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Volume 75, Issue 11, Pages 1137-1139 (June 2009)
Ablation of klotho and premature aging: is 1,25-dihydroxyvitamin D the key middleman? Yuen Fei Wong, Qihe Xu Kidney International Volume 75, Issue 11, Pages (June 2009) DOI: /ki Copyright © 2009 International Society of Nephrology Terms and Conditions
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Figure 1 Klotho's activity within and beyond the vitamin D–Ca2+/PO43− circuit. Klotho regulates various pathways/effectors (yellow) in an autocrine, paracrine, or endocrine manner. FGF-23 signaling intersects the vitamin D–Ca2+/PO43− circuit, modulating the downstream Ca2+/PO43− homeostasis (blue) by negatively regulating 1,25(OH)2D3 synthesis, and adjusting PO43− directly, bypassing the vitamin D pathway. Klotho also acts via other transduction pathways that may partially overlap with the vitamin D–Ca2+/PO43− circuit through specific mediators (green), including parathyroid hormone and transient receptor potential vanilloid 5 (TRPV5). It is plausible that Klotho's targets cross-talk with each other or with the vitamin D–Ca2+/PO43− circuit and act synchronically to prevent premature senescence and maintain lifespan. PKA, protein kinase A; PKC, protein kinase C. Kidney International , DOI: ( /ki ) Copyright © 2009 International Society of Nephrology Terms and Conditions
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