Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.

Galactose-deficient IgA1 was evaluated in patients with IgA nephropathy(IgAN) and controls in order to determine the predictive value of galactose-deficient IgA1 in cases of IgA nephropathy.PubMed, EMBASE, Cochrane central register of controlled trials, CNKI, CBM disc, and VIP database were searched...

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Main Authors: Qiang Sun, Zhenhai Zhang, Hong Zhang, Xiaorong Liu
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5117702?pdf=render
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author Qiang Sun
Zhenhai Zhang
Hong Zhang
Xiaorong Liu
author_facet Qiang Sun
Zhenhai Zhang
Hong Zhang
Xiaorong Liu
author_sort Qiang Sun
collection DOAJ
description Galactose-deficient IgA1 was evaluated in patients with IgA nephropathy(IgAN) and controls in order to determine the predictive value of galactose-deficient IgA1 in cases of IgA nephropathy.PubMed, EMBASE, Cochrane central register of controlled trials, CNKI, CBM disc, and VIP database were searched to identify eligible studies that evaluated a difference in aberrant IgA1 glycosylation in IgAN patients compared with controls. A meta-analysis was conducted to evaluate the impact of galactose-deficient IgA1(Gd-IgA1) levels in different groups.A total of 22 studies (n = 1657) met inclusion criteria. The mean Newcastle-Ottawa Scale (NOS) score was 7.2 and ranged from 6 to 8. The standard mean difference(SMD) in the meta-analysis of 20 studies of the level of Gd-IgA1 in the serum and/or supernatant of cultured cells was higher in the IgAN group compared with healthy controls as well as in those with other renal diseases (SMD = 1.76, 95% CI = 1.18-2.34, P<0.00001; SMD = 1.05, 95% CI = 0.05-2.04, P = 0.04). The data synthesis suggested that IgAN patients had similar levels of serum Gd-IgA1, with no significant differences, compared with first-degree relatives and Henoch-Schonlein purpura nephritis (HSPN) patients (MD = 0.04, 95% CI = 0.00-0.08, P = 0.05; MD = -46.03, 95% CI = -217.70-125.64, P = 0.60). In addition, the combined MD of 5 studies indicated that there were no significant differences in Gd-IgA1 levels among patients with varying severities of IgAN (MD = 0.02, 95% CI = -0.02-0.05, P = 0.28).The pooled evidence suggests that the level of Gd-IgA1 in the serum or supernatant of cultured cells from peripheral blood or tonsils may be a useful biomarker for predicting IgA nephropathy, though the level of Gd-IgA1 was not significantly associated with disease severity.
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spelling doaj.art-8cd0597bb69e40749631ac2de5fdd5be2022-12-22T00:03:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-011111e016670010.1371/journal.pone.0166700Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.Qiang SunZhenhai ZhangHong ZhangXiaorong LiuGalactose-deficient IgA1 was evaluated in patients with IgA nephropathy(IgAN) and controls in order to determine the predictive value of galactose-deficient IgA1 in cases of IgA nephropathy.PubMed, EMBASE, Cochrane central register of controlled trials, CNKI, CBM disc, and VIP database were searched to identify eligible studies that evaluated a difference in aberrant IgA1 glycosylation in IgAN patients compared with controls. A meta-analysis was conducted to evaluate the impact of galactose-deficient IgA1(Gd-IgA1) levels in different groups.A total of 22 studies (n = 1657) met inclusion criteria. The mean Newcastle-Ottawa Scale (NOS) score was 7.2 and ranged from 6 to 8. The standard mean difference(SMD) in the meta-analysis of 20 studies of the level of Gd-IgA1 in the serum and/or supernatant of cultured cells was higher in the IgAN group compared with healthy controls as well as in those with other renal diseases (SMD = 1.76, 95% CI = 1.18-2.34, P<0.00001; SMD = 1.05, 95% CI = 0.05-2.04, P = 0.04). The data synthesis suggested that IgAN patients had similar levels of serum Gd-IgA1, with no significant differences, compared with first-degree relatives and Henoch-Schonlein purpura nephritis (HSPN) patients (MD = 0.04, 95% CI = 0.00-0.08, P = 0.05; MD = -46.03, 95% CI = -217.70-125.64, P = 0.60). In addition, the combined MD of 5 studies indicated that there were no significant differences in Gd-IgA1 levels among patients with varying severities of IgAN (MD = 0.02, 95% CI = -0.02-0.05, P = 0.28).The pooled evidence suggests that the level of Gd-IgA1 in the serum or supernatant of cultured cells from peripheral blood or tonsils may be a useful biomarker for predicting IgA nephropathy, though the level of Gd-IgA1 was not significantly associated with disease severity.http://europepmc.org/articles/PMC5117702?pdf=render
spellingShingle Qiang Sun
Zhenhai Zhang
Hong Zhang
Xiaorong Liu
Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.
PLoS ONE
title Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.
title_full Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.
title_fullStr Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.
title_full_unstemmed Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.
title_short Aberrant IgA1 Glycosylation in IgA Nephropathy: A Systematic Review.
title_sort aberrant iga1 glycosylation in iga nephropathy a systematic review
url http://europepmc.org/articles/PMC5117702?pdf=render
work_keys_str_mv AT qiangsun aberrantiga1glycosylationiniganephropathyasystematicreview
AT zhenhaizhang aberrantiga1glycosylationiniganephropathyasystematicreview
AT hongzhang aberrantiga1glycosylationiniganephropathyasystematicreview
AT xiaorongliu aberrantiga1glycosylationiniganephropathyasystematicreview