“…Therefore, because incidence of CKD is high in older persons and age is considered the most consistent risk factor for CVDs (O'Hare et al, 2007;Elewa et al, 2012), CKD is often examined in the context of aging (Nitta et al, 2013). Furthermore, other fundamental mechanisms that characterize biological aging (López-Otín et al, 2013), such as cellular senescence, mitochondrial dysfunction, loss of proteostasis, or altered intercellular communication (López-Otín et al, 2013), may also play central roles in the pathogenesis of CKD-associated CVDs (Shimizu and Minamino, 2019). In this context, several studies have shown that CKD promotes cellular senescence and accelerates premature aging via diverse mechanisms in the internal milieu such as redox state perturbations, oxidative damage, inflammation, toxicity, and localized signaling mediated by growth factors (Stenvinkel and Larsson, 2013;Dai et al, 2019).…”