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1 Internal Medicine IV, University Of Tuebingen, Tuebingen, Germany
2 Institute Of Physiology, University Of Tuebingen, Tuebingen, Germany
3 Institute Of Pathology, University Of Erlangen, Erlangen, Germany
4 Internal Medicine IV, University Of Tuebingen, Tuebingen, Germany; Dept. of Endocrinology and Metabolism, University of Tuebingen, 72076 Tuebingen, United States
5 Physiology I, Institute of Physiology, Tuebingen, Germany; Institute Of Physiology, University Of Tuebingen, Tuebingen, Germany
* To whom correspondence should be addressed. E-mail: florian.lang{at}uni-tuebingen.de.
Doxorubicin-induced nephropathy leads to ENaC-dependent volume retention and renal fibrosis. The aldosterone-sensitive serum and glucocorticoid inducible kinase SGK1 has been shown to participate in the stimulation of ENaC and to mediate renal fibrosis following mineralocorticoid and salt excess. The present study has been performed to elucidate the role of SGK1 in the volume retention and fibrosis during nephrotic syndrome. To this end, doxorubicin (15µg/g bw) has been injected intravenously into gene-targeted mice lacking SGK1 (sgk1-/-) and their wild type littermates (sgk1+/+). Doxorubicin treatment resulted in heavy proteinuria (>100mg protein/mg crea) in 15/44 of sgk1+/+ and 15/44 of sgk1-/- mice leading to severe nephrotic syndrome with ascites, lipidemia and hypoalbuminemia in both genotypes. Plasma aldosterone levels increased in nephrotic mice of both genotypes and was followed by increased SGK1 protein expression in sgk1+/+ mice. Urinary sodium excretion reached signficantly lower values in sgk1+/+ mice (15 ± 5 µmol/mg crea) than in sgk1-/- mice (35 ± 5 µmol/mg crea) and was associated with a significantly higher body weight gain in sgk1+/+ compared to sgk1-/- mice (+ 6.6 ± 0.7 g vs. + 4.1 ± 0.8 g). During the course of nephrotic syndrome, serum urea concentrations increased significantly faster in sgk1-/- mice than in sgk1+/+ mice leading to uremia and a reduced median survival in sgk1-/- mice (29 days vs. 40 days in sgk1+/+ mice). In conclusion, gene-targeted mice lacking SGK1 showed blunted volume retention, yet were not protected against renal fibrosis during experimental nephrotic syndrome.
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