activation of Sgk transcrip-
in diabetic nephropathy. The deduced amino acid sequence of            tion is a compensatory mechanism in renal disease or contrib-
Sgk predicts that it is a kinase with specificity toward serine/       utes to the progression of renal disease in diabetes remains to
threonine substrates. Although neither the kinase activity nor         be determined.
function of this protein has been conclusively shown, this is the         However, the function of Sgk in cellular processes is un-
first demonstration that Sgk is associated with diabetes–in-           known. Sgk shares best homology with protein kinase B (Akt),
duced renal disease.                                                   which inhibits apoptosis by phosphorylating forkhead tran-
   Kidneys from the db/db diabetic obese mouse and normal              scription factor (38). If Sgk also shares functional similarity,
nondiabetic littermates were used to identify genes potentially        then Sgk may play a role in regulation of cell survival. Some
involved in renal disease. The db/db mouse is a genetically            evidence suggests that Sgk may play a role in mitogenic
diabetic animal characterized by obesity and hyperglycemia             response in the G0-G1 transition in quiescent Rat2 fibroblasts
associated with insulin resistance (4,32–35). The renal pathol-        because it is induced in response to serum stimulation and has
J Am Soc Nephrol 10: 2488 –2494, 1999                                                                   Expression of Sgk in Kidney        2493

a rapid half-life like other immediate-early response genes                    targeted differential display of an immediate early gene encoding
(30). In mammary tumor cells, serum also increased Sgk                         a putative serine/threonine kinase. J Biol Chem 270: 10351–
mRNA, and dexamethasone paradoxically increased Sgk levels                     10357, 1995
while suppressing proliferation (39). Although Sgk mRNA is                8.   Clay FJ, McEwen SJ, Bertoncello I, Wilks AF, Dunn AR:
                                                                               Identification and cloning of a protein kinase-encoding mouse
elevated by both glucocorticoids and serum, the subcellular
                                                                               gene, Plk, related to the polo gene of Drosophila. Proc Natl Acad
localization of Sgk changes from a cytoplasmic distribution
                                                                               Sci USA 90: 4882– 4886, 1993
during a growth-arrested state to a nuclear localization when             9.   Golsteyn RM, Schultz SJ, Bartek J, Ziemiecki A, Ried T, Nigg
cells are proliferating and BrdUrd-positive (39). This strongly                EA: Cell cycle analysis and chromosomal localization of human
suggests that Sgk is involved in growth control. In addition, the              Plk1, a putative homologue of the mitotic kinases Drosophila
interplay of steroid hormones and p53 regulating its expression                polo and Saccharomyces cerevisiae Cdc5. J Cell Sci 107: 1509 –
also indicate a possible role in regulation of proliferation (40).             1517, 1994
Moreover, thrombin, which causes renal cells to proliferate              10.   Hamanaka R, Maloid S, Smith MR, O’Connell CD, Longo DL,
(27,41), also increased Sgk mRNA in cultured renal cells.                      Ferris DK: Cloning and characterization of human and murine
These data support a role for Sgk during repair processes when                 homologues of the Drosophila polo serine-threonine kinase. Cell
cells within injured tissues proliferate. Consistent with this                 Growth Differ 5: 249 –257, 1994
hypothesis, Sgk was found to be strongly expressed in glial              11.   Holtrich U, Wolf G, Brauninger A, Karn T, Bohme B, Rubsamen
                                                                               WH, Strebhardt K: Induction and down-regulation of PLK, a
cells and oligodendrocytes surrounding lesions in the injured
                                                                               human serine/threonine kinase expressed in proliferating cells
rat brain (24). Therefore, Sgk may be involved in remodeling                   and tumors. Proc Natl Acad Sci USA 91: 1736 –1740, 1994
of injured and diseased tissues by regulating cell proliferation.        12.   Simmons DL, Neel BG, Stevens R, Evett G, Erikson RL: Iden-
   Renal failure is accompanied by a loss of electrolyte ho-                   tification of an early-growth-response gene encoding a novel
meostasis, which may act as a signal to initiate compensatory                  putative protein kinase. Mol Cell Biol 12: 4164 – 4169, 1992
cellular and molecular mechanism including the activation of             13.   Cohen MP, Clements RS, Hud E, Cohen JA, Ziyadeh FN:
Sgk. Although Sgk transcript levels were found to be influ-                    Evolution of renal function abnormalities in the db/db mouse that
enced by alterations in anisotonic and isotonic conditions (23),               parallels the development of human diabetic nephropathy. Exp
Sgk can in turn also affect sodium transport by activating the                 Nephrol 4: 166 –171, 1996
epithelial sodium channel in vitro (42). Moreover, aldosterone           14.   Webster MK, Goya L, Ge Y, Maiyar AC, Firestone GL: Char-
increases the expression of Sgk mRNA in the rat kidney (42).                   acterization of sgk, a novel member of the serine/threonine
                                                                               protein kinase gene family which is transcriptionally induced by
Taken together, these data suggest that Sgk is part of the
                                                                               glucocorticoids and serum. Mol Cell Biol 13: 2031–2040, 1993
mechanism involved in proliferative responses to injury in
                                                                         15.   Alliston TN, Maiyar AC, Buse P, Firestone GL, Richards JS:
addition to contributing to sodium retention and mediation of                  Follicle stimulating hormone-regulated expression of serum/glu-
aldosterone regulation of sodium transport in renal disease.                   cocorticoid-inducible kinase in rat ovarian granulosa cells: A
Clearly, additional studies are required to determine the con-                 functional role for the Sp1 family in promoter activity. Mol
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                                                                               257: 967–971, 1992
                                                                         18.   Liang P, Averboukh L, Pardee AB: Distribution and cloning of
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