ObjectiveDiabetic kidney disease (DKD) is the most common chronic kidney disease (CKD) and has the highest prevalence of end-stage kidney disease (ESKD) globally, owing mostly to the rise in Type 2 diabetes mellitus (T2DM) correlated with obesity. Current research suggested that the immune response and inflammation may play a role in the pathophysiology of T2DM. The systemic immune-inflammation index (SII) is a novel and integrated inflammatory biomarker that has not yet been linked to DKD. We aimed to identify the potential relationship between SII and DKD.MethodsIn the National Health and Nutrition Examination Survey (NHANES) between 2011 and 2018, the current cross-sectional study was conducted among adults with T2DM. SII was calculated as the platelet count × neutrophil count/lymphocyte count. DKD was diagnosed with impaired glomerular filtration rate (< 60 mL/min/1.73 m2 assessed by using the Chronic Kidney Disease Epidemiology Collaboration algorithm), albuminuria (urine albumin to creatinine ratio ≥ 30 mg/g), or both in T2DM patients. To investigate the independent association between SII and DKD, weighted univariate and multivariable logistic regression analyses and subgroup analyses were performed.ResultsThe study involved 3937 patients in total, of whom 1510 (38.4%) had DKD for the diagnosis. After adjustment for covariates, multivariable logistic regression revealed that a high SII level was associated with increased likelihood of DKD (OR = 1.42, 95% CI: 1.10-1.83, P = 0.01). Subgroup analyses and interaction tests revealed that age, gender, estimated glomerular filtration rate (eGFR), urine albumin-to-creatinine ratio (ACR), body mass index (BMI), hypertension, hyperlipidemia, anti-inflammation therapy (yes or no), metformin use (yes or no), and insulin use (yes or no) had no significant dependence on this positive relationship (all p for interaction >0.05).ConclusionsOur results indicate that the higher SII level is associated with DKD in T2DM patients. The SII could be a cost-effective and straightforward approach to detecting DKD. This needs to be verified in further prospective investigations.

BiSbO(4) nanoplates with a large BET specific area has been prepared successfully via a facile hydrothermal reaction from Sb(2)O(3) and Bi(NO(3))(3). The effects of reaction conditions and the precursors on the final products were investigated. It is proposed that the redox reaction between Sb(2)O(3) and Bi(NO(3))(3) plays a pivotal role in the formation of nanocrystalline BiSbO(4). The hydrothermally prepared nanocrystalline BiSbO(4) was characterized by X-ray diffraction (XRD), N(2)-sorption BET surface area, UV-vis diffuse reflectance spectroscopy (DRS), X-ray photoelectron spectroscopy (XPS), scanning electron microscopy (SEM), transmission electron microscopy (TEM) and high-resolution transmission electron microscopy (HRTEM). The DRS result clarifies that BiSbO(4), originally believed to be a visible light responsive photocatalyst, is indeed UV light responsive with a band gap of 3.5 eV. The existence of Bi containing an impurity may be responsible for the visible light response of BiSbO(4) prepared via a conventional solid state reaction. BiSbO(4) nanoplates prepared via the hydrothermal method showed superior photocatalytic performance for the degradation of benzene and 4-chlorophenol (4-CP) as compared to BiSbO(4) prepared via a solid state reaction and Degussa P25. BiSbO(4(Hy)) nanoplates can be a promising photocatalyst in the treatment of environmental pollution.

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