Hyperaldosteronism in Klotho-deficient mice

SS Fischer, DS Kempe, CB Leibrock… - American Journal …, 2010 - journals.physiology.org
SS Fischer, DS Kempe, CB Leibrock, R Rexhepaj, B Siraskar, KM Boini, TF Ackermann…
American Journal of Physiology-Renal Physiology, 2010journals.physiology.org
Klotho is a membrane protein participating in the inhibitory effect of FGF23 on the formation
of 1, 25-dihydroxyvitamin-D3 [1, 25 (OH) 2D3]. It participates in the regulation of renal
tubular phosphate reabsorption and stimulates renal tubular Ca2+ reabsorption. Klotho
hypomorphic mice (klotho hm) suffer from severe growth deficit, rapid aging, and early
death, events largely reversed by a vitamin D-deficient diet. The present study explored the
role of Klotho deficiency in mineral and electrolyte metabolism. To this end, klotho hm mice …
Klotho is a membrane protein participating in the inhibitory effect of FGF23 on the formation of 1,25-dihydroxyvitamin-D3 [1,25(OH)2D3]. It participates in the regulation of renal tubular phosphate reabsorption and stimulates renal tubular Ca2+ reabsorption. Klotho hypomorphic mice (klothohm) suffer from severe growth deficit, rapid aging, and early death, events largely reversed by a vitamin D-deficient diet. The present study explored the role of Klotho deficiency in mineral and electrolyte metabolism. To this end, klothohm mice and wild-type mice (klotho+/+) were subjected to a normal (D+) or vitamin D-deficient (D) diet or to a vitamin D-deficient diet for 4 wk and then to a normal diet (D−/+). At the age of 8 wk, body weight was significantly lower in klothohmD+ mice than in klotho+/+D+ mice, klothohmD mice, and klothohmD−/+ mice. Plasma concentrations of 1,25(OH)2D3, adrenocorticotropic hormone (ACTH), antidiuretic hormone (ADH), and aldosterone were significantly higher in klothohmD+ mice than in klotho+/+D+ mice. Plasma volume was significantly smaller in klothohmD−/+ mice, and plasma urea, Ca2+, phosphate and Na+, but not K+ concentrations were significantly higher in klothohmD+ mice than in klotho+/+D+ mice. The differences were partially abrogated by a vitamin D-deficient diet. Moreover, the hyperaldosteronism was partially reversed by Ca2+-deficient diet. Ussing chamber experiments revealed a marked increase in amiloride-sensitive current across the colonic epithelium, pointing to enhanced epithelial sodium channel (ENaC) activity. A salt-deficient diet tended to decrease and a salt-rich diet significantly increased the life span of klothohmD+ mice. In conclusion, the present observation disclose that the excessive formation of 1,25(OH)2D3 in Klotho-deficient mice results in extracellular volume depletion, which significantly contributes to the shortening of life span.
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