USE OF DOWNSTREAM FACTORS IN THE KLOTHO PATHWAY TO ASSESS KLOTHO ACTIVITY

20230123357 · 2023-04-20

Assignee

Inventors

Cpc classification

International classification

Abstract

Methods of monitoring Klotho activity are provided.

Claims

1. A method of assessing activity of a Klotho polypeptide in an animal, the method comprising administering the Klotho polypeptide to the animal, and then obtaining a sample from the animal and measuring a quantity or activity of any one or more polypeptide of Table 1 or Table 2.

2. The method of claim 1, wherein the sample comprises platelets.

3. The method of claim 2, wherein the obtaining comprises purifying platelets from blood from the animal.

4. The method of claim 1, comparing the quantity or activity to a control value.

5. The method of claim 4, further comprising administering an additional amount of the Klotho polypeptide to the animal if the quantity or activity is below the control value.

6. The method of claim 1, wherein the animal is a human.

7. A method of assessing an animal as a candidate for improved cognition treatment, the method comprising obtaining a sample from the animal and measuring a quantity or activity of any one or more a polypeptide of Table 1 or Table 2; comparing the quantity or activity to a control value; and then administering an effective dose of a Klotho polypeptide or a protein comprising a polypeptide of Table 1 or Table 2 or a functional fragment or variant thereof to the animal to improve cognition in the animal.

18. The method of claim 7, wherein the sample comprises platelets.

19. The method of claim 8, wherein the obtaining comprises purifying platelets from blood from the animal.

10. The method of claim 7, further comprising after the administering, obtaining a second sample from the animal and measuring the quantity or activity of any one or more the polypeptide of Table 1 or Table 2; and comparing the quantity or activity from the second sample to a control value.

11. The method of claim 7, wherein the animal is a human.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0006] FIG. 1A-C: (1A) Paradigm for plasma proteomics profiling. Mice were injected with klotho, allowed to explore a small Y-maze for 10 minutes, and then their plasma was immediately harvested. (1B) Plasma proteomics identified PF4 as highest expressed klotho-induced protein (6.5 fold increase, FDR q-value=0.002). (1C) Pathway analysis predicts klotho activates platelets and their functions.

[0007] FIG. 2A-B: (2A) Paradigm of Veh or PF4 Trt in aging mice followed by cognitive testing (n=8 mice/group, age 18-21 mos). (2B) PF4 treatment given one hour before training and then 1 h before testing increased memory of aging mice, measured by time spent exploring the novel compared to familiar arms of the Two Trials Y-maze over several minutes (Two-way repeated measures ANOVA, *p<0.05). Data are mean±SEM.

[0008] FIG. 3A-C: (3A) Paradigm for measuring platelet activation. Mice (age 5 months; n=8-9 mice per group) were treated with either Veh or Klotho (s.c., 10 μg/kg) followed by platelet isolation from whole blood and then platelet activation analysis by fluorescence activated single cell sorting (FACS) sorting with markers CD61 and CD62P. (3B) Flow cytometry plots from FACS sorting show platelet populations. The upper graphs show density plots of the platelets, gated by SSC (for granularity) and CD61-positivity which both identify platelets from other blood cells. The lower graphs show dot plots of the percentage activated (CD61 and CD62P-positive) and resting (CD61-positive only) platelets. (3C) Quantification of activated platelets in young mice following treatment with Veh or Klotho.

DEFINITIONS

[0009] Unless defined otherwise, technical and scientific terms used herein have the same meaning as commonly understood by a person of ordinary skill in the art. See, e.g., Lackie, DICTIONARY OF CELL AND MOLECULAR BIOLOGY, Elsevier (4.sup.th ed. 2007); Sambrook et al., MOLECULAR CLONING, A LABORATORY MANUAL, Cold Springs Harbor Press (Cold Springs Harbor, N.Y. 1989). Any methods, devices and materials similar or equivalent to those described herein can be used in the practice of this invention. The following definitions are provided to facilitate understanding of certain terms used frequently herein and are not meant to limit the scope of the present disclosure.

[0010] The terms “klotho” or “klotho polypeptide” refer to soluble klotho polypeptide, or functional variants and fragments thereof, including those described herein, unless otherwise stated. Soluble klotho is any form of klotho that circulates in fluid (e.g., serum, cerebrospinal fluid, etc.), and that does not include a transmembrane or intracellular component. Klotho can be cleaved from its transmembrane form and released into fluid, or otherwise secreted or shed from a cell. Klotho RNA can also be alternatively spliced and directly secreted into the surrounding fluid (i.e., without forming a transmembrane protein). Both protein forms are encompassed in the terms soluble klotho polypeptide, klotho polypeptide, and klotho.

[0011] As used herein, the terms “systemic” or “peripheral” refer to administration by a route that does not involve direct injection (or other administration) into the cerebrospinal fluid (CSF) or central nervous system (CNS). That is, systemic and peripheral administration encompasses administration to the “blood” side of the blood-brain barrier. Examples of systemic and peripheral routes include oral and mucosal, intravenous, intraperitoneal, intramuscular, and subcutaneous injection, and intravenous drip.

[0012] The terms “cognition,” “cognitive ability,” “cognitive function,” and like terms refer to a collection of mental tasks and functions, including but not limited to: memory (e.g., semantic, episodic, procedural, priming, or working); orientation; language; problem solving; visual perception, construction, and integration; planning; organizational skills; selective attention; inhibitory control; and ability to mentally manipulate information.

[0013] The terms “improved cognition,” “increased cognitive ability,” “improved cognitive function,” and like terms refer to an improvement in cognition under a given condition (e.g. treatment with klotho) compared to cognition absent the condition (e.g., absent treatment with klotho). For an individual experiencing cognitive decline, an improvement in cognition might be a reduction in the rate of cognitive decline (i.e., an improvement compared to the absence of treatment), but not an actual improvement in cognitive ability. An increase in cognitive ability can also be an increase in brain activity in a specified area, e.g., as determined by MRI, or an inhibition of brain activity that results in better overall brain function. An increase in cognitive ability can also be improvement in a cognitive performance test as described in more detail herein. An improvement or increase in cognitive ability can be in any one cognitive aspect or function, or any combination of individual cognitive functions.

[0014] An individual in need of improved cognitive function refers to individuals with age-related cognitive decline; a neurodegenerative disease; a mental or mood disorder; traumatic brain injury; developmental delay; genetic disorder resulting in reduced cognitive ability; brain injury due to stroke, brain cancer, MS, epilepsy, radiation or chemotherapy; etc. An individual in need of improved cognitive function can also include individuals that desire increased mental function to fight the effects of stress, sleep deprivation, jet lag, or pain, or to heighten ability for a particular task.

[0015] The words “protein”, “peptide”, and “polypeptide” are used interchangeably to denote an amino acid polymer or a set of two or more interacting or bound amino acid polymers. The terms apply to amino acid polymers in which one or more amino acid residue is an artificial chemical mimetic of a corresponding naturally occurring amino acid, as well as to naturally occurring amino acid polymers, those containing modified residues, and non-naturally occurring amino acid polymer.

[0016] The term “amino acid” refers to naturally occurring and synthetic amino acids, as well as amino acid analogs and amino acid mimetics that function similarly to the naturally occurring amino acids. Naturally occurring amino acids are those encoded by the genetic code, as well as those amino acids that are later modified, e.g., hydroxyproline, γ-carboxyglutamate, and O-phosphoserine. Amino acid analogs refers to compounds that have the same basic chemical structure as a naturally occurring amino acid, e.g., an α carbon that is bound to a hydrogen, a carboxyl group, an amino group, and an R group, e.g., homoserine, norleucine, methionine sulfoxide, methionine methyl sulfonium. Such analogs may have modified R groups (e.g., norleucine) or modified peptide backbones, but retain the same basic chemical structure as a naturally occurring amino acid. Amino acid mimetics refers to chemical compounds that have a structure that is different from the general chemical structure of an amino acid, but that functions similarly to a naturally occurring amino acid.

[0017] Amino acids may be referred to herein by either their commonly known three letter symbols or by the one-letter symbols recommended by the IUPAC-IUB Biochemical Nomenclature Commission. Nucleotides, likewise, may be referred to by their commonly accepted single-letter codes.

[0018] “Conservatively modified variants” applies to both amino acid and nucleic acid sequences. With respect to particular nucleic acid sequences, conservatively modified variants refers to those nucleic acids which encode identical or essentially identical amino acid sequences, or where the nucleic acid does not encode an amino acid sequence, to essentially identical or associated, e.g., naturally contiguous, sequences. Because of the degeneracy of the genetic code, a large number of functionally identical nucleic acids encode most proteins. For instance, the codons GCA, GCC, GCG and GCU all encode the amino acid alanine. Thus, at every position where an alanine is specified by a codon, the codon can be altered to another of the corresponding codons described without altering the encoded polypeptide. Such nucleic acid variations are “silent variations,” which are one species of conservatively modified variations. Every nucleic acid sequence herein which encodes a polypeptide also describes silent variations of the nucleic acid. One of skill will recognize that in certain contexts each codon in a nucleic acid (except AUG, which is ordinarily the only codon for methionine, and TGG, which is ordinarily the only codon for tryptophan) can be modified to yield a functionally identical molecule. Accordingly, often silent variations of a nucleic acid which encodes a polypeptide is implicit in a described sequence with respect to the expression product, but not with respect to actual probe sequences.

[0019] As to amino acid sequences, one of skill will recognize that individual substitutions, deletions or additions to a nucleic acid, peptide, polypeptide, or protein sequence which alters, adds or deletes a single amino acid or a small percentage of amino acids in the encoded sequence is a “conservatively modified variant” where the alteration results in the substitution of an amino acid with a chemically similar amino acid. Conservative substitution tables providing functionally similar amino acids are well known in the art. Such conservatively modified variants are in addition to and do not exclude polymorphic variants, interspecies homologs, and alleles of the invention. The following amino acids are typically conservative substitutions for one another: 1) Alanine (A), Glycine (G); 2) Aspartic acid (D), Glutamic acid (E); 3) Asparagine (N), Glutamine (Q); 4) Arginine (R), Lysine (K); 5) Isoleucine (I), Leucine (L), Methionine (M), Valine (V); 6) Phenylalanine (F), Tyrosine (Y), Tryptophan (W); 7) Serine (S), Threonine (T); and 8) Cysteine (C), Methionine (M) (see, e.g., Creighton, Proteins (1984)).

