Effect of -55C/T Polymorphism of Uncoupling Protein 3 Gene on Risk for New-Onset Diabetes in Chinese Peritoneal Dialysis Patients: A Prospective Cohort Study
<b><i>Background:</i></b> A high-glucose load in therapy can cause new-onset diabetes (NOD) in peritoneal dialysis (PD) patients. Genetic variability may result in risk modulation. <b><i>Objectives:</i></b> This study aims to investigate the association between −55C/T polymorphism of uncoupling protein 3 (UCP3) gene and the risk of NOD in PD patients. <b><i>Methods:</i></b> Nondiabetic incident PD patients between May 2005 and January 2017 were recruited (<i>n</i> = 154). −55C/T polymorphism of the UCP3 was genotyped in all participants at baseline. The cohort of wild group (−55CC) and mutant group (−55CT or −55TT) was built based on the genotypic difference. Insulin resistance was evaluated by the homeostasis model assessment method (HOMA-IR) during the follow-up. Binary logistic regression was performed to explore the association between HOMA-IR and genotypes. Competitive risk analysis was used to analyze the impact of −55C/T polymorphism of UCP3 on risk for NOD. <b><i>Results:</i></b> The cohort was followed for up to 164.6 months (median: 58.3 months; interquartile range: 30.7 months). During the follow-up, 14 NODs occurred in the mutant group, while only 3 occurred in the wild group. Patients in the mutant group had higher HOMA-IR (Odd ratio: 2.210; 95% CI: 1.043–4.680; <i>p</i> = 0.038). Genotype with the variant T allele turned out to be an independent predictor for NOD morbidity (HR: 7.639; 95% CI: 1.798–32.451; <i>p</i> = 0.006). <b><i>Conclusions:</i></b> The variant of T allele of UCP3 −55C/T polymorphism was an independent predictor for NOD in PD patients. Early identification of the genotype may provide scientific basis for patients’ clinic management.