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klotho作为过度劳累生物标志物的潜力:一项针对一线医务工作者的研究。

Potential of Klotho as a Biomarker for Overwork: A Study of Frontline Medical Workers.

作者信息

Zhu Ling-Na, Xiang Dong-Lin, Zuo Jiang-Cheng, Wang Guang-Yong, Xiao Ning

机构信息

From the Yiling People's Hospital of Yichang City, Yichang, Hubei, China.

出版信息

J Occup Environ Med. 2025 Feb 1;67(2):79-82. doi: 10.1097/JOM.0000000000003263. Epub 2024 Nov 15.

DOI:10.1097/JOM.0000000000003263
PMID:39805121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11801441/
Abstract

OBJECTIVE

This study evaluates the utility of serum s-αKlotho levels as a quantifiable biomarker for overwork.

METHODS

Frontline medical workers aged 20-55 years from Yiling People's Hospital of Yichang were recruited. Criteria included nonsmokers, non-heavy drinkers, no chronic medication use, and no acute illnesses recently. Participants worked over 10 hours per day, 60 hours weekly, and had at least 3 years of experience. A control group was matched except for work conditions. Data were collected through surveys, and serum levels were measured.

RESULTS

Significant differences in serum Klotho were found between overwork and control groups. The overwork group had higher median s-αKlotho levels (49.99 pg/mL) compared to controls (27.88 pg/mL).

CONCLUSION

Overworked medical workers exhibited elevated serum s-αKlotho, suggesting s-αKlotho as a potential biomarker for overwork. Future research should use multicenter designs with larger samples to validate findings.

摘要

目的

本研究评估血清s-αKlotho水平作为过度劳累的可量化生物标志物的效用。

方法

招募了宜昌夷陵人民医院年龄在20至55岁的一线医务工作者。标准包括不吸烟、不酗酒、近期无慢性药物使用且无急性疾病。参与者每天工作超过10小时,每周工作60小时,且至少有3年工作经验。除工作条件外,对照组进行匹配。通过调查收集数据,并测量血清水平。

结果

过度劳累组和对照组之间血清Klotho存在显著差异。与对照组(27.88 pg/mL)相比,过度劳累组的s-αKlotho水平中位数更高(49.99 pg/mL)。

结论

过度劳累的医务工作者血清s-αKlotho升高,提示s-αKlotho作为过度劳累的潜在生物标志物。未来的研究应采用多中心设计和更大样本量来验证研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b45b/11801441/bf31d3020d1b/joem-67-0079-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b45b/11801441/9ff337eb58d1/joem-67-0079-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b45b/11801441/bf31d3020d1b/joem-67-0079-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b45b/11801441/9ff337eb58d1/joem-67-0079-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b45b/11801441/bf31d3020d1b/joem-67-0079-g002.jpg

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Cell Biosci. 2024 Apr 7;14(1):46. doi: 10.1186/s13578-024-01226-4.
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Klotho: a potential therapeutic target in aging and neurodegeneration beyond chronic kidney disease-a comprehensive review from the ERA CKD-MBD working group.α-klotho:慢性肾脏病之外衰老与神经退行性变中的潜在治疗靶点——来自欧洲肾脏最佳实践慢性肾脏病-矿物质与骨异常工作组的全面综述
Clin Kidney J. 2023 Nov 3;17(1):sfad276. doi: 10.1093/ckj/sfad276. eCollection 2024 Jan.
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Lower serum Klotho level and higher systemic immune-inflammation index: an inverse correlation.
血清 Klotho 水平降低和全身免疫炎症指数升高:呈负相关。
BMC Geriatr. 2023 Oct 11;23(1):650. doi: 10.1186/s12877-023-04349-4.
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Klotho alleviates contrast-induced acute kidney injury by suppressing oxidative stress, inflammation, and NF-KappaB/NLRP3-mediated pyroptosis.Klotho 通过抑制氧化应激、炎症和 NF-κB/NLRP3 介导的细胞焦亡来减轻对比剂诱导的急性肾损伤。
Int Immunopharmacol. 2023 May;118:110105. doi: 10.1016/j.intimp.2023.110105. Epub 2023 Apr 3.
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Klotho improves cardiac fibrosis, inflammatory cytokines, ferroptosis, and oxidative stress in mice with myocardial infarction.Klotho 可改善心肌梗死小鼠的心脏纤维化、炎症细胞因子、铁死亡和氧化应激。
J Physiol Biochem. 2023 May;79(2):341-353. doi: 10.1007/s13105-023-00945-5. Epub 2023 Jan 26.
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BMC Cardiovasc Disord. 2022 Oct 11;22(1):442. doi: 10.1186/s12872-022-02885-2.
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