Araştırma Makalesi
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Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells

Yıl 2026, Cilt: 11 Sayı: 1, 193 - 198, 28.01.2026
https://doi.org/10.61399/ikcusbfd.1781910

Öz

Objective: To evaluate the effects of recombinant klotho protein (r-klotho) on human colon adenocarcinoma cells (Caco-2) and normal colon epithelial cells (CCD 841 CoN), with a focus on extracellular matrix (ECM) remodeling and inflammation-related gene expression.
Materials and Methods: Caco-2 and CCD 841 CoN cells were cultured in four experimental groups: CCD 841 CoN; Caco-2; r-klotho-treated CCD 841 CoN; and r-klotho-treated Caco-2. r-klotho was administered at 0.3 μg/mL, selected from a previous dose–response study as the concentration yielding the lowest relative viability in Caco-2 cells within the tested range, for 24 and 48 hours. Expression levels of MMP-1, MMP-3, MMP-13, TIMP-1, TIMP-3, and TNF-α were analysed using quantitative real-time PCR (qRT-PCR) and evaluated by the ΔΔCt method with GAPDH as the reference gene.
Results: In Caco-2 cells, r-klotho significantly reduced MMP-1 and TIMP-1 expression (p<0.05 and p<0.01), while significantly increasing MMP-3, TIMP-3, and TNF-α expression (p<0.001 and p<0.01). In CCD 841 CoN cells, r-klotho caused significant increases in MMP-1, MMP-3, TIMP-1, TIMP-3, and TNF-α expression (p<0.05–0.001). Increases in TIMP-3 and TNF-α became more pronounced with more prolonged exposure.
Conclusion: Our findings suggest that klotho exerts cell-type-specific, bidirectional, and time-dependent effects on ECM remodeling and inflammatory response–related gene expression. These results indicate that r-klotho may represent a potential candidate for modulating tumour microenvironmental and inflammatory processes relevant to colorectal cancer progression.
Keywords: Colon cancer, gene expression, klotho, MMP, TIMP, TNF-α.

