Transcriptomic suppression of immune and ECM stability in skeletal muscle of patients with chronic kidney disease

CKD skeletal muscle is characterised by suppression of immune and ECM regulatory programmes, with limited evidence for activation of classical inflammatory or degradative pathways. This distinct transcriptional profile suggests an immunologically and structurally quiescent state that may impair repair capacity and contribute to progressive sarcopenia. These findings refine current understanding of CKD-associated muscle dysfunction and highlight potential targets for mechanistic and therapeutic exploration.