Plasma Klotho concentrations predict functional outcome at three months after acute ischemic stroke patients

Jun Beom Lee, Ho Geol Woo, Yoonkyung Chang, Yoon Mi Jin, Inho Jo, Jinkwon Kim, Tae Jin Song

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: The Klotho protects the cardiovascular system by protecting against cell apoptosis, inhibiting the production of reactive oxygen species, and modulating inflammation. We aimed to investigate relationship of plasma Klotho concentrations with functional outcome at 3 months after acute cerebral infarction. Methods: We prospectively enrolled 262 first-ever acute cerebral infarction patients from whom a blood sample was acquired within 24 h of admission. An enzyme-linked immunosorbent assay was used for evaluating plasma Klotho concentration. Functional outcome on admission and three months was evaluated. Results: Of the 262 patients, 152 (58.0%) were men. The mean age of these patients was 64.7 years. The mean ± standard deviation of plasma Klotho concentrations was 312.7 ± 153.3 pg/mL. As opposed to patients with good outcome, plasma Klotho levels were lower in the poor outcome group (207.8 ± 96.2 vs. 342.5 ± 153.5 pg/mL, p =.001). In multivariate analysis, increased plasma Klotho concentrations were independently associated with good functional outcome (Odds ratio: 2.42, 95% confidence interval: 1.45–4.04, p <.001). Conclusions: Increased plasma Klotho concentrations were associated with good functional outcome in patients with acute ischemic stroke. We attribute these associations to the pleiotropic effects of Klotho in stroke and vascular diseases.Key message Increased plasma Klotho concentrations were associated with good functional outcome in patients with acute ischemic stroke.

Original languageEnglish
Pages (from-to)262-269
Number of pages8
JournalAnnals of Medicine
Volume51
Issue number3-4
DOIs
StatePublished - 19 May 2019

Keywords

  • Klotho
  • fibroblast growth factor 23
  • functional outcome
  • stroke

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