血清α-Klotho与所有原因和特定原因死亡率之间的关系
Nargiza Sadr1, Cynthia J Avila2, Hannah Chung1
1Department of Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
血清α-Klotho (αK) 蛋白水平显示出与死亡率的U形关联. 较高和较低的αK水平与美国一项大型人口研究中的全因和癌症死亡风险增加有关.
科学领域:
- 生物化学 生物化学
- 老年学是指老年学的学科.
- 流行病学 流行病学
背景情况:
- 阿尔法-克洛托 (αK) 与死亡率之间的关联仍在争论中,缺乏在大型多样化人口中进行的研究.
- 血清αK蛋白水平是一个潜在的生物标志物,但它们对死亡率的预后价值需要进一步澄清.
研究的目的:
- 检查血清αK蛋白水平与全因和因特定死亡率之间的关系.
- 通过使用大型数据集,在代表美国人口的队列中调查这一关联.
主要方法:
- 利用了2007-2016年国家健康和营养检查调查 (NHANES) 的数据.
- 采用Cox比例危险和竞争风险模型来分析αK水平 (作为二次变量) 和死亡率之间的非线性关联.
- 调整了许多共同变量,包括年龄,BMI,糖尿病,吸烟和估计的膜过率.
主要成果:
- 在多变量调整模型中,在血清αK水平和全因死亡率之间观察到U形关系.
- 这种U形的关联也在癌症死亡率上被注意到,低和高的αK水平与风险增加相关.
- 在αK水平和心血管或其他死亡原因之间没有发现显著的关系.
结论:
- 在大量多样化的美国人口中,血清αK水平和全因和癌症死亡率之间存在显著的U形关联.
- 需要进一步的研究来阐明这些观察到的关系背后的生物学机制.
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