Cited by 13Protein Kinase Regulation and GTPase SignalingNeuroscience and Neuropharmacology ResearchNeurological Disease Mechanisms and Treatments

The DOI matches its Crossref record; 263 of the 269 references it cites were found in a registry or an index; 88 of the 172 sources its claims cite were checked for support.

Serum/glucocorticoid regulated kinase 1 (SGK1) in neurological disorders: pain or gain

Open access
Howard, Peyton Grace, Zou, Peibin, Zhang, Yulan, Huang, Fang, Tesic, Vesna, Wu, Celeste Yin-Chieh, Lee, Reggie Hui-Chao·2024·Experimental Neurology

Abstract

Serum/Glucocorticoid Regulated Kinase 1 (SGK1), a serine/threonine kinase, is ubiquitous across a wide range of tissues, orchestrating numerous signaling pathways and associated with various human diseases. SGK1 has been extensively explored in diverse types of immune and inflammatory diseases, cardiovascular disorders, as well as cancer metastasis. These studies link SGK1 to cellular proliferation, survival, metabolism, membrane transport, and drug resistance. Recently, increasing research has focused on SGK1’s role in neurological disorders, including a variety of neurodegenerative diseases (e.g., Alzheimer’s disease, Huntington’s disease and Parkinson’s disease), brain injuries (e.g., cerebral ischemia and traumatic brain injury), psychiatric conditions (e.g., depression and drug addiction). SGK1 is emerging as an increasingly compelling therapeutic target across the spectrum of neurological disorders, supported by the availability of several effective agents. However, the conclusions of many studies observing the prevalence and function of SGK1 in neurological disorders are contradictory, necessitating a review of the SGK1 research within neurological disorders. Herein, we review recent literature on SGK1’s primary functions within the nervous system and its impacts within different neurological disorders. We summarize significant findings, identify research gaps, and outline possible future research directions based on the current understanding of SGK1 to help further progress the understanding and treatment of neurological disorders.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

SGK1 is a stress- and glucocorticoid-responsive serine/threonine kinase with context-dependent, often contradictory roles across neurological disorders, ranging from neuroprotective to pathogenic. This narrative review synthesizes preclinical and clinical evidence on SGK1 in neurodegeneration, brain injury, psychiatric conditions, epilepsy, and drug addiction, and highlights unresolved questions about causality, timing, and cell-type specificity.

Key findings

  • SGK1 shows dual roles by disease and model: in AD, SGK1 overexpression reverses spatial memory impairments and reduces Aβ production/deposition in APP/PS1 mice, but high-fat diet-induced SGK1 activation promotes Tau pathology via Tau Ser214 phosphorylation and GSK-3β. In PD, SGK1 downregulation exacerbates α-syn and dopaminergic loss in some models, while SGK1 inhibition ameliorates synuclein aggregation and behavioral deficits in others.
  • In cerebral ischemia, SGK1 levels in rats initially double at 6 hours post-MCAO before falling below control after 24 hours; SGK1 knockdown increases infarct size and brain edema, whereas SGK1 inhibition within the thrombolytic window reduces cortical infarction and BBB disruption. After cardiac arrest, hippocampal SGK1 protein and mRNA are elevated for the first three days, with mRNA declining by day seven.
  • In HD, SGK1 expression rose 2.7-fold in 3NP-treated mice versus controls, and cannabigerol treatment decreased it 1.41-fold; total SGK protein is upregulated in HD patient brains with disease severity, but SGK1 protein is downregulated in HD cerebral cortex and oligodendrocytes.
  • In epilepsy, SGK1 activation reduces seizure severity and mortality in an M-current-dependent manner; in depression, acute ketamine increased striatal SGK1 transcription approximately 1.5- to 2-fold, while clinical samples show a significant negative correlation between SGK1 and BDNF mRNA.