Kaynakça

  • Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017;66(4):683-691. DOI:10.1136/gutjnl-2015-310912
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30. DOI:10.3322/caac.21590
  • Morgado-Díaz JA. Colorectal cancer: From prevention to personalized medicine. World J Gastroenterol. 2022;28(3):233-254. DOI:10.3748/wjg.v28.i3.233
  • Brenner H, Kloor M, Pox CP. Colorectal cancer. Lancet. 2014;383(9927):1490-1502. DOI:10.1016/S0140-6736(13)61649-9
  • Mota J, Lima AMM, Gomes JIS, et al. Klotho in cancer: Potential diagnostic and prognostic applications. Diagnostics (Basel). 2023;13(21):3357. DOI:10.3390/diagnostics13213357
  • Ortega MA, Boaru DL, De Leon Oliva D, et al. The impact of Klotho in cancer: From development and progression to therapeutic potential. Genes (Basel). 2025;16(2):128. DOI:10.3390/genes16020128
  • Li X, Huang L, Peng J, Liang L, Shi D, Zheng H, Cai S. Klotho suppresses growth and invasion of colon cancer cells through inhibition of IGF1R-mediated PI3K/AKT pathway. Int J Oncol. 2014;45(2):611-618. DOI:10.3892/ijo.2014.2430
  • Xie B, Zhou J, Shu G, Liu DC, Chen J. Restoration of Klotho gene expression induces apoptosis and autophagy in gastric cancer cells: Tumor suppressive role of Klotho in gastric cancer. Cancer Cell Int. 2013;13:18. DOI:10.1186/1475-2867-13-18
  • Xie B, Zhou J, Shu G, Liu DC, Chen J, Yuan L. Overexpression of Klotho suppresses liver cancer progression and induces cell apoptosis by negatively regulating Wnt/β-catenin signaling pathway. World J Surg Oncol. 2015;13:71. DOI:10.1186/s12957-015-0717-0
  • Rubinstein TA, et al. Klotho is a tumor suppressor in human colorectal cancer. Clin Cancer Res. 2018;24(20):5091-5101. DOI:10.1158/1078-0432.CCR-17-3509
  • Soykan MN, Gunes S. Overexpression of Klotho gene using CRISPR/Cas9 induces apoptosis and inhibits cell motility in human colorectal cancer cells. Biotechnol J. 2024;19(2):e2300496. DOI:10.1002/biot.202300496
  • Tang X, Wang Y, Fan Z, Ji G, Wang M, Lin J, Huang S, Meltzer SJ. Klotho: A tumor suppressor and modulator of the Wnt/β-catenin pathway in human hepatocellular carcinoma. Lab Invest. 2016;96(2):197-205. DOI:10.1038/labinvest.2015.86
  • Sachdeva A, Gouge J, Kontovounisios C, Nikolaou S, Ashworth A, Lim K, Chong I. Klotho and the treatment of human malignancies. Cancers (Basel). 2020;12(6):1665. DOI:10.3390/cancers12061665
  • Zhang Y, Liu X, Xu Z, et al. Proteomic profiling reveals Klotho suppresses invasion and metastasis by inhibiting the Wnt/β-catenin axis in lung adenocarcinoma. Sci Rep. 2024;14:52616. DOI:10.1038/s41598-024-52616-0
  • Cabral-Pacheco GA, Garza-Veloz I, Castruita-De la Rosa C, et al. The roles of matrix metalloproteinases and their inhibitors in human diseases. Int J Mol Sci. 2020;21(24):9739. DOI:10.3390/ijms21249739
  • Vandooren J, Van den Steen PE, Opdenakker G. The roles of matrix metalloproteinases and their inhibitors in human diseases. Cell Signal. 2020;32:123-134. DOI:10.1016/j.cellsig.2019.109570
  • Saw S, Weiss A, Khokha R, Waterhouse PD. Metalloproteases: On the watch in the hematopoietic niche. Trends Immunol. 2019;40(12):1138-1153. DOI:10.1016/j.it.2019.09.006
  • Olejnik A, Krzywonos-Zawadzka A, Sambor I, Mysiak A, Bil-Lula I. Klotho protein alleviates heart ischemia/reperfusion injury and oxidative stress through regulation of the NOS/MMP pathway. Sci Rep. 2025;15(1):32299. DOI:10.1038/s41598-025-18021-x
  • Maekawa Y, Ishikawa K, Yasuda O, et al. Klotho suppresses TNF-alpha-induced expression of adhesion molecules in the endothelium and attenuates NF-kappaB activation. Endocrine. 2009;35(3):341-346. DOI:10.1007/s12020-009-9181-3
  • Zhao X, Han D, Zhao C, et al. New insights into the role of Klotho in inflammation and fibrosis: Molecular and cellular mechanisms. Front Immunol. 2024;15:1454142. DOI:10.3389/fimmu.2024.1454142
  • Chen P, Tang Y, Luo L, et al. Lower serum Klotho level and higher systemic immune-inflammation index: An inverse correlation. BMC Geriatr. 2023;23:650. DOI:10.1186/s12877-023-04349-4
  • Gunes S, Uysal O, Soykan MN, Eker Sariboyaci A. Investigation of apoptotic effect of Klotho protein on human colorectal cancer cells via TRAIL death receptors. ADYU J Sci. 2022;12(2):324-337. DOI:10.37094/adyujsci.1212028
  • Pan J, Zhong J, Gan LH, Chen SJ, et al. Klotho, an anti-senescence related gene, is frequently inactivated through promoter hypermethylation in colorectal cancer. Tumour Biol. 2011;32(4):729-735. DOI:10.1007/s13277-011-0174-5
  • Wang Y, Zhang L, Wu GR, et al. Klotho suppresses the growth of human colorectal cancer cells by modulating the IGF1R and Wnt/β-catenin pathways. Biomed Pharmacother. 2020;128:110275. DOI:10.1016/j.biopha.2020.110275
  • Chen B, Ma X, Liu S, Zhao W, Wu J. Inhibition of lung cancer cell growth, motility and induction of apoptosis by Klotho, a novel secreted Wnt antagonist. Cancer Biol Ther. 2012;13(12):1221-1228. DOI:10.4161/cbt.21636
  • Hu Y, Xu L, Zhang J, et al. Klotho suppresses tumor progression via inhibiting PI3K/Akt/GSK3β/Snail signaling in renal cell carcinoma. Cancer Sci. 2013;104(6):663-671. DOI:10.1111/cas.12132
  • Luo Z, et al. Klotho protein: A multifaceted regulator in aging and cancer dynamics. Cell Mol Life Sci. 2025;82:Article number pending. DOI:10.1007/s00018-024-4521-0
  • Shiozawa J, Ito M, Nakayama T, et al. Expression of matrix metalloproteinase-1 in human colorectal carcinoma. Mod Pathol. 2000;13(9):925-933. DOI:10.1038/modpathol.3880179
  • Sunami E, Tsuno N, Osada T, et al. MMP-1 is a prognostic marker for hematogenous metastasis of colorectal cancer. Oncologist. 2000;5(2):108-114. DOI:10.1634/theoncologist.5-2-108
  • Bendardaf R, Buhmeida A, Ristamäki R, Syrjänen K, Pyrhönen S. MMP-1 (collagenase-1) expression in primary colorectal cancer and its metastases. Scand J Gastroenterol. 2007;42(12):1473-1478. DOI:10.1080/00365520701443879
  • Said A, Raufman JP, Xie G. The role of matrix metalloproteinases in colorectal cancer. Cancers (Basel). 2014;6(1):366-375. DOI:10.3390/cancers6010366
  • Orlichenko LS, Radisky DC. Matrix metalloproteinases stimulate epithelial-mesenchymal transition during tumor development. Clin Exp Metastasis. 2008;25(6):593-600. DOI:10.1007/s10585-008-9169-y
  • Nieto MA, Huang RY, Jackson RA, Thiery JP. EMT: 2016. Cell. 2016;166(1):21-45. DOI:10.1016/j.cell.2016.06.028
  • Shibue T, Weinberg RA. EMT, CSCs, and drug resistance: The mechanistic link and clinical implications. Nat Rev Clin Oncol. 2017;14(10):611-629. DOI:10.1038/nrclinonc.2017.44
  • Huang MY, Chang HJ, Chung FY, et al. MMP-13 is a potential prognostic marker for colorectal cancer. Oncol Rep. 2010;24(5):1241-1247. DOI:10.3892/or_00000961
  • Lim YJ, Kim SM, Lee JY. Klotho attenuates intestinal inflammation via modulation of epithelial TNF-α signaling. Int J Mol Sci. 2022;23(7):3725. DOI:10.3390/ijms23073725

