Prognostic Value of Serum Soluble Klotho and Fibroblast Growth Factor-23 in Multiple Myeloma Patients.

Fibroblast growth factor (FGF)-23 Klotho Multiple myeloma Survival outcomes

Journal

Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion
ISSN: 0971-4502
Titre abrégé: Indian J Hematol Blood Transfus
Pays: India
ID NLM: 9425818

Informations de publication

Date de publication:
Jul 2022
Historique:
received: 17 09 2020
accepted: 05 07 2021
entrez: 24 6 2022
pubmed: 25 6 2022
medline: 25 6 2022
Statut: ppublish

Résumé

Multiple myeloma is the plasma cell malignancy in which bone involvement is common. The Fibroblast growth factor-23 (FGF-23)/Klotho pathway plays a major role in mineral metabolism that FGF-23 is mineralization inhibitory. Klotho also has anti-apoptotic and anti-tumor effects by acting as a tumor suppressor gene. There is a negative correlation between serum FGF-23 and serum soluble Klotho (sKL) levels. As such, there can be considerable interest in investigating sKL and FGF-23 as a biomarker in patients with MM. We used an enzyme-linked immunosorbent assay to measure serum FGF-23 and sKL levels in 55 newly diagnosed MM patients and 23 healthy controls. We determined significantly high serum FGF-23 and low serum sKL levels in MM patients when compared to healthy controls. Serum sKL levels correlated negatively with a p53 positive mutation status, with high ISS, elevated lactate dehydrogenase, C-reactive protein, Beta-2 microglobulin levels. Serum FGF-23 levels are associated negatively with serum phosphorus and positively only light chains and p53 mutation. Patients with high serum FGF-23 levels had significantly shorter median overall survival than those with low serum FGF-23 levels (

Identifiants

pubmed: 35747582
doi: 10.1007/s12288-021-01470-5
pii: 1470
pmc: PMC9209547
doi:

Types de publication

Journal Article

Langues

eng

Pagination

454-463

Informations de copyright

© Indian Society of Hematology and Blood Transfusion 2021.

Déclaration de conflit d'intérêts

Conflict of ınterestThe authors report no declarations of interest.

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Auteurs

Esra Terzi Demirsoy (E)

Department of Hematology, Derince Training and Research Hospital, Health Sciences University, 41900 Derince, Kocaeli Turkey.

Ozgür Mehtap (O)

Department of Hematology, Kocaeli University School of Medicine, Kocaeli, Turkey.

Elif Birtas Atesoglu (E)

Department of Hematology, Anadolu Medical Center, Kocaeli, Turkey.

Pinar Tarkun (P)

Department of Hematology, Kocaeli University School of Medicine, Kocaeli, Turkey.

Ayfer Gedük (A)

Department of Hematology, Kocaeli University School of Medicine, Kocaeli, Turkey.

Necmi Eren (N)

Department of Nefrology, Kocaeli University School of Medicine, Kocaeli, Turkey.

Abdullah Hacihanefioglu (A)

Department of Hematology, Kocaeli University School of Medicine, Kocaeli, Turkey.

Classifications MeSH