Immunogenetics of new onset diabetes after transplantation in Kuwait

Mohamed Jahromi,1 Torki Al-Otaibi,2 Nashwa Othman,3 Osama Gheith,2 Tarek Mahmoud,2 Prasad Nair,2 Medhat A Halim,2 Narayanam Nampoory1,21Clinical Research, Medical Division, Dasman Diabetes Institute, Kuwait City, Kuwait; 2Nephrology Department, Hamid Al-Essa Organ Transplant Center, Kuwait City, Kuw...

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Autores principales: Jahromi M, Al-Otaibi T, Othman N, Gheith O, Mahmoud T, Nair P, Halim MA, Nampoory N
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:631a534fcfea4f55bfded280e6e3da9a2021-12-02T07:32:35ZImmunogenetics of new onset diabetes after transplantation in Kuwait1178-7007https://doaj.org/article/631a534fcfea4f55bfded280e6e3da9a2019-05-01T00:00:00Zhttps://www.dovepress.com/immunogenetics-of-new-onset-diabetes-after-transplantation-in-kuwait-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Mohamed Jahromi,1 Torki Al-Otaibi,2 Nashwa Othman,3 Osama Gheith,2 Tarek Mahmoud,2 Prasad Nair,2 Medhat A Halim,2 Narayanam Nampoory1,21Clinical Research, Medical Division, Dasman Diabetes Institute, Kuwait City, Kuwait; 2Nephrology Department, Hamid Al-Essa Organ Transplant Center, Kuwait City, Kuwait; 3Education, Clinical Services Division, Dasman Diabetes Institute, Kuwait City, KuwaitIntroduction and aim: New onset diabetes after transplantation (NODAT) is a serious metabolic complication following kidney transplantation. Although beta-cell dysfunction is considered the main contributing factor in the development of this complication, its exact etiology is yet to be identified. We aimed to investigate NODAT among kidney transplant cohort in Kuwait with special stress on correlation between its risk factors and interferon gamma genotyping.Materials and methods: We surveyed 309 kidney transplant recipients from Hamed Al Essa Transplantation Centre, Kuwait. The participants were categorized into cohorts according to the development of NODAT diagnosed based on the American Diabetes Association guidelines. Statistical analyses were performed using SPSS software. We genotyped interferon gamma as the leading immunosignature for T lymphocyte.Results: No relationship between ethnicity and the development of NODAT was identified. However, there was a significant difference in age between cohorts. Younger patients demonstrated a lower rate of NODAT while, NODAT reached its maximum in 40–60-year age group. IFNG TT genotype was significantly associated with NODAT (p=0.005), while IFNG AA was considerably higher in the non-NODAT group.Conclusion: Beside the conventional contributing factors of NODAT, our results might represent a suitable platform for a larger cytokine and chemokine spectrum genotyping.Keywords: ethnicity, NODAT, transplantation, immunosuppressionJahromi MAl-Otaibi TOthman NGheith OMahmoud TNair PHalim MANampoory NDove Medical PressarticleethnicityNODATtransplantationimmunosuppressionSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 12, Pp 731-742 (2019)
institution DOAJ
collection DOAJ
language EN
topic ethnicity
NODAT
transplantation
immunosuppression
Specialties of internal medicine
RC581-951
spellingShingle ethnicity
NODAT
transplantation
immunosuppression
Specialties of internal medicine
RC581-951
Jahromi M
Al-Otaibi T
Othman N
Gheith O
Mahmoud T
Nair P
Halim MA
Nampoory N
Immunogenetics of new onset diabetes after transplantation in Kuwait
description Mohamed Jahromi,1 Torki Al-Otaibi,2 Nashwa Othman,3 Osama Gheith,2 Tarek Mahmoud,2 Prasad Nair,2 Medhat A Halim,2 Narayanam Nampoory1,21Clinical Research, Medical Division, Dasman Diabetes Institute, Kuwait City, Kuwait; 2Nephrology Department, Hamid Al-Essa Organ Transplant Center, Kuwait City, Kuwait; 3Education, Clinical Services Division, Dasman Diabetes Institute, Kuwait City, KuwaitIntroduction and aim: New onset diabetes after transplantation (NODAT) is a serious metabolic complication following kidney transplantation. Although beta-cell dysfunction is considered the main contributing factor in the development of this complication, its exact etiology is yet to be identified. We aimed to investigate NODAT among kidney transplant cohort in Kuwait with special stress on correlation between its risk factors and interferon gamma genotyping.Materials and methods: We surveyed 309 kidney transplant recipients from Hamed Al Essa Transplantation Centre, Kuwait. The participants were categorized into cohorts according to the development of NODAT diagnosed based on the American Diabetes Association guidelines. Statistical analyses were performed using SPSS software. We genotyped interferon gamma as the leading immunosignature for T lymphocyte.Results: No relationship between ethnicity and the development of NODAT was identified. However, there was a significant difference in age between cohorts. Younger patients demonstrated a lower rate of NODAT while, NODAT reached its maximum in 40–60-year age group. IFNG TT genotype was significantly associated with NODAT (p=0.005), while IFNG AA was considerably higher in the non-NODAT group.Conclusion: Beside the conventional contributing factors of NODAT, our results might represent a suitable platform for a larger cytokine and chemokine spectrum genotyping.Keywords: ethnicity, NODAT, transplantation, immunosuppression
format article
author Jahromi M
Al-Otaibi T
Othman N
Gheith O
Mahmoud T
Nair P
Halim MA
Nampoory N
author_facet Jahromi M
Al-Otaibi T
Othman N
Gheith O
Mahmoud T
Nair P
Halim MA
Nampoory N
author_sort Jahromi M
title Immunogenetics of new onset diabetes after transplantation in Kuwait
title_short Immunogenetics of new onset diabetes after transplantation in Kuwait
title_full Immunogenetics of new onset diabetes after transplantation in Kuwait
title_fullStr Immunogenetics of new onset diabetes after transplantation in Kuwait
title_full_unstemmed Immunogenetics of new onset diabetes after transplantation in Kuwait
title_sort immunogenetics of new onset diabetes after transplantation in kuwait
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/631a534fcfea4f55bfded280e6e3da9a
work_keys_str_mv AT jahromim immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT alotaibit immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT othmann immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT gheitho immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT mahmoudt immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT nairp immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT halimma immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
AT nampooryn immunogeneticsofnewonsetdiabetesaftertransplantationinkuwait
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