r-Klotho’nun Kolon Kanseri ve Normal Kolon Epitel Hücrelerinde MMP/TIMP Dengesi ve TNF-α Üzerine Etkileri

Yıl 2026, Cilt: 11 Sayı: 1, 193 - 198, 28.01.2026
https://doi.org/10.61399/ikcusbfd.1781910

Öz

Amaç: Bu çalışma, rekombinant klotho (r klotho) proteininin insan kolon adenokarsinom hücreleri (Caco 2) ve normal kolon epitel hücreleri (CCD 841 CoN) üzerindeki etkilerini, özellikle hücre dışı matriks (ECM) yeniden yapılanması ve inflamasyonla ilişkili genlerin ekspresyonu açısından değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Caco-2 ve CCD 841 CoN hücreleri dört ayrı deney grubu oluşturularak kültüre edilmiştir: CCD 841 CoN, Caco-2, r-klotho uygulanan CCD 841 CoN ve r-klotho uygulanan Caco-2. Önceki doz-yanıt çalışmamızda belirlenen 0,3 μg/mL r-klotho, 24 ve 48 saat süreyle uygulanmıştır. MMP-1, MMP-3, MMP-13, TIMP-1, TIMP-3 ve TNF-α genlerinin ekspresyon düzeyleri kantitatif gerçek zamanlı PCR (qRT-PCR) yöntemiyle analiz edilmiş ve GAPDH referans geni kullanılarak ΔΔCt yöntemiyle değerlendirilmiştir.
Bulgular: Caco-2 hücrelerinde r-klotho uygulaması, MMP-1 ve TIMP-1 genlerinin ekspresyonunu anlamlı şekilde azaltırken (p<0.05 ve p<0.01), MMP-3, TIMP-3 ve TNF-α genlerinin ekspresyonunu belirgin şekilde artırmıştır (p<0.001; p<0.01). CCD 841 CoN hücrelerinde ise r-klotho uygulaması, MMP-1, MMP-3, TIMP-1, TIMP-3 ve TNF-α gen ekspresyonlarında anlamlı artışlara yol açmıştır (p<0.05–0.001). Uygulama süresi uzadıkça özellikle TIMP-3 ve TNF-α’daki artışların daha belirgin hale geldiği saptanmıştır.
Sonuç: Bulgularımız, klotho proteininin ECM yeniden yapılanması ve inflamatuvar yanıtların düzenlenmesinde hücre tipine özgü, çift yönlü ve zaman bağımlı bir rol üstlendiğini göstermektedir. Bu sonuçlar, klothonun yalnızca yaşlanma karşıtı bir protein değil, aynı zamanda kolorektal kanser progresyonunda tümör mikroçevresi ve inflamatuvar süreçlerin modülasyonu için umut vadeden bir terapötik hedef olabileceğini ortaya koymaktadır.
Anahtar Kelimeler: Kolon kanseri, gen ekspresyonu, klotho, MMP, TIMP, TNF-α.