Methods

  • Narrative review of recent literature on SGK1 in the nervous system and neurological disorders, including AD, PD, HD, cerebral ischemia, TBI, depression, epilepsy, and drug addiction.
  • Synthesizes findings from in vitro, animal model, and human clinical/postmortem studies; includes discussion of pharmacological SGK1 inhibitors/activators and gene-editing approaches, with Table 1 summarizing agents and Table 2 summarizing disease findings.
  • No systematic search strategy, inclusion criteria, meta-analysis, or formal quality appraisal is reported in the text.

Limitations

  • The paper states that conclusions across SGK1 studies are contradictory, with inconsistencies attributed to diverse experimental models, dose-dependent effects, and methodological variation; causal relationships remain ambiguous, and it is unclear whether SGK1 contributes to disease etiology or acts as a compensatory mechanism.
  • The paper states that temporal and spatial patterns of SGK1 in disease need more clarity, there is no consensus on optimal timing for SGK1-targeted treatment, and more research is needed on SGK1 in glial cells and neurovascular coupling.
  • Evident from the text: as a narrative review, it does not provide a systematic synthesis or risk-of-bias assessment, and many mechanistic conclusions rely on preclinical models rather than human data.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.expneurol.2024.114973

Cites

263 of 263 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

41 Partly supported · 30 No full text of the sources · 26 Supported · 22 Own interpretation · 16 Sources not found · 5 Supported so far · 4 No basis given · 3 Couldn’t confirm · 3 Not checked yet · 2 Not supported · accuracy not yet measured

Show all 70 claims

  • It may state two separate claims as one. 72
  • Probably not a substantial claim. 16
82 of 82
  • The paper relies on this without support.

    Findings from animal models of neurological disorders are predictive of human disease.

    “SGK1 is emerging as an increasingly compelling therapeutic target across the spectrum of neurological disorders, supported by the availability of several effective agents.”
  • The paper relies on this without support.

    The effects of pharmacological inhibitors or siRNA against SGK1 are due to specific modulation of SGK1 rather than off-target effects.

    “Pharmacological inhibition and silencing of SGK1 can ameliorate pathological synuclein aggregation and PD-related behavioral deficits in various in vitro and in vivo MPTP-induced PD models.”
  • The paper relies on this without support.

    SGK1 has unique biological properties.

    “owing to its unique biological properties, SGK1 has been extensively studied across a diverse array of neurological disorders”
3 of 3

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Items 201–263 of 263

Cited by

Sorted by citations

See all 13

Metadata

Authors
Howard, P. G., Zou, P., Zhang, Y., Huang, F., Tesic, V., Wu, C. Y.-C., & Lee, R. H.-C.
Affiliations
Louisiana State University (US)
Corresponding author
  • Wu, Celeste Yin-Chieh
  • Lee, Reggie Hui-Chao
Venue
Experimental Neurology
Publisher
Elsevier BV
Published
2024-12
Volume
382
Pages
114973
ISSN
0014-4886 (ISSN-L)
OpenAlex
W4402759300
Cited by
13
References
269
Citations by year
2026: 6 · 2025: 7
FWCI
1.50
Type
journal article
Language
en
Open access
Locations
  • Experimental Neurology (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (submittedVersion)
Funders
  • American Heart Association Inc (23TPA1069224, 24SCEFIA1255866, 24TPA1300751)
  • National Institutes of Health
  • National Institute of Neurological Disorders and Stroke (5R01NS126273\u201302)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
  • Life Sciences › Neuroscience › Neurology › Neurological Disease Mechanisms and Treatments
Keywords
SGK1, neurological disorders, neurodegenerative diseases, Alzheimer's disease, Huntington's disease, Parkinson's disease, cerebral ischemia, traumatic brain injury, depression, drug addiction, therapeutic target, serine/threonine kinase
MeSH terms
Serum-Glucocorticoid Regulated Kinases, Animals, Humans, Nervous System Diseases, Pain, Protein Serine-Threonine Kinases, Immediate-Early Proteins

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

A language model drew the claims from the paper on 2026-10-18, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).

A second model labelled each claim on 2026-10-18 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).

Cited sources are checked with a language model’s help (gpt-6-sol).

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review