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World J Nephrol. Sep 25, 2026; 15(3): 121696
Published online Sep 25, 2026. doi: 10.5527/wjn.121696
Table 1 Role of inflammatory mediators in depression pathogenesis in chronic kidney disease
Inflammatory mediator
Depression mechanism
Key impact
Variation across different CKD stages
IL-6Microglial activation, BBB permeabilityHPA dysregulation, hippocampal lossIncreases progressively; significantly higher in stages 3-5
TNF-αSerotonin ↓, NO ↑Anhedonia, neuroinflammationMild progressive increase from stage 1 to stage 3, not always significant
CRPVascular damage, endothelial dysfunctionCerebral hypoperfusionElevated in advanced stages (stage 4 and 5)


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