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Horm Metab Res 2018; 50(11): 816-821
DOI: 10.1055/a-0752-4615
Endocrine Care
© Georg Thieme Verlag KG Stuttgart · New York

Association Between Plasma Concentration of Klotho Protein, Osteocalcin, Leptin, Adiponectin, and Bone Mineral Density in Patients with Chronic Kidney Disease

Małgorzata Marchelek-Mysliwiec
1   Department of Nephrology, Transplantology and Internal Diseases Pomeranian Medical University, Szczecin, Poland
,
Magda Wisniewska
1   Department of Nephrology, Transplantology and Internal Diseases Pomeranian Medical University, Szczecin, Poland
,
Monika Nowosiad-Magda
2   Department of Microbiology and Immunology Pomeranian Medical University, Szczecin, Poland
,
Krzysztof Safranow
3   Department of Biochemistry and Medical Chemistry, Pomeranian Medical University, Szczecin, Poland
,
Ewa Kwiatkowska
1   Department of Nephrology, Transplantology and Internal Diseases Pomeranian Medical University, Szczecin, Poland
,
Bolesław Banach
4   Department of Physiology, Pomeranian Medical University, Szczecin, Poland
,
Barbara Dołegowska
2   Department of Microbiology and Immunology Pomeranian Medical University, Szczecin, Poland
,
Katarzyna Dołegowska
2   Department of Microbiology and Immunology Pomeranian Medical University, Szczecin, Poland
,
Joanna Stepniewska
1   Department of Nephrology, Transplantology and Internal Diseases Pomeranian Medical University, Szczecin, Poland
,
Leszek Domanski
1   Department of Nephrology, Transplantology and Internal Diseases Pomeranian Medical University, Szczecin, Poland
,
Andrzej Pawlik
4   Department of Physiology, Pomeranian Medical University, Szczecin, Poland
,
Kazimierz Ciechanowski
1   Department of Nephrology, Transplantology and Internal Diseases Pomeranian Medical University, Szczecin, Poland
› Author Affiliations
Further Information

Publication History

received 10 February 2018

accepted 19 September 2018

Publication Date:
05 November 2018 (online)

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Abstract

Patients with early-stage chronic kidney disease (CKD) are susceptible to changes in metabolic processes. Partial loss of kidney function leads to homoeostatic disturbances in bone and fatty tissue. The aim of this study was to investigate the association between plasma concentrations of Klotho protein, FGF23, leptin, adiponectin, osteocalcin, and bone mineral density (BMD) in patients with CKD in the pre-dialysis period. The study involved 52 patients with CKD and 23 patients with no kidney disease. In both groups, BMD, body mass index and serum or plasma concentrations of lipids, glucose, creatinine, calcium, phosphorus, parathormone, leptin, adiponectin, osteocalcin, Klotho, and FGF23 were measured. The group with CKD had statistically significant higher concentrations of leptin (p<0.001), parathormone (p<0.001), and osteocalcin (p<0.001) in comparison with the control group. Patients with CKD also had statistically significant lower BMD in the femoral neck in comparison with the control group. Osteocalcin correlated negatively with BMD. The results of our study suggest that elevated osteocalcin is the most sensitive marker of decreased bone mass in patients with CKD. Osteocalcin correlated negatively with BMD and GFR. The loss of bone mass in CKD patients was greatest in the femoral neck.

Key words

Klotho protein - osteocalcin - leptin - adiponectin - bone mineral density - chronic kidney disease
 

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