Tan Zhibo, Yang Chao, Zhang Xiaohan, Zheng Pingju, Shen Weixi
Department of Oncology, Shenzhen Hospital of Southern Medical University, Shenzhen 518110, Guangdong, PR China.
Department of Gastroenterology, Shenzhen Hospital of Southern Medical University, Shenzhen 518110, Guangdong, PR China.
Oncotarget. 2017 May 4;8(37):60954-60961. doi: 10.18632/oncotarget.17604. eCollection 2017 Sep 22.
Glucose transporter 1 (GLUT1) plays an important role in the transport and metabolism of glucose in cancer cells. An increasing number of studies have explored the connection between GLUT1 expression and prognosis in non-small cell lung cancer (NSCLC), but the results have been controversial. Therefore, we conducted a meta-analysis to obtain a comprehensive evaluation of the prognostic value of GLUT1 in NSCLC. Relevant studies from PubMed, Embase, and Web of Science were searched. Hazard ratios (HRs) and odds ratios (ORs) with their 95% confidence intervals (CIs) were used as the effective measures. A total of 10 studies involving 1,665 patients were included in this meta-analysis. The results showed that GLUT1 overexpression was associated with poor overall survival (HR = 2.21; 95% CI, 1.42-3.42; p < 0.001) and disease-free survival (HR = 1.73; 95% CI, 1.35-2.23; p < 0.001). Furthermore, elevated GLUT1 expression correlated with sex (OR = 2.29; 95% CI, 1.17-4.49; p = 0.015), advanced tumor stage (OR = 2.46; 95% CI, 1.79-3.38; p < 0.001), histology (OR = 6.99; 95% CI, 4.71-10.38; p < 0.001), and large tumor size (OR = 2.77; 95% CI, 1.73-4.44; p < 0.001). This meta-analysis revealed overexpression of GLUT1 to be a biomarker of worse prognosis in NSCLC.
葡萄糖转运蛋白1(GLUT1)在癌细胞的葡萄糖转运和代谢中起着重要作用。越来越多的研究探讨了GLUT1表达与非小细胞肺癌(NSCLC)预后之间的联系,但结果存在争议。因此,我们进行了一项荟萃分析,以全面评估GLUT1在NSCLC中的预后价值。检索了来自PubMed、Embase和Web of Science的相关研究。风险比(HRs)和比值比(ORs)及其95%置信区间(CIs)用作有效测量指标。本荟萃分析共纳入10项研究,涉及1665例患者。结果显示,GLUT1过表达与总生存期较差(HR = 2.21;95% CI,1.42 - 3.42;p < 0.001)和无病生存期较差(HR = 1.73;95% CI,1.35 - 2.23;p < 0.001)相关。此外,GLUT1表达升高与性别(OR = 2.29;95% CI,1.17 - 4.49;p = 0.015)、肿瘤晚期(OR = 2.46;95% CI,1.79 - 3.38;p < 0.001)、组织学(OR = 6.99;95% CI,4.71 - 10.38;p < 0.001)和肿瘤体积较大(OR = 2.77;95% CI,1.73 - 4.44;p < 0.001)相关。这项荟萃分析表明,GLUT1过表达是NSCLC预后较差的一个生物标志物。
Oncotarget. 2017-6-27
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