DIAGNOSTIC SIGNIFICANCE OF KLOTHO PROTEIN IN DETECTING CARDIORENAL DYSFUNCTION IN PATIENTS WITH CHRONIC HEART FAILURE

Authors

  • Rakhimova M.E
  • Gadaev A.G
  • Ibrokhimov S.B

Keywords:

chronic heart failure, renal dysfunction, Klotho protein, chronic kidney disease, cardiorenal syndrome

Abstract

Chronic heart failure (CHF) remains one of the major challenges in modern cardiology, characterized by high rates of mortality and disability. Its progression and clinical outcomes are largely associated with cardiorenal dysfunction. Complex pathophysiological interactions between the heart and kidneys contribute to a more severe course of the disease, reduced effectiveness of treatment, and the development of unfavorable clinical outcomes. In this regard, the identification and implementation of biomarkers capable of early diagnosis and prognostic assessment of cardiorenal syndrome represent one of the most relevant directions in contemporary medicine.

References

Алиева А.М., Резник Е.В., Котикова И.А., Никитин И.Г. Белок Klotho, фактор роста фибробластов 23 и склеростин при хронической сердечной недостаточности: oбзор литературы // CardioСоматика. 2024. Т. 15, № 1. С. 41–53. DOI: https://doi.org/10.17816/CS625473

Алиева А.М., Резник Е.В., Теплова Н.В., Воронкова К.В., Хачирова Э.А., Саракаева Л.Р., Валиев Р.К., Котикова И.А., Никитин И.Г. Белок Klotho и атеросклеротические сердечно-сосудистые заболевания: продлевая нить жизни // Российский медицинский журнал. 2022. Т. 28, № 5. С. 365–380. DOI: https://doi.org/10.17816/medjrf110823

Милованова Л.Ю., Лысенко (Козловская) Л.В., Милованова С.Ю. и др. низкий сывороточный уровень Klotho как предиктор кальцификации сердца и сосудов у больных хронической болезнью почек 2–5D стадий. Терапевтический архив. 2020; 92 (6): 37–45. DOI: 10.26442/00403660.2020.06.000670

Рахимова М.Э., Гадаев А.Г. Гипертония касаллигида буйраклар дисфункциясини эрта ташхислашда Klotho оқсили ва витамин D нинг аҳамиятини баҳолаш // Вестник Ташкентской медицинской академии. 2024. №11. С. 22–23.

Самакаев А.С., Глова С.Е., Хаишева Л.А., Лапушкина М.А., Шлык С.В. Прогностическое влияние фактора роста фибробластов 23 на течение ишемической болезни сердца у пациентов с хронической болезнью почек. Южно-Российский журнал терапевтической практики. 2024;5(1):32-37. DOI: 10.21886/2712-8156-2024-5-1-32-37.

Тюренков И.Н., Перфилова В.Н., Нестерова А.А., Глинка Е.Ю. Белок клото и сердечно-сосудистая система. Биохимия. 2021;86(2):158–174. doi:10.31857/S0320972521020020.

Aletras G, Bachlitzanaki M, Stratinaki M, Lamprogiannakis E, Petrakis I, Foukarakis E, Pantazis Y, Hamilos M, Stylianou K. Integrating Novel Biomarkers into Clinical Practice: A Practical Framework for Diagnosis and Management of Cardiorenal Syndrome. Life. 2025; 15(10):1540. https://doi.org/10.3390/life15101540

Cai J, Zhang L, Chen C, et al. Association between serum Klotho concentration and heart failure in adults, a cross-sectional study from NHANES 2007-2016. Int J Cardiol. 2023;370:236-243. doi:10.1016/j.ijcard.2022.11.010

Daneshgar N, Dai DF, Grueter CE. The aging heart: exploring the role of Klotho in cardiac health/function. J Cardiovasc Aging. 2024;4(4):24. doi:10.20517/jca.2024.16

Donate-Correa J, Ferri CM, Martín-Núñez E, et al. Klotho as a biomarker of subclinical atherosclerosis in patients with moderate to severe chronic kidney disease. Sci Rep. 2021;11(1):15877. Published 2021 Aug 5. doi:10.1038/s41598-021-95488-4

Edmonston D, Fuchs MAA, Burke EJ, Isakova T, Wolf M; Chronic Renal Insufficiency Cohort (CRIC) Study Investigators. Klotho and Clinical Outcomes in CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study. Am J Kidney Dis. 2024;84(3):349-360.e1. doi:10.1053/j.ajkd.2024.02.008

Kanbay M, Brinza C, Ozbek L, et al. The association between klotho and kidney and cardiovascular outcomes: a comprehensive systematic review and meta-analysis. Clin Kidney J. 2024;17(9):sfae255. Published 2024 Aug 23. doi:10.1093/ckj/sfae255

Liang, Y., Zhang, Q., Qian, J. R., Li, S. S., & Liu, Q. F. (2025). Inflammation-Induced Klotho Deficiency: A Possible Key Driver of Chronic Kidney Disease Progression. International journal of general medicine, 18, 2507–2520. https://doi.org/10.2147/IJGM.S513497

Liu, L., Jia, J., Cheng, X. et al. The optimal cut-off values of Klotho for predicting all-cause and cardiovascular mortality among chronic kidney disease: results from NHANES. Sci Rep 14, 4647 (2024). https://doi.org/10.1038/s41598-024-52701-4

Mahenthiran, Ajay, Silvio Augusto Nunes, Chia-Feng Liu, Steven Leon, Jennifer Wilcox and W. H. Wilson Tang. “Prognostic value of human serum alpha-klotho concentrations in patients with heart failure with reduced ejection fraction.” Clinical biochemistry (2026): 111086 .

Milovanova LY, Nezhdanov KS, Milovanova SY, et al. α-Klotho is associated with cardiovascular and all-cause mortality in patients with stage 3b and 4 chronic kidney disease (CKD): a long-term prospective cohort study. J Nephrol. 2025;38(1):171-179. doi:10.1007/s40620-024-02069-5

Płonka J, Olejnik A, Klus A, et al. Use of FGF-23 and sαKlotho for Risk Stratification in Patients with Acute Heart Failure. J Clin Med. 2025;14(3):860. Published 2025 Jan 28. doi:10.3390/jcm14030860

Quarta R, Martino G, Romano LR, et al. The Role of Circulating Biomarkers in Patients with Coronary Microvascular Disease. Biomolecules. 2025;15(2):177. Published 2025 Jan 25. doi:10.3390/biom15020177

Taneike M, Nishida M, Nakanishi K, et al. Alpha-Klotho is a novel predictor of treatment responsiveness in patients with heart failure. Sci Rep. 2021;11(1):2058. Published 2021 Jan 21. doi:10.1038/s41598-021-81517-9

Zhunuspekova, A.S., Orekhov, A.Y., Mansurova, J.A. et al. Klotho: Potential Marker of High Cardiovascular Risk in Patients With Acute Coronary Syndrome and Chronic Kidney Disease. Bratisl. Med. J. 126, 960–966 (2025). https://doi.org/10.1007/s44411-025-00085-w

Published

2026-09-09