What is Klotho and What Are Its Functions?

Klotho is a protein that has become a significant focus in scientific research due to its wide-ranging influence on biological processes. Its diverse roles make it an intriguing subject in the study of human health. Researchers continue to investigate its mechanisms, aiming to uncover its full potential in understanding various physiological functions and conditions.

Understanding Klotho

Klotho is a protein encoded by the KL gene, first identified in 1997 in mice where a mutation led to a syndrome resembling accelerated aging. It exists in two forms: a membrane-bound form and a soluble, circulating form. The membrane-bound version is found predominantly in organs like the kidneys, parathyroid glands, and specific areas of the brain, acting as a co-receptor, particularly for fibroblast growth factor 23 (FGF23). The soluble form is cleaved from the membrane-bound protein and circulates in bodily fluids, functioning as an endocrine factor that can travel throughout the body.

Key Biological Roles of Klotho

Klotho plays a multifaceted role, influencing several physiological systems. It is closely involved in regulating phosphate metabolism, often working with FGF23 to maintain balanced phosphate and calcium levels. This interaction helps control phosphate reabsorption in the kidneys and vitamin D synthesis, affecting bone and mineral health.

The protein also influences insulin signaling, contributing to glucose metabolism and cellular sensitivity to insulin, affecting overall metabolic health. Klotho helps protect cells from oxidative stress, which involves damage from reactive oxygen species. It can suppress the expression of certain proteins that contribute to oxidative damage in vascular smooth muscle cells.

Klotho also modulates inflammatory responses. It reduces the activation of inflammatory pathways, such as NF-κB, which can lead to the production of pro-inflammatory cytokines. This anti-inflammatory action extends to vascular health, where it can attenuate the adhesion of monocytes to endothelial cells, protecting blood vessels. The protein also inhibits cellular senescence, a process where cells stop dividing and accumulate, contributing to tissue aging and dysfunction.

Klotho’s Link to Aging and Longevity

Klotho is often referred to as an “anti-aging protein” due to its associations with lifespan and healthspan. Levels of Klotho naturally decrease with advancing age in both humans and various animal models. This decline is thought to contribute to the development of several age-related conditions.

Higher Klotho levels are linked to extended lifespans and improved overall health. Overexpression of the KL gene in mice, for example, has been shown to increase their lifespan. Conversely, a reduction in Klotho levels is associated with conditions such as chronic kidney disease, cardiovascular disease, and neurodegenerative disorders. It has also been implicated in sarcopenia, a condition characterized by age-related muscle wasting. These observations suggest that Klotho serves as both a marker of the aging process and a potential modulator of how the body ages.

Factors Influencing Klotho Levels

Klotho expression and circulating levels are influenced by genetic and lifestyle factors. Genetic variations in the KL gene can impact an individual’s Klotho levels. These genetic predispositions may play a role in an individual’s susceptibility to age-related conditions.

Lifestyle choices also correlate with Klotho levels. Research suggests that certain dietary patterns and regular physical activity may be linked to higher Klotho concentrations. A low-calorie, high-protein diet, for example, can increase Klotho levels in the brain, while treadmill exercise elevates Klotho in mice.

Various chronic disease states can also impact Klotho levels. Conditions such as chronic kidney disease and diabetes alter Klotho expression. Klotho levels tend to be lower in individuals with obesity and anorexia nervosa compared to healthy controls, with weight loss potentially leading to an increase in plasma Klotho.

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