Meta-analysis of the associations of IMPDH and UGT1A9 polymorphisms with rejection in kidney transplant recipients taking mycophenolic acid View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-05-07

AUTHORS

Lin Cheng, Pu Yao, Bangbi Weng, Ming Yang, Qian Wang

ABSTRACT

PurposeTo investigate the associations of IMPDH and UGT1A9 polymorphisms with rejection in kidney transplant recipients taking mycophenolic acid (MPA).MethodsPubMed, Web of Science, Embase, Cochrane Library, Wanfang Data, and the China Academic Journal Network Publishing Database were systematically searched for studies investigating the associations of IMPDH1, IMPDH2, and UGT1A9 polymorphisms with rejection in kidney transplant recipients taking MPA. Associations were evaluated by pooled odds ratios (ORs) and effect sizes (ESs) with 95% confidence intervals (CIs).ResultsTwelve studies were included in the analysis, including a total of 2342 kidney transplant recipients. The results showed that compared with the TC + CC variant genotypes, the TT genotype of IMPDH2 3757 T > C was significantly associated with a higher risk of rejection (ES = 1.60, 95% CI = 1.07–2.40, P = 0.021), while there was no significant association of the IMPDH2 3757 T > C polymorphism with acute rejection within 1 year in kidney transplant recipients (OR = 1.49, 95% CI = 0.79–2.80, P = 0.217; ES = 1.44, 95% CI = 0.88–2.36, P = 0.142). The GG genotypes of IMPDH1 125G > A and IMPDH1 106G > A were significantly associated with a higher risk of rejection (ES = 1.91, 95% CI = 1.11–3.28, P = 0.019) and acute rejection within 1 year (ES = 2.12, 95% CI = 1.45–3.10, P < 0.001) than the variant genotypes GA + AA. The TT genotype of UGT1A9 275 T > A showed a decreased risk of rejection compared with the variant genotypes TA + AA (ES = 0.44, 95% CI = 0.23–0.84, P = 0.013).ConclusionsIMPDH1, IMPDH2, and UGT1A9 polymorphisms were associated with rejection in kidney transplant recipients, and the genetic backgrounds of patients should be considered when using MPA. More... »

PAGES

1-12

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URI

http://scigraph.springernature.com/pub.10.1007/s00228-022-03311-4

DOI

http://dx.doi.org/10.1007/s00228-022-03311-4

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1147717037

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35524809


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171 grid-institutes:grid.416208.9 schema:alternateName Department of Pharmacy, The First Affiliated Hospital of Third Military Medical University (Army Medical University), 400038, Chongqing, China
172 schema:name Department of Pharmacy, The First Affiliated Hospital of Third Military Medical University (Army Medical University), 400038, Chongqing, China
173 rdf:type schema:Organization
 




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