Evidence map›Paper›PMID 21170871›Full record

ReviewJournal of nephrology

Klotho and kidney disease.

Ming-Chang Hu, Makoto Kuro-o, Orson W Moe

Open access · greenAbstract readReview
In one paragraph

Review in Journal of nephrology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 96 citations in OpenAlex.

  1. Review
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  14. 25-hydroxyvitamin D-1α-hydroxylase (CYP27B1) induces ectopic calcification.Journal of clinical biochemistry and nutrition · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Ming-Chang HuDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 7390-8855, USA. Ming-chang.hu@utsouthwestern.edu
Makoto Kuro-o
Orson W Moe
Pediatrics and Genetics · USSouthwestern Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

UT Southwestern O'Brien Kidney Research Core CenterP30DK079328 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MOE, ORSON W · 2007 to 2021
$16.9M
RENAL BASIS OF HYPOCITRATURIAP01DK020543 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HUANG, CHOU-LONG · 1986 to 2008
$12.7M
Pathogenesis of Uric Acid Nephrolithiasis: The Multifaceted Role of Renal LipidsR01DK081423 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MAALOUF, NAIM M, MOE, ORSON W · 2009 to 2023
$6.1M
Effects of Klotho Protein on Aging and MetabolismR01AG019712 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI KURO-O, MAKOTO · 2002 to 2011
$4.1M
Tissue-specific Mechanism of Action of the Metabolic Hormones FGF19 and FGF21R01DK067158 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI KLIEWER, STEVEN A. · 2004 to 2017
$4.1M
Klotho: Therapeutic Agent for Ischemia Reperfusion Induced Acute Kidney InjuryR01DK092461 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HU, MING-CHANG · 2011 to 2021
$3.7M
Klotho and Phosphate in Chronic Kidney Disease: Pathogenesis and TherapeuticsR01DK091392 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HU, MING-CHANG, MOE, ORSON W · 2011 to 2021
$3.2M
Neonatal Proximal Tubule AcidificationR01DK041612 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI BAUM, MICHEL GERARD, MOE, ORSON W · 1991 to 2013
$2.7M
Proteomics of mouse models for aging and longevityR01AG025326 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI KURO-O, MAKOTO · 2004 to 2008
$1.5M
Acute Regulation of the Renal Na/H Exchanger NHE-3R01DK048482 · NIDDK · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI MOE, ORSON W · 2001 to 2005
$1.3M
H+-ATPase B-subunit Dysfunction and Calcium NephrolithiasisR01DK081523 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MOE, ORSON W · 2009 to 2010
$785k
NIA NIH HHS AG19712NIA NIH HHS AG25326NIA NIH HHS R01 AG019712NIA NIH HHS R01 AG025326NIDDK NIH HHS DK067158NIDDK NIH HHS DK-079328NIDDK NIH HHS DK081423NIDDK NIH HHS DK081523NIDDK NIH HHS DK20543NIDDK NIH HHS DK41612NIDDK NIH HHS P01 DK020543NIDDK NIH HHS P30 DK079328NIDDK NIH HHS R01 DK041612NIDDK NIH HHS R01 DK048482NIDDK NIH HHS R01 DK067158NIDDK NIH HHS R01 DK081423NIDDK NIH HHS R01 DK081523NIDDK NIH HHS R01 DK091392NIDDK NIH HHS R01 DK092461
6 · The paper itself

Abstract

Klotho is a single-pass transmembrane protein that exerts its biological functions through multiple modes. Membrane-bound Klotho acts as coreceptor for the major phosphatonin fibroblast growth factor-23 (FGF23), while soluble Klotho functions as an endocrine substance. In addition to in the distal nephron where it is abundantly expressed, Klotho is present in the proximal tubule lumen where it inhibits renal Pi excretion by modulating Na-coupled Pi transporters via enzymatic glycan modification of the transporter proteins - an effect completely independent of its role as the FGF23 coreceptor. Acute kidney injury (AKI) and chronic kidney disease (CKD) are states of systemic Klotho deficiency, making Klotho a very sensitive biomarker of impaired renal function. In addition to its role as a marker, Klotho also plays pathogenic roles in renal disease. Klotho deficiency exacerbates decreases in, while Klotho repletion or excess preserves, glomerular filtration rate in both AKI and CKD. Soft tissue calcification, and especially vascular calcification, is a dire complication in CKD, associated with high mortality. Klotho protects against soft tissue calcification via at least 3 mechanisms: phosphaturia, preservation of renal function and a direct effect on vascular smooth muscle cells by inhibiting phosphate uptake and dedifferentiation. In summary, Klotho is a critical molecule in a wide variety of renal diseases and bears great potential as a diagnostic and prognostic biomarker as well as for therapeutic replacement therapy.

Indexed as

Acute Kidney InjuryAnimalsCalcinosisChronic DiseaseFibroblast Growth Factor-23GlucuronidaseHumansHypophosphatemia, FamilialKidney DiseasesKlotho ProteinsFGF23 protein, humanFibroblast Growth Factor-23GlucuronidaseKlotho Proteins

Identifiers

PMID21170871
PMCPMC3227531
OpenAlexW41683394

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.