Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study

Introduction: Klotho is a single-pass transmembrane protein with a long extracellular domain and short cytoplasmic tail that appears to modulate aging. Objectives: This cross-sectional investigation was conducted at a tertiary care centre to find the possible correlation of serum Klotho with va...

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Main Authors: Yuvaraj Anand, Vijayan Madhusudan, Parthasarathy Rajeevalochana, Mathew Milly, George Deepu, Abraham Georgi
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2020-01-01
Series:Journal of Nephropharmacology
Subjects:
Online Access:http://jnephropharmacology.com/PDF/npj-1292
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author Yuvaraj Anand
Vijayan Madhusudan
Parthasarathy Rajeevalochana
Mathew Milly
George Deepu
Abraham Georgi
author_facet Yuvaraj Anand
Vijayan Madhusudan
Parthasarathy Rajeevalochana
Mathew Milly
George Deepu
Abraham Georgi
author_sort Yuvaraj Anand
collection DOAJ
description Introduction: Klotho is a single-pass transmembrane protein with a long extracellular domain and short cytoplasmic tail that appears to modulate aging. Objectives: This cross-sectional investigation was conducted at a tertiary care centre to find the possible correlation of serum Klotho with various biochemical parameters in Indian chronic kidney disease (CKD) patients. Patients and Methods: The study was conducted in 80 CKD patients (58 males, 22 females). Mean age was 54.21 ± 14.08 years (25-90 years). Participants included 55 CKD- hemodialysis (HD), 10 CKD- peritoneal dialysis (PD) and 15 CKD-non-dialysis (ND) patients. Results: Serum Klotho (sKlotho) in CKD-HD patients ranged from 0 to 374.36 ng/mL with a mean of 13.76±4.3 ng/mL (median: 0.0174 ng/mL). In PD patients, sKlotho ranged from 0 to 374.36 ng/ mL with a mean of 37.58 ± 6.56 ng/mL (median of 0.0087 ng/mL). In ND population, sKlotho ranged from 0 to 7.01 ng/mL, with a mean of 0.73 ± 0.01 ng/mL (median of 0.1687ng/mL). In CKDHD and CKD-PD patients, sKlotho was positively correlated with the fibroblast growth factor 23 (pg/mL) (P<0.001). Conclusion: Serum Klotho levels show significant positive correlation with FGF23 levels in HD and PD patients. The findings of the study indicate that high Klotho and fibroblast growth factor 23 levels may be associated with worse outcomes in chronic renal failure patients.
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spelling doaj.art-44a4c6c49fc5418282e65661b04b2b5b2022-12-22T02:46:56ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropharmacology2345-42022020-01-0191e08e0810.15171/npj.2020.08npj-1292Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre studyYuvaraj Anand0Vijayan Madhusudan1Parthasarathy Rajeevalochana2Mathew Milly3George Deepu4Abraham Georgi5Institute of Kidney Diseases, Urology and Organ Transplantation, Madras Medical Mission, Chennai, IndiaInstitute of Kidney Diseases, Urology and Organ Transplantation, Madras Medical Mission, Chennai, IndiaInstitute of Kidney Diseases, Urology and Organ Transplantation, Madras Medical Mission, Chennai, IndiaInstitute of Kidney Diseases, Urology and Organ Transplantation, Madras Medical Mission, Chennai, IndiaInstitute of Kidney Diseases, Urology and Organ Transplantation, Madras Medical Mission, Chennai, IndiaInstitute of Kidney Diseases, Urology and Organ Transplantation, Madras Medical Mission, Chennai, IndiaIntroduction: Klotho is a single-pass transmembrane protein with a long extracellular domain and short cytoplasmic tail that appears to modulate aging. Objectives: This cross-sectional investigation was conducted at a tertiary care centre to find the possible correlation of serum Klotho with various biochemical parameters in Indian chronic kidney disease (CKD) patients. Patients and Methods: The study was conducted in 80 CKD patients (58 males, 22 females). Mean age was 54.21 ± 14.08 years (25-90 years). Participants included 55 CKD- hemodialysis (HD), 10 CKD- peritoneal dialysis (PD) and 15 CKD-non-dialysis (ND) patients. Results: Serum Klotho (sKlotho) in CKD-HD patients ranged from 0 to 374.36 ng/mL with a mean of 13.76±4.3 ng/mL (median: 0.0174 ng/mL). In PD patients, sKlotho ranged from 0 to 374.36 ng/ mL with a mean of 37.58 ± 6.56 ng/mL (median of 0.0087 ng/mL). In ND population, sKlotho ranged from 0 to 7.01 ng/mL, with a mean of 0.73 ± 0.01 ng/mL (median of 0.1687ng/mL). In CKDHD and CKD-PD patients, sKlotho was positively correlated with the fibroblast growth factor 23 (pg/mL) (P<0.001). Conclusion: Serum Klotho levels show significant positive correlation with FGF23 levels in HD and PD patients. The findings of the study indicate that high Klotho and fibroblast growth factor 23 levels may be associated with worse outcomes in chronic renal failure patients.http://jnephropharmacology.com/PDF/npj-1292KlothoChronic kidney diseaseChronic kidney diseaseFibroblast growth factor
spellingShingle Yuvaraj Anand
Vijayan Madhusudan
Parthasarathy Rajeevalochana
Mathew Milly
George Deepu
Abraham Georgi
Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study
Journal of Nephropharmacology
Klotho
Chronic kidney disease
Chronic kidney disease
Fibroblast growth factor
title Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study
title_full Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study
title_fullStr Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study
title_full_unstemmed Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study
title_short Correlation of serum soluble Klotho with fibroblast growth factor 23 levels in chronic kidney disease patients; a single centre study
title_sort correlation of serum soluble klotho with fibroblast growth factor 23 levels in chronic kidney disease patients a single centre study
topic Klotho
Chronic kidney disease
Chronic kidney disease
Fibroblast growth factor
url http://jnephropharmacology.com/PDF/npj-1292
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