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Dickkopf-1在癌症患者中的预后作用。

Prognostic role of dickkopf-1 in patients with cancer.

作者信息

Huang Junfang, Lu Tao, Kuang Wenbing

机构信息

Department of general medicine of Shenzhen Longhua District Central Hospital.

Clinical Laboratory Center of Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University School of Medcine, Shaoxing, China.

出版信息

Medicine (Baltimore). 2020 May 22;99(21):e20388. doi: 10.1097/MD.0000000000020388.

DOI:10.1097/MD.0000000000020388
PMID:32481337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7250037/
Abstract

As an antagonist for the WNT signal passway, dickkopf-1(DKK1) have a great important role in the occurence and development of various type cancer. The present paper performed a meta-analysis to evaluate the predictive significance of DKK1 in cancer.To assess the relationship between the expression of DKK1 and prognostic role in human cancers, a total of 16 articals were screened from the multiple online databases (Pubmed, EMBASE, CNKI, Web of Science and Google Scholar) in our study. By using the STATA soft,pooled hazard ratio and 95% confidence intervals of overall survival (OS), progression-free survival, disease-free survival and time to recurrence were used to evaluate the strength of this relationship.The meta-analysis showed that higher expression of DKK1 was significantly associated with shorter OS in cancer patients. In stratified analyzes, the higher expression of DKK1 could reduced the OS in patients with breast cancer,digestive system cancer and urogenital system cancer, but not patients with the lung cancer. It also showed that higher expression of DKK1 was significantly associated with shorter progression-free survival, disease-free survival and time to recurrence in cancer patients.The present study indicate that higher expression of DKK1 predict an unfavorable clinical outcome in patients with breast cancer, digestive system cancer and urogenital system cancer.

摘要

作为WNT信号通路的拮抗剂, Dickkopf-1(DKK1)在各类癌症的发生发展中具有极其重要的作用。本文进行了一项荟萃分析,以评估DKK1在癌症中的预测意义。为了评估DKK1表达与人类癌症预后作用之间的关系,在我们的研究中,从多个在线数据库(PubMed、EMBASE、CNKI、Web of Science和谷歌学术)中共筛选出16篇文章。通过使用STATA软件,采用合并风险比和总生存期(OS)、无进展生存期、无病生存期及复发时间的95%置信区间来评估这种关系的强度。荟萃分析表明,DKK1高表达与癌症患者较短的OS显著相关。在分层分析中,DKK1高表达可降低乳腺癌、消化系统癌症和泌尿生殖系统癌症患者的OS,但对肺癌患者无此影响。研究还表明,DKK1高表达与癌症患者较短的无进展生存期、无病生存期及复发时间显著相关。本研究表明,DKK1高表达预示着乳腺癌、消化系统癌症和泌尿生殖系统癌症患者的临床结局不佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/66b88dbcda0b/medi-99-e20388-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/c60cf12ef48a/medi-99-e20388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/eb6eb00fb4d5/medi-99-e20388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/d1a154421a0c/medi-99-e20388-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/efd7ddcccce8/medi-99-e20388-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/66b88dbcda0b/medi-99-e20388-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/c60cf12ef48a/medi-99-e20388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/eb6eb00fb4d5/medi-99-e20388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/d1a154421a0c/medi-99-e20388-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/efd7ddcccce8/medi-99-e20388-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3604/7250037/66b88dbcda0b/medi-99-e20388-g006.jpg

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Am J Cancer Res. 2019 Feb 1;9(2):330-346. eCollection 2019.
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Baicalin induced colon cancer cells apoptosis through miR-217/DKK1-mediated inhibition of Wnt signaling pathway.
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