Journal of Molecular Medicine

, Volume 84, Issue 5, pp 396–404 | Cite as

SGK1-dependent cardiac CTGF formation and fibrosis following DOCA treatment

  • Volker Vallon
  • Amanda W. Wyatt
  • Karin Klingel
  • Dan Yang Huang
  • Azeemudeen Hussain
  • Susanne Berchtold
  • Björn Friedrich
  • Florian Grahammer
  • Rachida S. BelAiba
  • Agnes Görlach
  • Peer Wulff
  • Jürgen Daut
  • Nancy D. Dalton
  • John RossJr
  • Ulrich Flögel
  • Jürgen Schrader
  • Hartmut Osswald
  • Reinhard Kandolf
  • Dietmar Kuhl
  • Florian LangEmail author
Original Article


The mineralocorticoids aldosterone and deoxycorticosterone acetate (DOCA) stimulate renal tubular salt reabsorption, increase salt appetite, induce extracellular volume expansion, and elevate blood pressure. Cardiac effects of mineralocorticoids include stimulation of matrix protein deposition leading to cardiac fibrosis, which is at least partially due to the direct action of the hormones on cardiac cells. The signaling mechanisms mediating mineralocorticoid-induced cardiac fibrosis have so far remained elusive. Mineralocorticoids have been shown to upregulate the serum- and glucocorticoid-inducible kinase 1 (SGK1), which participates in the effects of mineralocorticoids on renal tubular Na+ reabsorption and salt appetite. To explore the involvement of SGK1 in the pathogenesis of mineralocorticoid-induced cardiac fibrosis, SGK1 knockout mice (sgk1 −/−) and wild-type littermates (sgk1 +/+) were implanted a 21-day-release 50-mg DOCA pellet and supplied with 1% NaCl in drinking water for 18 days. This DOCA/high-salt treatment increased blood pressure in both genotypes but led to significant cardiac fibrosis only in sgk1 +/+ but not in sgk1 −/− mice. According to real-time polymerase chain reaction and Western blotting, DOCA/high-salt treatment enhanced transcript levels and protein expression of cardiac connective tissue growth factor (CTGF) only in sgk1 +/+ but not in sgk1 −/− mice. Furthermore, DOCA (10 μM) upregulated CTGF expression and enhanced CTGF promoter activity in lung fibroblasts isolated from sgk1 +/+ but not from sgk1 −/− mice, an effect involving spironolactone-sensitive mineralocorticoid receptors and activation of nuclear factor-κB (NFκB). Our results suggest that SGK1 plays a decisive role in mineralocorticoid-induced CTGF expression and cardiac fibrosis.


Sodium Signal transduction Collagen Hormones Physiology 



This work was supported by grants from DFG (SFB/TR 19-04), the Department of Veterans Affairs, the National Institutes of Health (DK56248, DK28602), and BMBF (D.K., F.L., V.V., A.G., K.K., R.K.). The support of Drs. M. Bonin, Genetics Department, and A. Mack, Anatomy Department of the University of Tübingen, are acknowledged. There are no potential conflicts of interest anywhere, relating to this article.

Supplementary material

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Volker Vallon
    • 1
    • 2
  • Amanda W. Wyatt
    • 3
  • Karin Klingel
    • 4
  • Dan Yang Huang
    • 1
  • Azeemudeen Hussain
    • 3
  • Susanne Berchtold
    • 3
  • Björn Friedrich
    • 5
  • Florian Grahammer
    • 3
  • Rachida S. BelAiba
    • 6
  • Agnes Görlach
    • 6
  • Peer Wulff
    • 7
  • Jürgen Daut
    • 8
  • Nancy D. Dalton
    • 2
  • John RossJr
    • 2
  • Ulrich Flögel
    • 9
  • Jürgen Schrader
    • 9
  • Hartmut Osswald
    • 1
  • Reinhard Kandolf
    • 4
  • Dietmar Kuhl
    • 10
  • Florian Lang
    • 3
    Email author
  1. 1.Departments of Pharmacology & ToxicologyUniversity of TübingenTübingenGermany
  2. 2.Departments of Medicine & PharmacologyUniversity of California San Diego & VASDHCSCAUSA
  3. 3.Department of PhysiologyUniversity of TübingenTubingenGermany
  4. 4.Department of Molecular PathologyUniversity of TübingenTübingenGermany
  5. 5.Department of Internal Medicine IVUniversity of TübingenTübingenGermany
  6. 6.Department of Pediatric CardiologyGerman Heart CenterMunichGermany
  7. 7.Department of Clinical NeurobiologyUniversity Hospital HeidelbergHeidelbergGermany
  8. 8.Department of PhysiologyUniversity of MarburgMarburgGermany
  9. 9.Department of Cardiovascular PhysiologyUniversity of DüsseldorfDüsseldorfGermany
  10. 10.Department of Biology, Chemistry, and PharmacyFree University BerlinBerlinGermany

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