Shi Wenhua, Feng Wei, Wang Jian, Zhai Cui, Zhang Qianqian, Wang Qingting, Song Yang, Yan Xin, Chai Limin, Liu Pengtao, Chen Yuqian, Li Cong, Li Manxiang
Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, China.
J Cancer. 2019 Oct 4;10(23):5754-5763. doi: 10.7150/jca.30067. eCollection 2019.
A number of studies have investigated the role of Golgi phosphoprotein-3 (GOLPH3) in the pathogenesis and progression of non-small cell lung cancer (NSCLC). However, the results of previous studies are heterogeneous and controversial. The aim of this meta-analysis was to clarify its association with the clinicopathological characteristics of patients and evaluate the prognostic significance of GOLPH3 in NSCLC. A systematic search was conducted through PMC, PubMed, Medline, Web of Science, Chinese National Knowledge Infrastructure and Wanfang database. The odds ratio (OR) and hazard ratio (HR) with 95 % CI were calculated by STATA 12.0. 8 qualified studies with a total of 1001 patients with NSCLC were included. Pooled results showed that GOLPH3 was highly expressed in tumor tissues compared with adjacent lung tissues (OR, 7.55), and overexpression of GOLPH3 was significantly correlated with advanced clinical stage (OR, 3.42), poor differentiation of tumor (OR, 1.97) and positive lymph node metastasis (OR, 2.58), but no association with histological type, gender, age or tumor size was found in NSCLC patients. In addition, the pooled HR for overall survival was 1.79 by univariate analysis and 1.91 by multivariate analysis. The pooled HR for progression-free survival was 2.50. GOLPH3 could be a risk factor for progression of NSCLC and might act as a potential prognostic biomarker for NSCLC patients.
多项研究探讨了高尔基体磷蛋白3(GOLPH3)在非小细胞肺癌(NSCLC)发病机制和进展中的作用。然而,先前研究的结果存在异质性且存在争议。本荟萃分析的目的是阐明其与患者临床病理特征的关联,并评估GOLPH3在NSCLC中的预后意义。通过PMC、PubMed、Medline、Web of Science、中国知网和万方数据库进行了系统检索。采用STATA 12.0计算95%可信区间的比值比(OR)和风险比(HR)。纳入了8项合格研究,共1001例NSCLC患者。汇总结果显示,与癌旁肺组织相比,GOLPH3在肿瘤组织中高表达(OR,7.55),GOLPH3过表达与临床晚期(OR,3.42)、肿瘤低分化(OR,1.97)和阳性淋巴结转移(OR,2.58)显著相关,但在NSCLC患者中未发现与组织学类型、性别、年龄或肿瘤大小有关联。此外,单因素分析的总生存汇总HR为1.79,多因素分析为1.91。无进展生存的汇总HR为2.50。GOLPH3可能是NSCLC进展的危险因素,可能作为NSCLC患者潜在的预后生物标志物。