The epithelial sodium channel (ENaC) plays an important role in transepithelial Na ؉ absorption; hence its function is essential for maintaining Na ؉ and fluid homeostasis and regulating blood pressure. Insulin is one of the hormones that regulates activity of ENaC. In this study, we investigated the contribution of two related protein kinases, Akt (also known as protein kinase B) and the serum-and glucocorticoid-dependent kinase (Sgk), on insulin-induced ENaC activity in Fisher rat thyroid cells expressing ENaC. Overexpression of Akt1 or Sgk1 significantly increased ENaC activity, whereas expression of a dominant-negative construct of Akt1, Akt1 K179M , decreased basal activity of ENaC. Inhibition of the endogenous expression of Akt1 and Sgk1 by short interfering RNA not only inhibited ENaC but also disrupted the stimulatory effect on ENaC of insulin and of the downstream effectors of insulin, phosphatidylinositol 3-kinase and PDK1. Conversely, overexpression of Akt1 or Sgk1 increased expression of ENaC at the cell membrane and overcame the inhibitory effect of Nedd4-2 on ENaC. Furthermore, mutation of consensus phosphorylation sites on Nedd4-2 for Akt1 and Sgk1, Ser 342 and Ser 428 , completely abolished the inhibitory effect of Sgk1 and Akt1 on Nedd4-2 action. Together these data suggest that both Akt and Sgk are components of an insulin signaling pathway that increases Na ؉ absorption by upregulating membrane expression of ENaC via a regulatory system that involves inhibition of Nedd4-2.Transepithelial Na ϩ absorption across the kidney distal collecting duct, the distal colon, and the ducts of the exocrine glands occurs via the epithelial sodium channels (ENaC) 4 and is tightly regulated by hormones such as aldosterone, insulin, and arginine vasopressin. These hormones play an important role in Na ϩ and fluid homeostasis, and their activities are critical in the regulation of blood pressure. Comprehensive knowledge of the signal transduction pathways that underlie the effect of these hormones on ENaC is therefore essential for our understanding of the development of homeostatic abnormalities such as essential hypertension.Insulin is a peptide hormone that manifests a stimulatory effect on Na ϩ transport in a variety of epithelia (1-5). The immediate natriferic effect of insulin is attributed to an increase in the open probability of ENaC (5, 6) or an increase in the number of active ENaC at the apical membrane (4, 7). Acting through insulin receptor substrate-1, insulin activates phosphatidylinositol 3-kinase (PI3K), a heterodimeric enzyme that catalyzes the formation of phosphatidylinositol 3,4,5-trisphosphate. This activation is essential for mediating several insulin responses, and PI3K has been identified as integral for mediating the effect of insulin on ENaC (8). For instance, insulin treatment increases colocalization of PI3K with ENaC, thereby promoting translocation of ENaC to the apical membrane (4), whereas inhibition of PI3K by LY294002 prevents insulin-induced translocation of the channel (4) an...