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.
Abstract

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