Department of Pharmacy, Heyuan People's Hospital, Heyuan, China.
The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing, China.
Sci Rep. 2024 Jun 8;14(1):13189. doi: 10.1038/s41598-024-64050-3.
The systemic immune-inflammation index (SII), an integrated and ground-breaking inflammatory measure, has been widely used in various fields. We aimed to assess the association between the systemic immune-inflammation index (SII) and α-Klotho (a new anti-aging biomarker). In this cross-sectional investigation, people with complete information on SII and α-Klotho from the National Health and Nutrition Examination Survey (NHANES) between 2007 and 2016 were the study's subject population. SII was calculated by platelet count × neutrophil count/lymphocyte count. The association between SII and α-Klotho was investigated using multivariable linear regression and a generalized additive model. In order to explore the non-linear connection, we employed smoothed curve fitting. Subgroup analysis were also performed. A total of 13,701 participants with an average age of 57.73 ± 10.86 years were enrolled, of whom 51.53% were female. After fully adjustment, SII was negatively associated with serum soluble α-Klotho [β(95% CI) = - 0.07 (- 0.08, - 0.05)]. Furthermore, we found L-shaped association between SII and klotho protein level, with the inflection point at 255 pg/ml. Subgroup analysis and interaction test revealed that there was no discernible dependence on gender, age, race, smoking, alcohol, diabetes and hypertension (all p for interaction > 0.05). SII level was negatively associated with serum klotho protein concentration in American adults. To verify our findings, more large-scale prospective investigations are still required.
系统性免疫炎症指数(SII)是一种综合且开创性的炎症指标,已广泛应用于各个领域。我们旨在评估系统性免疫炎症指数(SII)与α-klotho(一种新的抗衰老生物标志物)之间的关联。在这项横断面研究中,研究对象为 2007 年至 2016 年期间国家健康和营养检查调查(NHANES)中具有完整 SII 和 α-Klotho 信息的人群。SII 通过血小板计数×中性粒细胞计数/淋巴细胞计数计算得出。使用多变量线性回归和广义加性模型研究 SII 与 α-Klotho 之间的关系。为了探索非线性关系,我们采用了平滑曲线拟合。同时进行了亚组分析。共纳入了 13701 名平均年龄为 57.73±10.86 岁的参与者,其中 51.53%为女性。经过充分调整后,SII 与血清可溶性α-Klotho 呈负相关[β(95%置信区间)=−0.07(−0.08,−0.05)]。此外,我们发现 SII 与 klotho 蛋白水平之间存在 L 形关联,拐点在 255pg/ml。亚组分析和交互检验显示,性别、年龄、种族、吸烟、饮酒、糖尿病和高血压(所有交互检验 p 值均>0.05)对 SII 与 klotho 蛋白水平之间的关系没有明显影响。SII 水平与美国成年人血清 klotho 蛋白浓度呈负相关。为了验证我们的发现,还需要进行更多大规模的前瞻性研究。