Evidence map›Paper›PMID 40226833›Full record

ReviewClinical interventions in aging2025

Molecular and Cellular Mechanisms Linking Chronic Kidney Disease and Sarcopenia in Aging: An Integrated Perspective.

Jing Chang, Yuer Liang, Pingping Sun, Xiangyang Fang, Qianmei Sun

Abstract readReview
In one paragraph

Review in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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  13. Exercise, Exerkines, and Sarcopenia.Diabetes & metabolism journal · 2026
    Review
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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

5 authors.

Jing Chang *Department of Internal Medicine, Beijing Chao-yang Hospital, Capital Medical University, Beijing, 100020, People's Republic of China.ORCID 0000-0002-2708-3921
Yuer Liang *Department of Nephrology, Beijing Chao-yang Hospital, Capital Medical University, Beijing, 100020, People's Republic of China.
Pingping SunDepartment of Internal Medicine, Beijing Chao-yang Hospital, Capital Medical University, Beijing, 100020, People's Republic of China.
Xiangyang FangDepartment of Internal Medicine, Beijing Chao-yang Hospital, Capital Medical University, Beijing, 100020, People's Republic of China.
Qianmei SunDepartment of Nephrology, Beijing Chao-yang Hospital, Capital Medical University, Beijing, 100020, People's Republic of China.ORCID 0000-0002-1928-7772

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) and sarcopenia are prevalent conditions among the aging population, contributing significantly to morbidity and mortality. CKD exacerbates sarcopenia through complex molecular and cellular mechanisms, including chronic inflammation, oxidative stress, uremic toxin accumulation, protein-energy wasting, and hormonal dysregulation. This review explores the interplay between CKD and sarcopenia, focusing on key pathways such as mTOR signaling, the AMPK-FOXO axis, and myostatin/activin pathways that regulate muscle protein metabolism. Additionally, mitochondrial dysfunction and impaired autophagy emerge as critical contributors to muscle wasting. Clinical implications include identifying biomarkers such as interleukin-6, tumor necrosis factor-alpha, myostatin, and Klotho for diagnosis and monitoring, while potential therapeutic strategies involve targeting the AMPK/mTOR pathway, enhancing mitochondrial function, and inhibiting myostatin activity. Emerging approaches, including multi-omics technologies and AI-driven personalized treatment models, offer innovative solutions for understanding and managing the CKD-sarcopenia axis. This review underscores the need for integrated therapeutic strategies and multidisciplinary collaboration to mitigate muscle wasting and improve outcomes in CKD patients. By bridging molecular insights with clinical applications, this work aims to inform future research and translational efforts in addressing this critical healthcare challenge.

Indexed as

AgingRenal Insufficiency, ChronicSarcopeniaBiomarkersHumansKlotho ProteinsMuscle, SkeletalMyostatinOxidative StressSignal TransductionTOR Serine-Threonine KinasesBiomarkersKlotho ProteinsMyostatinTOR Serine-Threonine Kinaseschronic kidney diseasesarcopeniasarcopenia pathophysiologytherapeutic targets

Identifiers

PMID40226833
PMCPMC11992981

What OpenQuestion holds

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Registered trials

None linked

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.