Department of Thyroid and Breast Surgery, Taizhou People's Hospital, Taizhou, 225300 Jiangsu Province, China.
Department of Obstetrics and Gynecology, Taizhou People's Hospital, Taizhou, 225300 Jiangsu Province, China.
Dis Markers. 2021 Mar 3;2021:9508702. doi: 10.1155/2021/9508702. eCollection 2021.
We comprehensively searched electronic databases, namely, PubMed, Web of Science, EMBASE, Chinese National Knowledge Infrastructure (CNKI), and WanFang databases up to December 2019. Hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated to evaluate the association between PRDX1 protein expression and the survival of patients with solid tumors. Odds ratios (ORs) with 95% CIs were pooled to estimate the correlation between PRDX1 protein expression and clinicopathologic characteristics in the patients.
Seventeen cohort studies that involved 2,858 patients were included in this meta-analysis. The pooled results indicated that positive PRDX1 expression was related to poor overall survival (HR = 1.68, 95% CI: 1.24-2.27, = 0.001) and disease-free survival (HR = 1.88, 95% CI: 1.31-2.70, = 0.001). In addition, high PRDX1 expression was associated with large tumor size (OR = 1.69, 95% CI: 1.07-2.68, = 0.025), advanced TNM stage (OR = 2.26, 95% CI: 1.24-4.13, = 0.008), and poor tumor differentiation (OR = 0.59, 95% CI: 0.44-0.81, = 0.001).
PRDX1 overexpression is associated with poor outcomes of cancers and may serve as a prognostic biomarker for malignant patients. Hence, PRDX1 could be a new target for antitumor therapy.
我们全面检索了电子数据库,包括 PubMed、Web of Science、EMBASE、中国知网(CNKI)和万方数据库,检索时间截至 2019 年 12 月。使用风险比(HR)及其 95%置信区间(CI)评估 PRDX1 蛋白表达与实体瘤患者生存之间的关系。使用优势比(OR)及其 95%CI 评估 PRDX1 蛋白表达与患者临床病理特征之间的相关性。
本荟萃分析共纳入了 17 项队列研究,涉及 2858 例患者。汇总结果表明,PRDX1 阳性表达与总生存不良(HR=1.68,95%CI:1.24-2.27, =0.001)和无病生存不良(HR=1.88,95%CI:1.31-2.70, =0.001)相关。此外,PRDX1 高表达与肿瘤较大(OR=1.69,95%CI:1.07-2.68, =0.025)、TNM 分期较晚(OR=2.26,95%CI:1.24-4.13, =0.008)和肿瘤分化不良(OR=0.59,95%CI:0.44-0.81, =0.001)相关。
PRDX1 过表达与癌症不良预后相关,可能成为恶性肿瘤患者的预后生物标志物。因此,PRDX1 可能成为抗肿瘤治疗的新靶点。