Villus enterocyte nutrient absorption occurs via precisely orchestrated interactions among multiple transporters. For example, transport by the apical Na ؉ -glucose cotransporter, SGLT1, triggers translocation of NHE3, Na ؉ -H ؉ antiporter isoform 3, to the plasma membrane. This translocation requires activation of p38 mitogen-activated protein kinase (MAPK), Akt2, and ezrin. Akt2 directly phosphorylates ezrin, but the precise role of p38 MAPK in this process remains to be defined. Sequence analysis suggested that p38 MAPK could not directly phosphorylate Akt2. We hypothesized that MAPKAPK-2 might link p38 MAPK and Akt2 activation. MAPKAPK-2 was phosphorylated after initiation of Na ؉ -glucose cotransport with kinetics that paralleled activation of p38 MAPK, Akt2, and ezrin. MAPKAPK-2, Akt2, and ezrin phosphorylation were all attenuated by p38 MAPK inhibition but were unaffected by dominant negative ezrin expression. Akt2 inhibition blocked ezrin but not p38 MAPK or MAPKAPK-2 phosphorylation, suggesting that MAPKAPK-2 could be an intermediate in p38 MAPK-dependent Akt2 activation. Consistent with this, MAP-KAPK-2 could phosphorylate an Akt2-derived peptide in vitro. siRNA-mediated MAPKAPK-2 knockdown inhibited phosphorylation of Akt2 and ezrin but not p38 MAPK. MAPKAPK-2 knockdown also blocked NHE3 translocation. Thus, MAP-KAPK-2 controls Akt2 phosphorylation. In so doing, MAP-KAPK-2 links p38 MAPK to Akt2, ezrin, and NHE3 activation after SGLT1-mediated transport.Intestinal nutrient absorption occurs via precisely orchestrated regulation of multiple transporters. One critical example involves coordinated Na ϩ and glucose absorption by villus enterocytes (1, 2). This process may, in part, explain why inclusion of Na ϩ and glucose in oral rehydration solutions used to treat life-threatening diarrheal disease augments therapeutic efficacy (3, 4). In mechanistic terms, Na ϩ -glucose cotransport mediated by SGLT1 leads to activation of the apical Na ϩ -H ϩ antiporter NHE3. This generates a favorable osmotic gradient that drives transepithelial water absorption (5, 6). Coordination of SGLT1 and NHE3 involves a complex signal transduction pathway where activation of p38 mitogen-activated protein kinase (MAPK) 2 leads to Akt2 activation, ezrin phosphorylation, and NHE3 translocation to the brush border (1,7,8).Although it is clear that p38 MAPK is critical to this process (1), the mechanisms by which p38 MAPK activates Akt2 are unknown. Available data suggest that p38 MAPK cannot activate Akt2 directly. We therefore considered p38 MAPK effectors as potential signaling intermediates in this process.A large number of kinases have been reported to be p38 MAPK effectors, including Mnk1, Mnk2, PRAK, MEF2, ATF-2, Stat1, and MAPK-activated protein kinase-2 (MAPKAPK-2) (9, 10). These, in turn, act on additional substrates, including CREB and HSP27 (11-17). Among these effectors, two recent reports suggest that MAPKAPK-2, a serine/threonine protein kinase, may link p38 MAPK and Akt. These studies showed that recombinant MAPKAPK...