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klotho蛋白:健康衰老的多面守护者及其治疗潜力。

Klotho Protein: A Multifaceted Guardian of Healthy Aging and Its Therapeutic Potential.

作者信息

Shen Jianlin, Bin Wenying, Lin Xiaoning, Lai Yue, Lin Xuan, Guan Taiyuan, Liu Huan

机构信息

Central Laboratory, Affiliated Hospital of Putian University, Putian, Fujian, 351100, People's Republic of China.

Department of Orthopedics, Affiliated Hospital of Putian University, Putian, Fujian, 351100, People's Republic of China.

出版信息

Int J Nanomedicine. 2025 Jun 9;20:7251-7270. doi: 10.2147/IJN.S514516. eCollection 2025.

DOI:10.2147/IJN.S514516
PMID:40520057
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12164893/
Abstract

The Klotho protein, encoded by the KL gene, has garnered significant attention as a pivotal biomolecule in the field of aging research. Its expression levels are closely correlated with both lifespan and overall health status, exerting influence over critical physiological processes such as metabolic homeostasis, oxidative stress response, and inflammation modulation. This review aims to systematically examine the multifaceted roles of Klotho within the context of aging and its implications for various age-associated disorders. We highlight the emerging evidence suggesting that Klotho may serve as a key regulator in age-related pathologies, including cardiovascular diseases, neurodegenerative disorders, and metabolic syndromes. Furthermore, we explore the potential of Klotho as a therapeutic target, positing that interventions aimed at enhancing Klotho activity could offer novel strategies for alleviating the health burdens experienced by the aging population.

摘要

由KL基因编码的Klotho蛋白,作为衰老研究领域的关键生物分子,已引起了广泛关注。其表达水平与寿命和整体健康状况密切相关,对代谢稳态、氧化应激反应和炎症调节等关键生理过程产生影响。本综述旨在系统地研究Klotho在衰老背景下的多方面作用及其对各种与年龄相关疾病的影响。我们强调了新出现的证据,表明Klotho可能是与年龄相关病理的关键调节因子,包括心血管疾病、神经退行性疾病和代谢综合征。此外,我们探讨了Klotho作为治疗靶点的潜力,认为旨在增强Klotho活性的干预措施可能为减轻老年人群的健康负担提供新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12164893/129234383611/IJN-20-7251-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12164893/bb513a0154cb/IJN-20-7251-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12164893/129234383611/IJN-20-7251-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12164893/bb513a0154cb/IJN-20-7251-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abe1/12164893/129234383611/IJN-20-7251-g0002.jpg

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1
Klotho Protein: A Multifaceted Guardian of Healthy Aging and Its Therapeutic Potential.klotho蛋白:健康衰老的多面守护者及其治疗潜力。
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本文引用的文献

1
Influence of Klotho Protein Levels in Obesity and Sarcopenia: A Systematic Review.klotho蛋白水平在肥胖症和肌肉减少症中的影响:一项系统综述
Int J Mol Sci. 2025 Feb 23;26(5):1915. doi: 10.3390/ijms26051915.
2
Long-term effects of s-KL treatment in wild-type mice: Enhancing longevity, physical well-being, and neurological resilience.s-KL治疗对野生型小鼠的长期影响:延长寿命、提升身体健康和增强神经恢复力。
Mol Ther. 2025 Apr 2;33(4):1449-1465. doi: 10.1016/j.ymthe.2025.02.030. Epub 2025 Feb 22.
3
Rejuvenation Modulation of Nucleus Pulposus Progenitor Cells Reverses Senescence-Associated Intervertebral Disc Degeneration.
髓核祖细胞的年轻化调控可逆转衰老相关的椎间盘退变。
Adv Mater. 2025 Feb;37(7):e2409979. doi: 10.1002/adma.202409979. Epub 2024 Dec 29.
4
Klotho Regulates Club Cell Senescence and Differentiation in Chronic Obstructive Pulmonary Disease.klotho调节慢性阻塞性肺疾病中的俱乐部细胞衰老和分化。
Cell Prolif. 2025 Jul;58(7):e70000. doi: 10.1111/cpr.70000. Epub 2025 Feb 10.
5
Risk factors for developing osteoporosis in diabetic kidney disease and its correlation with calcium-phosphorus metabolism, FGF23, and Klotho.糖尿病肾病患者发生骨质疏松的危险因素及其与钙磷代谢、成纤维细胞生长因子23(FGF23)和klotho蛋白的相关性
World J Diabetes. 2025 Jan 15;16(1):98714. doi: 10.4239/wjd.v16.i1.98714.
6
FGF21 Signaling Exerts Antifibrotic Properties during Pulmonary Fibrosis.成纤维细胞生长因子21信号传导在肺纤维化过程中发挥抗纤维化特性。
Am J Respir Crit Care Med. 2025 Mar;211(3):486-498. doi: 10.1164/rccm.202311-2021OC.
7
Nanoparticle-mediated Klotho gene therapy prevents acute kidney injury to chronic kidney disease transition through regulating PPARα signaling in renal tubular epithelial cells.纳米颗粒介导的Klotho基因治疗通过调节肾小管上皮细胞中的PPARα信号通路来预防急性肾损伤向慢性肾病的转变。
Biomaterials. 2025 Apr;315:122926. doi: 10.1016/j.biomaterials.2024.122926. Epub 2024 Oct 28.
8
Liver-secreted FGF21 induces sarcopenia by inhibiting satellite cell myogenesis via klotho beta in decompensated cirrhosis.肝脏分泌的 FGF21 通过抑制代偿性肝硬化中 klothoβ 来诱导肌少症,从而抑制卫星细胞的成肌作用。
Redox Biol. 2024 Oct;76:103333. doi: 10.1016/j.redox.2024.103333. Epub 2024 Aug 30.
9
Corrigendum: Fucoidan ameliorates renal injury-related calcium-phosphorus metabolic disorder and bone abnormality in the CKD-MBD model rats by targeting FGF23-Klotho signaling axis.勘误:岩藻依聚糖通过靶向FGF23-Klotho信号轴改善CKD-MBD模型大鼠肾损伤相关的钙磷代谢紊乱和骨骼异常。
Front Pharmacol. 2024 Jul 23;15:1446609. doi: 10.3389/fphar.2024.1446609. eCollection 2024.
10
KLOTHO KL-VS heterozygosity is associated with diminished age-related neuroinflammation, neurodegeneration, and synaptic dysfunction in older cognitively unimpaired adults.KLOTHO KL-VS 杂合性与老年认知正常成年人年龄相关的神经炎症、神经退行性变和突触功能障碍的减少有关。
Alzheimers Dement. 2024 Aug;20(8):5347-5356. doi: 10.1002/alz.13912. Epub 2024 Jun 21.