Liu Gang, Xiong Disheng, Zeng Junjie, Xu Guoxing, Xiao Rui, Chen Borong, Huang Zhengjie
Department of Gastrointestinal Surgery, First Affiliated Hospital of Xiamen University and Xiamen Cancer Hospital, Xiamen, People's Republic of China.
Department of Gastrointestinal Surgery, First Clinical Medical College of Fujian Medical University, Fuzhou, People's Republic of China.
Oncotarget. 2017 Jul 29;8(58):98985-98992. doi: 10.18632/oncotarget.19684. eCollection 2017 Nov 17.
Recently, the oncogenic role of DEK has been recognized in several cancer types. However, its prognostic role in human solid tumor remains unclear. Thus, the present meta-analysis, based on 14 published studies (2208 patients) searched from PubMed, Web of Science, and EMBASE databases, assessed the prognostic value of DEK in human solid tumors. Furthermore, the pooled hazard ratio (HR) for overall survival (OS) was evaluated with fixed-effects models. A subgroup analysis was also performed according to the patients' ethnicities and tumor types. Data from these published studies were extracted, and the results showed that the overexpression of DEK was significantly associated with poor OS in human solid tumors. The combined hazards ratio was (HR = 1.83; 95% CI, 1.64-2.05, < 0.00001) for OS (univariable analysis) with a fixed-effects model without any significant heterogeneity ( = 0.71, I = 0%). The combined HR was (HR = 1.70; 95% CI, 1.48-1.96, < 0.00001) for OS (multivariable analysis) with a fixed-effects model, and no significant heterogeneity was observed ( = 0.36, I = 9%). Therefore, the overexpression of DEK was correlated with poor survival in human solid tumors, which suggests that the expression status of DEK is a valuable biomarker for the prediction of prognosis and serves as a novel therapeutic target in human solid tumors.
最近,DEK的致癌作用已在多种癌症类型中得到认可。然而,其在人类实体瘤中的预后作用仍不清楚。因此,本荟萃分析基于从PubMed、科学网和EMBASE数据库检索到的14项已发表研究(2208例患者),评估了DEK在人类实体瘤中的预后价值。此外,采用固定效应模型评估总生存期(OS)的合并风险比(HR)。还根据患者的种族和肿瘤类型进行了亚组分析。提取了这些已发表研究的数据,结果表明,DEK的过表达与人类实体瘤中较差的OS显著相关。采用固定效应模型进行OS(单变量分析)时,合并风险比为(HR = 1.83;95%CI,1.64 - 2.05,< 0.00001),无任何显著异质性(= 0.71,I = 0%)。采用固定效应模型进行OS(多变量分析)时,合并HR为(HR = 1.70;95%CI,1.48 - 1.96,< 0.00001),未观察到显著异质性(= 0.36,I = 9%)。因此,DEK的过表达与人类实体瘤的不良生存相关,这表明DEK的表达状态是预测预后的有价值生物标志物,并且可作为人类实体瘤的新型治疗靶点。