[0020] The terms “identical” or “percent identity,” in the context of two or more nucleic acids, or two or more polypeptides, refer to two or more sequences or subsequences that are the same or have a specified percentage of nucleotides, or amino acids, that are the same (i.e., about 60% identity, preferably 65%, 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or higher identity over a specified region, when compared and aligned for maximum correspondence over a comparison window or designated region) as measured using a BLAST or BLAST 2.0 sequence comparison algorithms with default parameters, or by manual alignment and visual inspection. See e.g., the NCBI web site at ncbi.nlm.nih.gov/BLAST. Such sequences are then said to be “substantially identical.” This definition also refers to, or may be applied to, the compliment of a nucleotide test sequence. The definition also includes sequences that have deletions and/or additions, as well as those that have substitutions. As described below, the algorithms can account for gaps and the like. Typically, identity exists over a region comprising an antibody epitope, or a sequence that is at least about 25 amino acids or nucleotides in length, or over a region that is 50-100 amino acids or nucleotides in length, or over the entire length of the reference sequence.

[0021] The term “recombinant” when used with reference, e.g., to a cell, or nucleic acid, protein, or vector, indicates that the cell, nucleic acid, protein or vector, has been modified by the introduction of a heterologous nucleic acid or protein or the alteration of a native nucleic acid or protein, or that the cell is derived from a cell so modified. Thus, for example, recombinant cells express genes that are not found within the native (non-recombinant) form of the cell or express native genes that are otherwise abnormally expressed, under expressed or not expressed at all.

[0022] The term “heterologous” when used with reference to portions of a protein or nucleic acid indicates that the protein or nucleic acid comprises two or more subsequences that are not found in the same relationship to each other in nature. For instance, the protein or nucleic acid is typically recombinantly produced, having two or more sequences from unrelated genes arranged to make a new functional nucleic acid, e.g., a promoter from one source and a coding region from another source, or functional chimeric protein.

[0023] The terms “effective amount,” “effective dose,” “therapeutically effective amount,” etc. refer to that amount of the therapeutic agent sufficient to ameliorate a disorder. For example, for the given parameter, a therapeutically effective amount will show an increase or decrease of therapeutic effect at least 1%, 2%, 5%, 10%, 15%, 20%, 25%, 40%, 50%, 60%, 75%, 80%, 90%, or at least 100%. Therapeutic efficacy can also be expressed as “-fold” increase or decrease. For example, a therapeutically effective amount can have at least a 1.2-fold, 1.5-fold, 2-fold, 5-fold, or more effect over a control.

[0024] As used herein, the term “pharmaceutically acceptable” is used synonymously with physiologically acceptable and pharmacologically acceptable. A pharmaceutical composition will generally comprise agents for buffering and preservation in storage, and can include buffers and carriers for appropriate delivery, depending on the route of administration.

[0025] The terms “dose” and “dosage” are used interchangeably herein. A dose refers to the amount of active ingredient given to an individual at each administration. For example the dose can refer to the amount of Klotho polypeptide. The dose will vary depending on a number of factors, including frequency of administration; size and tolerance of the individual; type and severity of the condition; risk of side effects; and the route of administration. One of skill in the art will recognize that the dose can be modified depending on the above factors or based on therapeutic progress. The term “dosage form” refers to the particular format of the pharmaceutical, and depends on the route of administration. For example, a dosage form can be in a liquid, e.g., a saline solution for injection.

[0026] “Subject,” “patient,” “individual” and like terms are used interchangeably and refer to, except where indicated, mammals such as humans and non-human primates, as well as dogs, horses, pigs, mice, rats, and other mammalian species. The term does not necessarily indicate that the subject has been diagnosed with a particular disease, but typically refers to an individual under medical supervision. A patient can be an individual that is seeking treatment, monitoring, adjustment or modification of an existing therapeutic regimen, etc.

[0027] The terms “specific for,” “specifically binds,” and like terms refer to a molecule (e.g., antibody or antibody fragment) that binds to a target with at least 2-fold greater affinity than non-target compounds, e.g., at least any of 4-fold, 5-fold, 6-fold, 7-fold, 8-fold, 9-fold, 10-fold, 20-fold, 25-fold, 50-fold, or 100-fold greater affinity. Specificity can be determined using standard methods, e.g., solid-phase ELISA immunoassays (see, e.g., Harlow & Lane, Using Antibodies, A Laboratory Manual (1998) for a description of immunoassay formats and conditions that can be used to determine specific immunoreactivity).

DETAILED DESCRIPTION OF THE INVENTION

[0028] The Klotho protein's role in cognition and other biological processes has been established, but in the past Klotho's mechanism of action and signal transduction pathway has not been known. As a result, while Klotho could be administered in clinical, preclinical and experimental situations, it was not possible to measure whether Klotho induced a biological activity other than by measuring the desired result (e.g., improved cognition). As described herein, Klotho activates platelets and thus proteins indicating activation of platelets can be measured in an animal (e.g., a human) to measure Klotho activity in an animal either before administration of Klotho (e.g., to identify how likely an animal is to be most responsive to Klotho) or after administration of Klotho to measure Klotho's effect on downstream intermediates.

[0029] A number of proteins have been discovered or determined whose quantity (e.g., expression or steady—state amount) or activity increases with administration of activate Klotho. Table 1 lists proteins identified as enriched in response to Klotho and thus can be used as described herein to measure Klotho activity as described herein. Table 2 lists proteins involved in platelet activation and thus in view of Klotho's effect on platelet activation and platelet factors, can also be used to measure Klotho activity.

