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烟酰胺甲基转移酶在人类癌症中的预后价值:来自一项荟萃分析和数据库验证的证据。

Prognostic value of nicotinamide -methyltransferase in human cancers: Evidence from a meta-analysis and database validation.

作者信息

Dang Ling, Wang Yingdong

机构信息

Department of Digestive Internal Medicine, People's Hospital of Tongchuan, Tongchuan, Shaanxi, 727000, China.

Department of Abdominal Oncology, Shaanxi Provincial Cancer Hospital, Xi'an, Shaanxi, 710061, China.

出版信息

Open Med (Wars). 2022 Feb 14;17(1):292-303. doi: 10.1515/med-2022-0413. eCollection 2022.

DOI:10.1515/med-2022-0413
PMID:35233465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8847710/
Abstract

BACKGROUND

Previous studies indicated that dysregulated expression of nicotinamide -methyltransferase (NNMT) contributed to the tumor progression and predicted poor prognosis in various cancers. However, there was no exact conclusion on account of the contradictory results across studies.

METHODS

The relevant studies up to December 7, 2020 were searched in PubMed, Web of Science, and Embase. The association between NNMT expression and prognostic outcomes was explored, including overall survival (OS), disease-free survival (DFS), and clinicopathological features. The bioinformatics database was used to validate the findings.

RESULTS

Thirteen retrospective studies containing 2,591 patients with cancers were included in this analysis. High NNMT expression was significantly associated with shorter OS (hazard ratio [HR] = 2.01, 95% confidence interval [CI] = 1.42-2.86, and < 0.01) and DFS (HR = 1.59, 95% CI = 1.23-2.05, and < 0.01) compared to low NNMT expression in cancers. Compared to patients with low NNMT expression, patients with high NNMT expression tended to have worse tumor differentiation ( = 0.03), earlier lymph node metastasis ( = 0.01), earlier distant metastasis ( = 0.02), and more advanced clinical stage ( < 0.01).

CONCLUSION

High NNMT expression is an unfavorable factor of various cancers. NNMT is a promising indicator to predict the prognosis of various cancers and can serve as a potential therapeutic target in various cancers.

摘要

背景

先前的研究表明,烟酰胺甲基转移酶(NNMT)表达失调促进肿瘤进展,并预示多种癌症预后不良。然而,由于各项研究结果相互矛盾,尚无确切结论。

方法

检索截至2020年12月7日的PubMed、Web of Science和Embase数据库中的相关研究。探讨NNMT表达与预后结果之间的关联,包括总生存期(OS)、无病生存期(DFS)及临床病理特征。利用生物信息学数据库验证研究结果。

结果

本分析纳入了13项回顾性研究,共2591例癌症患者。与癌症中低NNMT表达相比,高NNMT表达与较短的OS(风险比[HR]=2.01,95%置信区间[CI]=1.42 - 2.86,P<0.01)和DFS(HR = 1.59,95% CI = 1.23 - 2.05,P<0.01)显著相关。与低NNMT表达的患者相比,高NNMT表达的患者往往具有更差的肿瘤分化(P = 0.03)、更早的淋巴结转移(P = 0.01)、更早的远处转移(P = 0.02)以及更晚的临床分期(P<0.01)。

结论

高NNMT表达是多种癌症的不利因素。NNMT是预测多种癌症预后的有前景的指标,可作为多种癌症潜在的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/0906dbb4228d/j_med-2022-0413-fig008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/c7806ab97b6a/j_med-2022-0413-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/ab283381723d/j_med-2022-0413-fig002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/92842636d8b1/j_med-2022-0413-fig003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/d7420f738a45/j_med-2022-0413-fig004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/a4431df5bda0/j_med-2022-0413-fig005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/c9b85406693a/j_med-2022-0413-fig006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/1e177984a9d2/j_med-2022-0413-fig007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/0906dbb4228d/j_med-2022-0413-fig008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/c7806ab97b6a/j_med-2022-0413-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/ab283381723d/j_med-2022-0413-fig002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/92842636d8b1/j_med-2022-0413-fig003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/d7420f738a45/j_med-2022-0413-fig004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/a4431df5bda0/j_med-2022-0413-fig005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/c9b85406693a/j_med-2022-0413-fig006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/1e177984a9d2/j_med-2022-0413-fig007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfa3/8847710/0906dbb4228d/j_med-2022-0413-fig008.jpg

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High stromal nicotinamide N-methyltransferase (NNMT) indicates poor prognosis in colorectal cancer.高基质烟酰胺 N-甲基转移酶(NNMT)预示结直肠癌预后不良。
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