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前瞻性队列研究来自 NHANES 数据库中系统免疫炎症指数(SII)与血清可溶性 α-Klotho 的 L 型关联。

L-shaped association of systemic immune-inflammation index (SII) with serum soluble α-Klotho in the prospective cohort study from the NHANES database.

机构信息

Department of Pharmacy, Heyuan People's Hospital, Heyuan, China.

The First Affiliated Hospital of Chongqing Medical and Pharmaceutical College, Chongqing, China.

出版信息

Sci Rep. 2024 Jun 8;14(1):13189. doi: 10.1038/s41598-024-64050-3.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/310b/11162490/695b488fd83c/41598_2024_64050_Fig1_HTML.jpg

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