“…Further research is needed in order to clarify these mechanisms. The increase in circulating Klotho following exercise training may be the result of an increase in the transcription factor peroxisome proliferator‐activated receptor γ, a decline in angiotensin II type I receptor signalling and reduction of oxidative stress, endothelin 1, TGFβ and inflammation that follow exercise training (Faul et al., 2011; Kawamura et al., 2004; Saetre et al., 2011; Tsukiyama, Ito, Nagaoka, Eguchi, & Ogino, 2017; Wilund, 2007) and lead to an increase in the expression of Klotho mRNA and protein (Lim et al., 2012; Mitobe et al., 2005; Saito, Ishizaka, Mitani, Ohno, & Nagai, 2003; Zhang et al., 2008). Also, the increase in shear stress, hypoxia, endothelial biomarker changes, stimulation of peroxisome proliferator‐activated receptor γ coactivator 1α, and increase in antioxidant capacity may be the stimulus to increase Klotho following HIIT, but clarification of these mechanisms is needed and more research is needed to understand the mechanisms that are effective in exercise training‐induced changes in plasma and myocardial levels of Klotho.…”