Exploiting the neuroprotective effects of ɑ-klotho to tackle ageing- and neurodegeneration-related cognitive dysfunction
Cognitive dysfunction is a key symptom of aging and neurodegenerative disorders, such as Alzheimer’s disease. Strategies to enhance cognition would impact the quality of life for a significant proportion of the ageing population. The ɑ-klotho protein may protect against cognitive decline through multiple mechanisms: such as promoting optimal synaptic function via activation of N-methyl-D-aspartate receptor signalling; stimulating the anti-oxidant defence system; reducing inflammation; promoting autophagy; and enhancing clearance of amyloid-β. However, the molecular and cellular pathways by which ɑ-klotho mediates these neuroprotective functions have yet to be fully elucidated. Key questions remain unanswered: which form of ɑ-klotho (transmembrane, soluble or secreted) mediates its cognitive enhancing properties; what is the neuronal receptor for ɑ-klotho and which signalling pathways are activated by ɑ-klotho in the brain to enhance cognition; how does peripherally administered ɑ-klotho mediate neuroprotection; and what is the molecular basis for the beneficial effect of the VS variant of ɑ-klotho? In this review we summarise the recent research on neuronal ɑ-klotho and discuss how the neuroprotective properties of ɑ-klotho could be exploited to tackle age- and neurodegeneration-associated cognitive dysfunction.