Meta-Analysis
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 14, 2020; 26(2): 246-265
Published online Jan 14, 2020. doi: 10.3748/wjg.v26.i2.246
Diagnostic and clinical significance of antigen-specific pancreatic antibodies in inflammatory bowel diseases: A meta-analysis
Konstantinos Gkiouras, Maria G Grammatikopoulou, Xenophon Theodoridis, Eirini Pagkalidou, Evangelia Chatzikyriakou, Anna G Apostolidou, Eirini I Rigopoulou, Lazaros I Sakkas, Dimitrios Petrou Bogdanos
Konstantinos Gkiouras, Maria G Grammatikopoulou, Xenophon Theodoridis, Lazaros I Sakkas, Dimitrios Petrou Bogdanos, Department of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Biopolis, Larissa GR41110, Greece
Konstantinos Gkiouras, Maria G Grammatikopoulou, Xenophon Theodoridis, Evangelia Chatzikyriakou, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, University Campus, Thessaloniki GR54124, Greece
Maria G Grammatikopoulou, Anna G Apostolidou, Department of Nutritional Sciences and Dietetics, School of Health Sciences, International Hellenic University, Sindos Campus, Thessaloniki GR57400, Greece
Eirini Pagkalidou, Laboratory of Hygiene, Social and Preventive Medicine and Medical Statistics, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, University Campus, Thessaloniki GR54124, Greece
Evangelia Chatzikyriakou, Laboratory of Clinical Neurophysiology, AHEPA University Hospital, Faculty of Medicine, Aristotle University of Thessaloniki, University Campus, Thessaloniki GR54124, Greece
Eirini I Rigopoulou, Department of Medicine and Research Laboratory of Internal Medicine, University Hospital of Larissa, Biopolis, Larissa GR41110, Greece
Dimitrios Petrou Bogdanos, Division of Transplantation, Immunology and Mucosal Biology, MRC Centre for Transplantation, King's College London Medical School, London GR41110, United Kingdom
Author contributions: Gkiouras K and Bogdanos DP designed research; Gkiouras K contributed to data acquisition, analyzed and interpreted data, drafting the article, final approval; Grammatikopoulou MG contributed to acquisition of data, interpreted data, drafting the manuscript, final approval; Theodoridis X contributed to quality assessment, interpreted data, revising the article, final approval; Pagkalidou E contributed to supervision of the statistical analyses, final approval; Chatzikyriakou E contributed to quality assessment of data, final approval; Apostolidou AG contributed to data acquisition, final approval; Rigopoulou EI and Sakkas LI contributed to data interpretation, drafting manuscript parts, final approval; Bogdanos DP contributed to conception and design of the study, acquisition of data, supervision of all analyses, critical revision, final approval.
Conflict-of-interest statement: The authors deny any conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dimitrios Petrou Bogdanos, MD, PhD, Assistant Professor, Department of Rheumatology and Clinical Immunology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Biopolis, PO Box 1425, Larissa GR41110, Greece. bogdanos@med.uth.gr
Received: November 1, 2019
Peer-review started: November 1, 2019
First decision: November 22, 2019
Revised: December 19, 2019
Accepted: January 2, 2020
Article in press: January 2, 2020
Published online: January 14, 2020
Core Tip

Core tip: The majority of individual studies assessing the diagnostic accuracy of autoantibodies for anti-glycoprotein 2 (anti-GP2) for Crohn’s disease (CD) diagnosis either include asymptomatic participants, or patients with symptoms not akin to CD. Most studies carry industry-related conflicts-of-interest, employing non-blinded evaluation of their assays and CD diagnosis preceding anti-GP2 testing. The pooled analyses performed herein using only symptomatic patients as controls, revealed high heterogeneity and low diagnostic accuracy of the anti-GP2, demonstrating low sensitivity and high specificity. Based on the pooled sensitivity and specificity of the anti-GP2 for CD diagnosis, they do not appear to attain the characteristics to be used per se as a proper non-invasive diagnostic tool.