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Finally, Klotho has been identified as a soluble regulator of Wnt signaling in mes- enchymal stem cells. Again, further experiments in appropriate model systems might include testing whether Klotho can block calci- fication if Wnt signaling is disabled.
In summary, this study is likely to provide impetus for more mechanistic studies investigating potential direct protective ef- fects of Klotho on the vasculature and on establishing whether Klotho is a robust biomarker for early CKD. Clearly, these studies will have implications not only for the utility of Klotho therapy in CKD but also in age-related vascular decline associ- ated with calcification.
Yang H, Fogo AB: Cell senescence in the aging kidney.
Klotho: An Elixir of Youth for the Vasculature?
J Am Soc Nephrol Mutation of the mouse klotho gene leads to a syndrome resembling ageing. Biochim Biophys Acta Klotho prevents renal calcium loss. FGF23 fails to inhibit uremic parathyroid glands.
JAm Soc Nephrol Severely reduced production of klotho in human chronic renal failure kidney. Biochem Biophys Res Commun Fibroblast growth factor 23 and disordered vitamin D metabolism in chronic kidney disease: Clin J Am Soc Nephrol 5: The emerging role of phosphate in vascular calcification.
Role of the sodium-dependent phos- phate cotransporter, Pit-1, in vascular smooth muscle cell calcification. Association of serum phosphorus and calcium x phosphate product with mortality risk in chronic hemodialysis patients: Am J Kidney Dis Klotho deficiency causes vascular calcification in chronic kidney dis- ease.