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Klotho, the elusive kidney-derived anti-ageing factor
Maria Dolores Sanchez-Niño1, Beatriz Fernandez-Fernandez1, Alberto Ortiz1
1IIS-Fundacion Jimenez Diaz, School of Medicine, Universidad Autonoma de Madrid; Fundacion Renal Iñigo Alvarez de Toledo-IRSIN and REDINREN, Madrid, Spain.
Insights
Early diagnosis of chronic kidney disease (CKD) is crucial. Improving Klotho assays may enable early CKD detection and monitoring, aiding in preventing disease progression and mortality.
Area of Science:
- Nephrology
- Biochemistry
- Aging Research
Background:
- Chronic kidney disease (CKD) is a rapidly growing global health concern, significantly increasing mortality.
- Early diagnosis is key to preventing CKD progression and its impact on cardiovascular health.
- Klotho, a kidney-produced protein, has anti-aging and phosphate-regulating functions, and its downregulation is an early indicator of kidney injury.
Discussion:
- Current Klotho assays have suboptimal performance, hindering reliable monitoring.
- Neyra et al. investigate methods to enhance the accuracy and dependability of Klotho assays.
- Improved assays could facilitate early CKD detection and therapeutic monitoring.
Key Insights:
- Klotho downregulation is an early sign of kidney damage.
- Reliable Klotho assays are needed for early CKD diagnosis.
- Enhancing assay performance is critical for clinical application.
Outlook:
- Further research into assay optimization is essential.
- Development of robust Klotho assays could revolutionize CKD management.
- This work paves the way for improved patient outcomes in CKD.
Abstract:
Chronic kidney disease (CKD) is one of the fastest growing causes of death worldwide. Only early diagnosis will allow prevention of both CKD progression and the negative impact of CKD on all-cause and cardiovascular mortality. Klotho is a protein produced by the kidneys that has anti-ageing and phosphaturic properties, preventing excess positive phosphate balance. There is evidence that Klotho downregulation is one of the earliest consequences of kidney injury. Thus the development of reliable assays to monitor Klotho levels may allow an early diagnosis of CKD and monitoring the impact of therapies aimed at preserving Klotho expression or at preventing CKD progression. However, the performance of Klotho assays has been suboptimal so far. In this issue of Clinical Kidney Journal, Neyra et al. explore methods to improve the reliability of Klotho assays.
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