, Volume 38, Issue 1, pp 338–347 | Cite as

Relationship of Serum Mannose-Binding Lectin Levels with the Development of Sepsis: a Meta-analysis

  • Dong-Na Gao
  • Yu Zhang
  • Yan-Bo Ren
  • Jian Kang
  • Li Jiang
  • Zhuo Feng
  • Ya-Nan Qu
  • Qing-Hui Qi
  • Xuan Meng


Many studies have evaluated the association between serum levels of mannose-binding lectin (MBL) and sepsis; however, the findings are inconclusive and conflicting. For a better understanding of MBL in sepsis, we conducted a comprehensive meta-analysis. Potential relevant studies were identified covering Science Citation Index, the Cochrane Library, PubMed, Embase, CINAHL, and Current Contents Index databases. Two reviewers extracted data and assessed studies independently. Statistical analyses were conducted with the version 12.0 STATA statistical software. Ten papers were collected for meta-analysis. Results identified that sepsis patients had considerably lower MBL level than those in the controls (standardized mean difference (SMD) = 1.59, 95 % confidence interval (95%CI) = 0.86∼2.31, P < 0.001). Ethnicity-subgroup analysis showed that sepsis patients were associated with decreased serum MBL level in contrast to the healthy controls in Asians (SMD = 3.07, 95%CI = 1.27∼4.88, P = 0.001) and Caucasians (SMD = 1.00, 95%CI = 0.35∼1.65, P = 0.003). In the group-stratified subgroup analysis, subjects with lower serum MBL level did underpin susceptibility to sepsis in the infants subgroup (SMD = 2.57, 95%CI = 1.59∼3.55, P < 0.001); however, this was not the case in the adults subgroup (SMD = 0.13, 95%CI = −1.30∼1.55, P = 0.862). Our study suggests an important involvement of serum MBL level in sepsis patients considering their lower level compared to controls, especially among infants.


mannose-binding lectin sepsis meta-analysis 



This work is funded by Surface project of National Natural Science Foundation of China (No. 81273920). We would like to acknowledge the reviewers for their helpful comments on this paper.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Dong-Na Gao
    • 1
    • 2
  • Yu Zhang
    • 2
  • Yan-Bo Ren
    • 2
  • Jian Kang
    • 2
  • Li Jiang
    • 2
  • Zhuo Feng
    • 3
  • Ya-Nan Qu
    • 4
  • Qing-Hui Qi
    • 5
  • Xuan Meng
    • 1
  1. 1.Graduate School of Dalian Medical UniversityDalianPeople’s Republic of China
  2. 2.Department of Emergencythe First Affiliated Hospital of Dalian MedicalDalianPeople’s Republic of China
  3. 3.Surgery Intensive Care UnitDalian Municipal Central HospitalDalianPeople’s Republic of China
  4. 4.Department of EmergencyAffiliated Zhongshan Hospital of Dalian UniversityDalianPeople’s Republic of China
  5. 5.Department of Abdominal Emergencythe First Affiliated Hospital of Dalian Medical UniversityDalianPeople’s Republic of China

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