TABLE-US-00001 Ratio (KI/ Name GenBank ID/Uniprot ID Veh) Gen. Functions Platelet factor  5196 6.55 PF4 is a small cytokine  4 (PF4, CXCL4) (human) released from alpha- EAEEDGDLQCLCVKTTSQV granules of activated RPRHITSLEV IKAGPHCPTA platelets during QLIATLKNGR KICLDLQAPL platelet aggregation,  YKKIIKKLLES exercise, and poten- (SEQ ID NO: 2)/Q9Z126 tially other situa- (mouse) tions. It is involved in blood coagulation  and neurogenesis and   is related to anti-   cancer actions (Leiter O, Seidemann S, Overall R W, et al. Stem Cell Reports. 2019; 12(4): 667-679). Its receptor  is CXCR (de Jong E K, de Haas A H, Brouwer N, et al. J Neurochem.  2008; 105(5):1726- 1736). It may act more potently when combined with IL-8   (Nesmelova I V, Sham Y, Dudek A Z, et al. J  Biol Chem. 2005; 280(6):4948-4958) (or  potentially with other blood factors or with  klotho, being tested). Thrombospondin- 7057 4.04 THB1 or TSP1 is an  1 (THBS1, TSP1) (human) adhesive glycoprotein MGLAWGLGVLFLMHVCGTNRIPESGGD involved in cell-cell NSVFDIFELTGAARKGSGRRLVKGPDPS and cell-matrix in- SPAFRIEDANLIPPVPDDKFQDLVDAVRA teractions. It plays   EKGFLLLASLRQMKKTRGTLLALERKDH roles in platelet SGQVFSVVSNGKAGTLDLSLTVQGKQH aggregation, angio- VVSVEEALLATGQWKSITLFVQEDRAQL genesis, tumorigenesis YIDCEKMENAELDVPIQSVFTRDLASIAR (Isenberg J S, Romeo LRIAKGGVNDNFQGVLQNVRFVFGTTPE M J, Yu C, et al.  DILRNKGCSSSTSVLLTLDNNVVNGSSP Blood. 2008; 111(2): AIRTNYIGHKTKDLQAICGISCDELSSMVL 613-623; Sheibani N, ELRGLRTIVTTLQDSIRKVTEENKELANE Frazier W A. Proc LRRPPLCYHNGVQYRNNEEWTVDSCTE Natl Acad Sci USA. CHCQNSVTICKKVSCPIMPCSNATVPDG 1995; 92(15):6788-  ECCPRCWPSDSADDGWSPWSEWTSC 6792), and facilitates STSCGNGIQQRGRSCDSLNNRCEGSSV synapse formation in QTRTCHIQECDKRFKQDGGWSHWSPW hippocampal SSCSVTCGDGVITRIRLCNSPSPQMNGK neurons through neuro- PCEGEARETKACKKDACPINGGWGPWS ligin-1 (Xu J, Xiao N,  PWDICSVTCGGGVQKRSRLCNNPTPQF Xia J. Nat Neurosci.  GGKDCVGDVTENQICNKQDCPIDGCLS 2010; 13(1):22-24). NPCFAGVKCTSYPDGSWKCGACPPGY SGNGIQCTDVDECKEVPDACFNHNGEH RCENTDPGYNCLPCPPRFTGSQPFGQG VEHATANKQVCKPRNPCTDGTHDCNKN AKCNYLGHYSDPMYRCECKPGYAGNGII CGEDTDLDGWPNENLVCVANATYHCKK DNCPNLPNSGQEDYDKDGIGDACDDDD DNDKIPDDRDNCPFHYNPAQYDYDRDD VGDRCDNCPYNHNPDQADTDNNGEGD ACAADIDGDGILNERDNCQYVYNVDQR DTDMDGVGDQCDNCPLEHNPDQLDSD SDRIGDTCDNNQDIDEDGHQNNLDNCP YVPNANQADHDKDGKGDACDHDDDND GIPDDKDNCRLVPNPDQKDSDGDGRGD ACKDDFDHDSVPDIDDICPENVDISETDF RRFQMIPLDPKGTSQNDPNWVVRHQGK ELVQTVNCDPGLAVGYDEFNAVDFSGT FFINTERDDDYAGFVFGYQSSSRFYVVM WKQVTQSYWDTNPTRAQGYSGLSVKV VNSTTGPGEHLRNALWHTGNTPGQVRT LWHDPRHIGWKDFTAYRWRLSHRPKTG FIRVVMYEGKKIMADSGPIYDKTYAGGR LGLFVFSQEMVFFSDLKYECRDP  (SEQ ID NO: 3)/P35441 (mouse) Fermitin family 83706 3.95 FERT3 is a key molecule  homolog 3 (human) for organization of fo- (FERMT3) MAGMKTASGDYIDSSWELRVFVGEEDP cal adhesions that con- EAESVTLRVTGESHIGGVLLKIVEQINRK nect cell-extracellular  QDWSDHAIWWEQKRQWLLQTHWTLDK matrix junctions; it  YGILADARLFFGPQHRPVILRLPNRRALR also controls cell-cell LRASFSQPLFQAVAAICRLLSIRHPEELS contacts and nucleus  LLRAPEKKEKKKKEKEPEEELYDLSKVVL function (Li H, Deng Y, AGGVAPALFRGMPAHFSDSAQTEACYH Sun K, et al. Proc Natl  MLSRPQPPPDPLLLQRLPRPSSLSDKTQ Acad Sci USA. 2017; LHSRWLDSSRCLMQQGIKAGDALWLRF 114(35):9349-9354). KYYSFFDLDPKTDPVRLTQLYEQARWDL LLEEIDCTEEEMMVFAALQYHINKLSQSG EVGEPAGTDPGLDDLDVALSNLEVKLEG SAPTDVLDSLTTIPELKDHLRIFRIPRRPR KLTLKGYRQHWVVFKETTLSYYKSQDEA PGDPIQQLNLKGCEVVPDVNVSGQKFCI KLLVPSPEGMSEIYLRCQDEQQYARWM AGCRLASKGRTMADSSYTSEVQAILAFL SLQRTGSGGPGNHPHGPDASAEGLNPY GLVAPRFQRKFKAKQLTPRILEAHQNVA QLSLAEAQLRFIQAWQSLPDFGISYVMV RFKGSRKDEILGIANNRLIRIDLAVGDVVK TWRFSNMRQWNVNWDIRQVAIEFDEHI NVAFSCVSASCRIVHEYIGGYIFLSTRER ARGEELDEDLFLQLTGGHEAF  (SEQ ID NO: 4)/Q8K1B8 (mouse) Talin-1 (TLN1) 7094 2.77 TLN1 is ubiquitously  (human) expressed and mediates  MVALSLKISIGNVVKTMQFEPSTMVYDA cell-cell adhesion by  CRIIRERIPEAPAGPPSDFGLFLSDDDPK linking integrins to KGIWLEAGKALDYYMLRNGDTMEYRKK the actin cytoskeleton;  QRPLKIRMLDGTVKTIMVDDSKTVTDML it also participates in  MTICARIGITNHDEYSLVRELMEEKKEEIT the activation of in- GTLRKDKTLLRDEKKMEKLKQKLHTDDE tegrins (Manso A M, LNWLDHGRTLREQGVEEHETLLLRRKFF Okada H, Sakamoto F YSDQNVDSRDPVQLNLLYVQARDDILNG M, et al. Proc Natl  SHPVSFDKACEFAGFQCQIQFGPHNEQ Acad Sci USA. 2017;  KHKAGFLDLKDFLPKEYVKQKGERKIFQ 114(30):E6250-E6259). AHKNCGQMSEIEAKVRYVKLARSLKTYG VSFFLVKEKMKGKNKLVPRLLGITKECV MRVDEKTKEVIQEWNLTNIKRWAASPKS FTLDFGDYQDGYYSVQTTEGEQIAQLIA GYIDIILKKKKSKDHFGLEGDEESTMLED SVSPKKSTVLQQQYNRVGKVEHGSVAL PAIMRSGASGPENFQVGSMPPAQQQIT SGQMHRGHMPPLTSAQQALTGTINSSM QAVQAAQATLDDFDTLPPLGQDAASKA WRKNKMDESKHEIHSQVDAITAGTASVV NLTAGDPAETDYTAVGCAVTTISSNLTE MSRGVKLLAALLEDEGGSGRPLLQAAK GLAGAVSELLRSAQPASAEPRQNLLQAA GNVGQASGELLQQIGESDTDPHFQDAL MQLAKAVASAAAALVLKAKSVAQRTEDS GLQTQVIAAATQCALSTSQLVACTKVVA PTISSPVCQEQLVEAGRLVAKAVEGCVS ASQAATEDGQLLRGVGAAATAVTQALN ELLQHVKAHATGAGPAGRYDQATDTILT VTENIFSSMGDAGEMVRQARILAQATSD LVNAIKADAEGESDLENSRKLLSAAKILA DATAKMVEAAKGAAAHPDSEEQQQRLR EAAEGLRMATNAAAQNAIKKKLVQRLEH AAKQAAASATQTIAAAQHAASTPKASAG PQPLLVQSCKAVAEQIPLLVQGVRGSQA QPDSPSAQLALIAASQSFLQPGGKMVAA AKASVPTIQDQASAMQLSQCAKNLGTAL AELRTAAQKAQEACGPLEMDSALSVVQ NLEKDLQEVKAAARDGKLKPLPGETMEK CTQDLGNSTKAVSSAIAQLLGEVAQGNE NYAGIAARDVAGGLRSLAQAARGVAALT SDPAVQAIVLDTASDVLDKASSLIEEAKK AAGHPGDPESQQRLAQVAKAVTQALNR CVSCLPGQRDVDNALRAVGDASKRLLS DSLPPSTGTFQEAQSRLNEAAAGLNQA ATELVQASRGTPQDLARASGRFGQDFS TFLEAGVEMAGQAPSQEDRAQVVSNLK GISMSSSKLLLAAKALSTDPAAPNLKSQL AAAARAVTDSINQLITMCTQQAPGQKEC DNALRELETVRELLENPVQPINDMSYFG CLDSVMENSKVLGEAMTGISQNAKNGN LPEFGDAISTASKALCGFTEAAAQAAYLV GVSDPNSQAGQQGLVEPTQFARANQAI QMACQSLGEPGCTQAQVLSAATIVAKHT SALCNSCRLASARTTNPTAKRQFVQSAK EVANSTANLVKTIKALDGAFTEENRAQC RAATAPLLEAVDNLSAFASNPEFSSIPAQ ISPEGRAAMEPIVISAKTMLESAGGLIQT ARALAVNPRDPPSWSVLAGHSRTVSDSI KKLITSMRDKAPGQLECETAIAALNSCLR DLDQASLAAVSQQLAPREGISQEALHTQ MLTAVQEISHLIEPLANAARAEASQLGHK VSQMAQYFEPLTLAAVGAASKTLSHPQ QMALLDQTKTLAESALQLLYTAKEAGGN PKQAAHTQEALEEAVQMMTEAVEDLTT TLNEAASAAGVVGGMVDSITQAINQLDE GPMGEPEGSFVDYQTTMVRTAKAIAVTV QEMVTKSNTSPEELGPLANQLTSDYGRL ASEAKPAAVAAENEEIGSHIKHRVQELG HGCAALVTKAGALQCSPSDAYTKKELIE CARRVSEKVSHVLAALQAGNRGTQACIT AASAVSGIIADLDTTIMFATAGTLNREGT ETFADHREGILKTAKVLVEDTKVLVQNAA GSQEKLAQAAQSSVATITRLADVVKLGA ASLGAEDPETQVVLINAVKDVAKALGDLI SATKAAAGKVGDDPAVWQLKNSAKVMV TNVTSLLKTVKAVEDEATKGTRALEATTE HIRQELAVFCSPEPPAKTSTPEDFIRMTK GITMATAKAVAAGNSCRQEDVIATANLS RRAIADMLRACKEAAYHPEVAPDVRLRA LHYGRECANGYLELLDHVLLTLQKPSPE LKQQLTGHSKRVAGSVTELIQAAEAMKG TEWVDPEDPTVIAENELLGAAAAIEAAAK KLEQLKPRAKPKEADESLNFEEQILEAAK SIAAATSALVKAASAAQRELVAQGKVGAI PANALDDGQWSQGLISAARMVAAATNN LCEAANAAVQGHASQEKLISSAKQVAAS TAQLLVACKVKADQDSEAMKRLQAAGN AVKRASDNLVKAAQKAAAFEEQENETVV VKEKMVGGIAQIIAAQEEMLRKERELEEA RKKLAQIRQQQYKFLPSELRDEH  (SEQ ID NO: 5)/P26039 (mouse) Creatine  1158 2.41 CKM catalyzes the  kinase (human) transfer of phosphate M-type MPFGNTHNKFKLNYKPEEEYPDLSKHN between ATP and  (CKM) NHMAKVLTLELYKKLRDKETPSGFTVDD creatine; it also   VIQTGVDNPGHPFIMTVGCVAGDEESYE catalyzes the transfer  VFKELFDPIISDRHGGYKPTDKHKTDLNH of phosphate between ENLKGGDDLDPNYVLSSRVRTGRSIKGY phospho-creatine and TLPPHCSRGERRAVEKLSVEALNSLTGE ADP (Schafer B,  FKGKYYPLKSMTEKEQQQLIDDHFLFDK Perriard J C, PVSPLLLASGMARDWPDARGIWHNDNK Eppenberger H M. SFLVWVNEEDHLRVISMEKGGNMKEVF Basic Res Cardiol. RRFCVGLQKIEEIFKKAGHPFMWNQHLG 1985; 80 Suppl 2: YVLTCPSNLGTGLRGGVHVKLAHLSKHP 129-133). KFEEILTRLRLQKRGTGGVDTAAVGSVF DVSNADRLGSSEVEQVQLVVDGVKLMV EMEKKLEKGQSIDDMIPAQK  (SEQ ID NO: 6)/P07310 (mouse) Glyceraldehyde- 2597 2.05 GAPDH is involved in  3-phosphate (human) catalyzing the sixth dehydrogenase MGKVKVGVNGFGRIGRLVTRAAFNSGK step of glycolysis; it (GAPDH) VDIVAINDPFIDLNYMVYMFQYDSTHGKF  breaks down glucose  HGTVKAENGKLVINGNPITIFQERDPSKI for energy and carbon KWGDAGAEYVVESTGVFTTMEKAGAHL molecules (Yang J S,  QGGAKRVIISAPSADAPMFVMGVNHEKY Hsu J W, Park S Y, et DNSLKIISNASCTTNCLAPLAKVIHDNFGI al. Nature. 2018; 561  VEGLMTTVHAITATQKTVDGPSGKLWRD (7722):263-267). GRGALQNIIPASTGAAKAVGKVIPELNGK LTGMAFRVPTANVSVVDLTCRLEKPAKY DDIKKVVKQASEGPLKGILGYTEHQVVS SDFNSDTHSSTFDAGAGIALNDHFVKLIS WYDNEFGYSNRVVDLMAHMASKE (SEQ ID NO: 7)/P16858 (mouse) Elongation  1915 1.79 EEF1A1 enzymatically  factor (human) delivers aminoacyl 1-alpha 1 MGKEKTHINIVVIGHVDSGKSTTTGHLIY tRNAs to the ribosome (EEF1A1) KCGGIDKRTIEKFEKEAAEMGKGSFKYA (Vera M, Pani B, WVLDKLKAERERGITIDISLWKFETSKYY Griffiths L A, et al. VTIIDAPGHRDFIKNMITGTSQADCAVLIV Elife. 