PMID- 38091839 OWN - NLM STAT- MEDLINE DCOM- 20240110 LR - 20240110 IS - 1090-2104 (Electronic) IS - 0006-291X (Linking) VI - 693 DP - 2024 Jan 22 TI - The current and emerging Klotho-enhancement strategies. PG - 149357 LID - S0006-291X(23)01451-1 [pii] LID - 10.1016/j.bbrc.2023.149357 [doi] AB - Klotho is well known as a gene with antiaging properties. It has membrane and soluble forms, providing a unique system that controls various metabolic processes essential to health and disease. Klotho deficiency has been revealed to be associated with various aging-related disorders. Based on its various known and unknown protective properties, upregulating the Klotho gene may be a possible therapeutic and/or preventive approach in aging-related complications. Some agents, such as hormonal compounds, renin-angiotensin system inhibitors, antioxidants, peroxisome proliferator-activated receptor gamma (PPAR-gamma) agonists, statins, vitamin D receptor agonists, antioxidants, anti-inflammatory agents, mammalian target of rapamycin (mTOR) signaling inhibitors, and receptor-interacting serine/threonine-protein kinase 1 (RIPK1) inhibitors, can possibly lead to the upregulation and elevation of Klotho levels. Demethylation and deacetylation of the Klotho gene can also be considered other possible Klotho-enhancement methods. Some emerging techniques, such as RNA modifications, gene therapy, gene editing, and exosome therapy, probably have the potential to be applied for increasing Klotho. In the present study, these current and emerging Klotho-enhancement strategies and their underlying mechanisms were comprehensively reviewed, which could highlight some potential avenues for future research. CI - Copyright (c) 2023. Published by Elsevier Inc. FAU - Poursistany, Haniyeh AU - Poursistany H AD - Department of Clinical Biochemistry and Laboratory Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. FAU - Azar, Solmaz Tabibi AU - Azar ST AD - Department of Cell and Molecular Biology, School of Biology, College of Science, University of Tehran, Tehran, Iran. FAU - Azar, Mahsan Tabibi AU - Azar MT AD - Student Research Committee, Islamic Azad University, Tabriz Branch, Tabriz, Iran. FAU - Raeisi, Sina AU - Raeisi S AD - Pediatric Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: sina_raeisi7007@yahoo.com. LA - eng PT - Journal Article PT - Review DEP - 20231210 PL - United States TA - Biochem Biophys Res Commun JT - Biochemical and biophysical research communications JID - 0372516 RN - EC 3.2.1.31 (Glucuronidase) RN - 0 (Antioxidants) SB - IM MH - *Glucuronidase/genetics/metabolism MH - *Signal Transduction MH - Antioxidants MH - Up-Regulation OTO - NOTNLM OT - Epigenetic modification OT - Exosomes OT - Gene regulation OT - Klotho OT - Nonepigenetic modifications COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/12/14 00:42 MHDA- 2024/01/10 06:42 CRDT- 2023/12/13 18:09 PHST- 2023/09/05 00:00 [received] PHST- 2023/11/24 00:00 [revised] PHST- 2023/12/04 00:00 [accepted] PHST- 2024/01/10 06:42 [medline] PHST- 2023/12/14 00:42 [pubmed] PHST- 2023/12/13 18:09 [entrez] AID - S0006-291X(23)01451-1 [pii] AID - 10.1016/j.bbrc.2023.149357 [doi] PST - ppublish SO - Biochem Biophys Res Commun. 2024 Jan 22;693:149357. doi: 10.1016/j.bbrc.2023.149357. Epub 2023 Dec 10.