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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2011-1-6
pubmed:abstractText
Soft-tissue calcification is a prominent feature in both chronic kidney disease (CKD) and experimental Klotho deficiency, but whether Klotho deficiency is responsible for the calcification in CKD is unknown. Here, wild-type mice with CKD had very low renal, plasma, and urinary levels of Klotho. In humans, we observed a graded reduction in urinary Klotho starting at an early stage of CKD and progressing with loss of renal function. Despite induction of CKD, transgenic mice that overexpressed Klotho had preserved levels of Klotho, enhanced phosphaturia, better renal function, and much less calcification compared with wild-type mice with CKD. Conversely, Klotho-haploinsufficient mice with CKD had undetectable levels of Klotho, worse renal function, and severe calcification. The beneficial effect of Klotho on vascular calcification was a result of more than its effect on renal function and phosphatemia, suggesting a direct effect of Klotho on the vasculature. In vitro, Klotho suppressed Na(+)-dependent uptake of phosphate and mineralization induced by high phosphate and preserved differentiation in vascular smooth muscle cells. In summary, Klotho is an early biomarker for CKD, and Klotho deficiency contributes to soft-tissue calcification in CKD. Klotho ameliorates vascular calcification by enhancing phosphaturia, preserving glomerular filtration, and directly inhibiting phosphate uptake by vascular smooth muscle. Replacement of Klotho may have therapeutic potential for CKD.
pubmed:grant
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1533-3450
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
124-36
pubmed:meshHeading
pubmed-meshheading:21115613-Adult, pubmed-meshheading:21115613-Aged, pubmed-meshheading:21115613-Animals, pubmed-meshheading:21115613-Biological Markers, pubmed-meshheading:21115613-Calcinosis, pubmed-meshheading:21115613-Calcium, pubmed-meshheading:21115613-Case-Control Studies, pubmed-meshheading:21115613-Cell Line, pubmed-meshheading:21115613-Chronic Disease, pubmed-meshheading:21115613-Disease Models, Animal, pubmed-meshheading:21115613-Disease Progression, pubmed-meshheading:21115613-Dogs, pubmed-meshheading:21115613-Female, pubmed-meshheading:21115613-Glucuronidase, pubmed-meshheading:21115613-Humans, pubmed-meshheading:21115613-Kidney Diseases, pubmed-meshheading:21115613-Male, pubmed-meshheading:21115613-Mice, pubmed-meshheading:21115613-Mice, Inbred C3H, pubmed-meshheading:21115613-Mice, Inbred C57BL, pubmed-meshheading:21115613-Mice, Knockout, pubmed-meshheading:21115613-Mice, Transgenic, pubmed-meshheading:21115613-Middle Aged, pubmed-meshheading:21115613-Muscle, Smooth, Vascular, pubmed-meshheading:21115613-Phosphates, pubmed-meshheading:21115613-Rats
pubmed:year
2011
pubmed:articleTitle
Klotho deficiency causes vascular calcification in chronic kidney disease.
pubmed:affiliation
Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-8885, USA. ming-chang.hu@utsouthwestern.edu
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural