Liu Jingting, Meng Chunyan, Li Changcan, Tang Kaifeng, Tang Hongchao, Liao Jianhua
Department of Emergency, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3 Qingchun East Road, Hangzhou, Zhejiang, 310020, China.
Department of General Surgery, Zhejiang Hospital, 12 Lingyin Road, Zhejiang 310013, China.
J Cancer. 2019 Mar 3;10(7):1633-1641. doi: 10.7150/jca.26935. eCollection 2019.
Deleted in Breast Cancer 1 (DBC1/CCAR2) is a regulatory protein involved in cell survival and cancer progression. Herein, we focused on summarizing the overall prognostic value of DBC1 for digestive system cancers. Therefore, we conducted a meta-analysis based on 9 studies with 2391 patients to generated combined hazard ratios (HR) or odds ratio (OR) with its 95% confidence intervals (CI) for overall survival (OS) and clinicopathological features. Positive DBC1 expression was significantly associated with poor OS of digestive system cancers (pooled HR=1.650, 95% CI=1.087-2.504, P<0.019). Stratified analysis also verified the potential prognostic prediction of DBC1 in some subgroups, such as digestive tract cancers (pooled HR=1.685, 95% CI=1.013-2.802, P=0.044), univariate analysis method (pooled HR=2.077, 95%CI=1.221-3.533, P=0.007), publication date within five years (pooled HR=1.609, 95%CI=1.097-2.358, P =0.015), study sample size smaller than 200 (pooled HR=2.304, 95%CI=1.716-3.093, P<0.001) and cutoff value for positive tumor cells more than 50% (pooled HR=1.944, 95% CI=1.479-2.556, P<0.001). Additionally, in terms of the association between DBC1 expression and clinicopathological characteristics, DBC1 expression was correlated to age (pooled OR=0.596, 95%CI =0.467-0.761, P<0.001), WHO classification (pooled OR =3.780, 95% CI=2.303-6.205, P <0.001), Lauren classification (pooled OR=2.000, 95%CI =1.492-2.680, P<0.001), and lymph node metastasis (pooled OR=0.405, 95%CI=0.203-0.806, P=0.010). In conclusion, DBC1 could not only be an independent prognostic factor for survival of patients with digestive system cancer, but might also be a novel target for cancer therapy.
乳腺癌缺失基因1(DBC1/CCAR2)是一种参与细胞存活和癌症进展的调节蛋白。在此,我们着重总结DBC1对消化系统癌症的总体预后价值。因此,我们基于9项研究、2391例患者进行了一项荟萃分析,以生成总生存(OS)及临床病理特征的合并风险比(HR)或比值比(OR)及其95%置信区间(CI)。DBC1阳性表达与消化系统癌症患者较差的OS显著相关(合并HR = 1.650,95%CI = 1.087 - 2.504,P < 0.019)。分层分析也证实了DBC1在一些亚组中的潜在预后预测价值,如消化道癌症(合并HR = 1.685,95%CI = 1.013 - 2.802,P = 0.044)、单因素分析方法(合并HR = 2.077,95%CI = 1.221 - 3.533,P = 0.007)、五年内发表的文献(合并HR = 1.609,95%CI = 1.097 - 2.358,P = 0.015)、研究样本量小于200例(合并HR = 2.304,95%CI = 1.716 - 3.093,P < 0.001)以及肿瘤细胞阳性截断值超过50%(合并HR = 1.944,95%CI = 1.479 - 2.556,P < 0.001)。此外,就DBC1表达与临床病理特征的相关性而言,DBC1表达与年龄相关(合并OR = 0.596,95%CI = 0.467 - 0.761,P < 0.001)、世界卫生组织分类(合并OR = 3.780,95%CI = 2.303 - 6.205,P < 0.001)、劳伦分类(合并OR = 2.000,95%CI = 1.492 - 2.680,P < 0.001)以及淋巴结转移(合并OR = 0.405,95%CI = 0.203 - 0.806,P = 0.010)。总之,DBC1不仅可能是消化系统癌症患者生存的独立预后因素,还可能是癌症治疗的新靶点。