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Membrane-bound Klotho is not expressed endogenously in healthy or uraemic human vascular tissue
Rik Mencke1, Geert Harms1, Katarina Mirković2
1Department of Pathology and Medical Biology (Division of Pathology), University of Groningen, University Medical Center Groningen, HPC EA10, PO Box 30.001, Groningen 9700 RB, The Netherlands.
Insights
Full-length Klotho is not found in human blood vessel walls, despite its known role in kidney disease. This study used validated methods to investigate Klotho expression in vascular tissues.
Area of Science:
- Vascular Biology
- Nephrology
- Cardiovascular Disease
Background:
- Cardiovascular disease (CVD) is a major cause of mortality in chronic kidney disease (CKD) patients.
- Loss of alpha-Klotho is linked to CKD and medial calcification, suggesting a vasculoprotective role for Klotho.
- Klotho expression within the vessel wall remains a debated topic.
Purpose of the Study:
- To investigate the presence and expression of full-length Klotho in human vascular tissues.
- To determine if Klotho plays a role in the vasculature of patients with and without CKD.
Main Methods:
- Immunohistochemistry (IHC), immunofluorescence, quantitative RT-PCR, and Western blotting (WB) were employed.
- Extensive validation of anti-Klotho antibody KM2076 was performed.
- Analysis included healthy human renal arteries, CKD arteries, carotid endarterectomy specimens, and cultured human aortic smooth muscle cells.
Main Results:
- Full-length Klotho was not detected in any healthy or CKD human vascular tissues or cultured smooth muscle cells using validated antibodies.
- Klotho mRNA expression was also undetectable in these vascular samples.
- FGF23 signaling, dependent on Klotho, was absent in the aorta of mice, unlike in the kidneys.
Conclusions:
- Full-length, membrane-bound Klotho is not expressed in healthy or uraemic human vascular tissue.
- The proposed vasculoprotective role of Klotho in the vessel wall may not be mediated by direct Klotho expression in vascular cells.
Aims:
Cardiovascular disease (CVD) is the leading cause of death in patients with chronic kidney disease (CKD), a disease state that is strongly associated with loss of renal and systemic (alpha-)Klotho. Reversely, murine Klotho deficiency causes marked medial calcification. It is therefore thought that Klotho conveys a vasculoprotective effect. Klotho expression in the vessel wall, however, is disputed.
Methods And Results:
We assessed Klotho expression in healthy human renal donor arteries (n = 9), CKD (renal graft recipient) arteries (n = 10), carotid endarterectomy specimens (n = 8), other elastic arteries (three groups of n = 3), and cultured human aortic smooth muscle cells (HASMCs) (three primary cell lines), using immunohistochemistry (IHC), immunofluorescence, quantitative reverse transcriptase-polymerase chain reaction, and western blotting (WB). We have extensively validated anti-Klotho antibody KM2076 by comparing staining patterns with other anti-Klotho antibodies (SC-22220, SC-22218, and AF1819), competition assays with recombinant Klotho, IHC on Klotho-deficient kl/kl mouse kidney, and WB with recombinant Klotho. Using KM2076, we could not detect full-length Klotho in vascular tissues or HASMCs. On the mRNA level, using primers against all four exon junctions, klotho expression could not be detected either. Fibroblast growth factor 23 (FGF23) injections in mice induced FGF23 signalling in kidneys but not in the aorta, indicating the absence of Klotho-dependent FGF23 signalling in the aorta.
Conclusion:
Using several independent and validated methods, we conclude that full-length, membrane-bound Klotho is not expressed in healthy or uraemic human vascular tissue.
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