Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis

Background Previous studies have shown that soluble growth-stimulated expression gene 2 protein (sST2) plays a significant role in the progression of maintenance hemodialysis. However, the relationship between sST2 and cardiovascular events in maintenance hemodialysis patients remains largely unders...

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Main Authors: Ze Zhang, Tao Yang, Mengya Zhao, Huaqian Chen
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251345954
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author Ze Zhang
Tao Yang
Mengya Zhao
Huaqian Chen
author_facet Ze Zhang
Tao Yang
Mengya Zhao
Huaqian Chen
author_sort Ze Zhang
collection DOAJ
description Background Previous studies have shown that soluble growth-stimulated expression gene 2 protein (sST2) plays a significant role in the progression of maintenance hemodialysis. However, the relationship between sST2 and cardiovascular events in maintenance hemodialysis patients remains largely understudied. Method This study systematically searched PubMed, Wanfang, and other Chinese and English databases for all published studies on sST2 in maintenance hemodialysis. Relevant literature meeting the requirements was screened, and relevant data were extracted accordingly. The Newcastle–Ottawa Scale was used to evaluate the quality of the selected studies. Publication bias was assessed via funnel plots and Egger’s test. A meta-analysis was performed using either a random-effects or fixed-effects model, as appropriate. Results A total of 10 high-quality studies were included in this study, with no significant publication bias. The meta-analysis revealed that sST2 level was associated with the incidence of cardiovascular events in maintenance hemodialysis patients (mean difference = 18.89, 95% confidence interval: 13.93–23.84; p   <   0.001). Moreover, elevated sST2 levels were correlated with a higher risk of cardiovascular events (odds ratio = 2.89, 95% confidence interval: 1.71–4.89; p   <   0.0001). Conclusion sST2 may serve as a predictive biomarker for cardiovascular events in maintenance hemodialysis patients.
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spelling doaj-art-d8637e6bf29c4df5998d4acaa29dc15e2025-08-20T03:24:58ZengSAGE PublishingJournal of International Medical Research1473-23002025-06-015310.1177/03000605251345954Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysisZe ZhangTao YangMengya ZhaoHuaqian ChenBackground Previous studies have shown that soluble growth-stimulated expression gene 2 protein (sST2) plays a significant role in the progression of maintenance hemodialysis. However, the relationship between sST2 and cardiovascular events in maintenance hemodialysis patients remains largely understudied. Method This study systematically searched PubMed, Wanfang, and other Chinese and English databases for all published studies on sST2 in maintenance hemodialysis. Relevant literature meeting the requirements was screened, and relevant data were extracted accordingly. The Newcastle–Ottawa Scale was used to evaluate the quality of the selected studies. Publication bias was assessed via funnel plots and Egger’s test. A meta-analysis was performed using either a random-effects or fixed-effects model, as appropriate. Results A total of 10 high-quality studies were included in this study, with no significant publication bias. The meta-analysis revealed that sST2 level was associated with the incidence of cardiovascular events in maintenance hemodialysis patients (mean difference = 18.89, 95% confidence interval: 13.93–23.84; p   <   0.001). Moreover, elevated sST2 levels were correlated with a higher risk of cardiovascular events (odds ratio = 2.89, 95% confidence interval: 1.71–4.89; p   <   0.0001). Conclusion sST2 may serve as a predictive biomarker for cardiovascular events in maintenance hemodialysis patients.https://doi.org/10.1177/03000605251345954
spellingShingle Ze Zhang
Tao Yang
Mengya Zhao
Huaqian Chen
Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis
Journal of International Medical Research
title Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis
title_full Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis
title_fullStr Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis
title_full_unstemmed Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis
title_short Association of sST2 with cardiovascular disease in maintenance hemodialysis patients: A systematic review and meta-analysis
title_sort association of sst2 with cardiovascular disease in maintenance hemodialysis patients a systematic review and meta analysis
url https://doi.org/10.1177/03000605251345954
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AT mengyazhao associationofsst2withcardiovasculardiseaseinmaintenancehemodialysispatientsasystematicreviewandmetaanalysis
AT huaqianchen associationofsst2withcardiovasculardiseaseinmaintenancehemodialysispatientsasystematicreviewandmetaanalysis