Evidence map›Paper›PMID 27812144›Full record

SynthesisPloS one2016

Diagnostic Performance of Fas Ligand mRNA Expression for Acute Rejection after Kidney Transplantation: A Systematic Review and Meta-Analysis.

Baoli Heng, Hongwen Ding, Haolin Ren, Liping Shi, Jie Chen, Xun Wu, Caiyong Lai, Ganshen Yu, Yin Xu, Zexuan Su

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Advances in Detection of Kidney Transplant Injury.Molecular diagnosis & therapy · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Baoli HengDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Hongwen DingDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Haolin RenDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Liping ShiDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Jie ChenDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Xun WuDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Caiyong LaiDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Ganshen YuDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Yin XuDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.
Zexuan SuDepartment of Urology, the First Affiliated Hospital of Jinan University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe value of Fas ligand (FASL) as a diagnostic immune marker for acute renal rejection is controversial; this meta-analysis aimed to clarify the role of FASL in acute renal rejection.

methodsThe relevant literature was included by systematic searching the MEDLINE, EMBASE, and Cochrane Library databases. Accuracy data for acute rejection (AR) and potential confounding variables (the year of publication, area, sample source, quantitative techniques, housekeeping genes, fluorescence staining, sample collection time post-renal transplantation, and clinical classification of AR) were extracted after carefully reviewing the studies. Data were analyzed by Meta-DiSc 1.4, RevMan 5.0, and the Midas module in Stata 11.0 software.

resultsTwelve relevant studies involving 496 subjects were included. The overall pooled sensitivity, specificity, positive likelihood ratio (LR), negative LR, and diagnostic odds ratio, together with the 95% CI were 0.64 (0.57-0.70), 0.90 (0.85-0.93), 5.66 (3.51-9.11), 0.30 (0.16-0.54), and 30.63 (14.67-63.92), respectively. The area under the summary receiver operating characteristic curve (AUC) was 0.9389. Fagan's nomogram showed that the probability of AR episodes in the kidney transplant recipient increased from 15% to 69% when FASL was positive, and was reduced to 4% when FASL was negative. No threshold effect, sensitivity analyses, meta-regression, and subgroup analyses based on the potential variables had a significant statistical change for heterogeneity.

conclusionsCurrent evidence suggests the diagnostic potential for FASL mRNA detection as a reliable immune marker for AR in renal allograft recipients. Further large, multicenter, prospective studies are needed to validate the power of this test marker in the non-invasive diagnosis of AR after renal transplantation.

Indexed as

BiomarkersFas Ligand ProteinGraft RejectionGranzymesHumansKidney TransplantationPerforinPrognosisRNA, MessengerROC CurveBiomarkersFASLG protein, humanFas Ligand ProteinGranzymesPerforinRNA, Messenger

Identifiers

PMID27812144
PMCPMC5094747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.