Department of Radiation Oncology, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Asian Pac J Cancer Prev. 2021 Oct 1;22(10):3075-3080. doi: 10.31557/APJCP.2021.22.10.3075.
The aim of this study is to evaluate the association of c-Met overexpression with survival of glioblastoma multiforme (GBM) patients.
A systematic review with meta-analyses was conducted on related articles from PubMed, EBSCOhost, Scopus, and Cochrane databases with last updated search on October 31, 2020. A total of 7 studies regarding c-Met overexpression and overall survival (OS) and/or progression free survival (PFS) are included in this study.
All studies used immunohistochemistry to examine the expression of c-Met protein. The results showed that the positive rate of c-Met overexpression was detected in approximately 33,9% - 60,5% of GBM patients. c-Met overexpression was related to worse OS (HR: 1,74; 95% CI: 1,482-2,043; Z=6,756; p<0,001) and PFS (HR: 1,66; 95% CI: 1,327-2,066; Z=4,464; p<0,001) in GBM patients. Low heterogeneity of subjects was found in both OS and PFS analyses, I2 values were 7,8% and 0,0%, respectively.
In conclusion, c-Met overexpression is significantly related to shorter OS and PFS in GBM patients, so c-Met can be considered as a potential prognostic indicator in GBM.
本研究旨在评估 c-Met 过表达与胶质母细胞瘤(GBM)患者生存的相关性。
对 2020 年 10 月 31 日之前从 PubMed、EBSCOhost、Scopus 和 Cochrane 数据库中检索到的相关文章进行了系统评价和荟萃分析。共有 7 项关于 c-Met 过表达与总生存期(OS)和/或无进展生存期(PFS)的研究纳入本研究。
所有研究均采用免疫组织化学法检测 c-Met 蛋白的表达。结果表明,GBM 患者中约有 33.9%-60.5%检测到 c-Met 过表达。c-Met 过表达与较差的 OS(HR:1.74;95%CI:1.482-2.043;Z=6.756;p<0.001)和 PFS(HR:1.66;95%CI:1.327-2.066;Z=4.464;p<0.001)相关。OS 和 PFS 分析中,患者的异质性较低,I2 值分别为 7.8%和 0.0%。
总之,c-Met 过表达与 GBM 患者的 OS 和 PFS 显著缩短相关,因此 c-Met 可被视为 GBM 的潜在预后指标。