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Reduced Klotho is associated with the presence and severity of coronary artery disease
Juan F Navarro-González1, Javier Donate-Correa, Mercedes Muros de Fuentes
1Research Division, Hospital Universitario Nuestra Señora de Candelaria, , Santa Cruz de Tenerife, Spain.
Insights
Lower Klotho levels are linked to coronary artery disease (CAD). This study found reduced serum Klotho and gene expression in patients with significant CAD, indicating Klotho
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Genetics
Background:
- Klotho plays a role in maintaining vascular health.
- Reduced Klotho has been implicated in various age-related diseases.
Purpose of the Study:
- To investigate the association between Klotho and coronary artery disease (CAD).
- To evaluate serum soluble Klotho concentrations and vascular Klotho gene expression in relation to CAD presence and severity.
Main Methods:
- Cross-sectional study involving 371 subjects undergoing coronary angiography and 70 cardiac surgery patients.
- Assessed CAD presence and severity (stenosis index), cardiovascular risk factors, Klotho gene expression (thoracic aorta), and serum Klotho levels.
Main Results:
- Significantly lower serum Klotho concentrations in patients with significant CAD (p<0.001).
- Higher serum Klotho levels correlated with lower stenosis severity (p<0.0001).
- Reduced Klotho gene expression observed in patients with significant CAD (p=0.01).
Conclusions:
- Significant CAD is associated with lower serum Klotho concentrations and reduced vascular Klotho gene expression.
- These findings suggest Klotho is independently associated with CAD presence and severity, irrespective of traditional risk factors.
Objective:
Klotho is involved in vascular health. We aimed to analyse in a cross-sectional study the relationship between Klotho and human coronary artery disease (CAD).
Methods:
The study included 371 subjects who underwent coronary angiography and 70 patients who underwent elective cardiac surgery recruited between May 2008 and June 2009. The presence and severity (stenosis index) of CAD, cardiovascular risk factors, Klotho gene expression in the thoracic aorta, and serum soluble Klotho concentrations were evaluated.
Results:
The soluble Klotho concentration was lower (p<0.001) in patients with significant CAD (n=233). The maximal stenosis observed in every epicardial artery and the stenosis severity index was significantly lower in patients within the higher soluble Klotho concentrations (p<0.0001). Multiple regression analysis showed that serum Klotho concentrations were inverse and significantly associated with CAD (adjusted R(2)=0.67, p<0.001). Multivariate logistic regression analysis showed that risk factors for significant CAD included age, diabetes, smoking and inflammation, whereas high serum Klotho values were associated with a lower risk for CAD. Lower mRNA expression level of Klotho was observed in 46 patients with significant CAD, as compared with subjects without CAD (p=0.01). Logistic regression analysis showed that high Klotho gene expression was independently associated with lower risk for CAD.
Conclusions:
Patients with significant CAD present lower soluble concentrations of Klotho, as well as reduced levels of Klotho gene expression in the vascular wall. Reduced serum Klotho concentrations and decreased vascular Klotho gene expression were associated with the presence and severity of CAD independently of established cardiovascular risk factors.
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