Evidence mapPaperPMID 42274849Full record

ReviewMetabolic brain disease2026

α-Klotho as a central integrative signalling hub in cognitive function and neuroprotection in neurodegenerative diseases.

Priya Bindal, Omkar Kumar Kuwar, Vivek Kumar Singh, Mayank Attri, Pallavi, Sandip Tejpal

Abstract readReview
PubMed Publisher
In one paragraph

Review in Metabolic brain disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Priya BindalJeffery Cheah School of Medicine and Health Sciences, Monash University Malaysia, Bandar Sunway, Subang Jaya, Selangor, 47500, Malaysia.
Omkar Kumar KuwarDepartment of Pharmacology, Bihar College of Pharmacy, New Bailey Road, Patna, 801503, Bihar, India. 2315856@isfcp.org.ORCID 0009-0007-1796-4913
Vivek Kumar SinghModern Institute of Pharmacy, Dahuwa, Banka, 813104, Bihar, India.
Mayank AttriDepartment of Pharmacy, Global Group of Institutes, Amritsar, 143501, Punjab, India.
PallaviAmity Institute of Pharmacy, Amity University, Jaipur, Rajasthan, India.
Sandip TejpalDepartment of Pharmaceutical Sciences, Guru Nanak Dev University, Amritsar, 143005, Punjab, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

α-Klotho, a transmembrane protein predominantly expressed in the kidney and brain, has garnered significant attention for its anti-ageing and neuroprotective properties. Beyond its systemic role in mineral metabolism and oxidative stress regulation, emerging evidence highlights its critical involvement in maintaining cognitive function and protecting against neurodegenerative processes. This review explores the multifaceted role of α-Klotho in the central nervous system, emphasizing its physiological functions, underlying molecular mechanisms, and therapeutic potential. α-Klotho exerts neuroprotective effects by modulating calcium and phosphate homeostasis, attenuating oxidative stress, and suppressing neuroinflammation. Additionally, it regulates signalling pathways such as IGF-1, Wnt/β-catenin, and Nrf2, which are essential for neuronal survival and synaptic plasticity. Reduced α-Klotho expression has been linked to cognitive impairment, Alzheimer's disease, Parkinson's disease, and other age-related neurodegenerative disorders. Preclinical studies demonstrate that enhancing α-Klotho expression or administering a recombinant protein improves learning, memory, and neuronal resilience, positioning α-Klotho as a promising therapeutic target. However, challenges such as limited blood-brain barrier penetration, stability of recombinant forms, and incomplete mechanistic understanding hinder clinical translation. Overall, α-Klotho stands as a novel biomarker and a promising intervention strategy for mitigating neurodegeneration and promoting healthy brain ageing.

Indexed as

CognitionGlucuronidaseKlotho ProteinsNeurodegenerative DiseasesNeuroprotectionSignal TransductionAnimalsBrainHumansNeuroprotective AgentsOxidative StressGlucuronidaseKlotho ProteinsNeuroprotective AgentsAgeing and Brain healthNeurodegenerative diseasesNeuroinflammationNF-κBNrf2Oxidative stressPI3K/AktSynaptic PlasticityWnt/β-cateninα-Klotho

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.