Kaynakça

  • Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017;66(4):683-691. DOI:10.1136/gutjnl-2015-310912
  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30. DOI:10.3322/caac.21590
  • Morgado-Díaz JA. Colorectal cancer: From prevention to personalized medicine. World J Gastroenterol. 2022;28(3):233-254. DOI:10.3748/wjg.v28.i3.233
  • Brenner H, Kloor M, Pox CP. Colorectal cancer. Lancet. 2014;383(9927):1490-1502. DOI:10.1016/S0140-6736(13)61649-9
  • Mota J, Lima AMM, Gomes JIS, et al. Klotho in cancer: Potential diagnostic and prognostic applications. Diagnostics (Basel). 2023;13(21):3357. DOI:10.3390/diagnostics13213357
  • Ortega MA, Boaru DL, De Leon Oliva D, et al. The impact of Klotho in cancer: From development and progression to therapeutic potential. Genes (Basel). 2025;16(2):128. DOI:10.3390/genes16020128
  • Li X, Huang L, Peng J, Liang L, Shi D, Zheng H, Cai S. Klotho suppresses growth and invasion of colon cancer cells through inhibition of IGF1R-mediated PI3K/AKT pathway. Int J Oncol. 2014;45(2):611-618. DOI:10.3892/ijo.2014.2430
  • Xie B, Zhou J, Shu G, Liu DC, Chen J. Restoration of Klotho gene expression induces apoptosis and autophagy in gastric cancer cells: Tumor suppressive role of Klotho in gastric cancer. Cancer Cell Int. 2013;13:18. DOI:10.1186/1475-2867-13-18
  • Xie B, Zhou J, Shu G, Liu DC, Chen J, Yuan L. Overexpression of Klotho suppresses liver cancer progression and induces cell apoptosis by negatively regulating Wnt/β-catenin signaling pathway. World J Surg Oncol. 2015;13:71. DOI:10.1186/s12957-015-0717-0
  • Rubinstein TA, et al. Klotho is a tumor suppressor in human colorectal cancer. Clin Cancer Res. 2018;24(20):5091-5101. DOI:10.1158/1078-0432.CCR-17-3509
  • Soykan MN, Gunes S. Overexpression of Klotho gene using CRISPR/Cas9 induces apoptosis and inhibits cell motility in human colorectal cancer cells. Biotechnol J. 2024;19(2):e2300496. DOI:10.1002/biot.202300496
  • Tang X, Wang Y, Fan Z, Ji G, Wang M, Lin J, Huang S, Meltzer SJ. Klotho: A tumor suppressor and modulator of the Wnt/β-catenin pathway in human hepatocellular carcinoma. Lab Invest. 2016;96(2):197-205. DOI:10.1038/labinvest.2015.86
  • Sachdeva A, Gouge J, Kontovounisios C, Nikolaou S, Ashworth A, Lim K, Chong I. Klotho and the treatment of human malignancies. Cancers (Basel). 2020;12(6):1665. DOI:10.3390/cancers12061665
  • Zhang Y, Liu X, Xu Z, et al. Proteomic profiling reveals Klotho suppresses invasion and metastasis by inhibiting the Wnt/β-catenin axis in lung adenocarcinoma. Sci Rep. 2024;14:52616. DOI:10.1038/s41598-024-52616-0
  • Cabral-Pacheco GA, Garza-Veloz I, Castruita-De la Rosa C, et al. The roles of matrix metalloproteinases and their inhibitors in human diseases. Int J Mol Sci. 2020;21(24):9739. DOI:10.3390/ijms21249739
  • Vandooren J, Van den Steen PE, Opdenakker G. The roles of matrix metalloproteinases and their inhibitors in human diseases. Cell Signal. 2020;32:123-134. DOI:10.1016/j.cellsig.2019.109570
  • Saw S, Weiss A, Khokha R, Waterhouse PD. Metalloproteases: On the watch in the hematopoietic niche. Trends Immunol. 2019;40(12):1138-1153. DOI:10.1016/j.it.2019.09.006
  • Olejnik A, Krzywonos-Zawadzka A, Sambor I, Mysiak A, Bil-Lula I. Klotho protein alleviates heart ischemia/reperfusion injury and oxidative stress through regulation of the NOS/MMP pathway. Sci Rep. 2025;15(1):32299. DOI:10.1038/s41598-025-18021-x
