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Acta Physiologica Congress

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Acta Physiologica 2012; Volume 204, Supplement 689
91st Annual Meeting of The German Physiological Society
3/22/2012-3/25/2012
Dresden, Germany


MINERALOCORTICOID RECEPTOR SENSITIVE SOFT TISSUE CALCIFICATION AND EARLY DEATH OF KLOTHO-DEFICIENT MICE
Abstract number: O109

Feger1 *M., Volkl1 J., Alesutan1 I., Quintanilla-Fend2 L., Leibrock1 C., Kuhn3 V., Mia1 S., Ahmed1 M., Rosenblatt4 K., Kuro-o5 M., Lang1 F.

1University of Tbingen, Department of Physiology, Tbingen, Germany
2University of Tbingen, Department of Pathology, Tbingen, Germany
3Medical University Innsbruck, Department of Traumasurgery, Innsbruck, Austria
4University of Texas, Department of Biochemistry and Molecular Biology, and Department of Medicin, Galveston, United States
5University of Texas, Department of Pathology, Dallas, United States

Klotho is a powerful regulator of 1,25(OH)2D3 formation and mineral metabolism and counteracts a wide variety of age related disorders. Klotho hypomorphic mice (kl/kl) suffer from severe growth deficit, rapid aging and early death and severe soft tissue calcification. As shown earlier, kl/kl mice suffer from extracellular volume depletion and hypotension, leading to stimulation of aldosterone release. We therefore investigated the contribution of aldosterone to the phenotype of calcification in kl/kl mice. We show here that the mineralocorticoid receptor blocker spironolactone reduced tissue calcification and substantially increased life span of kl/kl mice, despite continued increase of 1,25(OH)2D3, Ca2+ and phosphate plasma concentrations. We could show that the osteoinductive axis of TNFa/NfkB/Bmp2/Msx2/Osterix/Wnt/p38 signalling, which leads to up-regulation of alkaline phosphatase and fosters vascular calcification could be reduced by spironolactone treatment in calcified tissue ofkl/kl mice. The increased expression of the osteoblastic signalling in calcified tissue indicates an active process underlying the extensive calcifications in kl/kl mice, which is mitigated by spironolactone treatment. Thus, despite of hypovolemia and hypotension, hyperaldosteronism substantially contributes to tissue calcification and rapid ageing of klotho deficient mice. The present observations may be particularly relevant for patients with chronic kidney disease, who, similar to kl/kl mice, suffer from hyperphosphatemia and vascular calcification.

To cite this abstract, please use the following information:
Acta Physiologica 2012; Volume 204, Supplement 689 :O109

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