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Previous research has predominantly focused on the incidence of post-transplant metabolic syndrome (PTMS) in relation to patient survival, complications, and graft functional outcomes ( 3.1 Effects of hyperglycemia and hyperinsulinemia on immunity 3.1.1 Effects of hyperglycemia on T cells Diabetes is a common complication after transplantation ( 3.1.2 Effects of hyperglycemia on B cells Under the influence of diabetes, the B-cell repertoire is altered, which leads to immune confusion ( 3.1.3 Effects of hyperglycemia on macrophages Macrophages are divided into proinflammatory M1 macrophages and anti-inflammatory M2 macrophages

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