SGK1 induces vascular smooth muscle cell calcification through NF-κB signaling
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SGK1 induces vascular smooth muscle cell calcification through NF-κB signaling. / Voelkl, Jakob; Luong, Trang Td; Tuffaha, Rashad; Musculus, Katharina; Auer, Tilman; Lian, Xiaoming; Daniel, Christoph; Zickler, Daniel; Boehme, Beate; Sacherer, Michael; Metzler, Bernhard; Kuhl, Dietmar; Gollasch, Maik; Amann, Kerstin; Müller, Dominik N; Pieske, Burkert; Lang, Florian; Alesutan, Ioana.
In: J CLIN INVEST, Vol. 128, No. 7, 02.07.2018, p. 3024-3040.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - SGK1 induces vascular smooth muscle cell calcification through NF-κB signaling
AU - Voelkl, Jakob
AU - Luong, Trang Td
AU - Tuffaha, Rashad
AU - Musculus, Katharina
AU - Auer, Tilman
AU - Lian, Xiaoming
AU - Daniel, Christoph
AU - Zickler, Daniel
AU - Boehme, Beate
AU - Sacherer, Michael
AU - Metzler, Bernhard
AU - Kuhl, Dietmar
AU - Gollasch, Maik
AU - Amann, Kerstin
AU - Müller, Dominik N
AU - Pieske, Burkert
AU - Lang, Florian
AU - Alesutan, Ioana
PY - 2018/7/2
Y1 - 2018/7/2
N2 - Medial vascular calcification, associated with enhanced mortality in chronic kidney disease (CKD), is fostered by osteo-/chondrogenic transdifferentiation of vascular smooth muscle cells (VSMCs). Here, we describe that serum- and glucocorticoid-inducible kinase 1 (SGK1) was upregulated in VSMCs under calcifying conditions. In primary human aortic VSMCs, overexpression of constitutively active SGK1S422D, but not inactive SGK1K127N, upregulated osteo-/chondrogenic marker expression and activity, effects pointing to increased osteo-/chondrogenic transdifferentiation. SGK1S422D induced nuclear translocation and increased transcriptional activity of NF-κB. Silencing or pharmacological inhibition of IKK abrogated the osteoinductive effects of SGK1S422D. Genetic deficiency, silencing, and pharmacological inhibition of SGK1 dissipated phosphate-induced calcification and osteo-/chondrogenic transdifferentiation of VSMCs. Aortic calcification, stiffness, and osteo-/chondrogenic transdifferentiation in mice following cholecalciferol overload were strongly reduced by genetic knockout or pharmacological inhibition of Sgk1 by EMD638683. Similarly, Sgk1 deficiency blunted vascular calcification in apolipoprotein E-deficient mice after subtotal nephrectomy. Treatment of human aortic smooth muscle cells with serum from uremic patients induced osteo-/chondrogenic transdifferentiation, effects ameliorated by EMD638683. These observations identified SGK1 as a key regulator of vascular calcification. SGK1 promoted vascular calcification, at least partly, via NF-κB activation. Inhibition of SGK1 may, thus, reduce the burden of vascular calcification in CKD.
AB - Medial vascular calcification, associated with enhanced mortality in chronic kidney disease (CKD), is fostered by osteo-/chondrogenic transdifferentiation of vascular smooth muscle cells (VSMCs). Here, we describe that serum- and glucocorticoid-inducible kinase 1 (SGK1) was upregulated in VSMCs under calcifying conditions. In primary human aortic VSMCs, overexpression of constitutively active SGK1S422D, but not inactive SGK1K127N, upregulated osteo-/chondrogenic marker expression and activity, effects pointing to increased osteo-/chondrogenic transdifferentiation. SGK1S422D induced nuclear translocation and increased transcriptional activity of NF-κB. Silencing or pharmacological inhibition of IKK abrogated the osteoinductive effects of SGK1S422D. Genetic deficiency, silencing, and pharmacological inhibition of SGK1 dissipated phosphate-induced calcification and osteo-/chondrogenic transdifferentiation of VSMCs. Aortic calcification, stiffness, and osteo-/chondrogenic transdifferentiation in mice following cholecalciferol overload were strongly reduced by genetic knockout or pharmacological inhibition of Sgk1 by EMD638683. Similarly, Sgk1 deficiency blunted vascular calcification in apolipoprotein E-deficient mice after subtotal nephrectomy. Treatment of human aortic smooth muscle cells with serum from uremic patients induced osteo-/chondrogenic transdifferentiation, effects ameliorated by EMD638683. These observations identified SGK1 as a key regulator of vascular calcification. SGK1 promoted vascular calcification, at least partly, via NF-κB activation. Inhibition of SGK1 may, thus, reduce the burden of vascular calcification in CKD.
KW - Journal Article
U2 - 10.1172/JCI96477
DO - 10.1172/JCI96477
M3 - SCORING: Journal article
C2 - 29889103
VL - 128
SP - 3024
EP - 3040
JO - J CLIN INVEST
JF - J CLIN INVEST
SN - 0021-9738
IS - 7
ER -