KCNJ11 and KCNQ1 Gene Polymorphisms Are Not Associated with Post-Transplant Diabetes Mellitus in Kidney Allograft

E Dabrowska-Zamojcin1, M Tarnowski2, M Szydlowski2

  • 1Department of Pharmacology, Pomeranian Medical University, Szczecin, Poland.

Folia Biologica
|August 15, 2017
PubMed

Insights

This study found no link between KCNJ11 and KCNQ1 gene variations and post-transplant diabetes mellitus (PTDM) in Polish kidney transplant patients. These findings suggest these specific gene polymorphisms do not influence PTDM risk in this population.

Area of Science:

  • Genetics
  • Endocrinology
  • Transplantation

Background:

  • Post-transplant diabetes mellitus (PTDM) is a common complication after solid organ transplantation, often linked to calcineurin inhibitor therapy.
  • ATP-sensitive potassium channels, encoded by KCNJ11 and KCNQ1, are crucial for insulin secretion and diabetes development.
  • Previous research indicates associations between KCNJ11 and KCNQ1 gene polymorphisms and type 2 diabetes.

Purpose of the Study:

  • To investigate the association between KCNJ11 and KCNQ1 gene polymorphisms and the incidence of PTDM in kidney allograft recipients.
  • To evaluate the role of these gene variants in the context of tacrolimus treatment.

Main Methods:

  • A cohort of 201 kidney transplant recipients treated with tacrolimus was studied.
  • Patients were categorized into two groups: those with PTDM (N=35) and those without (N=166).
  • Univariate Cox regression models (additive, dominant, recessive) were employed to analyze the association between KCNJ11/KCNQ1 polymorphisms and PTDM.

Main Results:

  • No statistically significant associations were found between KCNJ11 and KCNQ1 gene polymorphisms and PTDM across all three tested models.
  • The study did not identify a genetic link between these specific potassium channel gene variants and the development of PTDM in the studied cohort.

Conclusions:

  • The findings suggest that KCNJ11 and KCNQ1 gene polymorphisms are not associated with post-transplant diabetes mellitus in kidney transplant recipients treated with tacrolimus within the Polish population.
  • Further research may be needed to explore other genetic or environmental factors contributing to PTDM in this patient group.

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