Is there a role in acute kidney injury for FGF23 and Klotho?

Clin Kidney J

Department of Nephrology, Dialysis and Renal Transplantation, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Milan, Italy.

Published: October 2023

AI Article Synopsis

  • Cardio-renal syndrome is a condition where acute kidney injury (AKI) can lead to chronic cardiovascular issues and worsen chronic kidney disease.
  • High mortality from AKI is often due to complications affecting other organs and possible septic events.
  • The review focuses on how cardiac changes during AKI relate to bone metabolism, specifically examining the roles of fibroblast growth factor 23 and Klotho in the bone-kidney-heart relationship.

Article Abstract

Cardio-renal syndrome is a clinical condition that has recently been well defined. In acute kidney disease, this interaction might trigger chronic processes determining the onset of cardiovascular events and the progression of chronic kidney disease. Moreover, the high mortality rate of acute kidney injury (AKI) is also linked to the fact that this condition is often complicated by dysfunctions of other organs such as lungs or heart, or is associated with septic episodes. In this context the role and the potential link between bone, heart and kidney is becoming an important topic of research. The aim of this review is to describe the cardiac alterations in the presence of AKI (cardiorenal syndrome type 3) and explore how bone can interact with heart and kidney in determining and influencing the trend of AKI in the short and long term. The main anomalies of mineral metabolism in patients with AKI will be reported, with specific reference to the alterations of fibroblast growth factor 23 and Klotho as a link between the bone-kidney-heart axis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539225PMC
http://dx.doi.org/10.1093/ckj/sfad093DOI Listing

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