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categories: ["longevity", "genetics"]categories: ["longevity", "genetics"]tags: ["aging", "longevity", "kidney", "fgf23", "cognition", "mouse studies", "hormones"]tags: ["aging", "longevity", "kidney", "fgf23", "cognition", "mouse studies", "hormones"]summary: "A gene and hormone whose loss shortens mouse lifespan and whose best-demonstrated job is phosphate control, proposed as a longevity factor on largely non-human evidence."summary: "A gene and hormone whose loss shortens mouse lifespan and whose best-demonstrated job is phosphate control, proposed as a longevity factor on largely non-human evidence."updated: "2026-08-23"updated: "2026-10-28"humanEvidence: "In people the evidence is observational: KL-VS genotype and serum klotho track cognition and mortality inconsistently across cohorts, and no trial of administered klotho has reported results."humanEvidence: "In people the evidence is observational: KL-VS genotype and serum klotho track cognition and mortality inconsistently across cohorts, and no trial of administered klotho has reported results."access: "Not available as a therapy; two phase 1 studies of klotho gene and mRNA delivery were registered by 2026, one of them dosing volunteers outside United States regulatory jurisdiction."access: "Not available as a therapy; two phase 1 studies of klotho gene and mRNA delivery were registered by 2026, one of them dosing volunteers outside United States regulatory jurisdiction."------lines 85–91 → 85–9171 unchanged lines not shown
Administration studies bypass the genetics by injecting the protein. In mice, peripherally delivered klotho fragments improved cognition and synaptic measures. The most-cited extension of that work gave rhesus klotho protein to aged rhesus monkeys and reported improved memory performance after a single low dose, with no benefit at a high dose.[^castner2023] The dose-response inversion is unusual, the group was small, and the study measured memory rather than lifespan or any [[healthspan]] endpoint. It remains the closest thing to a human-relevant demonstration.Administration studies bypass the genetics by injecting the protein. In mice, peripherally delivered klotho fragments improved cognition and synaptic measures. The most-cited extension of that work gave rhesus klotho protein to aged rhesus monkeys and reported improved memory performance after a single low dose, with no benefit at a high dose.[^castner2023] The dose-response inversion is unusual, the group was small, and the study measured memory rather than lifespan or any [[healthspan]] endpoint. It remains the closest thing to a human-relevant demonstration. Two human studies were on the registry by 2026, neither with results.[^trials2026] Minicircle, a company that dosed volunteers with a plasmid follistatin construct in an earlier and widely reported episode of offshore [[biohacking]], registered a 24-person, single-arm, non-placebo-controlled phase 1 of an injectable klotho plasmid, with the record stating that administration occurs outside United States jurisdiction while assessments happen in Texas. Klothea Bio registered a randomised, placebo-controlled phase 1b of an α-klotho mRNA formulated in [[lipid-nanoparticles]]. The contrast between the two designs is the whole argument about how [[gene-therapy-for-aging]] should be tested, and it is visible in the registry entries themselves.Two human studies were on the registry by 2026, neither with results.[^trials2026] Minicircle, a company that dosed volunteers with a plasmid follistatin construct in an earlier and widely reported episode of offshore [[biohacking]], registered a single-arm, non-placebo-controlled phase 1 of an injectable klotho plasmid that enrolled 14 people, with the record stating that administration occurs outside United States jurisdiction while assessments happen in Texas. Klothea Bio registered a randomised, placebo-controlled phase 1b of an α-klotho mRNA formulated in [[lipid-nanoparticles]]. The contrast between the two designs is the whole argument about how [[gene-therapy-for-aging]] should be tested, and it is visible in the registry entries themselves. Delivery is unsettled. Klotho has been pursued as recombinant protein, as mRNA, and as a gene delivered by [[aav-vectors]] under the general approach described in [[somatic-gene-therapy]]. Each raises a different durability and reversibility question, and none has cleared it. Two authors of the monkey study founded a company to continue developing klotho therapeutics, and a corporate sponsor of that work held patent applications on klotho for cognition.[^castner2023] Commercial interest in the molecule runs well ahead of the human evidence for it, a pattern the field also produced around [[senolytics]] and around [[parabiosis-and-young-blood|young-blood transfusion]].Delivery is unsettled. Klotho has been pursued as recombinant protein, as mRNA, and as a gene delivered by [[aav-vectors]] under the general approach described in [[somatic-gene-therapy]]. Each raises a different durability and reversibility question, and none has cleared it. Two authors of the monkey study founded a company to continue developing klotho therapeutics, and a corporate sponsor of that work held patent applications on klotho for cognition.[^castner2023] Commercial interest in the molecule runs well ahead of the human evidence for it, a pattern the field also produced around [[senolytics]] and around [[parabiosis-and-young-blood|young-blood transfusion]]. removed, struck through added, underlinedLine numbers count the serialised markdown of each revision, frontmatter included.
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