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帕金森病患者血清α-klotho水平

Serum alpha klotho levels in Parkinson's Disease.

作者信息

Yalcin Ahmet, Gemci Emine, Yurumez Busra, Yilmaz Rezzak, Varli Murat, Atmis Volkan, Akbostancı M Cenk, Yazihan Nuray

机构信息

Geriatric Medicine Department, Ankara University School of Medicine, Ankara Üniversitesi Tıp Fakültesi Dekanlığı Morfoloji Yerleşkesi, A. Adnan Saygun Cad. No: 35, Altındağ/Ankara, Turkey.

Neurology Department, Ankara University School of Medicine, Ankara, Turkey.

出版信息

Neurol Sci. 2025 Feb;46(2):743-749. doi: 10.1007/s10072-024-07809-w. Epub 2024 Oct 29.

DOI:10.1007/s10072-024-07809-w
PMID:39467935
Abstract

PURPOSE

Parkinson's Disease (PD), a neurodegenerative disorder, is associated with substantial morbidity. α-Klotho, an anti-aging protein known for its neuroprotective properties, has gained attention. This study aims to assess serum levels of α-Klotho in PD patients.

METHODS

This study is a cross-sectional case-control study. PD was diagnosed according to UK Parkinson Disease Society Brain Bank criteria. Serum α-Klotho level was measured using a commercially available enzyme-linked immunosorbent assay.

RESULTS

Of the 314 participants in the study, 157 were patients with PD and 157 were controls. Lower levels of α-Klotho were observed in PD (0.85 nmol/L) in comparison to the controls (1.47 nmol/L, p < 0.001). α-Klotho levels were also significantly lower among PD patients with dementia compared to PD patients without dementia. In logistic regression analysis, α-Klotho (OR: 0.04, p < 0.001) demonstrated a significant relationship between PD. A significant correlation was identified between α-Klotho levels and Mini-Mental State Examination scores in PD patients. The sensitivity and the specifity of α-Klotho were 90% and 65% for predicting PD.

CONCLUSIONS

Our findings suggest that α-klotho could potentially serve as a biomarker. However additional studies are needed to confirm our findings.

摘要

目的

帕金森病(PD)是一种神经退行性疾病,与严重的发病率相关。α-klotho是一种以其神经保护特性而闻名的抗衰老蛋白,已受到关注。本研究旨在评估PD患者血清中α-klotho的水平。

方法

本研究为横断面病例对照研究。根据英国帕金森病协会脑库标准诊断PD。使用市售的酶联免疫吸附测定法测量血清α-klotho水平。

结果

在该研究的314名参与者中,157名是PD患者,157名是对照组。与对照组(1.47 nmol/L,p < 0.001)相比,PD患者中观察到较低水平的α-klotho(0.85 nmol/L)。与无痴呆的PD患者相比,痴呆的PD患者中α-klotho水平也显著较低。在逻辑回归分析中,α-klotho(OR:0.04,p < 0.001)显示与PD之间存在显著关系。在PD患者中,α-klotho水平与简易精神状态检查得分之间存在显著相关性。α-klotho预测PD的敏感性和特异性分别为90%和65%。

结论

我们的研究结果表明,α-klotho可能作为一种生物标志物。然而,需要更多研究来证实我们的发现。

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本文引用的文献

1
Alpha-Klotho in Parkinson's disease: a perspective on experimental evidence and potential clinical implications.帕金森病中的α-klotho:关于实验证据和潜在临床意义的观点
Neural Regen Res. 2022 Dec;17(12):2687-2688. doi: 10.4103/1673-5374.335820.
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Serum Levels of α-Klotho Are Correlated with Cerebrospinal Fluid Levels and Predict Measures of Cognitive Function.血清 α-klotho 水平与脑脊液水平相关,并可预测认知功能的衡量指标。
J Alzheimers Dis. 2022;86(3):1471-1481. doi: 10.3233/JAD-215719.
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Biofluids profile of α-Klotho in patients with Parkinson's disease.
帕金森病患者的生物流体α-klotho 谱。
Parkinsonism Relat Disord. 2021 Sep;90:62-64. doi: 10.1016/j.parkreldis.2021.08.004. Epub 2021 Aug 10.
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Peripheral Klotho and Parkinson's Disease.外周α-klotho蛋白与帕金森病
Mov Disord. 2021 May;36(5):1274-1276. doi: 10.1002/mds.28530. Epub 2021 Feb 25.
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The longevity gene Klotho and its cerebrospinal fluid protein profiles as a modifier for Parkinson´s disease.长寿基因 Klotho 及其脑脊液蛋白谱作为帕金森病的修饰因子。
Eur J Neurol. 2021 May;28(5):1557-1565. doi: 10.1111/ene.14733. Epub 2021 Feb 6.
6
The anti-aging protein klotho alleviates injury of nigrostriatal dopaminergic pathway in 6-hydroxydopamine rat model of Parkinson's disease: Involvement of PKA/CaMKII/CREB signaling.抗衰老蛋白 klotho 减轻帕金森病 6-羟多巴胺大鼠模型黑质纹状体多巴胺能通路损伤:涉及蛋白激酶 A/钙调蛋白依赖性蛋白激酶 II/环磷酸腺苷反应元件结合蛋白信号通路。
Exp Gerontol. 2017 Dec 15;100:70-76. doi: 10.1016/j.exger.2017.10.023. Epub 2017 Nov 5.
7
Peripheral Elevation of a Klotho Fragment Enhances Brain Function and Resilience in Young, Aging, and α-Synuclein Transgenic Mice.Klotho片段的外周升高增强年轻、老龄及α-突触核蛋白转基因小鼠的脑功能和恢复力。
Cell Rep. 2017 Aug 8;20(6):1360-1371. doi: 10.1016/j.celrep.2017.07.024.
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Klotho, stem cells, and aging.klotho、干细胞与衰老
Clin Interv Aging. 2015 Aug 4;10:1233-43. doi: 10.2147/CIA.S84978. eCollection 2015.
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Mortality in Parkinson's disease: a systematic review and meta-analysis.帕金森病的死亡率:一项系统评价与荟萃分析
Mov Disord. 2014 Nov;29(13):1615-22. doi: 10.1002/mds.25898. Epub 2014 May 13.
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Klotho in the cerebrospinal fluid of adults with and without Alzheimer's disease.患有和未患有阿尔茨海默病的成年人脑脊液中的klotho蛋白
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