Evidence map›Paper›PMID 40417994›Full record

ArticleCardiology journal2025

Diagnostic potential of increased Klotho and FGF23 protein concentrations after myocardial infarction in patients with acute coronary syndrome.

Agnieszka Olejnik, Joanna Płonka, Wiktor Kuliczkowski, Andrzej Mysiak, Marek Gierlotka, Iwona D Bil-Lula

Abstract read
In one paragraph

Article in Cardiology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Agnieszka OlejnikDepartment of Medical Laboratory Diagnostics, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0001-5130-7609
Joanna PłonkaDepartment of Cardiology, Institute of Medical Sciences, University of Opole, Opole, Poland.
Wiktor KuliczkowskiInstitute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0001-6284-0820
Andrzej MysiakInstitute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0002-4728-2565
Marek GierlotkaDepartment of Cardiology, Institute of Medical Sciences, University of Opole, Opole, Poland.ORCID 0000-0001-5639-2128
Iwona D Bil-LulaDepartment of Medical Laboratory Diagnostics, Wroclaw Medical University, Wroclaw, Poland. iwona.bil-lula@umw.edu.pl.ORCID 0000-0002-2769-0166

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKlotho is a transmembrane and secretory protein and acts as a co-receptor for fibroblast growth factor 23 (FGF23). This study aimed to analyse the concentration of Klotho and FGF23 proteins in patients with myocardial infarction (MI).

methodsThe study group comprised 129 patients diagnosed with acute coronary syndrome (ACS), who were referred for further invasive diagnostics (MI group). Blood samples were collected at 4 time points: at admission, and 6h, 24h, and between 24-48h post-admission. The criteria for the control subjects (n = 30) were no declaration of MI and ACS (non-MI group). Klotho and FGF23 concentrations in plasma were tested by ELISA at each time point.

resultsThe concentration of soluble Klotho in the MI group was increased at admission, 6h and 24 h post-admission, and then normalized at 24-48h. Klotho concentration was also significantly increased in patients with ST-segment elevation MI (STEMI) only at admission, in comparison to non-ST-segment elevation MI (NSTEMI). The concentration of FGF23 in the MI group was higher at admission, 6h and 24h post-admission, and continued to increase after 24-48 h. There was an increase in FGF23 concentration in the STEMI group at 24-48h post-admission, in comparison to NSTEMI.

conclusionsThe concentrations of Klotho and FGF23 in plasma were higher in patients with MI and changed over time. Thus, Klotho and FGF23 may be recognized as new factors in the diagnosis and/or monitoring of ACS, as well as novel therapeutic targets.

Indexed as

Acute Coronary SyndromeFibroblast Growth FactorsGlucuronidaseMyocardial InfarctionNon-ST Elevated Myocardial InfarctionST Elevation Myocardial InfarctionAgedBiomarkersEnzyme-Linked Immunosorbent AssayFemaleFibroblast Growth Factor-23HumansKlotho ProteinsMaleMiddle AgedTime FactorsBiomarkersFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsGlucuronidaseKlotho ProteinsKL protein, humanacute coronary syndromeFGF23fibroblast growth factor 23Klothomyocardial infarction

Identifiers

PMID40417994
PMCPMC12410939

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.