A Klotho-derived peptide protects against kidney fibrosis by targeting TGF-β signaling

Nat Commun. 2022 Jan 21;13(1):438. doi: 10.1038/s41467-022-28096-z.

Abstract

Loss of Klotho, an anti-aging protein, plays a critical role in the pathogenesis of chronic kidney diseases. As Klotho is a large transmembrane protein, it is challenging to harness it as a therapeutic remedy. Here we report the discovery of a Klotho-derived peptide 1 (KP1) protecting kidneys by targeting TGF-β signaling. By screening a series of peptides derived from human Klotho protein, we identified KP1 that repressed fibroblast activation by binding to TGF-β receptor 2 (TβR2) and disrupting the TGF-β/TβR2 engagement. As such, KP1 blocked TGF-β-induced activation of Smad2/3 and mitogen-activated protein kinases. In mouse models of renal fibrosis, intravenous injection of KP1 resulted in its preferential accumulation in injured kidneys. KP1 preserved kidney function, repressed TGF-β signaling, ameliorated renal fibrosis and restored endogenous Klotho expression. Together, our findings suggest that KP1 recapitulates the anti-fibrotic action of Klotho and offers a potential remedy in the fight against fibrotic kidney diseases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amino Acid Sequence
  • Animals
  • Cell Line
  • Disease Models, Animal
  • Fibrosis
  • Humans
  • Inflammation / pathology
  • Kidney / injuries
  • Kidney / metabolism*
  • Kidney / pathology*
  • Kidney / physiopathology
  • Kidney Diseases / complications
  • Kidney Diseases / pathology
  • Klotho Proteins / chemistry*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Peptides / chemistry
  • Peptides / pharmacology*
  • Phosphorylation / drug effects
  • Protective Agents / pharmacology*
  • Protein Binding
  • Rats
  • Receptors, Transforming Growth Factor beta / metabolism
  • Reperfusion Injury / complications
  • Reperfusion Injury / pathology
  • Reperfusion Injury / physiopathology
  • Signal Transduction*
  • Smad Proteins / metabolism
  • Transforming Growth Factor beta / metabolism*
  • Ureteral Obstruction / complications
  • Ureteral Obstruction / pathology

Substances

  • Peptides
  • Protective Agents
  • Receptors, Transforming Growth Factor beta
  • Smad Proteins
  • Transforming Growth Factor beta
  • Klotho Proteins