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Impact of Fasting Status on the Use of Klotho as a Biomarker

Title: Impact of Fasting Status on the Use of Klotho as a Biomarker
Authors: Paquette, Jean-Sébastien; Gerard, Ngueta; Djade, Codjo Djignefa; Cadrin-Chênevert, Alexandre; Martel, Elise; Boudreault, Samuel; Pelletier, Mathieu
Source: The Journal of Applied Laboratory Medicine ; volume 6, issue 5, page 1276-1280 ; ISSN 2576-9456 2475-7241
Publisher Information: Oxford University Press (OUP)
Publication Year: 2021
Description: Background Klotho is a protein secreted physiologically in humans. It acts like a hormone that regulates many biological processes. It is also a novel serological biomarker that is increasingly used as a predictive factor for several physiological and psychological conditions. Surprisingly, there is no consensus about the fasting state of the patient who is tested for klotho. Most studies are done on fasting patients, although others are done without concern about fasting status. There is a lack of evidence about this variable in klotho serological testing. Performing fasting tests on patients can be deleterious and can affect compliance. We investigated the effect of fasting status on klotho serological value. Methods We conducted an observational study in which klotho serology was evaluated in a fasting state and 2 h after a meal. In total, 35 participants came to the laboratory without having eaten for 10 h. Blood samples were taken on arrival at our laboratory and 2 h after eating a standardized meal. Results The mean age of our participants was 32.7 years old. There were 13 men and 22 women. In the fasting state, the klotho value was 1060.5 pg/mL (SD: 557.5 pg/mL). At 2 h after the meal, the klotho value was 1077.5 pg/mL (SD: 576.9 pg/mL). Statistical tests showed no difference before and after a meal in our study (P = 0.2425). Conclusions Our results suggest that it is not necessary to perform klotho serology in a fasting state.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1093/jalm/jfaa234
Availability: https://doi.org/10.1093/jalm/jfaa234; http://academic.oup.com/jalm/article-pdf/6/5/1276/40198242/jfaa234.pdf
Rights: https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model
Accession Number: edsbas.7FAB3C2
Database: BASE