Evidence map›Paper›PMID 27798196›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2017

Klotho suppresses the renin-angiotensin system in adriamycin nephropathy.

Tsuneo Takenaka, Tsutomu Inoue, Takashi Miyazaki, Hiroyuki Kobori, Akira Nishiyama, Naohito Ishii, Matsuhiko Hayashi, Hiromichi Suzuki

Open access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. [Potential of early diagnosis and targeted therapy for Klotho protein in chronic kidney disease].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. DL-3-Heliyon · 2024
    Article
  9. Article
  10. Therapeutic potential ofFrontiers in pharmacology · 2023
    Article
  11. Structural and Functional Changes in Aging Kidneys.International journal of molecular sciences · 2022
    Review
  12. Review
  13. Article
  14. CCL5 Suppresses Klotho ExpressionFrontiers in physiology · 2022
    Article
  15. A disturbance beyond the barrier-chronic kidney disease allows angiotensinogen invasion.Hypertension research : official journal of the Japanese Society of Hypertension · 2021
    Article
  16. Review
  17. Article
  18. Review
  19. Klotho, Aging, and the Failing Kidney.Frontiers in endocrinology · 2020
    Review
  20. Review
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

8 authors at 5 institutions in 1 country.

Tsuneo TakenakaDepartment of Medicine, International University of Health and Welfare, 8-10-16 Akasaka, Minato, Tokyo 107-0052, Japan.
Tsutomu InoueDepartment of Nephrology, Saitama Medical University, Iruma, Saitama, Japan.
Takashi MiyazakiDepartment of Nephrology, Saitama Medical University, Iruma, Saitama, Japan.
Hiroyuki KoboriDepartment of Medicine, International University of Health and Welfare, 8-10-16 Akasaka, Minato, Tokyo 107-0052, Japan.
Akira NishiyamaDepartment of Pharmacology, Kagawa University, Kida, Kagawa, Japan.
Naohito IshiiDepartment of Clinical Chemistry, Kitasato University, Sagamihara, Kanagawa, Japan.
Matsuhiko HayashiBlood Purification Center, Keio University, Shinjuku, Tokyo, Japan.
Hiromichi SuzukiDepartment of Nephrology, Saitama Medical University, Iruma, Saitama, Japan.
Saitama Medical University · JPInternational University of Health and Welfare · JPKagawa University · JPKeio University · JPKitasato University Hospital · JP

Funding

Intrarenal Augmentation of Angiotensinogen by Ang IIR01DK072408 · NIDDK · TULANE UNIVERSITY OF LOUISIANA · PI NAVAR, LUIS GABRIEL · 2006 to 2010
$1.2M
NIDDK NIH HHS R01 DK072408
6 · The paper itself

Abstract

backgroundsKlotho protein interacts with the transforming growth factor β (TGF-β) receptor and Wnt, which contribute to the progression of renal disease, inhibiting their signals. Renal and circulating klotho levels are diminished in chronic kidney disease.

methodsExperiments were performed to assess whether supplementation of klotho protein could have protective effects on the kidney. Rats were injected with adriamycin (5 mg/kg) and divided into three groups: those treated with vehicle, those treated with klotho protein and those treated with klotho plus 4-benzyl-2-methyl-1,2,4-thiadiazolidine-3,5-dione (TDZD). Rats without adriamycin treatment were used as a control.

resultsAdriamycin reduced the serum klotho concentration and renal expression of klotho and E-cadherin. Adriamycin also increased the renal expression of Wnt, TGF-β, and angiotensinogen, as well as the renal abundance of β-catenin and angiotensin II. Klotho supplementation suppressed adriamycin-induced elevations of β-catenin and angiotensin II with sustained Wnt expression. Combined treatment with klotho and TDZD reversed the klotho-induced improvements in the renal abundance of β-catenin and angiotensin II as well as the expression of TGF-β and angiotensinogen without affecting E-cadherin.

conclusionsOur data indicate that Wnt is involved in the pathogenesis of adriamycin nephropathy. Furthermore, klotho supplementation inhibited Wnt signaling, ameliorating renal angiotensin II. Finally, klotho protein appears to suppress epithelial-mesenchymal transition by inhibiting TGF-β and Wnt signaling.

Indexed as

AnimalsAntibiotics, Antineoplasticbeta CateninCadherinsDoxorubicinEpithelial-Mesenchymal TransitionGlucuronidaseGlycogen Synthase Kinase 3Klotho ProteinsMaleRatsRats, WistarReceptors, Transforming Growth Factor betaRenal Insufficiency, ChronicRenin-Angiotensin SystemSignal Transduction4-benzyl-2-methyl-1,2,4-thiadiazolidine-3,5-dioneAntibiotics, Antineoplasticbeta CateninCadherinsDoxorubicinGlucuronidaseGlycogen Synthase Kinase 3Klotho ProteinsReceptors, Transforming Growth Factor betaThiadiazolesfibrosisnephrinoxidative stressTRPC6β-catenin

Identifiers

PMID27798196
PMCPMC6251653
OpenAlexW2534751651

What OpenQuestion holds

Textmetadata
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.