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细胞周期蛋白B1高表达/阳性表达在三种常见消化系统癌症患者中的预后意义:一项系统评价和荟萃分析

The prognostic significance of high/positive expression of cyclin B1 in patients with three common digestive cancers: a systematic review and meta-analysis.

作者信息

Wen Yong, Cao Lei, Lian Wen-Ping, Li Guo-Xia

机构信息

Chinese Medicine Department, Southwest Medical University Affiliated Hospital, Luzhou 646000, China.

Department of Pediatrics, Gansu Provincial Maternity and Child Care Hospital, Lanzhou 730000, China.

出版信息

Oncotarget. 2017 Sep 26;8(56):96373-96383. doi: 10.18632/oncotarget.21273. eCollection 2017 Nov 10.

Abstract

Recently, several studies have reported that the expression of cyclin B1 may be associated with the prognosis of cancer. Nevertheless, their conclusions were still controversial. The present was designed to analyze and evaluate the prognostic role of cyclin B1 expression in patients with digestive cancer. PubMed, Embase, Cochrane Library and Web of Science were searched to January, 2017. Pooled odds ratio (OR) with 95% confidence intervals (CIs) were estimated. For the pooled OR estimates of OS, we performed subgroup analysis. Besides, sensitivity analysis was performed to examine the stability of the combined results. All statistical analyses were performed using standard statistical procedures provided in RevMan 5.2. A total of 12 studies ( = 2080 participants) were included for this meta-analysis. The positive/high expression of cyclin B1 had an obvious association with both 3-year overall survival (OR 0.21, 95% CI 0.12-0.37; < 0.00001) and 5-year overall survival (OR 0.20, 95% CI 0.12-0.34; < 0.00001) in esophageal cancer, and 5-year overall survival of colorectal cancer (OR 2.01, 95% CI 1.32-3.08; = 0.001). This meta-analysis indicated that positive/high expression of cyclin B1 may have a close association with worse survival in patients with esophageal cancer, but better prognosis in patients with colorectal cancer.

摘要

最近,多项研究报道细胞周期蛋白B1的表达可能与癌症预后相关。然而,它们的结论仍存在争议。本研究旨在分析和评估细胞周期蛋白B1表达在消化道癌症患者中的预后作用。检索了截至2017年1月的PubMed、Embase、Cochrane图书馆和Web of Science数据库。估计合并比值比(OR)及95%置信区间(CI)。对于总生存期(OS)的合并OR估计值,我们进行了亚组分析。此外,进行敏感性分析以检验合并结果的稳定性。所有统计分析均使用RevMan 5.2中提供的标准统计程序进行。本荟萃分析共纳入12项研究(n = 2080名参与者)。细胞周期蛋白B1的阳性/高表达与食管癌的3年总生存期(OR 0.21,95%CI 0.12 - 0.37;P < 0.00001)和5年总生存期(OR 0.20,95%CI 0.12 - 0.34;P < 0.00001)以及结直肠癌的5年总生存期(OR 2.01,95%CI 1.32 - 3.08;P = 0.001)均有明显关联。该荟萃分析表明,细胞周期蛋白B1的阳性/高表达可能与食管癌患者较差的生存率密切相关,但与结直肠癌患者较好的预后相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20e5/5707107/32b883c66cbb/oncotarget-08-96373-g001.jpg

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