Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease

ObjectiveAccumulating experimental evidence has identified the beneficial effects of the anti-aging protein, serum soluble α-Klotho, on longevity, and the cardiovascular system. Although a previous study has revealed the predictive value of α-Klotho on total cardiovascular disease (CVD), the associa...

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Main Authors: Jun-Peng Xu, Rui-Xiang Zeng, Mu-Hua He, Shan-Shan Lin, Li-Heng Guo, Min-Zhou Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.899307/full
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author Jun-Peng Xu
Jun-Peng Xu
Jun-Peng Xu
Rui-Xiang Zeng
Rui-Xiang Zeng
Rui-Xiang Zeng
Mu-Hua He
Shan-Shan Lin
Li-Heng Guo
Li-Heng Guo
Min-Zhou Zhang
Min-Zhou Zhang
author_facet Jun-Peng Xu
Jun-Peng Xu
Jun-Peng Xu
Rui-Xiang Zeng
Rui-Xiang Zeng
Rui-Xiang Zeng
Mu-Hua He
Shan-Shan Lin
Li-Heng Guo
Li-Heng Guo
Min-Zhou Zhang
Min-Zhou Zhang
author_sort Jun-Peng Xu
collection DOAJ
description ObjectiveAccumulating experimental evidence has identified the beneficial effects of the anti-aging protein, serum soluble α-Klotho, on longevity, and the cardiovascular system. Although a previous study has revealed the predictive value of α-Klotho on total cardiovascular disease (CVD), the associations between α-Klotho and specific CVDs, including congestive heart failure (CHF), coronary heart disease (CHD), myocardial infarction (MI), and stroke, remains to be fully elucidated in humans.MethodsFor 8,615 adults in the 2007 to 2016 National Health and Nutrition Examination Survey, stratified multivariable logistic regression models, restricted cubic spline curves, and subgroup analyses were used to evaluate the associations between α-Klotho and the four specific CVDs.ResultsIn the quartile analyses, compared to those in the highest quartile, participants in the lowest level of α-Klotho were significantly associated with CHF [odds ratio (OR) = 1.46, 95% CI: 1.09–1.97] and MI (1.33, 1.02–1.74), which was not the case for CHD (1.12, 0.91–1.38) or stroke (0.96, 0.73–1.25). Each unit increment in the ln-transformed α-Klotho concentrations was only positively associated with a 38 and 24% reduction in the prevalence of CHF and MI, respectively. Restricted cubic spline curves indicated that the α-Klotho was correlated with CHF and MI in linear-inverse relationships.ConclusionThe present findings suggested that the serum soluble α-Klotho is significantly associated with the prevalence of CHF and MI. To better determine whether α-Klotho is a specific biomarker of CVD, particularly for CHD and stroke, further research in humans is needed.
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spelling doaj.art-6b1581ae7e244ec6b30166f314fc95f42022-12-22T02:39:35ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-06-01910.3389/fcvm.2022.899307899307Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular DiseaseJun-Peng Xu0Jun-Peng Xu1Jun-Peng Xu2Rui-Xiang Zeng3Rui-Xiang Zeng4Rui-Xiang Zeng5Mu-Hua He6Shan-Shan Lin7Li-Heng Guo8Li-Heng Guo9Min-Zhou Zhang10Min-Zhou Zhang11The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaGuangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaSchool of Biosciences and Biopharmaceutics, Guangdong Pharmaceutical University, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, ChinaDepartment of Critical Care Medicine, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, ChinaObjectiveAccumulating experimental evidence has identified the beneficial effects of the anti-aging protein, serum soluble α-Klotho, on longevity, and the cardiovascular system. Although a previous study has revealed the predictive value of α-Klotho on total cardiovascular disease (CVD), the associations between α-Klotho and specific CVDs, including congestive heart failure (CHF), coronary heart disease (CHD), myocardial infarction (MI), and stroke, remains to be fully elucidated in humans.MethodsFor 8,615 adults in the 2007 to 2016 National Health and Nutrition Examination Survey, stratified multivariable logistic regression models, restricted cubic spline curves, and subgroup analyses were used to evaluate the associations between α-Klotho and the four specific CVDs.ResultsIn the quartile analyses, compared to those in the highest quartile, participants in the lowest level of α-Klotho were significantly associated with CHF [odds ratio (OR) = 1.46, 95% CI: 1.09–1.97] and MI (1.33, 1.02–1.74), which was not the case for CHD (1.12, 0.91–1.38) or stroke (0.96, 0.73–1.25). Each unit increment in the ln-transformed α-Klotho concentrations was only positively associated with a 38 and 24% reduction in the prevalence of CHF and MI, respectively. Restricted cubic spline curves indicated that the α-Klotho was correlated with CHF and MI in linear-inverse relationships.ConclusionThe present findings suggested that the serum soluble α-Klotho is significantly associated with the prevalence of CHF and MI. To better determine whether α-Klotho is a specific biomarker of CVD, particularly for CHD and stroke, further research in humans is needed.https://www.frontiersin.org/articles/10.3389/fcvm.2022.899307/fullagingbiomarkerKlothocardiovascular diseaseNational Health and Nutrition Examination Survey (NHANES)
spellingShingle Jun-Peng Xu
Jun-Peng Xu
Jun-Peng Xu
Rui-Xiang Zeng
Rui-Xiang Zeng
Rui-Xiang Zeng
Mu-Hua He
Shan-Shan Lin
Li-Heng Guo
Li-Heng Guo
Min-Zhou Zhang
Min-Zhou Zhang
Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease
Frontiers in Cardiovascular Medicine
aging
biomarker
Klotho
cardiovascular disease
National Health and Nutrition Examination Survey (NHANES)
title Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease
title_full Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease
title_fullStr Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease
title_full_unstemmed Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease
title_short Associations Between Serum Soluble α-Klotho and the Prevalence of Specific Cardiovascular Disease
title_sort associations between serum soluble α klotho and the prevalence of specific cardiovascular disease
topic aging
biomarker
Klotho
cardiovascular disease
National Health and Nutrition Examination Survey (NHANES)
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.899307/full
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