Su Hang, Hao Juan-Juan, Xu Yan-Bo, Zhang Feng-Hua
Department of Thyroid and Breast Surgery, Hebei General Hospital, Shijiazhuang, China; Graduate School, North China University of Science and Technology, Tangshan, China.
Department of Radiology, Huailai Campus, Peking University People's Hospital, Zhangjiakou, China.
Taiwan J Obstet Gynecol. 2024 Mar;63(2):154-160. doi: 10.1016/j.tjog.2024.01.007.
The relationship between CD276 and malignancies of the female reproductive system has previously been controversial. The purpose of this study was to evaluate the predictive value of CD276 expression in clinicopathological features and prognosis of female reproductive system malignant tumors through meta-analysis. PubMed, Embase, Cochrane Library, Web of Science, CNKI and Wanfang databases were searched for studies published up to December 2022 on the role of CD276 expression in the clinicopathological features and prognosis of female reproductive system malignancies. STATA 14.0 was used for meta-analysis. A total of 10 studies were included, involving 840 patients with malignant tumors of the female reproductive system. The results showed that in terms of clinicopathological features: CD276 expression was closely related to lymph node status [OR = 2.33, 95 %CI = 1.32-4.11, P = 0.003], tumor differentiation [OR = 2.15, 95 %CI = 1.27-3.63, P = 0.004], and FIGO stage [OR = 2.58, 95 %CI = 1.44-4.61, P = 0.001] of reproductive system malignant tumors. In terms of prognosis: CD276 expression is strongly associated with shorter OS in patients with female reproductive system malignancies [HR = 3.33, 95 % CI = 1.36-8.15, P = 0.01]. CD276 may be a new target for immunotherapy and a biomarker for predicting poor prognosis of female reproductive system malignancies.
CD276与女性生殖系统恶性肿瘤之间的关系此前一直存在争议。本研究的目的是通过荟萃分析评估CD276表达在女性生殖系统恶性肿瘤临床病理特征和预后中的预测价值。检索了PubMed、Embase、Cochrane图书馆、Web of Science、中国知网和万方数据库,以查找截至2022年12月发表的关于CD276表达在女性生殖系统恶性肿瘤临床病理特征和预后中作用的研究。使用STATA 14.0进行荟萃分析。共纳入10项研究,涉及840例女性生殖系统恶性肿瘤患者。结果显示,在临床病理特征方面:CD276表达与生殖系统恶性肿瘤的淋巴结状态[比值比(OR)=2.33,95%置信区间(CI)=1.32 - 4.11,P = 0.003]、肿瘤分化[OR = 2.15,95%CI = 1.27 - 3.63,P = 0.004]和国际妇产科联盟(FIGO)分期[OR = 2.58,95%CI = 1.44 - 4.61,P = 0.001]密切相关。在预后方面:CD276表达与女性生殖系统恶性肿瘤患者较短的总生存期(OS)密切相关[风险比(HR)=3.33,95%CI = 1.36 - 8.15,P = 0.01]。CD276可能是免疫治疗的新靶点,也是预测女性生殖系统恶性肿瘤预后不良的生物标志物。