2014; 3:e03164). AAGVGEFEAGISKNGQTREHALLAYTLG VKQLIVGVNKMDSTEPPYSQKRYEEIVK EVSTYIKKIGYNPDTVAFVPISGWNGDN MLEPSANMPWFKGWKVTRKDGNASGT TLLEALDCILPPTRPTDKPLRLPLQDVYKI GGIGTVPVGRVETGVLKPGMVVTFAPVN VTTEVKSVEMHHEALSEALPGDNVGFN VKNVSVKDVRRGNVAGDSKNDPPMEAA GFTAQVIILNHPGQISAGYAPVLDCHTAH IACKFAELKEKIDRRSGKKLEDGPKFLKS GDAAIVDMVPGKPMCVESFSDYPPLGR FAVRDMRQTVAVGVIKAVDKKAAGAGK VTKSAQKAQKAK  (SEQ ID NO: 8)/P10126 (mouse) Ig gamma-1  3500 1.43 IGHG1 is a constant  chain  (human) region of immunoglo- C region ASTKGPSVFPLAPSSKSTSGGTAALGCL bulin heavy chains and secreted VKDYFPEPVTVSWNSGALTSGVHTFPA is involved in the form (IGHG1) VLQSSGLYSLSSVVTVPSSSLGTQTYICN growth of cancers  VNHKPSNTKVDKKVEPKSCDKTHTCPP (Chu J, Li Y, Deng Z, CPAPELLGGPSVFLFPPKPKDTLMISRTP et al. IGHG1 Biomed EVTCVVVDVSHEDPEVKFNWYVDGVEV Res Int. 2019; 2019: HNAKTKPREEQYNSTYRVVSVLTVLHQD 7201562). WLNGKEYKCKVSNKALPAPIEKTISKAK GQPREPQVYTLPPSRDELTKNQVSLTCL VKGFYPSDIAVEWESNGQPENNYKTTP PVLDSDGSFFLYSKLTVDKSRWQQGNV FSCSVMHEALHNHYTQKSLSLSPGK (SEQ ID NO: 9)/P01868 (mouse) Tubulin  7846 1.36 TUBA1A is part of the  alpha-1A  (human) formation of micro- chain MRECISIHVGQAGVQIGNACWELYCLEH tubules structural (TUBA1A) GIQPDGQMPSDKTIGGGDDSFNTFFSET proteins that partici- GAGKHVPRAVFVDLEPTVIDEVRTGTYR pate in cytoskeletal   QLFHPEQLITGKEDAANNYARGHYTIGK structure. Importantly, EIIDLVLDRIRKLADQCTGLQGFLVFHSF it functions in the  GGGTGSGFTSLLMERLSVDYGKKSKLE adult hippocampal FSIYPAPQVSTAVVEPYNSILTTHTTLEH neurogenesis and SDCAFMVDNEAIYDICRRNLDIERPTYTN formation of dentate LNRLIGQIVSSITASLRFDGALNVDLTEFQ gyrus (Keays D A, TNLVPYPRIHFPLATYAPVISAEKAYHEQ Cleak J, Huang G J,  LSVAEITNACFEPANQMVKCDPRHGKY et al. Dev Neurosci. MACCLLYRGDVVPKDVNAAIATIKTKRTI 2010; 32(4):268-277). QFVDWCPTGFKVGINYQPPTVVPGGDL AKVQRAVCMLSNTTAIAEAWARLDHKFD LMYAKRAFVHWYVGEGMEEGEFSEARE DMAALEKDYEEVGVDSVEGEGEEEGEE Y  (SEQ ID NO: 10)/P68369 (mouse) Heat shock P11142(human) 1.33 HSPA8 facilitates  cognate 71 MSKGPAVGIDLGTTYSCVGVFQHGKVEII proper folding of kDa protein ANDQGNRTTPSYVAFTDTERLIGDAAKN newly translated and  (HSPA8) QVAMNPTNTVFDAKRLIGRRFDDAVVQS misfolded proteins; it   DMKHWPFMVVNDAGRPKVQVEYKGET also stabilizes or  KSFYPEEVSSMVLTKMKEIAEAYLGKTV degrades mutant pro- TNAVVTVPAYFNDSQRQATKDAGTIAGL teins, it fundamentally NVLRIINEPTAAAIAYGLDKKVGAERNVLI functions in various  FDLGGGTFDVSILTIEDGIFEVKSTAGDT biological processes HLGGEDFDNRMVNHFIAEFKRKHKKDIS including signal trans- ENKRAVRRLRTACERAKRTLSSSTQASI duction, protein homeo- EIDSLYEGIDFYTSITRARFEELNADLFRG stasis, and cell  TLDPVEKALRDAKLDKSQIHDIVLVGGST growth/differentiation  RIPKIQKLLQDFFNGKELNKSINPDEAVA (Wang F, Bonam S R, YGAAVQAAILSGDKSENVQDLLLLDVTPL Schall N, et al. Sci SLGIETAGGVMTVLIKRNTTIPTKQTQTF Rep. 2018; 8(1): TTYSDNQPGVLIQVYEGERAMTKDNNLL 16820). GKFELTGIPPAPRGVPQIEVTFDIDANGIL NVSAVDKSTGKENKITITNDKGRLSKEDI ERMVQEAEKYKAEDEKQRDKVSSKNSL ESYAFNMKATVEDEKLQGKINDEDKQKI LDKCNEIINWLDKNQTAEKEEFEHQQKE LEKVCNPIITKLYQSAGGMPGGMPGGFP GGGAPPSGGASSGPTIEEVD  (SEQ ID NO: 11)/P63017 (mouse) Catalase (CAT) 3312 1.27 CAT catalyzes the de- (human) composition of ADSRDPASDQMQHWKEQRAAQKADVL hydrogen peroxide to  TTGAGNPVGDKLNVITVGPRGPLLVQDV water and oxygen (Peng VFTDEMAHFDRERIPERVVHAKGAGAF J, Stevenson F F, GYFEVTHDITKYSKAKVFEHIGKKTPIAV Doctrow S R, Andersen  RFSTVAGESGSADTVRDPRGFAVKFYT J K. J Biol Chem. 2005; EDGNWDLVGNNTPIFFIRDPILFPSFIHS 280(32):29194-29198) QKRNPQTHLKDPDMVWDFWSLRPESL HQVSFLFSDRGIPDGHRHMNGYGSHTF KLVNANGEAVYCKFHYKTDQGIKNLSVE DAARLSQEDPDYGIRDLFNAIATGKYPS WTFYIQVMTFNQAETFPFNPFDLTKVWP HKDYPLIPVGKLVLNRNPVNYFAEVEQIA FDPSNMPPGIEASPDKMLQGRLFAYPDT HRHRLGPNYLHIPVNCPYRARVANYQR DGPMCMQDNQGGAPNYYPNSFGAPEQ QPSALEHSIQYSGEVRRFNTANDDNVTQ VRAFYVNVLNEEQRKRLCENIAGHLKDA QIFIQKKAVKNFTEVHPDYGSHIQALLDK YNAEKPKNAIHTFVQSGSHLAAREKANL (SEQ ID NO: 12)/P24270 (mouse) Actin,  60; 71 1.23 ACTG1 polymerizes to  cytoplasmic (human) make filaments by 1; Actin, MDDDIAALVVDNGSGMCKAGFAGDDAP forming cross-linked  cytoplasmic RAVFPSIVGRPRHQGVMVGMGQKDSYV networks in the 2 (ACTB; GDEAQSKRGILTLKYPIEHGIVTNWDDM cytoplasm of cells  ACTG1) EKIWHHTFYNELRVAPEEHPVLLTEAPL to facilitate motility NPKANREKMTQIMFETFNTPAMYVAIQA and contraction VLSLYASGRTTGIVMDSGDGVTHTVPIY (Hsueh Y P. Commun EGYALPHAILRLDLAGRDLTDYLMKILTE Integr Biol. 2012; RGYSFTTTAEREIVRDIKEKLCYVALDFE 5(4):334-336.) QEMATAASSSSLEKSYELPDGQVITIGN ERFRCPEALFQPSFLGMESCGIHETTFN SIMKCDVDIRKDLYANTVLSGGTTMYPGI ADRMQKEITALAPSTMKIKIIAPPERKYSV WIGGSILASLSTFQQMWISKQEYDESGP SIVHRKCF  (SEQ ID NO: 13)/P60710; P63260 (mouse) Hemoglobin 15129 1.21 HBB-B1 is the most  subunit  (mouse) common form of hemo- beta-1 MVHLTPEEKSAVTALWGKVNVDEVGGE globin in adult  (HBB-B1) ALGRLLVVYPWTQRFFESFGDLSTPDAV humans; it is in- MGNPKVKAHGKKVLGAFSDGLAHLDNL volved in some  KGTFATLSELHCDKLHVDPENFRLLGNV genetic disorders LVCVLAHHFGKEFTPPVQAAYQKVVAGV such as sickle-cell  ANALAHKYH  and beta thalassemia (SEQ ID NO: 14)/P02088 (Chang C K, Simplaceanu (mouse) V, Ho C. Biochemistry. 2002; 41(17):5644-5655). Phospholipid 5360 1.17 PLTP transfers phospho- transfer  (human) lipids from tri- protein MALFGALFLALLAGAHAEFPGCKIRVTSK glyceride-rich lipo- (PLTP) ALELVKQEGLRFLEQELETITIPDLRGKE proteins to high GHFYYNISEVKVTELQLTSSELDFQPQQ density lipoprotein ELMLQITNASLGLRFRRQLLYWFFYDGG (HDL) and is involved YINASAEGVSIRTGLELSRDPAGRMKVS in cholesterol  NVSCQASVSRMHAAFGGTFKKVYDFLS metabolism (Desrumaux TFITSGMRFLLNQQICPVLYHAGTVLLNS C, Risold P Y,  LLDTVPVRSSVDELVGIDYSLMKDPVAS Schroeder H, et al. TSNLDMDFRGAFFPLTERNWSLPNRAV FASEB J. 2005;   EPQLQEEERMVYVAFSEFFFDSAMESY 19(2):296-297). FRAGALQLLLVGDKVPHDLDMLLRATYF   GSIVLLSPAVIDSPLKLELRVLAPPRCTIK PSGTTISVTASVTIALVPPDQPEVQLSSM   TMDARLSAKMALRGKALRTQLDLRRFRI YSNHSALESLALIPLQAPLKTMLQIGVMP MLNERTWRGVQIPLPEGINFVHEVVTNH AGFLTIGADLHFAKGLREVIEKNRPADVR ASTAPTPSTAAV  (SEQ ID NO: 15)/P55065 (mouse) Complement  721 1.13 C4B participates in the  C4-B (C4B) (human) complement system, is MRLLWGLIWASSFFTLSLQKPRLLLFSPS derived from human VVHLGVPLSVGVQLQDVPRGQVVKGSV leukocyte antigen FLRNPSRNNVPCSPKVDFTLSSERDFAL (HLA), and functions LSLQVPLKDAKSCGLHQLLRGPEVQLVA in immunity (Agarwal HSPWLKDSLSRTTNIQGINLLFSSRRGHL V, Talens S, Grandits FLQTDQPIYNPGQRVRYRVFALDQKMR A M, Blom A M. J Biol  PSTDTITVMVENSHGLRVRKKEVYMPSS Chem. 2015; 290(30): IFQDDFVIPDISEPGTWKISARFSDGLES 18333-18342). NSSTQFEVKKYVLPNFEVKITPGKPYILT VPGHLDEMQLDIQARYIYGKPVQGVAYV RFGLLDEDGKKTFFRGLESQTKLVNGQS HISLSKAEFQDALEKLNMGITDLQGLRLY VAAAIIESPGGEMEEAELTSWYFVSSPF SLDLSKTKRHLVPGAPFLLQALVREMSG SPASGIPVKVSATVSSPGSVPEVQDIQQ NTDGSGQVSIPIIIPQTISELQLSVSAGSP HPAIARLTVAAPPSGGPGFLSIERPDSRP PRVGDTLNLNLRAVGSGATFSHYYYMIL SRGQIVFMNREPKRTLTSVSVFVDHHLA PSFYFVAFYYHGDHPVANSLRVDVQAG ACEGKLELSVDGAKQYRNGESVKLHLET DSLALVALGALDTALYAAGSKSHKPLNM GKVFEAMNSYDLGCGPGGGDSALQVF QAAGLAFSDGDQWTLSRKRLSCPKEKT TRKKRNVNFQKAINEKLGQYASPTAKRC CQDGVTRLPMMRSCEQRAARVQQPDC REPFLSCCQFAESLRKKSRDKGQAGLQ RALEILQEEDLIDEDDIPVRSFFPENWLW RVETVDRFQILTLWLPDSLTTWEIHGLSL SKTKGLCVATPVQLRVFREFHLHLRLPM SVRRFEQLELRPVLYNYLDKNLTVSVHV SPVEGLCLAGGGGLAQQVLVPAGSARP VAFSVVPTAATAVSLKVVARGSFEFPVG DAVSKVLQIEKEGAIHREELVYELNPLDH RGRTLEIPGNSDPNMIPDGDFNSYVRVT ASDPLDTLGSEGALSPGGVASLLRLPRG CGEQTMIYLAPTLAASRYLDKTEQWSTL PPETKDHAVDLIQKGYMRIQQFRKADGS YAAWLSRGSSTWLTAFVLKVLSLAQEQV GGSPEKLQETSNWLLSQQQADGSFQDL SPVIHRSMQGGLVGNDETVALTAFVTIAL HHGLAVFQDEGAEPLKQRVEASISKASS FLGEKASAGLLGAHAAAITAYALTLTKAP ADLRGVAHNNLMAMAQETGDNLYWGS VTGSQSNAVSPTPAPRNPSDPMPQAPA LWIETTAYALLHLLLHEGKAEMADQAAA WLTRQGSFQGGFRSTQDTVIALDALSAY WIASHTTEERGLNVTLSSTGRNGFKSHA LQLNNRQIRGLEEELQFSLGSKINVKVG GNSKGTLKVLRTYNVLDMKNTTCQDLQI EVTVKGHVEYTMEANEDYEDYEYDELP AKDDPDAPLQPVTPLQLFEGRRNRRRR EAPKVVEEQESRVHYTVCIWRNGKVGL SGMAIADVTLLSGFHALRADLEKLTSLSD RYVSHFETEGPHVLLYFDSVPTSRECVG FEAVQEVPVGLVQPASATLYDYYNPERR CSVFYGAPSKSRLLATLCSAEVCQCAEG KCPRQRRALERGLQDEDGYRMKFACYY PRVEYGFQVKVLREDSRAAFRLFETKIT QVLHFTKDVKAAANQMRNFLVRASCRL RLEPGKEYLIMGLDGATYDLEGHPQYLL DSNSWIEEMPSERLCRSTRQRAACAQL NDFLQEYGTQGCQV  (SEQ ID NO: 16)/P01029 (mouse) Beta-enolase 2027 1.09 ENO3 is found in  (ENO3) (human) skeletal muscle cells MAMQKIFAREILDSRGNPTVEVDLHTAK and could play a role  GRFRAAVPSGASTGIYEALELRDGDKGR in muscle development YLGKGVLKAVENINNTLGPALLQKKLSVV and regeneration DQEKVDKFMIELDGTENKSKFGANAILG (Peshavaria M, Day VSLAVCKAGAAEKGVPLYRHIADLAGNP I N. Biochem J. 1993; DLILPVPAFNVINGGSHAGNKLAMQEFMI 292 (Pt 3):701-704). LPVGASSFKEAMRIGAEVYHHLKGVIKA   KYGKDATNVGDEGGFAPNILENNEALEL LKTAIQAAGYPDKVVIGMDVAASEFYRN GKYDLDFKSPDDPARHITGEKLGELYKS FIKNYPVVSIEDPFDQDDWATWTSFLSG VNIQIVGDDLTVTNPKRIAQAVEKKACNC LLLKVNQIGSVTESIQACKLAQSNGWGV MVSHRSGETEDTFIADLVVGLCTGQIKT GAPCRSERLAKYNQLMRIEEALGDKAIF AGRKFRNPKAK  (SEQ ID NO: 17)/P21550 (mouse) Ig heavy  /P06330 1.08 Unknown chain V (mouse) region AC38 EVQLQQSGPELVKPGASVKISCKASGYT 205.12 (NAN) FTDYYMNVWKQSHGKSLEWIGDINPNN GGTSYNQKFKGKATLTVDKSSSATYMEL RSLTSEDSAVYYCARGYGYDPFDVWGT GTTVTVSS  (SEQ ID NO: 18)

