Volume 87, Issue 6, Pages (June 2015)

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Volume 87, Issue 6, Pages 1141-1152 (June 2015) Differential expression and regulation of Klotho by paricalcitol in the kidney, parathyroid, and aorta of uremic rats  Cynthia S. Ritter, Sarah Zhang, James Delmez, Jane L. Finch, Eduardo Slatopolsky  Kidney International  Volume 87, Issue 6, Pages 1141-1152 (June 2015) DOI: 10.1038/ki.2015.22 Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 1 The specificity of the Klotho antibody. Representative images of a rat PTG show that the strong staining obtained with the primary antibody (a) was blocked when the primary antibody was pre-absorbed with Klotho antigen (b) or was replaced with goat IgG (c). IgG, immunoglobulin G; PTG, parathyroid gland; scale bar=50 micron applies to all figures, × 200. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 2 Renal Klotho. (a) Representative images of Klotho immunostaining of normal, uremic, and uremic paricalcitol-treated rat kidney tissue; scale bar=50 micron applies to all figures, × 200. (b) Quantitation of immunostaining. (c) Quantitation of Klotho mRNA of kidney tissue. αP⩽0.01 vs. normal, βP⩽0.05 vs. uremic; n=6 each; average±s.e.m. IOD, integrated optical density. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 3 Vascular Klotho. (a) Representative images of Klotho immunostaining of normal, uremic, and uremic paricalcitol-treated rat aorta; scale bar=50 micron applies to all figures, × 400. The areas of the intima-media and adventitia are indicated in the first panel. (b) Quantitation of immunostaining of the intimal-medial area. (c) Quantitation of immunostaining of the adventitia. αP⩽0.001 vs. normal, βP⩽0.05 vs. normal; n=6 each; average±s.e.m. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 4 Vascular vimentin. (a) Representative images of vimentin immunostaining of normal, uremic, and uremic paricalcitol-treated rat aorta; original magnification × 400. The areas of the intima-media and adventitia are indicated in the first panel. (b) Quantitation of immunostaining of the intimal-medial area. (c) Quantitation of immunostaining of the adventitia. αP⩽0.05 vs. normal, βP⩽0.001 vs. normal; n=6 each; average±s.e.m. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 5 Localization of Klotho, fibroblasts, and undifferentiated fibroblasts in normal rat aorta. (Upper panels) Representative images of staining for Klotho, fibroblasts (vimentin), and undifferentiated fibroblasts (CD-34) in normal rat aorta; original magnification × 400. (Lower panels) Images were contrast-enhanced and inverted to better visualize staining (seen in white). Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 6 Localization of Klotho, fibroblasts, undifferentiated fibroblasts, and macrophages in uremic rat aorta. (Upper panels) Representative images of staining for Klotho, fibroblasts (vimentin), undifferentiated fibroblasts (CD-34), and macrophages (CD-68) in uremic rat aorta; original magnification × 400. (Lower panels) Images were contrast-enhanced and inverted to better visualize staining (seen in white). Arrows indicate cells positive for CD-68. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 7 Parathyroid gland Klotho. (a) Representative images of Klotho immunostaining of normal, uremic, and uremic paricalcitol-treated rat parathyroid glands; scale bar=50 micron applies to all figures, × 100. (b) Quantitation of immunostaining (normal, n=4; uremic and uremic+paricalcitol, n=6 each). αP⩽0.05 vs. uremic; average±s.e.m. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 8 Human parathyroid gland Klotho. Representative images of H&E staining and Klotho immunostaining of consecutive sections of normal hPTG tissue from one patient, and hyperplastic parathyroid tissue from three patients with secondary hyperparathyroidism; scale bar=50 micron applies to all figures, × 200. Oxyphil cells are identified by an intense eosinophilic staining compared with chief cells, as shown in the upper panels. Expression of Klotho in consecutive sections of tissue for each parathyroid gland (lower panels) is highest in the oxyphil cells. H&E, hematoxylin-eosin; hPTG, human parathyroid gland. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 9 Comparison of immunostaining of two Klotho antibodies in human parathyroid gland Klotho. Representative images of H&E staining and Klotho immunostaining using two different antibodies on consecutive sections of hyperplastic human parathyroid tissue; scale bar=50 micron applies to all figures, × 200. The immunostaining pattern of both antibodies was nearly identical, with Klotho expression higher in the oxyphil cells compared with chief cells. H&E, hematoxylin-eosin. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions

Figure 10 Comparison of immunostaining of two Klotho antibodies in rat kidney. Representative images of H&E staining and Klotho immunostaining using two different antibodies on consecutive sections of cortical rat kidney tissue; scale bar=50 micron applies to all figures, × 200. Staining of the tubules in different cortical areas of the sections (a and b) was comparable with the two antibodies. H&E, hematoxylin-eosin. Kidney International 2015 87, 1141-1152DOI: (10.1038/ki.2015.22) Copyright © 2015 International Society of Nephrology Terms and Conditions