Diagnostic value of the antiglycoprotein-2 antibody for Crohn's disease: a PRISMA-compliant systematic review and meta-analysis

BMJ Open. 2017 Jun 9;7(6):e014843. doi: 10.1136/bmjopen-2016-014843.

Abstract

Objectives: To perform a meta-analysis to evaluate the diagnostic performance of the antiglycoprotein-2 (GP2) antibody for Crohn's disease (CD).

Methods: Three databases (EMBASE, ISI Web of Knowledge and PubMed) were systematically searched. There were 17 eligible studies included in the meta-analysis. A total of 2439 patients with CD and 3184 controls were involved in these studies. STATA V.11.2 and Meta-DiSc V.1.4 were used to perform the meta-analysis.

Results: The area under the summary receiver operating characteristic curve was 0.68-0.72. The pooled diagnostic sensitivity of the anti-GP2 antibody ranged from 14% to 24%, and the specificity was 96%-98%.

Conclusions: The anti-GP2 antibody is a specific biomarker for CD, and further exploration of its prevalence among different clinical phenotypes of CD will provide a better understanding of its diagnostic performance.

Keywords: Anti-glycoprotein 2 antibody; Crohn's disease; Diagnostic performance; Meta-analysis.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Antibodies / blood*
  • Area Under Curve
  • Biomarkers / blood
  • Crohn Disease / blood*
  • Crohn Disease / diagnosis*
  • GPI-Linked Proteins / immunology*
  • Humans
  • ROC Curve

Substances

  • Antibodies
  • Biomarkers
  • GP2 protein, human
  • GPI-Linked Proteins