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Klotho upregulation by rapamycin protects against vascular disease in CKD
Author(s) -
Takayuki Hamano
Publication year - 2015
Publication title -
kidney international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.499
H-Index - 276
eISSN - 1523-1755
pISSN - 0085-2538
DOI - 10.1038/ki.2015.223
Subject(s) - downregulation and upregulation , calcification , klotho , vascular smooth muscle , transdifferentiation , pi3k/akt/mtor pathway , endocrinology , restenosis , medicine , chemistry , microbiology and biotechnology , biology , smooth muscle , signal transduction , kidney , biochemistry , stem cell , gene , stent
Medial arterial calcification involves chondrogenic/osteogenic transdifferentiation of vascular smooth muscle cells (VSMCs). Zhao et al. report that phosphate activates the mammalian target of rapamycin (mTOR) cascade in VSMCs, leading to downregulation of Klotho. Furthermore, rapamycin was shown to halt medial calcification. This effect was blunted in the absence of Klotho. Given the concomitant anti-atherosclerotic effects of the mTOR inhibitor, this agent has clinical potential as an inhibitor of intimal atherosclerosis and medial calcification.

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