  • Maekawa Y, Ishikawa K, Yasuda O, et al. Klotho suppresses TNF-alpha-induced expression of adhesion molecules in the endothelium and attenuates NF-kappaB activation. Endocrine. 2009;35(3):341-346. DOI:10.1007/s12020-009-9181-3
  • Zhao X, Han D, Zhao C, et al. New insights into the role of Klotho in inflammation and fibrosis: Molecular and cellular mechanisms. Front Immunol. 2024;15:1454142. DOI:10.3389/fimmu.2024.1454142
  • Chen P, Tang Y, Luo L, et al. Lower serum Klotho level and higher systemic immune-inflammation index: An inverse correlation. BMC Geriatr. 2023;23:650. DOI:10.1186/s12877-023-04349-4
  • Gunes S, Uysal O, Soykan MN, Eker Sariboyaci A. Investigation of apoptotic effect of Klotho protein on human colorectal cancer cells via TRAIL death receptors. ADYU J Sci. 2022;12(2):324-337. DOI:10.37094/adyujsci.1212028
  • Pan J, Zhong J, Gan LH, Chen SJ, et al. Klotho, an anti-senescence related gene, is frequently inactivated through promoter hypermethylation in colorectal cancer. Tumour Biol. 2011;32(4):729-735. DOI:10.1007/s13277-011-0174-5
  • Wang Y, Zhang L, Wu GR, et al. Klotho suppresses the growth of human colorectal cancer cells by modulating the IGF1R and Wnt/β-catenin pathways. Biomed Pharmacother. 2020;128:110275. DOI:10.1016/j.biopha.2020.110275
  • Chen B, Ma X, Liu S, Zhao W, Wu J. Inhibition of lung cancer cell growth, motility and induction of apoptosis by Klotho, a novel secreted Wnt antagonist. Cancer Biol Ther. 2012;13(12):1221-1228. DOI:10.4161/cbt.21636
  • Hu Y, Xu L, Zhang J, et al. Klotho suppresses tumor progression via inhibiting PI3K/Akt/GSK3β/Snail signaling in renal cell carcinoma. Cancer Sci. 2013;104(6):663-671. DOI:10.1111/cas.12132
  • Luo Z, et al. Klotho protein: A multifaceted regulator in aging and cancer dynamics. Cell Mol Life Sci. 2025;82:Article number pending. DOI:10.1007/s00018-024-4521-0
  • Shiozawa J, Ito M, Nakayama T, et al. Expression of matrix metalloproteinase-1 in human colorectal carcinoma. Mod Pathol. 2000;13(9):925-933. DOI:10.1038/modpathol.3880179
  • Sunami E, Tsuno N, Osada T, et al. MMP-1 is a prognostic marker for hematogenous metastasis of colorectal cancer. Oncologist. 2000;5(2):108-114. DOI:10.1634/theoncologist.5-2-108
  • Bendardaf R, Buhmeida A, Ristamäki R, Syrjänen K, Pyrhönen S. MMP-1 (collagenase-1) expression in primary colorectal cancer and its metastases. Scand J Gastroenterol. 2007;42(12):1473-1478. DOI:10.1080/00365520701443879
  • Said A, Raufman JP, Xie G. The role of matrix metalloproteinases in colorectal cancer. Cancers (Basel). 2014;6(1):366-375. DOI:10.3390/cancers6010366
  • Orlichenko LS, Radisky DC. Matrix metalloproteinases stimulate epithelial-mesenchymal transition during tumor development. Clin Exp Metastasis. 2008;25(6):593-600. DOI:10.1007/s10585-008-9169-y
  • Nieto MA, Huang RY, Jackson RA, Thiery JP. EMT: 2016. Cell. 2016;166(1):21-45. DOI:10.1016/j.cell.2016.06.028
  • Shibue T, Weinberg RA. EMT, CSCs, and drug resistance: The mechanistic link and clinical implications. Nat Rev Clin Oncol. 2017;14(10):611-629. DOI:10.1038/nrclinonc.2017.44
  • Huang MY, Chang HJ, Chung FY, et al. MMP-13 is a potential prognostic marker for colorectal cancer. Oncol Rep. 2010;24(5):1241-1247. DOI:10.3892/or_00000961
  • Lim YJ, Kim SM, Lee JY. Klotho attenuates intestinal inflammation via modulation of epithelial TNF-α signaling. Int J Mol Sci. 2022;23(7):3725. DOI:10.3390/ijms23073725
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Rejeneratif Tıp (kök hücreler dahil), Tıbbi Biyoteknoloji (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Onur Uysal 0000-0001-6800-5607

