成纤维细胞生长因子23与Klotho在血管钙化相关性的研究进展

    Research Progress on correlation of fibroblast growth factor 23 and klotho with vascular calcification

    • 摘要: 本文介绍了血管钙化是导致CKD患者心血管事件的发病率和死亡率增加的主要原因,通过骨矿物质代谢紊乱及炎症在CKD患者中促进血管钙化,提高心血管疾病的风险。而成纤维细胞生长因子23(fibroblast growth factor23,FGF23)及Klotho在CKD患者中可以影响血磷水平,通过回顾这两者对于血磷在肠道的吸收、骨动员、肾脏的代谢的影响,分析其对于CKD患者血管钙化的影响,指出FGF23和Klotho成为研究血管钙化发展的标志物的可能性,是否可以成为早期诊断肾功能不全和预测慢性并发症的新的诊断靶点,提高其临床实用性及经济效益。

       

      Abstract: This article stated that, vascular calcification might be the main cause for incidence and mortality of cardiovascular events in chronic kidney disease (CKD) patients; through bone mineral metabolism disorder and inflammation, vascular calcification was promoted in CKD patients to increase the risk of cardiovascular diseases; and fibroblast growth factor 23 (FGF23) and Klotho could affect the level of blood phosphorus in CKD patients. By reviewing their effects on intestinal absorption, bone mobilization and renal metabolism, their effect on vascular calcification in CKD patients was analyzed. The author pointed out the possibility that FGF23 and Klotho might be the biomarkers for progression of vascular calcification. Finally, it was concluded that they might be new targets for early diagnosis of renal insufficiency and chronic complications, so as to improve their clinical practicality and economic benefits.

       

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