Klotho plays a critical role in clear cell renal cell carcinoma progression and clinical outcome

Ji-Hee Kim1, Kyu-Hee Hwang1, Sayamaa Lkhagvadorj2

  • 1Department of Physiology and Global Medical Science, Yonsei University Wonju College of Medicine, Wonju 26426, Korea.

Insights

Klotho acts as a tumor suppressor in clear cell renal cell carcinoma (ccRCC). It inhibits growth factor signaling, suggesting Klotho as a potential therapeutic agent for ccRCC treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Klotho is a tumor suppressor in renal tubular cells, the origin of clear cell renal cell carcinoma (ccRCC).
  • Altered growth factor receptor signaling is implicated in ccRCC development.
  • The specific role of Klotho in ccRCC and its interaction with insulin-like growth factor-1 receptor (IGF-1R) signaling are not well understood.

Purpose of the Study:

  • To investigate the role of Klotho in ccRCC.
  • To determine the clinical relevance of Klotho expression in ccRCC.
  • To elucidate the mechanism by which Klotho suppresses ccRCC through IGF-1R signaling.

Main Methods:

  • Analysis of Klotho and IGF-1R expression levels in ccRCC tumor tissues versus adjacent non-neoplastic parenchyma.
  • Correlation of Klotho expression with ccRCC grade and clinical outcomes.
  • Investigation of Klotho's effect on IGF-1-stimulated cell proliferation and migration, including PI3K/Akt pathway inhibition.

Main Results:

  • Klotho expression was lower, and IGF-1R expression was higher in ccRCC tumor tissues compared to normal tissues.
  • Low Klotho expression correlated with higher ccRCC grade and poorer clinical outcomes.
  • Klotho suppressed IGF-1-induced proliferation and migration by inhibiting the PI3K/Akt pathway.

Conclusions:

  • Klotho acts as a tumor suppressor in ccRCC by inhibiting IGF-1R signaling.
  • Klotho expression is a favorable prognostic factor for ccRCC.
  • Klotho represents a potential therapeutic target or agent for ccRCC treatment.

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