@inproceedings{ScholzePetersenHocheretal.2014, author = {Scholze, Alexandra and Petersen, Lise and Hocher, Berthold and Rasmussen, Lars M. and Tepel, Martin}, title = {Role of fibroblast growth factor-23 and soluble alpha klotho in chronic kidney disease}, series = {Nephrology, dialysis, transplantation}, volume = {29}, booktitle = {Nephrology, dialysis, transplantation}, publisher = {Oxford Univ. Press}, address = {Oxford}, issn = {0931-0509}, pages = {120 -- 121}, year = {2014}, language = {en} } @article{ScholzeLiuPedersenetal.2014, author = {Scholze, Alexandra and Liu, Ying and Pedersen, Lise and Xia, Shengqiang and Roth, Heinz J. and Hocher, Berthold and Rasmussen, Lars Melholt and Tepel, Martin}, title = {Soluble alpha-Klotho and its relation to kidney function and fibroblast growth factor-23}, series = {The journal of clinical endocrinology \& metabolism}, volume = {99}, journal = {The journal of clinical endocrinology \& metabolism}, number = {5}, publisher = {Endocrine Society}, address = {Washington}, issn = {0021-972X}, doi = {10.1210/jc.2013-4171}, pages = {E855 -- E861}, year = {2014}, abstract = {Context: Relations between fibroblast growth factor-23 (FGF-23), soluble alpha-klotho (s-alpha-klotho), and kidney function in chronic kidney disease (CKD) are still unclear. Especially the role of s-alpha-klotho requires further study. Objectives: Our objectives were to analyze the relation of s-alpha-klotho to estimated glomerular filtration rate (eGFR), FGF-23, and other parameters of calcium-phosphate metabolism and to investigate the response of s-alpha-klotho to cholecalciferol. Patients, Design, and Setting: Twenty-four CKD (stage 1-5) patients participated in this 8-week randomized controlled trial (vitamin D and chronic renal insufficiency). Interventions: Interventions included 40 000 IU cholecalciferol or placebo weekly. Main Outcome Measure: S-alpha-klotho was determined by ELISA with antihuman klotho antibodies 67G3 and 91F1. Results: For all patients, s-alpha-klotho concentrations did not differ between CKD stages. When patients were subdivided based on FGF-23 concentrations, a positive association of s-alpha-klotho with eGFR became apparent in patients with lower than median FGF-23 concentrations but not in those above median value. Patients with s-alpha-klotho below 204 pg/mL showed higher age, lower phosphate clearance, and lower bone-specific alkaline phosphatase compared with patients with higher s-alpha-klotho. Treatment with cholecalciferol significantly increased 1,25-dihydroxyvitamin D. The increase of FGF-23 had only borderline significance. There was no significant effect of high-dose cholecalciferol administration for 8 weeks on plasma s-alpha-klotho. Conclusions: CKD patients with s-alpha-klotho below 204 pg/mL had higher age, lower phosphate clearance, and lower bone-specific alkaline phosphatase. An association of s-alpha-klotho with eGFR was observed only in the presence of close to normal, but not high, FGF-23 concentrations. Cholecalciferol treatment did not change s-alpha-klotho concentrations.}, language = {en} }