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在人类癌症中 的临床病理和预后意义:系统评价和荟萃分析。

Clinicopathological and Prognostic Significance of in Human Cancers: A Systematic Review and Meta-analysis.

机构信息

The Shandong University of Traditional Chinese Medicine, Jinan, China.

Department of Oncology, The Third Affiliated Hospital of Shandong First Medical University (Affiliated Hospital of Shandong Academy of Medical Sciences), Jinan, China.

出版信息

Genet Test Mol Biomarkers. 2022 Jun;26(6):331-339. doi: 10.1089/gtmb.2021.0199.

Abstract

Dysregulation of the SET and MYND domain-containing protein 3 () has been found in multiple cancers. This meta-analysis aimed to elucidate the association between expression and clinical outcomes in cancer. A systematic search of Web of Science, Embase, PubMed, Cochrane Library, and CNKI was conducted. The relationship between expression and cancer patients' overall survival (OS) was evaluated using pooled hazard ratios (HRs) and their corresponding confidence intervals (95% CIs). The association between expression and clinicopathological features was assessed using odds ratios (ORs) with 95% CIs, including tumor size, lymph node metastasis (LNM), distance metastasis, and TNM stage. In total, 715 cancer patients with hepatocellular carcinoma, nonsmall cell lung carcinoma, esophageal squamous cell carcinoma, glioma, colorectal cancer, and/or bladder cancer from seven studies were included in our meta-analysis. overexpression was significantly associated with poor OS (HR = 1.81, 95% CI: 1.38-2.37,  < 0.01) with no heterogeneity ( = 0.0%,  = 0.929) in various cancers. Subgroup analysis showed that the prognostic value of across multiple tumors was constant as the tumor type, sample size, and methods of data extraction changed. Increased expression was positively associated with LNM (OR = 1.88, 95% CI = 1.33-2.66,  < 0.001), tumor size (OR = 1.68, 95% CI: 1.09-2.60,  = 0.019), and advanced TNM stage (OR = 1.84, 95% CI: 1.25-2.69,  = 0.002). Upregulation of was significantly associated with poor prognosis in various cancers, suggesting that may be a useful prognostic biomarker.

摘要

SET 和 MYND 结构域蛋白 3 () 的失调已在多种癌症中发现。本荟萃分析旨在阐明 表达与癌症患者临床结局的相关性。通过系统检索 Web of Science、Embase、PubMed、Cochrane Library 和中国知网,评估了 表达与癌症患者总生存(OS)的关系,使用合并的风险比(HRs)及其相应的置信区间(95%CI)。采用比值比(ORs)及其 95%CI,评估 表达与肿瘤大小、淋巴结转移(LNM)、远处转移和 TNM 分期等临床病理特征的相关性,包括肿瘤大小、淋巴结转移(LNM)、远处转移和 TNM 分期。共有来自 7 项研究的 715 例肝癌、非小细胞肺癌、食管鳞癌、胶质母细胞瘤、结直肠癌和/或膀胱癌患者纳入本荟萃分析。荟萃分析显示,在各种癌症中, 过表达与较差的 OS 显著相关(HR=1.81,95%CI:1.38-2.37,  < 0.01),无异质性( = 0.0%,  = 0.929)。亚组分析表明,随着肿瘤类型、样本量和数据提取方法的变化, 表达在多种肿瘤中的预后价值是一致的。 表达增加与 LNM(OR=1.88,95%CI:1.33-2.66,  < 0.001)、肿瘤大小(OR=1.68,95%CI:1.09-2.60,  = 0.019)和晚期 TNM 分期(OR=1.84,95%CI:1.25-2.69,  = 0.002)呈正相关。在各种癌症中, 上调与预后不良显著相关,表明 可能是一种有用的预后生物标志物。

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