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C-C趋化因子受体7在实体瘤患者中预后价值的Meta分析。

Meta-analysis of the prognostic value of C-C chemokine receptor type 7 in patients with solid tumors.

作者信息

Zu Guangchen, Luo Baoyang, Yang Yong, Tan Yuwei, Tang Tianyu, Zhang Yue, Chen Xuemin, Sun Donglin

机构信息

Department of Hepatobiliary and Pancreatic Surgery, The Third Affiliated Hospital of Soochow University, Changzhou 213003, People's Republic of China,

Department of Hepatobiliary Surgery, Taizhou People's Hospital, Taizhou 225300, People's Republic of China.

出版信息

Cancer Manag Res. 2019 Feb 26;11:1881-1892. doi: 10.2147/CMAR.S190510. eCollection 2019.

Abstract

BACKGROUND

Expression of C-C chemokine receptor type 7 (CCR7) is associated with the prognosis of several cancers. The aim of this study was to conduct the meta-analysis to determine the prognostic value of CCR7 expression in solid tumors.

MATERIALS AND METHODS

We searched for relevant literature in the PubMed, Embase, and Cochrane Library databases (last updated on January 15, 2018). The associations of CCR7 expression with overall survival (OS), disease-free survival (DFS), recurrence-free survival (RFS), progress-free survival (PFS), and disease-specific survival (DSS) were estimated.

RESULTS

In total, 30 qualified studies including 3,413 patients were enrolled. The results revealed that higher expression of CCR7 predicted poorer OS (pooled HR =1.79; 95% CI =1.49-2.16; <0.001) and PFS (pooled HR =2.18; 95% CI =1.49-3.18; <0.001), but was not associated with DFS (pooled HR =1.69; 95% CI =0.79-3.61; =0.175), RFS (pooled HR =1.29; 95% CI =0.48-3.44; =0.618), or DSS (pooled HR =3.06; 95% CI =0.38-24.83; <0.294).

CONCLUSION

From this meta-analysis, we concluded that high expression of CCR7 in tumor tissue is associated with poor survival in patients with solid tumors, and may be a prognostic biomarker for tumor progression.

摘要

背景

C-C趋化因子受体7(CCR7)的表达与多种癌症的预后相关。本研究旨在进行荟萃分析,以确定CCR7表达在实体瘤中的预后价值。

材料与方法

我们在PubMed、Embase和Cochrane图书馆数据库中检索相关文献(最后更新于2018年1月15日)。评估CCR7表达与总生存期(OS)、无病生存期(DFS)、无复发生存期(RFS)、无进展生存期(PFS)和疾病特异性生存期(DSS)之间的关联。

结果

总共纳入了30项合格研究,包括3413例患者。结果显示,CCR7的高表达预示着较差的总生存期(合并风险比=1.79;95%置信区间=1.49-2.16;P<0.001)和无进展生存期(合并风险比=2.18;95%置信区间=1.49-3.18;P<0.001),但与无病生存期(合并风险比=1.69;95%置信区间=0.79-3.61;P=0.175)、无复发生存期(合并风险比=1.29;95%置信区间=0.48-3.44;P=0.618)或疾病特异性生存期(合并风险比=3.06;95%置信区间=0.38-24.83;P=0.294)无关。

结论

通过这项荟萃分析,我们得出结论,肿瘤组织中CCR7的高表达与实体瘤患者的不良生存相关,可能是肿瘤进展的预后生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8df/6396671/31fa795e7a79/cmar-11-1881Fig1.jpg

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