TABLE-US-00002 TABLE 2 Name UniprotKB ID Functions Platelet  P16109 Stored in  bound P- (human) alpha  selectin  granules  (CD62P) of  Cell  MANCQIAILYQRFQRVVFGISQLLCFSALI platelets Surface SELTNQKEVAAWTYHYSTKAYSWNISRKYC and  Expres- QNRYTDLVAIQNKNEIDYLNKVLPYYSSYY released  sion WIGIRKNNKTWTWVGTKKALTNEAENWADN upon ac- EPNNKRNNEDCVEIYIKSPSAPGKWNDEHC tivation LKKKHALCYTASCQDMSCSKQGECLETIGN YTCSCYPGFYGPECEYVRECGELELPQHVL MNCSHPLGNFSFNSQCSFHCTDGYQVNGPS KLECLASGIWTNKPPQCLAAQCPPLKIPER GNMTCLHSAKAFQHQSSCSFSCEEGFALVG PEVVQCTASGVWTAPAPVCKAVQCQHLEAP SEGTMDCVHPLTAFAYGSSCKFECQPGYRV RGLDMLRCIDSGHWSAPLPTCEAISCEPLE SPVHGSMDCSPSLRAFQYDTNCSFRCAEGF MLRGADIVRCDNLGQWTAPAPVCQALQCQD LPVPNEARVNCSHPFGAFRYQSVCSFTCNE GLLLVGASVLQCLATGNWNSVPPECQAIPC TPLLSPQNGTMTCVQPLGSSSYKSTCQFIC DEGYSLSGPERLDCTRSGRWTDSPPMCEAI KCPELFAPEQGSLDCSDTRGEFNVGSTCHF SCDNGFKLEGPNNVECTTSGRWSATPPTCK GIASLPTPGLQCPALTTPGQGTMYCRHHPG TFGFNTTCYFGCNAGFTLIGDSTLSCRPSG QWTAVTPACRAVKCSELHVNKPIAMNCSNL WGNFSYGSICSFHCLEGQLLNGSAQTACQE NGHWSTTVPTCQAGPLTIQEALTYFGGAVA STIGLIMGGTLLALLRKRFRQKDDGKCPLN PHSHLGTYGVFTNAAFDPSP  (SEQ ID NO: 19) Integrin  P08514 Integrin  alpha- (human) alpha- IIb/ MARALCPLQALWLLEWVLLLLGPCAAPPAW IIb/ beta-3 ALNLDPVQLTFYAGPNGSQFGFSLDFHKDS beta-3  (or HGRVAIVVGAPRTLGPSQEETGGVFLCPWR acts as a GP2B-3A AEGGQCPSLLFDLRDETRNVGSQTLQTFKA receptor  or CD61) RQGLGASVVSWSDVIVACAPWQHWNVLEKT for fi- Cell EEAEKTPVGSCFLAQPESGRRAEYSPCRGN bronectin, surface TLSRIYVENDFSWDKRYCEAGFSSVVTQAG fibrino- expres- ELVLGAPGGYYFLGLLAQAPVADPFSSYRP gen,  sion GILLWHVSSQSLSFDSSNPEYFDGYWGYSV plasmino- AVGEFDGDLNTTEYVVGAPTWSWTLGAVEI gen, pro- LDSYYQRLHRLRGEQMASYFGHSVAVTDVN thrombin,  GDGRHDLLVGAPLYMESRADRKLAEVGRVY thrombo- LFLQPRGPHALGAPSLLLTGTQLYGRFGSA spondin IAPLGDLDRDGYNDPAVAAPYGGPSGRGQV and vitro- LVFLGQSEGLRSRPSQVLDSPFPTGSAFGF nectin.  SLRGAVDIDDNGYPDLIVGAYGANQVAVYR After its AQPVVKASVQLLVQDSLNPAVKSCVLPQTK activa- TPVSCFNIQMCVGATGHNIPQKLSLNAELQ tion, it  LDRQKPRQGRRVLLLGSQQAGTTLNLDLGG causes KHSPICHTTMAFLRDEADFRDKLSPIVLSL platelet/ NVSLPPTEAGMAPAVVLHGDTHVQEQTRIV platelet  LDCGEDDVCVPQLQLTASVTGSPLLVGADN interac- VLELQMDAANEGEGAYEAELAVHLPQGAHY tion   MRALSNVEGFERLICNQKKENETRVVLCEL through  GNPMKKNAQIGPIMLVSVGNLEEAGESVSF binding  QLQIRSKNSQNPNSKIVLLDVPVRAEAQVE soluble LRGNSFPASLVVAAEEGEREQNSLDSWGPK fibrino- VEHTYELHNNGPGTVNGLHLSPHLPGQSQP gen. This  SDLLYILDIQPQGGLQCFPQPPVNPLKVDW leads to GLPIPSPSPIHPAHHKRDRRQIFLPEPEQP platelet  SRLQDPVLVSCDSAPCTVVQCDLQEMARGQ aggrega- RAMVTVLAFLWLPSLYQRPLDQFVLQSHAW tion. FNVSSLPYAVPPLSLPRGEAQVWTQLLRAL EERAIPIWWVLVGVLGGLLLLTILVLAMWK VGFFKRNRPPLEEDDEEGE  (SEQ ID NO: 22)

