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揭示Klotho的新兴作用:关于一种人类生育中的抗衰老因子的全面叙述性综述

Unveiling the Emerging Role of Klotho: A Comprehensive Narrative Review of an Anti-aging Factor in Human Fertility.

作者信息

Kumar Naina

机构信息

Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bibinagar 508126, Hyderabad, Telangana, India.

出版信息

Curr Protein Pept Sci. 2025;26(2):105-112. doi: 10.2174/0113892037329291240827113808.

DOI:10.2174/0113892037329291240827113808
PMID:39225223
Abstract

Klotho, an anti-aging protein, plays a vital role in diverse biological functions, such as regulating calcium and vitamin D levels, preventing chronic fibrosis, acting as an antioxidant and anti-inflammatory agent, safeguarding against cardiovascular and neurodegenerative conditions, as well as exerting anti-apoptotic, anti-senescence effects. Additionally, it contributes to metabolic processes associated with diabetes and exhibits anti-cancer properties. This protein is commonly expressed in organs, such as kidneys, brain, pancreas, parathyroid glands, ovaries, and testes. Recent research has highlighted its significance in human fertility. This narrative review provides insight into the involvement of Klotho protein in male and female fertility, as well as its potential role in managing human infertility in the future. In this study, a search was conducted on literature spanning from November 1997 to June 2024 across multiple databases, including PUBMED, SCOPUS, and Google Scholar, focusing on Klotho proteins. The search utilized keywords, such as "discovery of Klotho proteins," "Biological functions of Klotho," "Klotho in female fertility," "Klotho and PCOS," "Klotho and cryopreservation," and "Klotho in male infertility." Inclusion criteria comprised full-length original or review articles, as well as abstracts, discussing the role of Klotho protein in human fertility, published in English in various peer-reviewed journals. Exclusion criteria involved articles published in languages other than English. Hence, due to its anti-aging characteristics, Klotho protein presents potential roles in male and female fertility and holds promising prospects for reproductive medicine. Further, it holds the potential to become a valuable asset in addressing infertility concerns for both males and females.

摘要

klotho是一种抗衰老蛋白,在多种生物学功能中发挥着至关重要的作用,比如调节钙和维生素D水平、预防慢性纤维化、充当抗氧化剂和抗炎剂、预防心血管疾病和神经退行性疾病,以及发挥抗凋亡、抗衰老作用。此外,它还参与与糖尿病相关的代谢过程,并具有抗癌特性。这种蛋白通常在肾脏、大脑、胰腺、甲状旁腺、卵巢和睾丸等器官中表达。最近的研究凸显了其在人类生育方面的重要性。这篇叙述性综述深入探讨了klotho蛋白在男性和女性生育中的作用,以及它未来在治疗人类不孕症方面的潜在作用。在本研究中,我们在多个数据库(包括PUBMED、SCOPUS和谷歌学术)中搜索了1997年11月至2024年6月期间的文献,重点关注klotho蛋白。搜索使用了“klotho蛋白的发现”“klotho的生物学功能”“klotho与女性生育”“klotho与多囊卵巢综合征”“klotho与冷冻保存”以及“klotho与男性不育”等关键词。纳入标准包括全长原创或综述文章以及摘要,这些文章讨论了klotho蛋白在人类生育中的作用,且以英文发表在各种同行评审期刊上。排除标准包括非英文发表的文章。因此,由于其抗衰老特性,klotho蛋白在男性和女性生育中具有潜在作用,在生殖医学领域前景广阔。此外,它有可能成为解决男性和女性不孕问题的宝贵资产。

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Curr Protein Pept Sci. 2025;26(2):105-112. doi: 10.2174/0113892037329291240827113808.
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本文引用的文献

1
Klotho accelerates the progression of polycystic ovary syndrome through promoting granulosa cell apoptosis and inflammation†.Klotho 通过促进颗粒细胞凋亡和炎症加速多囊卵巢综合征的进展†。
Biol Reprod. 2024 Sep 14;111(3):625-639. doi: 10.1093/biolre/ioae094.
2
Klotho in Cancer: Potential Diagnostic and Prognostic Applications.癌症中的klotho:潜在的诊断和预后应用。
Diagnostics (Basel). 2023 Oct 31;13(21):3357. doi: 10.3390/diagnostics13213357.
3
Decreased Klotho Expression Causes Accelerated Decline of Male Fecundity through Oxidative Injury in Murine Testis.
Klotho表达降低通过氧化损伤导致小鼠睾丸中雄性生育力加速下降。
Antioxidants (Basel). 2023 Aug 25;12(9):1671. doi: 10.3390/antiox12091671.
4
The relationship between klotho, testosterone, and sexual health parameters among US adult men.Klotho、睾酮与美国成年男性性功能参数之间的关系。
J Endocrinol Invest. 2024 Mar;47(3):523-533. doi: 10.1007/s40618-023-02163-8. Epub 2023 Aug 30.
5
Premature ovarian insufficiency: a review on the role of oxidative stress and the application of antioxidants.卵巢早衰:氧化应激作用及抗氧化剂应用的综述
Front Endocrinol (Lausanne). 2023 Aug 1;14:1172481. doi: 10.3389/fendo.2023.1172481. eCollection 2023.
6
Klotho reduces the risk of osteoporosis in postmenopausal women: a cross-sectional study of the National Health and Nutrition Examination Survey (NHANES).Klotho 降低绝经后妇女骨质疏松症的风险:一项全国健康和营养调查(NHANES)的横断面研究。
BMC Endocr Disord. 2023 Jul 14;23(1):151. doi: 10.1186/s12902-023-01380-9.
7
Role of Klotho and N-acetylcysteine in Oxidative Stress Associated with the Vitrification of Ovarian Tissue Cytoprotective Function of Klotho in Cryopreservation.Klotho 和 N-乙酰半胱氨酸在与卵巢组织玻璃化相关的氧化应激中的作用 Klotho 在冷冻保存中的细胞保护作用。
Tissue Eng Regen Med. 2023 Jul;20(4):637-646. doi: 10.1007/s13770-023-00556-7. Epub 2023 Jun 23.
8
Klotho's impact on diabetic nephropathy and its emerging connection to diabetic retinopathy.Klotho 对糖尿病肾病的影响及其与糖尿病视网膜病变的新关联。
Front Endocrinol (Lausanne). 2023 Apr 18;14:1180169. doi: 10.3389/fendo.2023.1180169. eCollection 2023.
9
Oxidative Stress in Assisted Reproductive Techniques, with a Focus on an Underestimated Risk Factor.辅助生殖技术中的氧化应激,重点关注一个被低估的风险因素。
Curr Issues Mol Biol. 2023 Feb 3;45(2):1272-1286. doi: 10.3390/cimb45020083.
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Androgen increases klotho expression via the androgen receptor-mediated pathway to induce GCs apoptosis.雄激素通过雄激素受体介导的途径增加 klotho 的表达,从而诱导 GC 细胞凋亡。
J Ovarian Res. 2023 Jan 14;16(1):10. doi: 10.1186/s13048-022-01087-w.