Interleukin-2 receptor antagonists: Protective factors against new-onset diabetes after renal transplantation

Mengjuan Xue1,2, Chenhe Zhao1, Chaoyang Lv1,3

  • 1Department of Endocrinology and Metabolism, Zhongshan Hospital, Fudan University, Shanghai, China.

Journal of Diabetes
|March 27, 2018
PubMed
Abstract

Insights

Interleukin-2 receptor antagonists (IL-2Ra) may reduce the risk of new-onset diabetes after transplantation (NODAT) in renal transplant recipients (RTRs). This study found IL-2Ra use was associated with a lower incidence of NODAT.

Area of Science:

  • Nephrology
  • Immunology
  • Endocrinology

Background:

  • New-onset diabetes after transplantation (NODAT) is a significant complication in renal transplant recipients (RTRs).
  • Interleukin-2 receptor antagonists (IL-2Ra) are used as immunosuppressants in RTRs, but their effect on NODAT is not fully understood.

Purpose of the Study:

  • To investigate the association between the use of IL-2Ra and the development of NODAT in RTRs.
  • To identify risk factors for NODAT in a cohort of RTRs.

Main Methods:

  • Retrospective cohort study of 557 RTRs from January 1993 to March 2014.
  • Multivariate Cox regression analysis to assess risk factors and the association between IL-2Ra and NODAT.
  • Comparison of cumulative NODAT incidence between groups with and without IL-2Ra treatment.

Main Results:

  • The incidence of NODAT was 20.3% over a mean follow-up of 5.08 years.
  • After adjusting for multiple confounders, IL-2Ra use was significantly associated with a reduced incidence of NODAT.
  • Confounders included age, BMI, diabetes history, dialysis details, donor type, graft function, rejection, infections, glucose levels, lipid profiles, and immunosuppression regimen.

Conclusions:

  • IL-2Ra use is linked to a protective effect against NODAT development in RTRs.
  • Further research may explore the mechanisms behind this protective association.

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