[0030] In some embodiments, methods of measuring and/or monitoring Klotho activity in an animal (e.g. a human) are provided. This can be achieved, for example, by measuring the quantity or activity of one or more of the proteins listed in Table 1 or Table 2. In some embodiments, more than one protein quantity or activity can be used, e.g., 2, 3, 4, 5, or more proteins from Table 1 or Table 2. In some embodiments, the protein amount can be measured in a sample from the animal. Protein quantity can be measured in the sample as desired. In some embodiments, the protein can be measured by detection with an antibody or other reagent that specifically binds to the protein of Table 1 or Table 2. A number of immunoassay formats are known and can be used. For example, a direct or competitive immunoassay can be used. In some embodiments, the protein can be detected and quantified using mass spectrometry.

[0031] In other embodiments, protein activity can be detected. Methods of detecting protein activity will depend on the protein of Table 1 or Table 2 that is detected. In embodiments in which the target protein of Table 1 or 2 is an enzyme that has activity on a substrate, one can provide the substrate and detect activity by monitoring conversion of the substrate to a product, of a set time period, for example.

[0032] A sample can be obtained from a patient, e.g., a biopsy, from an animal, such as an animal model, or from cultured cells, e.g., a cell line or cells removed from a patient and grown in culture for observation. Biological samples include tissues and bodily fluids, e.g., blood, blood fractions, lymph, saliva, urine, feces, etc. In some embodiments, the sample is enriched for platelets or comprises purified platelets. See, e.g., O. Leiter et al., Stem Cell Reports 12, 667-679 (2019); L. C. Burzynski, N. Pugh, M. C. Clarke, Platelet Isolation and Activation Assays. Bio-protocol 9, e3405 (2019).

[0033] In some embodiments, the animal assayed for quantity or activity of a protein from Table 1 or 2 has not yet been administered Klotho (or has not be administered Klotho recently, e.g., within the past two weeks). In some of these embodiments, one can assay the quantity or activity of a protein of Table 1 or Table 2 to identify one or more animals (e.g., humans) that are likely to be responsive to Klotho treatment. For example, in some embodiments, an animal will be selected as likely to be responsive to Klotho treatment of the animal has a quantity or activity of a protein of Table 1 or 2 below a control value, which can be used to predict those animals that will most benefit from increased quantity or activity of those proteins.

[0034] In some embodiments, the control value can be determined as representative of an average population value, or for example, a statistically lower or higher value (e.g., one or two standard deviations from the average), or representing a diseased state. In some embodiments, more than one control value can be compared to the determined quantity of the sample. For example, one can use both baseline and “challenged” levels. An example of a challenged level might be for example a representative level while performing a cognitive task or participating in physical exertion. Similarly, in some embodiments, more than one sample is taken from the animal, wherein in some embodiments the animal is cognitively or physically challenged whereas a second sample is taken from the animal is in a rest state, and both can be compared to corresponding control values. Levels or actions of platelets factors or other factors in Tables 1 or 2 can be informative at both baseline and with challenge to assess degree of platelet activation.

[0035] In some embodiments, the animal assayed for quantity or activity of a protein from Table 1 or 2 has been administered Klotho, for example within the past month, past two weeks, past week, past 1 or 2 days, past 12, 8, 4, 2, or 1 hour. This assay can be used, for example, to determine that the Klotho protein administered had the expected activity, regardless of whether or not the ultimate desired effect (improved cognition, for example) was attained. This can be useful for example, to confirm the Klotho protein was active, for example in clinical and preclinical trials and analysis, allowing one to distinguish, for example, poor results from inactive protein compared to poor results from active protein. In some embodiments, multiple different doses can be administered to the animal and the quantity or activity of the protein of Table 1 or 2 can be determined to assist in determining preferred or optimal Klotho dosage.

[0036] Klotho protein that is administered can be any animal (e.g., human) Klotho protein, functional variant or fragment thereof. Exemplary Klotho proteins are described in, e.g., U.S. Pat. No. 10,300,117. Klotho is a pleiotropic protein and an aging regulator that circulates throughout the body and brain (Imura et al. (2004) FEBS Letters 565:143; Kurosu et al. (2005) Science 309:1829). Human Klotho is described in GenBank Accession No. NC_000013 and Uniprot Accession No. Q9UEF7. A number of species homologs exist, including mouse and rat Klotho which share 86% and 85% identity with the human Klotho polypeptide, which is shown as SEQ ID NO:1.

TABLE-US-00003 SEQ ID NO: 1: Met Pro Ala Ser Ala Pro Pro Arg Arg Pro Arg  1               5                   10  Pro Pro Pro Pro Ser Leu Ser Leu Leu Leu Val             15                  20 Leu Leu Gly Leu Gly Gly Arg Arg Leu Arg Ala         25                  30 Glu Pro Gly Asp Gly Ala Gln Thr Trp Ala Arg       35                  40  Phe Ser Arg Pro Pro Ala Pro Glu Ala Ala Gly 45                  50                  55 Leu Phe Gln Gly Thr Phe Pro Asp Gly Phe Leu                 60                  65  Trp Ala Val Gly Ser Ala Ala Tyr Gln Thr Glu              70                  75  Gly Gly Trp Gln Gln His Gly Lys Gly Ala Ser         80                  85 Ile Trp Asp Thr Phe Thr His His Pro Leu Ala     90                  95 Pro Pro Gly Asp Ser Arg Asn Ala Ser Leu Pro  100                 105                 110 Leu Gly Ala Pro Ser Pro Leu Gln Pro Ala Thr                 115                 120 Gly Asp Val Ala Ser Asp Ser Tyr Asn Asn Val             125                 130 Phe Arg Asp Thr Glu Ala Leu Arg Glu Leu Gly          135                 140 Val Thr His Tyr Arg Phe Ser Ile Ser Trp Ala      145                 150 Arg Val Leu Pro Asn Gly Ser Ala Gly Val Pro 155                 160                 165 Asn Arg Glu Gly Leu Arg Tyr Tyr Arg Arg Leu                 170                 175 Leu Glu Arg Leu Arg Glu Leu Gly Val Gln Pro              180                 185 Val Val Thr Leu Tyr His Trp Asp Leu Pro Gln         190                 195 Arg Leu Gln Asp Ala Tyr Gly Gly Trp Ala Asn     200                 205 Arg Ala Leu Ala Asp His Phe Arg Asp Tyr Ala  210                 215                 220 Glu Leu Cys Phe Arg His Phe Gly Gly Gln Val                 225                 230 Lys Tyr Trp Ile Thr Ile Asp Asn Pro Tyr Val             235                 240 Val Ala Trp His Gly Tyr Ala Thr Gly Arg Leu          245                 250 Ala Pro Gly Ile Arg Gly Ser Pro Arg Leu Gly     255                 260 Tyr Leu Val Ala His Asn Leu Leu Leu Ala His 265                 270                 275 Ala Lys Val Trp His Leu Tyr Asn Thr Ser Phe                  280                 285 Arg Pro Thr Gln Gly Gly Gln Val Ser Ile Ala             290                 295 Leu Ser Ser His Trp Ile Asn Pro Arg Arg Met         300                 305 Thr Asp His Ser Ile Lys Glu Cys Gln Lys Ser      310                 315  Leu Asp Phe Val Leu Gly Trp Phe Ala Lys Pro  320                 325                 330 Val Phe Ile Asp Gly Asp Tyr Pro Glu Ser Met                 335                 340  Lys Asn Asn Leu Ser Ser Ile Leu Pro Asp Phe             345                 350 Thr Glu Ser Glu Lys Lys Phe Ile Lys Gly Thr          355                 360 Ala Asp Phe Phe Ala Leu Cys Phe Gly Pro Thr     365                 370 Leu Ser Phe Gln Leu Leu Asp Pro His Met Lys 375                 380                 385 Phe Arg Gln Leu Glu Ser Pro Asn Leu Arg Gln                  390                 395 Leu Leu Ser Trp Ile Asp Leu Glu Phe Asn His             400                 405 Pro Gln Ile Phe Ile Val Glu Asn Gly Trp Phe         410                 415 Val Ser Gly Thr Thr Lys Arg Asp Asp Ala Lys      420                 425 Tyr Met Tyr Tyr Leu Lys Lys Phe Ile Met Glu 430                 435                 440 Thr Leu Lys Ala Ile Lys Leu Asp Gly Val Asp                 445                 450 Val Ile Gly Tyr Thr Ala Trp Ser Leu Met Asp              455                 460 Gly Phe Glu Trp His Arg Gly Tyr Ser Ile Arg         465                 470 Arg Gly Leu Phe Tyr Val Asp Phe Leu Ser Gln     475                 480 Asp Lys Met Leu Leu Pro Lys Ser Ser Ala Leu  485                 490                 495 Phe Tyr Gln Lys Leu Ile Glu Lys Asn Gly Phe                  500                 505 Pro Pro Leu Pro Glu Asn Gln Pro Leu Glu Gly             510                 515 Thr Phe Pro Cys Asp Phe Ala Trp Gly Val Val         520                 525 Asp Asn Tyr Ile Gln Val Asp Thr Thr Leu Ser      530                 535 Gln Phe Thr Asp Leu Asn Val Tyr Leu Trp Asp 540                 545                 550 Val His His Ser Lys Arg Leu Ile Lys Val Asp                 555                 560 Gly Val Val Thr Lys Lys Arg Lys Ser Tyr Cys              565                 570 Val Asp Phe Ala Ala Ile Gln Pro Gln Ile Ala         575                 580 Leu Leu Gln Glu Met His Val Thr His Phe Arg     585                 590 Phe Ser Leu Asp Trp Ala Leu Ile Leu Pro Leu  595                 600                 605 Gly Asn Gln Ser Gln Val Asn His Thr Ile Leu                 610                 615 Gln Tyr Tyr Arg Cys Met Ala Ser Glu Leu Val             620                 625 Arg Val Asn Ile Thr Pro Val Val Ala Leu Trp          630                 635 Gln Pro Met Ala Pro Asn Gln Gly Leu Pro Arg     640                 645 Leu Leu Ala Arg Gln Gly Ala Trp Glu Asn Pro 650                 655                 660 Tyr Thr Ala Leu Ala Phe Ala Glu Tyr Ala Arg                  665                 670 Leu Cys Phe Gln Glu Leu Gly His His Val Lys             675                 680 Leu Trp Ile Thr Met Asn Glu Pro Tyr Thr Arg         685                 690 Asn Met Thr Tyr Ser Ala Gly His Asn Leu Leu     695                 700 Lys Ala His Ala Leu Ala Trp His Val Tyr Asn  705                 710                 715 Glu Lys Phe Arg His Ala Gln Asn Gly Lys Ile                 720                 725 Ser Ile Ala Leu Gln Ala Asp Trp Ile Glu Pro             730                 735 Ala Cys Pro Phe Ser Gln Lys Asp Lys Glu Val          740                 745 Ala Glu Arg Val Leu Glu Phe Asp Ile Gly Trp     750                 755 Leu Ala Glu Pro Ile Phe Gly Ser Gly Asp Tyr 760                 765                 770 Pro Trp Val Met Arg Asp Trp Leu Asn Gln Arg                  775                 780 Asn Asn Phe Leu Leu Pro Tyr Phe Thr Glu Asp             785                 790 Glu Lys Lys Leu Ile Gln Gly Thr Phe Asp Phe         795                 800 Leu Ala Leu Ser His Tyr Thr Thr Ile Leu Val      805                 810 Asp Ser Glu Lys Glu Asp Pro Ile Lys Tyr Asn 815                 820                 825 Asp Tyr Leu Glu Val Gln Glu Met Thr Asp Ile                 830                 835 Thr Trp Leu Asn Ser Pro Ser Gln Val Ala Val              840                 845 Val Pro Trp Gly Leu Arg Lys Val Leu Asn Trp          850                 855 Leu Lys Phe Lys Tyr Gly Asp Leu Pro Met Tyr     860                 865 Ile Ile Ser Asn Gly Ile Asp Asp Gly Leu His 870                 875                 880 Ala Glu Asp Asp Gln Leu Arg Val Tyr Tyr Met                  885                 890 Gln Asn Tyr Ile Asn Glu Ala Leu Lys Ala His             895                 900 Ile Leu Asp Gly Ile Asn Leu Cys Gly Tyr Phe         905                 910 Ala Tyr Ser Phe Asn Asp Arg Thr Ala Pro Arg      915                920 Phe Gly Leu Tyr Arg Tyr Ala Ala Asp Gln Phe 925                 930                 935 Glu Pro Lys Ala Ser Met Lys His Tyr Arg Lys                 940                 945 Ile Ile Asp Ser Asn Gly Phe Pro Gly Pro Glu              950                 955 Thr Leu Glu Arg Phe Cys Pro Glu Glu Phe Thr         960                 965 Val Cys Thr Glu Cys Ser Phe Phe His Thr Arg     970                 975 Lys Ser Leu Leu Ala Phe Ile Ala Phe Leu Phe  980                 985                 990 Phe Ala Ser Ile Ile Ser Leu Ser Leu Ile Phe                 995                 1000 Tyr Tyr Ser Lys Lys Gly Arg Arg Ser Tyr Lys             1005                1010

