Role of the Fcgamma receptor IIa polymorphism in susceptibility to systemic lupus erythematosus and lupus nephritis: a meta-analysis

dc.contributor.authorKarassa, F. B.en
dc.contributor.authorTrikalinos, T. A.en
dc.contributor.authorIoannidis, J. P.en
dc.date.accessioned2015-11-24T18:53:08Z
dc.date.available2015-11-24T18:53:08Z
dc.identifier.issn0004-3591-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18503
dc.rightsDefault Licence-
dc.subjectAntigens, CD/*geneticsen
dc.subjectGenetic Predisposition to Diseaseen
dc.subjectHumansen
dc.subjectLupus Nephritis/*geneticsen
dc.subject*Polymorphism, Geneticen
dc.subjectReceptors, IgG/*geneticsen
dc.titleRole of the Fcgamma receptor IIa polymorphism in susceptibility to systemic lupus erythematosus and lupus nephritis: a meta-analysisen
heal.abstractOBJECTIVE: To assess the impact of the Fcgamma receptor type IIa (FcgammaRIIa)-R/H131 polymorphism on the risk for systemic lupus erythematosus (SLE) and development of lupus nephritis. METHODS: A meta-analysis was performed based on the Medline and Embase databases (last retrieval August 2001), assessment of bibliographies of pertinent articles, and additional data gathered after contact with primary investigators. RESULTS: A total of 25 comparisons from 17 studies involving R/H131 genotyping of 1,405 patients with lupus nephritis, 1,709 SLE patients without nephritis, and 2,580 non-SLE controls were included. No association between RR genotype and risk of lupus nephritis relative to both other genotypes (odds ratio [OR] 1.05, 95% confidence interval [95% CI] 0.88-1.27) was demonstrated in the total meta-analysis or in any racial subgroup. The RR genotype was more frequent in SLE patients as a whole (OR 1.30, 95% CI 1.10-1.52) and in SLE patients without nephritis (OR 1.27, 95% CI 1.04-1.55) compared with disease-free controls. A potential dose-response relation between the R131 allele and the risk of SLE was also identified, with an OR of 1.23 for RR versus RH (95% CI 1.03-1.46). The OR was 1.55 for RR versus HH (95% CI 1.21-1.98). There was no significant heterogeneity between racial subgroups. The population-attributable fractions of SLE cases due to the FcgammaRIIa-R131 allele were 13%, 40%, and 24% in subjects of European, African, and Asian descent, respectively. CONCLUSION: The FcgammaRIIa-R/H131 polymorphism represents a significant risk factor for SLE but has no clear effect on susceptibility for lupus nephritis.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1002/art.10306-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/12115187-
heal.identifier.secondaryhttp://onlinelibrary.wiley.com/store/10.1002/art.10306/asset/10306_ftp.pdf?v=1&t=h0jepoy8&s=7d9b801c74b7ee7ef99df331a02920c1f63e2b61-
heal.journalNameArthritis Rheumen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2002-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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