PMID- 27278779 OWN - NLM STAT- MEDLINE DCOM- 20180226 LR - 20181113 IS - 1435-1250 (Electronic) IS - 0340-1855 (Linking) VI - 76 IP - 4 DP - 2017 May TI - Urinary MCP-1 as a biomarker for lupus nephritis: a meta-analysis. PG - 357-363 LID - 10.1007/s00393-016-0109-z [doi] AB - OBJECTIVE: This study aimed to evaluate whether urinary monocyte chemoattractant protein-1 (MCP-1) could serve as a biomarker for lupus nephritis (LN). METHODS: We performed a meta-analysis to examine the relationship between urinary MCP-1 level and LN in three comparisons: active LN versus inactive LN, active LN versus control, and inactive LN versus control. RESULTS: Eight studies of a total of 399 patients with LN (204 with active LN, and 195 with inactive LN) and 130 controls were available for this meta-analysis. The meta-analysis revealed that the urinary MCP-1 level was significantly higher in the active-LN group than in the inactive-LN group (standard mean difference [SMD] = 1.883, 95 % confidence interval [CI] = 0.811-2.954, p = 0.001). The meta-analysis showed that the urinary MCP-1 level was significantly higher in the active-LN group than in the control group (SMD = 3.085, 95 % CI = 1.684-4.485, p = 1.6 x 10(-5)). Furthermore, stratification by ethnicity showed significantly elevated urinary MCP-1 levels in the active-LN group in Caucasian, Asian, and Egyptian populations (SMD = 2.408, 95 % CI = 1.711-3.105, p < 1.0 x 10(-8); SMD = 1.020, 95 % CI = 0.623-2.153, p = 4.6 x 10(-7); and SMD = 7.370, 95 % CI = 1.467-2.157, p = 5.9 x 10(-5), respectively). The meta-analysis indicated that the urinary MCP-1 level was also significantly higher in the inactive-LN group than in the control group (SMD = 1.812, 95 % CI = 0.628-2.996, p = 0.003). CONCLUSIONS: The meta-analysis demonstrated that urinary MCP-1 was significantly higher in patients with active LN than in those with inactive LN and control subjects, and the patients with inactive LN showed significantly higher urinary MCP-1 levels than the controls. FAU - Lee, Y H AU - Lee YH AD - Division of Rheumatology, Department of Internal Medicine, Korea University Medical Center, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu, 02841, Seoul, Korea. lyhcgh@korea.ac.kr. FAU - Song, G G AU - Song GG AD - Division of Rheumatology, Department of Internal Medicine, Korea University Medical Center, Korea University College of Medicine, 73 Inchon-ro, Seongbuk-gu, 02841, Seoul, Korea. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review TT - MCP-1 im Urin als Biomarker bei Lupusnephritis: eine Metaanalyse. PL - Germany TA - Z Rheumatol JT - Zeitschrift fur Rheumatologie JID - 0414162 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Aged MH - Biomarkers/blood MH - Chemokine CCL2/*urine MH - Female MH - Humans MH - Incidence MH - Internationality MH - Lupus Nephritis/*diagnosis/epidemiology/*urine MH - Male MH - Middle Aged MH - Reproducibility of Results MH - Risk Factors MH - Sensitivity and Specificity OTO - NOTNLM OT - Biomarkers OT - Inflammation OT - Monocyte chemoattractant protein-1 OT - Systemic lupus erythematosus OT - Urinalysis EDAT- 2016/06/10 06:00 MHDA- 2018/02/27 06:00 CRDT- 2016/06/10 06:00 PHST- 2016/06/10 06:00 [pubmed] PHST- 2018/02/27 06:00 [medline] PHST- 2016/06/10 06:00 [entrez] AID - 10.1007/s00393-016-0109-z [pii] AID - 10.1007/s00393-016-0109-z [doi] PST - ppublish SO - Z Rheumatol. 2017 May;76(4):357-363. doi: 10.1007/s00393-016-0109-z.