Klotho reduces the risk of osteoporosis in postmenopausal women: a cross-sectional study of the National Health and Nutrition Examination Survey (NHANES).

BACKGROUND: Osteoporosis (OP) is one of the diseases that endanger the health of the elderly population. Klotho protein is a hormone with anti-aging effects. A few studies have discussed the relationship between Klotho and OP. However, there is still a lack of research on larger populations. This study aims to evaluate the association between OP and Klotho in American postmenopausal women. METHODS: This is a retrospective study. We searched the National Health and Nutrition Examination Survey (NHANES) database and collected data of 3 survey cycles, finally involving 871 postmenopausal women over 50 years old in the present study. All participants took dual-energy X-ray absorptiometry examination and serum Klotho testing at the time of investigation. After adjusting the possible confounding variables, a multivariate regression model was employed to estimate the relationship between OP and Klotho proteins. Besides, the P for trend and restricted cubic spline (RCS) were applied to examine the threshold effect and calculate the inflection point. RESULTS: Factors influencing the occurrence of OP included age, ethnicity, body mass index and Klotho levels. Multivariate regression analysis indicated that the serum Klotho concentration was lower in OP patients than that in participants without OP (OR[log2Klotho] = 0.568, P = 0.027). The C-index of the prediction model built was 0.765, indicating good prediction performance. After adjusting the above-mentioned four variables, P values for trend showed significant differences between groups. RCSs revealed that when the Klotho concentration reached 824.09 pg/ml, the risk of OP decreased drastically. CONCLUSION: Based on the analysis of the data collected from the NHANES database, we propose a correlation between Klotho and postmenopausal OP. A higher serum Klotho level is related to a lower incidence of OP. The findings of the present study can provide guidance for research on diagnosis and risk assessment of OP.

Observation of Perfectly-Chiral Exceptional Point via Bound State in the Continuum.

Chirality is one of the fundamentals of nature with strong ties to asymmetry. In wave physics, it is conventionally characterized by asymmetric scattering of circularly polarized waves but suffers from two-state polarization. To overcome the limitation, here we demonstrate the concept of extreme chirality regarding orbital angular momentum (OAM) helicity, originating from a chiral quasibound state in the continuum held by a mirror-symmetry-broken metasurface. Empowered by the intrinsic OAM-selective coupling nature of the metasurface, the system arrives at a peculiar state where the left-handed incident vortex is completely absorbed while the right-handed counterpart is totally reflected, namely, a perfectly-chiral exceptional point. The realization of asymmetric OAM modulation creates the possibility to explore chirality with unlimited states. Our work raises a new paradigm for the study of extreme OAM chirality and enriches the physics of chiral wave-matter interaction.