Tayfun Şengel 0000-0002-1162-6979

Lamiya Mahmudova 0009-0003-5964-7570

Merve Nur Soykan 0000-0003-1231-9791

Ayla Eker Sarıboyacı 0000-0003-4536-9859

Sibel Güneş Bağış 0000-0003-0846-1170

Gönderilme Tarihi 15 Eylül 2025
Kabul Tarihi 9 Ocak 2026
Yayımlanma Tarihi 28 Ocak 2026
Yayımlandığı Sayı Yıl 2026 Cilt: 11 Sayı: 1

Kaynak Göster

APA Uysal, O., Şengel, T., Mahmudova, L., … Soykan, M. N. (2026). Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 11(1), 193-198. https://doi.org/10.61399/ikcusbfd.1781910
AMA Uysal O, Şengel T, Mahmudova L, Soykan MN, Eker Sarıboyacı A, Güneş Bağış S. Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells. İKÇÜSBFD. Ocak 2026;11(1):193-198. doi:10.61399/ikcusbfd.1781910
Chicago Uysal, Onur, Tayfun Şengel, Lamiya Mahmudova, Merve Nur Soykan, Ayla Eker Sarıboyacı, ve Sibel Güneş Bağış. “Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 11, sy. 1 (Ocak 2026): 193-98. https://doi.org/10.61399/ikcusbfd.1781910.
EndNote Uysal O, Şengel T, Mahmudova L, Soykan MN, Eker Sarıboyacı A, Güneş Bağış S (01 Ocak 2026) Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 11 1 193–198.
IEEE O. Uysal, T. Şengel, L. Mahmudova, M. N. Soykan, A. Eker Sarıboyacı, ve S. Güneş Bağış, “Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells”, İKÇÜSBFD, c. 11, sy. 1, ss. 193–198, 2026, doi: 10.61399/ikcusbfd.1781910.
ISNAD Uysal, Onur vd. “Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 11/1 (Ocak2026), 193-198. https://doi.org/10.61399/ikcusbfd.1781910.
JAMA Uysal O, Şengel T, Mahmudova L, Soykan MN, Eker Sarıboyacı A, Güneş Bağış S. Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells. İKÇÜSBFD. 2026;11:193–198.
MLA Uysal, Onur vd. “Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, c. 11, sy. 1, 2026, ss. 193-8, doi:10.61399/ikcusbfd.1781910.
Vancouver Uysal O, Şengel T, Mahmudova L, Soykan MN, Eker Sarıboyacı A, Güneş Bağış S. Effects of r-Klotho on MMP/TIMP Balance and TNF-α in Colon Cancer and Normal Colon Epithelial Cells. İKÇÜSBFD. 2026;11(1):193-8.