ArticleRenal failure2025
Leukocyte telomere length mediates the association between SIRI and CKD: insights from NHANES 1999-2002.
Article in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- The association between obesity and telomere shortening is mediated through total bilirubin.Cardiovascular diabetology. Endocrinology reports · 2026Article
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11 authors.
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Abstract
backgroundChronic kidney disease (CKD) is closely linked to systemic inflammation and accelerated cellular aging. However, the role of the systemic inflammation response index (SIRI) and leukocyte telomere length (LTL), a biomarker of cellular aging, in the development and progression of CKD remain incompletely elucidated.
methodsWe analyzed cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) (1999-2002), which included 3805 individuals. Participants were divided into subgroups: (1) CKD versus non-CKD and (2) SIRI quartiles (Q1-Q4). SIRI was calculated as (monocytes × neutrophils)/lymphocytes. CKD was defined by urinary albumin to creatinine ratio (UACR) ≥30 mg/g or estimated glomerular filtration rate (eGFR) <60 mL/min/1.73m
resultsParticipants with CKD exhibited significantly higher SIRI values (
conclusionSystemic inflammation, as quantified by the SIRI, has a significant impact on CKD risk through its contribution to LTL attrition. This process highlights the complex interplay between systemic inflammation and biological aging in the pathophysiology of CKD.
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