[0037] Klotho exists naturally in a transmembrane form that can be cleaved such that the extracellular portion (amino acids 34-979) is released as a hormone (Shiraki-lika et al. (1998) FEBS Letters 424:6). Klotho also has a splice variant that results in a 549 amino acid secreted form of the protein that is also functional (Wang and Sun (2009) Ageing Res. Rev. 8:43). Both cleaved and secreted klotho are soluble and functional in the body, but have a sequence variation at the C-terminal end due to the splice variation. Amino acids 535-549 are DTTLSQFTDLNVYLW (SEQ ID NO:20) for cleaved, soluble human Klotho and SQLTKPISSLTKPYH (SEQ ID NO:21) for spliced, soluble human Klotho. Full length soluble Klotho includes two conserved domains (KL1 and KL2) with homology to beta glycosidase proteins. The conserved beta-glucosidase/6-phospho-beta-glucosidase/beta-galactosidase motif spans 62-497 in the human protein and 64-499 in the mouse. The conserved KL1 sequence is described in Chateau et al. (2010) Aging 2:567 and Matsumura et al. (1998) Biochem Biophys Res Commun, and comprises amino acids 34-549 of the human Klotho protein, with the glycosyl hydrolase consensus region spanning amino acids 57-506 of the human Klotho protein (59-508 of the mouse). Klotho does not have beta-glycosidase activity, but shows some beta-glucuronidase activity.

[0038] Klotho suppresses insulin and wnt signaling, regulates ion channels and their transport, and promotes function of FGF23. See, e.g., Chang et al. (2005) Science 310:490; Imura et al. (2007) Science 316:1615; Kurosu (2005); Liu et al. (2007) Science 317:803; and Urakawa et al. (2006) Nature 444:770).

[0039] In mice, transgenic overexpression of klotho extends lifespan and associates with better cognitive functions in the normal and diseased brain (Kurosu (2005); Dubal et al. (2014) Cell Reports 7:1065; Dubal et al. (2015) J. Neuroscience). In humans, a single allele of the KL-VS variant of the KLOTHO gene, which increases secreted klotho promotes longevity (Arking et al., 2002; Arking et al., 2005; Invidia et al., 2010) and also associates with better baseline cognitive functions in aging populations. See, e.g., Arking et al. (2002) PNAS 99:856; Arking et al. (2005) Circ. Res. 96:412; Dubal et al (2014) Cell Reports 7:1065; Yokoyama et al. (2015) Ann. Clin. Translational Neurology 2:215.

[0040] Klotho polypeptides that can be used for administration include species homologs (e.g., non-human primate, mouse, rat), allelic variants, functional fragments, and functional variants of the wild type sequence that retain cognition improving activity. Examples include secreted Klotho, fragments comprising the KL1 domain, fragments comprising the KL2 domain, fragments comprising the KL1 and KL2 domains, variants comprising the KL1 domain with at least one (e.g., 1-20, 5-50, 25-100) non-conserved amino acid in the KL1 domain substituted with a different amino acid or deleted, variants comprising the KL2 domain with at least one non-conserved amino acid in the KL2 domain substituted with a different amino acid.

[0041] Functional fragments of the Klotho polypeptide that can be used as described herein include the extracellular domain (e.g., corresponding to or substantially identical or similar to amino acids 34-979 of human Klotho), secreted Klotho (e.g., corresponding to or substantially identical or similar to 549 amino acid form), a KL1 domain (e.g., corresponding to or substantially identical or similar to amino acids 34-549 of human Klotho), a glycosyl hydrolase consensus sequence (e.g., corresponding to or substantially identical or similar to amino acids 57-506 of human Klotho), or a beta-glucosidase/6-phospho-beta-glucosidase/beta-galactosidase consensus sequence (e.g., corresponding to or substantially identical or similar to amino acids 62-497 of human Klotho). In some embodiments, the Klotho polypeptide comprises or is substantially identical or similar to amino acids 34-549 of human Klotho. In some embodiments, the Klotho polypeptide is part of a larger fusion protein. In some embodiments, the fusion protein comprises the Klotho polypeptide as described herein and further comprises no more than 100, 75, 50, or 30 additional amino acids. In some embodiments, the Klotho polypeptide is not fused to a Fibroblast growth factor (FGF). In some embodiments, the Klotho polypeptide comprises (e.g., is fused to) an affinity tag (e.g., a histidine tag) or a conjugate to increase stability or half-life in vivo.

[0042] A functional variant or fragment of Klotho is a variant or fragment that retains any klotho activity, e.g., at least 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 100% of the level of any activity of soluble klotho. Soluble klotho activities include those described above, and include binding FGF-23, binding to FGFR1c, beta-glucuronidase activity, suppression of wnt signaling, suppression of insulin signaling, suppression of TFG-beta 1 activity, increasing GluN2B expression and/or synaptic localization, c-fos induction. Additional Klotho activities include causing changes in magnetic resonance imaging (MRI) brain scans, e.g., functional MRI, electroencephalograph (EEG), and transcranial magnetic and electrical stimulation (TMS and TES); and improved performance in neuropsychologic testing and cognitive ability.

[0043] In some embodiments, the Klotho polypeptide is administered in a pharmaceutical composition with a physiologically (i.e., pharmaceutically) acceptable carrier. The term “carrier” refers to a typically inert substance used as a diluent or vehicle for a diagnostic or therapeutic agent. The term also encompasses a typically inert substance that imparts cohesive qualities to the composition. Physiologically acceptable carriers can be liquid, e.g., physiological saline, phosphate buffer, normal buffered saline (135-150 mM NaCl), water, buffered water, 0.4% saline, 0.3% glycine, glycoproteins to provide enhanced stability (e.g., albumin, lipoprotein, globulin, etc.), and the like. Since physiologically acceptable carriers are determined in part by the particular composition being administered as well as by the particular method used to administer the composition, there are a wide variety of suitable formulations of pharmaceutical compositions of the present invention (See, e.g., Remington's Pharmaceutical Sciences, 17.sup.th ed., 1989).

[0044] The Klotho compositions can be sterilized by conventional, well-known sterilization techniques or may be produced under sterile conditions. Aqueous solutions can be packaged for use or filtered under aseptic conditions and lyophilized, the lyophilized preparation being combined with a sterile aqueous solution prior to administration. The compositions can contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions, such as pH adjusting and buffering agents, tonicity adjusting agents, wetting agents, and the like, e.g., sodium acetate, sodium lactate, sodium chloride, potassium chloride, calcium chloride, sorbitan monolaurate, and triethanolamine oleate. Sugars can also be included for stabilizing the compositions, such as a stabilizer for lyophilized antibody compositions.

[0045] Dosage forms can be prepared for mucosal (e.g., nasal, sublingual, vaginal, buccal, or rectal), parenteral (e.g., subcutaneous, intravenous, intramuscular, or intraarterial injection, either bolus or infusion), oral, or transdermal administration to a patient. Examples of dosage forms include, but are not limited to: dispersions; suppositories; ointments; cataplasms (poultices); pastes; powders; dressings; creams; plasters; solutions; patches; aerosols (e.g., nasal sprays or inhalers); gels; liquid dosage forms suitable for oral or mucosal administration to a patient, including suspensions (e.g., aqueous or non-aqueous liquid suspensions, oil-in-water emulsions, or a water-in-oil liquid emulsions), solutions, and elixirs; liquid dosage forms suitable for parenteral administration to a patient; and sterile solids (e.g., crystalline or amorphous solids) that can be reconstituted to provide liquid dosage forms suitable for parenteral administration to a patient.

[0046] Injectable compositions can comprise a solution of the Klotho polypeptide suspended in an acceptable carrier, such as an aqueous carrier. Any of a variety of aqueous carriers can be used, e.g., water, buffered water, 0.4% saline, 0.9% isotonic saline, 0.3% glycine, 5% dextrose, and the like, and may include glycoproteins for enhanced stability, such as albumin, lipoprotein, globulin, etc. In some embodiments, normal buffered saline (135-150 mM NaCl) is used. The compositions can contain pharmaceutically acceptable auxiliary substances to approximate physiological conditions, such as pH adjusting and buffering agents, tonicity adjusting agents, wetting agents, e.g., sodium acetate, sodium lactate, sodium chloride, potassium chloride, calcium chloride, sorbitan monolaurate, triethanolamine oleate, etc.

[0047] Formulations suitable for parenteral administration, such as, for example, by intraarticular (in the joints), intravenous, intramuscular, intradermal, intraperitoneal, and subcutaneous routes, include aqueous and non-aqueous, isotonic sterile injection solutions, which can contain antioxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the intended recipient, and aqueous and non-aqueous sterile suspensions that can include suspending agents, solubilizers, thickening agents, stabilizers, and preservatives. Injection solutions and suspensions can also be prepared from sterile powders, granules, and tablets. In some embodiments, the composition is administered by intravenous infusion, topically, intraperitoneally, intravesically, or intrathecally. The Klotho polypeptide formulation can be provided in unit-dose or multi-dose sealed containers, such as ampoules and vials.

[0048] The Klotho polypeptide composition, alone or in combination with other suitable components, can be made into aerosol formulations (“nebulized”) to be administered via inhalation. Aerosol formulations can be placed into pressurized acceptable propellants, such as dichlorodifluoromethane, propane, and nitrogen.

[0049] The pharmaceutical preparation can be packaged or prepared in unit dosage form. In such form, the preparation is subdivided into unit doses containing appropriate quantities of the active component, e.g., according to the dose of Klotho polypeptide. The unit dosage form can be a packaged preparation, the package containing discrete quantities of preparation. The composition can, if desired, also contain other compatible therapeutic agents. In some embodiments, the Klotho polypeptide composition can be formulated in a kit for administration.

