Evidence map›Paper›PMID 33334122›Full record

ArticleCirculation research2021

Klotho Deficiency Causes Heart Aging via Impairing the Nrf2-GR Pathway.

Kai Chen, Shirley Wang, Qiwei Wilton Sun, Bo Zhang, Mujib Ullah, Zhongjie Sun

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Circulation research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
13.0field-weighted citation impact, top 1% 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

108 citing papers in PubMed, 180 citations in OpenAlex.

  1. Article
  2. Review
  3. Therapeutic Lithium Enhances Klotho Expression and Mitochondrial Size and Branching in Human Cardiac Fibroblasts Involving Nuclear Factor-kappa B Inhibition.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Research progress on blood therapy for anti-aging.Journal of advanced research · 2026
    Review
  8. Article
  9. Fibulin 2 Deficiency Drives Epigenetic Hypertension.Hypertension (Dallas, Tex. : 1979) · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Cellular and molecular mechanisms underlying cardiovascular aging.Cellular & molecular biology letters · 2025
    Review
  17. Review
  18. Article
  19. Review
  20. Article

48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kai ChenDepartment of Physiology, College of Medicine, University of Tennessee Health Science Center, Memphis (K.C., S.W., Q.W.S., B.Z., Z.S.).
Shirley WangDepartment of Physiology, College of Medicine, University of Tennessee Health Science Center, Memphis (K.C., S.W., Q.W.S., B.Z., Z.S.).
Qiwei Wilton SunDepartment of Physiology, College of Medicine, University of Tennessee Health Science Center, Memphis (K.C., S.W., Q.W.S., B.Z., Z.S.).
Bo ZhangDepartment of Physiology, College of Medicine, University of Tennessee Health Science Center, Memphis (K.C., S.W., Q.W.S., B.Z., Z.S.).
Mujib UllahDepartment of Physiology, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (K.C., S.W., M.U., Z.S.).
Zhongjie SunDepartment of Physiology, College of Medicine, University of Tennessee Health Science Center, Memphis (K.C., S.W., Q.W.S., B.Z., Z.S.).
University of Tennessee Health Science Center · USUniversity of Oklahoma Health Sciences Center · US

Funding

Investigation into Heart AgingR01AG049780 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SUN, ZHONGJIE · 2016 to 2020
$2.4M
Epigenetic Regulation of Kidney Function and Blood PressureR01AG062375 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SUN, ZHONGJIE · 2019 to 2023
$2.3M
Investigation into Arterial Stiffness and HypertensionR01HL154147 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SUN, ZHONGJIE · 2020 to 2023
$2.2M
Coupling Factor 6 in Cold-induced Kidney Dysfunction and HypertensionR01HL122166 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SUN, ZHONGJIE · 2015 to 2018
$1.5M
Anti-aging gene klotho: a novel therapeutic target in calcific aortic valve diseaseR01HL118558 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI SUN, ZHONGJIE · 2014 to 2017
$1.5M
NHLBI NIH HHS R01 HL118558NHLBI NIH HHS R01 HL122166NHLBI NIH HHS R01 HL154147NIA NIH HHS R01 AG049780NIA NIH HHS R01 AG062375
6 · The paper itself

Abstract

rationaleCardiac aging is an important contributing factor for heart failure, which affects a large population but remains poorly understood.

objectiveThe purpose of this study is to investigate whether Klotho plays a role in cardiac aging. METHODS AND

resultsHeart function declined in old mice (24 months), as evidenced by decreases in fractional shortening, ejection fraction, and cardiac output. Heart size and weight, cardiomyocyte size, and cardiac fibrosis were increased in old mice, indicating that aging causes cardiac hypertrophy and remodeling. Circulating Klotho levels were dramatically decreased in old mice, which prompted us to investigate whether the Klotho decline may cause heart aging. We found that

conclusionsKlotho deficiency causes cardiac aging via impairing the Nrf2-GR pathway. Supplement of exogenous secreted Klotho represents a promising therapeutic strategy for aging-associated cardiomyopathy and heart failure.

Indexed as

AgingAnimalsApoptosisCell LineCells, CulturedGlucuronidaseGlutathione ReductaseHeartHeart FailureKlotho ProteinsMaleMiceMice, Inbred C57BLMyocytes, CardiacNF-E2-Related Factor 2Oxidative StressGlucuronidaseGlutathione ReductaseKlotho ProteinsNfe2l2 protein, mouseNF-E2-Related Factor 2agingapoptosisglutathione reductaseheart failureoxidative stress

Identifiers

PMID33334122
PMCPMC8782577
OpenAlexW3114365705

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.