PMID- 31405675 OWN - NLM STAT- MEDLINE DCOM- 20200106 LR - 20211204 IS - 1878-0334 (Electronic) IS - 1871-4021 (Linking) VI - 13 IP - 4 DP - 2019 Jul-Aug TI - Impaired function of fibroblast growth factor 23 / Klotho protein axis in prediabetes and diabetes mellitus: Promising predictor of cardiovascular risk. PG - 2549-2556 LID - S1871-4021(19)30405-9 [pii] LID - 10.1016/j.dsx.2019.07.018 [doi] AB - The discovery of clear molecular mechanisms of early cardiac and vascular complications in patients with prediabetes and known diabetes mellitus are core element of stratification at risk with predictive model creation further. Previous clinical studies have shown a pivotal role of impaired signaling axis of fibroblast growth factor 23 (FGF23), FGF23 receptor isoforms and its co-factor Klotho protein in cardiovascular (CV) complications in prediabetes and diabetes. Although there were data received in clinical studies, which confirmed a causative role of altered function of FGF-23/Klotho protein axis in manifestation of CV disease in prediabetes and type 2 diabetes mellitus (T2DM), the target therapy of these diseases directing on improvement of metabolic profiles, systemic and adipokine-relating inflammation by beneficial restoring of dysregulation in FGF-23/Klotho protein axis remain to be not fully clear. The aim of the review was to summarize findings regarding the role of impaired FGF-23/Klotho protein axis in developing CV complications in patients with prediabetes and type 2 diabetes mellitus. It has been elucidated that elevated levels of FGF-23 and deficiency of Klotho protein in peripheral blood are predictors of CV disease and CV outcomes in patients with (pre) diabetes, while predictive values of dynamic changes of the concentrations of these biomarkers require to be elucidated in detail in the future. CI - Copyright (c) 2019 Diabetes India. Published by Elsevier Ltd. All rights reserved. FAU - Berezin, Alexander E AU - Berezin AE AD - Internal Medicine Department, State Medical University, Ministry of Health of Ukraine, Zaporozhye, 69035, Ukraine. Electronic address: aeberezin@gmail.com. FAU - Berezin, Alexander A AU - Berezin AA AD - Internal Medicine Department, Medical Academy of Post-Graduate Education, Ministry of Health of Ukraine, Zaporozhye, 69096, Ukraine. LA - eng PT - Journal Article PT - Review DEP - 20190709 PL - Netherlands TA - Diabetes Metab Syndr JT - Diabetes & metabolic syndrome JID - 101462250 RN - 0 (Biomarkers) RN - 0 (FGF23 protein, human) RN - 62031-54-3 (Fibroblast Growth Factors) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) RN - EC 3.2.1.31 (Glucuronidase) RN - EC 3.2.1.31 (Klotho Proteins) SB - IM MH - Biomarkers/*metabolism MH - Cardiovascular Diseases/*diagnosis/etiology/metabolism MH - Diabetes Mellitus, Type 2/*complications MH - Fibroblast Growth Factor-23 MH - Fibroblast Growth Factors/*metabolism MH - Glucuronidase/*metabolism MH - Humans MH - Klotho Proteins MH - Prediabetic State/*complications MH - Prognosis MH - Risk Factors OTO - NOTNLM OT - Cardiovascular disease OT - Diabetes mellitus OT - Fibroblast growth factor 23 OT - Klotho protein OT - Metabolism OT - Prediabetes EDAT- 2019/08/14 06:00 MHDA- 2020/01/07 06:00 CRDT- 2019/08/14 06:00 PHST- 2019/06/12 00:00 [received] PHST- 2019/07/08 00:00 [accepted] PHST- 2019/08/14 06:00 [entrez] PHST- 2019/08/14 06:00 [pubmed] PHST- 2020/01/07 06:00 [medline] AID - S1871-4021(19)30405-9 [pii] AID - 10.1016/j.dsx.2019.07.018 [doi] PST - ppublish SO - Diabetes Metab Syndr. 2019 Jul-Aug;13(4):2549-2556. doi: 10.1016/j.dsx.2019.07.018. Epub 2019 Jul 9.