[0050] In some embodiments, a pharmaceutical composition comprising a klotho polypeptide is administered orally. In some embodiments, a pharmaceutical composition comprising a klotho polypeptide is administered mucosally, e.g., nasally. In some embodiments, a pharmaceutical composition comprising a klotho polypeptide is administered by injection, e.g., subcutaneous, intraperitoneal, intravenous, or intramuscular. In some embodiments, a pharmaceutical composition comprising a klotho polypeptide is administered by infusion, e.g., using a reservoir or osmotic minipump.

[0051] An example of administration of a pharmaceutical composition includes storing the Klotho polypeptide at 10 mg/ml in sterile isotonic aqueous saline solution at 4° C., and diluting it in an appropriate solution for injection prior to administration to the patient. In some embodiments, the Klotho polypeptide composition can be administered by intravenous infusion over the course of 0.25-2 hours. In some embodiments, the administration procedure is via bolus injection.

[0052] In therapeutic use, the Klotho polypeptide can be administered at the initial dosage of about 0.1 μg/kg to about 1000 μg/kg daily and adjusted over time. A daily dose range of about 1 μg/kg to about 500 μg/kg, or about 10 μg/kg to about 100 μg/kg, or about 30 μg/kg to about 50 ug/kg can be used. The dosage is varied depending upon the requirements of the patient, the severity of the condition being treated, and the route of administration. For example, for injection of Klotho polypeptide, the effective dose is typically in the range of 10-100 μg/kg, while for direct delivery to the central nervous system (CNS), the effective dosage is lower, e.g., 5-30 μg/kg. For oral administration, the effective dose is higher, e.g., in the range of 50-10,000 μg/kg (e.g., 100 μg/kg-2 mg/kg). The dose is chosen in order to provide effective therapy for the patient. The dose may be repeated at an appropriate frequency which may be in the range of once or twice per day, once or twice per week to once every three months, depending on the pharmacokinetics of the Klotho polypeptide composition (e.g., half-life in the circulation) and the pharmacodynamic response (e.g., the duration of the therapeutic effect).

[0053] Administration can be periodic. Depending on the route of administration, the dose can be administered, e.g., once every 1, 3, 5, 7, 10, 14, 21, or 28 days or longer (e.g., once every 2, 3, 4, or 6 months). In some cases, administration is more frequent, e.g., 2 or 3 times per day. The patient can be monitored to adjust the dosage and frequency of administration depending on therapeutic progress and any adverse side effects, as will be recognized by one of skill in the art.

[0054] Dosages can be empirically determined considering the type and severity of cognitive condition diagnosed in a particular patient. The dose administered to a patient, in the context of the present disclosure, should be sufficient to affect a beneficial therapeutic response in the patient over time. The size of the dose will also be determined by the existence, nature, and extent of any adverse side-effects that accompany the administration of any particular composition in a particular patient.

[0055] In some embodiments, the Klotho polypeptide is linked to a stabilizing moiety such as PEG, glycosylation, or a liposome or other nanocarrier. U.S. Pat. Nos. 4,732,863 and 7,892,554 and Chattopadhyay et al. (2010) Mol Pharm 7:2194 describe methods for attaching a polypeptide to PEG, PEG derivatives, and nanoparticles (e.g., liposomes). Liposomes containing phosphatidyl-ethanolamine (PE) can be prepared by established procedures as described herein. The inclusion of PE provides an active functional site on the liposomal surface for attachment. In some embodiments, the Klotho polypeptide is linked to an affinity tag, e.g., a histidine tag (e.g., 4-16 histidine residues (SEQ ID NO: 23)), streptavidin, or an antibody target.

[0056] The Klotho polypeptide can also be formulated as a sustained-release preparation (e.g., in a semi-permeable matrices of solid hydrophobic polymers (e.g., polyesters, hydrogels (for example, poly (2-hydroxyethyl-methacrylate), or poly (vinylalcohol)), polylactides. The Klotho polypeptide can be entrapped in a nanoparticle prepared, for example, by coacervation techniques or by interfacial polymerization, for example, hydroxymethylcellulose or gelatin microcapsules and poly-(methylmethacylate) microcapsules, respectively, in colloidal drug delivery systems (for example, liposomes, albumin microspheres, microemulsions, nano-particles and nanocapsules) or in macroemulsions.

EXAMPLE

[0057] Example 1

[0058] Methods

[0059] Mice

[0060] All studies were conducted in a blinded manner in C57BL/6 mice. Young mice and aged mice were obtained from The Jackson Laboratory and the National Institute on Aging (NIA) mouse colonies, respectively. Mice were randomly assigned to each group, and the experimenter was blinded to their treatment. Mice were kept on a 12-hr light/dark cycle with ad libitum access to food (Picolab Rodent Diet 20) and water. All studies were approved by the Institutional Animal Care and Use Committee of the University of California, San Francisco and conducted in compliance with NIH guidelines.

[0061] Plasma Profiling of Mouse Plasma

[0062] Mouse klotho (R&D, 1819-KL) was diluted in PBS (pH7.5) and administered as an i.p. injection at a volume of 10 ul/gram (adjusted to weight of mouse) at a dose of 10 μg/kg. All young male mice (4 months old) were injected with vehicle or klotho (n=10 mice per group). Four hours later, they explored a small Y-maze for 10 minutes and their brains were immediately harvested following anesthesia with avertin (i.p.). Whole blood was collected from the cardiac puncture route into EDTA-coated tubes (Sastedt), centrifugated with 10,000 rpm for 10 min and then plasma was transferred to a low-binding tube (Sastedt). Plasma samples were processed for analyzed by mass spectrometry at Biognosys, Zurich, Switzerland.

[0063] Cognitive Behavioral test

[0064] Mouse platelet factor 4 (PF4) (PROSPEC, chm-245) was diluted in PBS (pH7.5) and administered as an i.p. injection at a volume of 10 ul/gram (adjusted to weight of mouse) 1 h before each day of training and testing at a dose of (20 ug/kg). All female aged mice (18-21 months old, n=8 mice per group) were tested in two-trials Y-maze as described in Dellu F, Mayo W, Cherkaoui J, Le Moal M, Simon H. A two-trial memory task with automated recording: study in young and aged rats. Brain Res. 1992; 588(1):132-139. Briefly, mice underwent training by exploring the maze with a visual cue in one arm and another arm blocked off 16 h after training, mice underwent testing with the all three arms open (start arm, familiar arm, novel arm) and the time spent exploring the novel arm compared to the familiar arm, an index of memory, was tested.

[0065] Results

[0066] In order to assess how systemic elevation of klotho in the body sends a signal to boost cognition, we profiled plasma proteins following systemic klotho treatment (FIG. 1A-C). Klotho significantly increased several plasma platelet factors (FIG. 1B, Table 1), indicating a novel biologic action of klotho in inducing platelet activation and function (FIG. 1C). Klotho treatment most robustly increased platelet factor 4 (PF4) (FIG. 1B), a pleiotropic chemokine that increases with exercise and enhances neurogenesis (Leiter O, Seidemann S, Overall R W, et al. Exercise-Induced Activated Platelets Increase Adult Hippocampal Precursor Proliferation and Promote Neuronal Differentiation. Stem Cell Reports. 2019; 12(4):667-679). We then tested whether PF4 itself can affect cognition in the aging brain (FIG. 2A and B). Indeed, systemic treatment with recapitulated klotho-mediated improvement of cognition (FIG. 2B). These findings collectively suggest that klotho increases platelet factor, such as PF4— and factors such as PF4 induce cognitive enhancement.

Example 2

Results

Systemic Klotho Treatment Activates Platelets

[0067] FIG. 3A-C provide data showing that Klotho treatment activates platelets. Paradigm for measuring platelet activation is depicted in FIG. 3A. Mice (age 5 months; n=8-9 mice per group) were treated with either Veh or Klotho (s.c., 10 μg/kg) followed by platelet isolation from whole blood and then platelet activation analysis by fluorescence activated single cell sorting (FACS) sorting with markers CD61 and CD62P.

[0068] FIG. 3B depicts flow cytometry plots from FACS sorting show a platelet populations. The upper graphs show density plots of the platelets, gated by SSC (for granularity) and CD61-positivity which both identify platelets from other blood cells. The lower graphs show dot plots of the percentage activated (CD61 and CD62P-positive) and resting (CD61-positive only) platelets.

[0069] FIG. 3C show quantification results of activated platelets in young mice following treatment with Veh or Klotho. Data are presented as means±SEM; *p<0.05 by two-tailed t-test.

Materials and Methods

Mice

[0070] All mice were on a congenic C57BL/6J background and kept on a 12-h light/dark cycle with ad libitum access to food and water. All studies were approved by the Institutional Animal Care and Use Committee of the University of California, San Francisco, and conducted in compliance with NIH guidelines.

Drug Treatment

[0071] Mouse α-Klotho (R&D, 1819-KL) was diluted in PBS (pH. 7.5) and injected s.c. at a volume of 10 μl/gram (adjusted to weight of mouse) at a dose of 10 μg/kg 4 hrs prior to whole blood collection for platelet isolation and platelet activation assays. Recombinant proteins were used within one week of thawing from −80° C. stock solutions and stored at 4° C.

Platelet Activation Assay by Flow Cytometry.

[0072] Platelet activation states were measured using flow cytometry as described (O. Leiter et al., Stem Cell Reports 12, 667-679 (2019); L. C. Burzynski, N. Pugh, M. C. Clarke, Platelet Isolation and Activation Assays. Bio-protocol 9, e3405 (2019)) with minor modifications. Briefly, whole blood via cardiac puncture was collected into a final concentration of 0.38% sodium citrate solution (pH 7) and then centrifuged at 200 g for 10 min at room temperature. Plasma was collected and transferred to a new tube with 1 ml of HBSS (with EDTA, pH 6.4) and then centrifuged at 1200 g for 20 min at room temperature. The platelet pellet was resuspended in HBSS (pH 6.4) and then stained with CD61-PE (Thermo Fischer) and CD62-alexa 647 (BD Bioscience) antibodies for 30 min at room temperature. FACS buffer in the amount of 1 mL (PBS with 1% BSA and 1% Sodium Azide (pH 6.4)) (2) was added. A total of 10,000 events were analyzed by flow cytometry at a flow rate of 25 μl/ml. Activated platelets were identified as CD62P-positive cells within the CD61-positive population.

mPF4 ELISA.

[0073] Enzyme-linked immunoabsorbant assay (ELISAs) (R&D Systems) were conducted according to the manufacturer's directions. Briefly, each plasma sample was diluted by 1:20 with ELISA buffer and analyzed for mPF4 per instructions.

[0074] The above examples are provided to illustrate the invention but not to limit its scope. Other variants of the invention will be readily apparent to one of ordinary skill in the art and are encompassed by the appended claims. All publications, databases, internet sources, patents, patent applications, and accession numbers cited herein are hereby incorporated by reference in their entireties for all purposes.