ACE I/D Gene Polymorphism Can't Predict the Steroid Responsiveness in Asian Children with Idiopathic Nephrotic Syndrome: A Meta-Analysis Association of ACE with Steroid Responsiveness
2011

ACE I/D Gene Polymorphism and Steroid Responsiveness in Asian Children with Nephrotic Syndrome

Sample size: 730 publication 10 minutes Evidence: moderate

Author Information

Author(s): Zhou Tian-Biao, Qin Yuan-Han, Su Li-Na, Lei Feng-Ying, Huang Wei-Fang, Zhao Yan-Jun

Primary Institution: The First Affiliated Hospital of GuangXi Medical University, NanNing, China

Hypothesis

Can ACE I/D gene polymorphism predict steroid responsiveness in Asian children with idiopathic nephrotic syndrome?

Conclusion

The study found that ACE D allele or DD genotype cannot predict the treatment response to steroids in Asian children with idiopathic nephrotic syndrome.

Supporting Evidence

  • Five studies were included in the analysis of SRNS susceptibility.
  • Seven studies were included to explore SSNS susceptibility.
  • II genotype might play a positive role against SRNS onset but not for SSNS.

Takeaway

This study looked at whether a specific gene could help doctors know if kids with a kidney problem would respond to steroid medicine, and it found that it can't.

Methodology

The study performed a meta-analysis of existing research on ACE I/D gene polymorphism and steroid responsiveness in Asian children with nephrotic syndrome.

Potential Biases

Potential biases due to the exclusion of studies conducted in non-Asian populations.

Limitations

The study was limited by the heterogeneity of included studies and the small number of investigations.

Participant Demographics

The study focused on Asian children with idiopathic nephrotic syndrome.

Statistical Information

P-Value

0.02

Confidence Interval

95% CI: 1.04–1.83

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0019599

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