Literature DB >> 23808483

The anti-aging factor α-klotho during human pregnancy and its expression in pregnancies complicated by small-for-gestational-age neonates and/or preeclampsia.

Jezid Miranda1, Roberto Romero, Steven J Korzeniewski, Alyse G Schwartz, Piya Chaemsaithong, Tamara Stampalija, Lami Yeo, Zhong Dong, Sonia S Hassan, George P Chrousos, Philip Gold, Tinnakorn Chaiworapongsa.   

Abstract

OBJECTIVE: α-klotho, a protein with anti-aging properties, has been involved in important biological processes, such as calcium/phosphate metabolism, resistance to oxidative stress, and nitric oxide production in the endothelium. Recent studies have suggested a role of α-klotho in endocrine regulation of mineral metabolism and postnatal growth in infants. Yet, the role of α-klotho during pregnancy remains largely unknown. The aim of this study was to determine whether maternal plasma concentration of α-klotho changes during pregnancy and evaluate its expression in pregnancies complicated by small for gestational age (SGA) and/or preeclampsia (PE). STUDY
DESIGN: This cross-sectional study included patients in the following groups: (1) non pregnant women (n = 37); (2) uncomplicated pregnancy (n = 130); (3) PE without an SGA neonate (PE; n = 58); (4) PE with an SGA neonate (PE and SGA; n = 52); and (5) SGA neonate without PE (SGA; n = 52). Plasma concentrations of α-klotho were determined by ELISA.
RESULTS: The median plasma α-klotho concentration was higher in pregnant than in non-pregnant women. Among women with an uncomplicated pregnancy, the median plasma concentration of α-klotho increased as a function of gestational age (Spearman Rho = 0.2; p = 0.006). The median (interquartile range) plasma concentration of α-klotho in women with PE and SGA [947.6 (762-2013) pg/mL] and SGA without PE [1000 (585-1567) pg/mL] were 21% and 17% lower than that observed in women with an uncomplicated pregnancy [1206.6 (894-2012) pg/mL], (p = 0.005 and p = 0.02), respectively. Additionally, there were no significant differences in the median plasma concentration of α-klotho between uncomplicated pregnancies and women with PE without an SGA neonate (p = 0.5).
CONCLUSION: Maternal plasma concentration of α-klotho was higher during pregnancy than in a non-pregnant state. Moreover, the median maternal plasma concentration of α-klotho was lower in mothers who delivered an SGA neonate than in those with an uncomplicated pregnancy regardless of the presence or absence of PE.

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Year:  2013        PMID: 23808483      PMCID: PMC4157896          DOI: 10.3109/14767058.2013.818652

Source DB:  PubMed          Journal:  J Matern Fetal Neonatal Med        ISSN: 1476-4954


  122 in total

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3.  Neuronal apoptosis in the neonates born to preeclamptic mothers.

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4.  Morphological changes in the utero-placental bed in pregnancy hypertension.

Authors:  I A Brosens
Journal:  Clin Obstet Gynaecol       Date:  1977-12

5.  First-trimester increase in oxidative stress and risk of small-for-gestational-age fetus.

Authors:  N Potdar; R Singh; V Mistry; M D Evans; P B Farmer; J C Konje; M S Cooke
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6.  Evidence of placental translation inhibition and endoplasmic reticulum stress in the etiology of human intrauterine growth restriction.

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7.  Low maternal concentrations of soluble vascular endothelial growth factor receptor-2 in preeclampsia and small for gestational age.

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Review 8.  Circulating factors as markers and mediators of endothelial cell dysfunction in preeclampsia.

Authors:  R N Taylor; C J de Groot; Y K Cho; K H Lim
Journal:  Semin Reprod Endocrinol       Date:  1998

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10.  Klotho is a serum factor related to human aging.

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Journal:  Chin Med J (Engl)       Date:  2004-05       Impact factor: 2.628

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Review 6.  Programmed Fetal Membrane Senescence and Exosome-Mediated Signaling: A Mechanism Associated With Timing of Human Parturition.

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7.  The Iron-Klotho-VDR Axis Is a Major Determinant of Proximal Convoluted Tubule Injury in Haptoglobin 2-2 Genotype Diabetic Nephropathy Patients and Mice.

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