Meng W, Gu T, Gao L M, Zong Z G, Meng L, Fu Z Z, Guo L
First Affiliated Hospital, Hebei North University, Zhangjiakou, Hebei Province, China.
Department of Medical Oncology, First Hospital of Qinhuangdao, Qinhuangdao, Hebei Province, China.
Braz J Med Biol Res. 2015 Dec;48(12):1077-86. doi: 10.1590/1414-431X20154645. Epub 2015 Sep 29.
This study aimed to explore the correlations between cadherin-17 (CDH17) protein expression and the clinicopathological features and prognosis of patients with sporadic gastric cancer (GC). Nine relevant studies of 1,960 patients were identified using electronic database searches supplemented with a manual search in strict accordance with inclusion and exclusion criteria. Statistical analyses were conducted using STATA 12.0 statistical software. Relative risks and 95% confidence intervals were determined, and Z test was used to measure the significance of the overall effect size. A total of nine eligible cohort studies were included in this meta-analysis. The expression of CDH17 in patients with diffuse GC was significantly higher than in those with intestinal-type GC. Moreover, the tumor depth of invasion differed significantly between patients with positive CDH17 (CDH17+) and negative CDH17 (CDH17-) GC. However, there were no significant differences between CDH17+ and CDH17- GC patients with respect to tumor node metastasis clinical stages, histological grades, or lymph node metastasis. Despite the differences in invasive depth, there was no significant difference in 5-year survival rates between CDH17+ and CDH17- GC patients. Our meta-analysis provides evidence that CDH17 protein expression may be associated with the development of GC, suggesting that CDH17 is an important biomarker that could be useful for the early diagnosis of GC. However, CDH17 levels do not appear to impact overall survival.
本研究旨在探讨钙黏蛋白-17(CDH17)蛋白表达与散发性胃癌(GC)患者临床病理特征及预后之间的相关性。通过电子数据库检索并严格按照纳入和排除标准进行手工检索,确定了9项涉及1960例患者的相关研究。使用STATA 12.0统计软件进行统计分析。确定相对风险和95%置信区间,并使用Z检验来衡量总体效应大小的显著性。本荟萃分析共纳入9项符合条件的队列研究。弥漫性GC患者中CDH17的表达显著高于肠型GC患者。此外,CDH17阳性(CDH17+)和阴性(CDH17-)GC患者的肿瘤浸润深度存在显著差异。然而,CDH17+和CDH17- GC患者在肿瘤淋巴结转移临床分期、组织学分级或淋巴结转移方面无显著差异。尽管浸润深度存在差异,但CDH17+和CDH17- GC患者的5年生存率无显著差异。我们的荟萃分析提供了证据表明CDH17蛋白表达可能与GC的发生有关,提示CDH17是一种重要的生物标志物,可能有助于GC的早期诊断。然而,CDH17水平似乎不影响总生存期。