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Serum Glucocorticoid-Regulated Kinase 1 Blocks CKD-Induced Muscle Wasting Via Inactivation of FoxO3a and Smad2/3

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Emergency, Wuhan, Peoples R China [2]Baylor Coll Med, Selzman Inst Kidney Hlth, Div Nephrol, Houston, TX 77030 USA
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Muscle proteolysis in CKD is stimulated when the ubiquitin-proteasome system is activated. Serum glucocorticoid regulated kinase 1 (SGK-1) is involved in skeletal muscle homeostasis, but the role of this protein in CKD-induced muscle wasting is unknown. We found that, compared with muscles from healthy controls, muscles from patients and mice with CKD express low levels of SGK-1. In mice, SGK-1-knockout (SGK-1-KO) induced muscle loss that correlated with increased expression of ubiquitin E3 ligases known to facilitate protein degradation by the ubiquitin-proteasome, and CKD substantially aggravated this response. SGK-1-KO also altered the phosphorylation levels of transcription factors FoxO3a and Smad2/3. In C2C12 muscle cells, expression of dominant negative FoxO3a or knockdown of Smad2/3 suppressed the upregulation of E3 ligases induced by loss of SGK-1. Additionally, SGK-1 overexpression increased the level of phosphorylated N-myc downstream regulated gene 1 protein, which directly interacted with and suppressed the phosphorylation of Smad2/3. Overexpression of SGK-1 in wild-type mice with CKD had similar effects on the phosphorylation of FoxO3a and Smad2/3 and prevented CKD induced muscle atrophy. Finally, mechanical stretch of C2C12 muscle cells or treadmill running of wild-type mice with CKD stimulated SGK-1 production, and treadmill running inhibited proteolysis in muscle. These protective responses were absent in SGK-1-KO mice. Thus, SGK-1 could be a mechanical sensor that mediates exercise-induced improvement in muscle wasting stimulated by CKD.

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出版当年[2015]版:
大类 | 1 区 医学
小类 | 1 区 泌尿学与肾脏学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 泌尿学与肾脏学
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出版当年[2014]版:
Q1 UROLOGY & NEPHROLOGY
最新[2023]版:
Q1 UROLOGY & NEPHROLOGY

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Emergency, Wuhan, Peoples R China [2]Baylor Coll Med, Selzman Inst Kidney Hlth, Div Nephrol, Houston, TX 77030 USA
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通讯机构: [2]Baylor Coll Med, Selzman Inst Kidney Hlth, Div Nephrol, Houston, TX 77030 USA [*1]Baylor Coll Med, Dept Med, R702 ABBR,One Baylor Plaza, Houston, TX 77030 USA
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