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FGFR1 表达和扩增在头颈部鳞状细胞癌患者中的预后价值:系统评价和荟萃分析。

Prognostic value of FGFR1 expression and amplification in patients with HNSCC: A systematic review and meta-analysis.

机构信息

Department of Otorhinolaryngology, The Central Hospital of Wuhan, Wuhan, China.

Department of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

PLoS One. 2021 May 14;16(5):e0251202. doi: 10.1371/journal.pone.0251202. eCollection 2021.

Abstract

Fibroblast growth factor receptor 1 (FGFR1) has recently been identified as a promising novel therapeutic target and prognostic marker in different types of cancer. In the present study, a meta-analysis was performed to clarify the correlation between FGFR1 and the survival outcomes of head and neck squamous cell carcinoma (HNSCC) patients. PubMed, Embase, and Web of Science were systematically searched for relevant studies in order to explore the prognostic significance of FGFR1 in HNSCC. Hazards ratios (HR) and 95% confidence intervals (CI) were collected to estimate the correlation between overexpression and amplification of FGFR1 and survival outcomes of HNSCC patients. Nine studies including 2708 patients with HNSCC were finally selected for the meta-analysis. The results indicated that FGFR1 predicted poor overall survival (OS) (HR, 1.97; 95% CI, 1.49-2.61, P<0.001) in HNSCC patients. Futhermore, FGFR1 was related to poor OS in human papillomavirus (HPV) negative HNSCC not in HPV positive HNSCC patients. Subgroup analysis stratified by molecular abnormalities, such as overexpression or amplification showed the similar results. The present study demonstrated that HNSCC patients with FGFR1 overexpression and amplification were more likely to exhibit poorer survival.

摘要

成纤维细胞生长因子受体 1(FGFR1)最近被确定为不同类型癌症中一种有前途的新型治疗靶点和预后标志物。本研究进行了荟萃分析,以阐明 FGFR1 与头颈部鳞状细胞癌(HNSCC)患者生存结局之间的相关性。通过系统地检索 PubMed、Embase 和 Web of Science 中的相关研究,以探讨 FGFR1 在 HNSCC 中的预后意义。收集风险比(HR)和 95%置信区间(CI)来估计 FGFR1 的过表达和扩增与 HNSCC 患者生存结局之间的相关性。最终选择了 9 项包含 2708 例 HNSCC 患者的研究进行荟萃分析。结果表明,FGFR1 预测 HNSCC 患者总体生存(OS)不良(HR,1.97;95%CI,1.49-2.61,P<0.001)。此外,FGFR1 与 HPV 阴性 HNSCC 患者的 OS 不良相关,而与 HPV 阳性 HNSCC 患者无关。按分子异常(如过表达或扩增)分层的亚组分析显示出类似的结果。本研究表明,FGFR1 过表达和扩增的 HNSCC 患者更有可能表现出较差的生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3a8/8121309/caeb072087d3/pone.0251202.g001.jpg

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